Chapter 301: Still happy after being scolded, the stubborn family members figured it out

Author: Jiangbian Yuweng

Chapter 301: Still happy after being scolded, the stubborn family members figured it out

I also fully understand Director Zhang’s diagnostic ideas and intentions.

The pathological diagnosis and medical skills at the deputy director level are already at the same level as many experts present.

"Director Zhang, you mean to hospitalize the patient, then fasting and replenishing fluids, suppressing acid, decompressing the gastrointestinal tract, and trying to control the patient's vomiting and diarrhea symptoms, right?"

Zhou Can asked her just to verify whether his diagnostic level had really risen to the deputy director level.

"exactly!"

Director Zhang nodded happily. She felt particularly happy to be able to watch her juniors grow up rapidly and understand her intentions.

"Do you know why symptomatic treatment is needed to control the patient's two initial symptoms of diarrhea and vomiting?"

Director Zhang wanted to further test Zhou Can's diagnostic thinking.

Many novice doctors watch their superior doctors prescribe various examinations or conduct some experiments and measurements on patients, and they simply don't understand why the superior doctors do this?

Because their diagnostic level is not at the same level as that of their superior doctors, they really cannot understand the underlying meaning.

It's just like playing chess. People seem to place a piece here and a piece there without any rules. Because you are not good enough, you have no idea what the opponent's formation is.

It wasn't until the opponent revealed his murderous intentions and tightened the dragnet step by step that he understood the cleverness of it.

Zhou Can is just a doctor with regular training, but Director Zhang requires his diagnostic thinking to be at the same level as the director, which is a bit too harsh.

In the past, it would have been difficult for Zhou Can to give a satisfactory answer.

At this moment, his pathological diagnosis is also at the director level. Although it is only at the deputy director level, it is also a serious director-level medical skill.

Both deputy senior and senior positions are senior professional titles.

It is a grading of professional level.

Zhou Can pondered for a moment and said calmly, "Your diagnostic idea should be a bit like a fish-eye."

"Foolish" is a derogatory term. Zhou Can used this term to describe Director Zhang Bihua's diagnostic thinking. Isn't this a roundabout way of scolding her?

Yang Chan, who was standing behind Director Zhang, and Ji You, who was standing next to Zhou Can, were both worried about Zhou Can.

The day before yesterday, Du Leng criticized Director Zhang in public, but was criticized as useless.

I'm still sitting on the bench till now.

Dr. Zhou is usually a very clever person, so why did he scold Director Zhang today? Isn’t this asking for trouble?

Just when they thought Zhang Bihua was going to teach Zhou Can a lesson with a cold face, they didn't expect Zhang Bihua's face to show a happy smile.

After being scolded by Zhou Can, you still laughed so happily?

Yang Chan was confused. What happened today? Zhou Can, a person with a high emotional intelligence, scolded Director Zhang in public. But the latter still showed a happy smile with a look of enjoyment.

It's so magical.

"This word is used very vividly. Go on!"

Director Zhang just smiled, which seemed not enough to express her inner joy. Then she praised Zhou Can again, and then she felt comfortable.

"The patient's symptoms are very numerous and complex, involving multiple organs and tissue systems. If you want to force the real lesions to appear, you have to clear away the obstacles that may obscure the view. As long as the vomiting and diarrhea are controlled

With two initial symptoms, you can identify the real cause by observing whether the patient's other symptoms also change."

Zhou Can explained it according to his own understanding.

The family members, Yang Chan and others were very surprised to hear this.

I have never seen this method used to find the cause of the disease. These experts are indeed experts, with many methods and methods.

"You're so right! Dr. Zhou can achieve such a high level of diagnosis now, and his future achievements will definitely be far higher than mine. I can't even imagine what heights you will reach in the future."

Director Zhang was full of praise for Zhou Can.

If you want to become an outstanding young famous doctor, diligence and talent are indispensable. You also need a little luck and opportunity.

"Teacher, I still don't quite understand. Why is it called the diagnostic method?"

Yang Chan touched her hair subconsciously.

They say long hair means short knowledge.

Her hair is not long either, it only reaches her shoulders. After being tied into a ponytail, it has not yet reached her shoulders.

But with her ponytail, she looks capable and youthful.

The youthful vitality that naturally exudes, paired with a ponytail, reveals a vibrant beauty.

"This patient has more than a dozen symptoms, and it is very difficult to find out the real cause. Because the real cause may be covered up or hidden. It's like two fish eyes mixed in a big basin of pearls. Think about it. To find the fish eyes, it is difficult to succeed by searching directly. Because the pearl is very dazzling, its light will interfere with people's sight, making it difficult for people to find the two fish eyes mixed in. "

"At this time, if you want to find the fish eyes, you have to change your thinking. Instead of looking for the fish eyes directly, you need to pick out the pearls inside. By then, all the pearls have been picked out, and what is left are just the fish eyes, right? ?Actually, you only need to pick out a part of the pearl, and the fish eyes will be automatically exposed."

"By controlling this patient's diarrhea and vomiting, the originally hidden cause will become apparent. Then it will be much easier to find out the cause."

Zhang Bihua patiently taught her beloved disciple.

She raised Yang Chan with almost the same care as her own daughter.

"Dr. Zhou and Professor Zhang, after listening to the discussion you just had, I feel a lot more confident. We are at the right place this time. I believe my son can be cured here."

The boy's father suddenly felt ashamed when he thought of all the previous doubts about Zhou Can.

This young doctor is much more capable than he imagined.

Even Professor Zhang was full of praise for him.

Moreover, listening to the two people discussing his son's condition, the young Dr. Zhou did not fall behind at all. The diagnosis was clear and the direction was clear, which gave him hope of curing his son.

There is no mention of the patient's subsequent hospitalization.

…

The day of diagnosis ended quickly.

Zhou Can sat in the clinic independently on his first day and gained a lot. Especially the ability to work independently has been greatly improved.

He received a total of seven patients in one day, except for one extremely difficult and difficult case that required hospitalization for observation and further diagnosis. The other six cases were either left with treatment or hospitalized for surgery.

During the diagnosis process, he also discovered many of his shortcomings.

There is both knowledge and lack of experience.

It's a good thing to be able to help him discover his own flaws.

After this expert clinic, he can study in a more targeted manner when he returns to the Department of Internal Medicine to continue his regular training.

After get off work, the first thing Zhou Can did was go to the emergency room to visit the pregnant woman.

The situation is not bad and his physical signs have become more stable.

Her blood pressure has increased, and her spontaneous breathing function has recovered a lot. You can tell by the sound of her breathing that her lung function is recovering rapidly.

People who exercise regularly recover much faster than those who don't exercise.

In clinical practice, Zhou Can has long discovered this phenomenon.

Some people with the same degree of pneumonia recovered within a few days after taking medication and symptomatic treatment. However, some people's condition continued to worsen due to poor physical condition, and eventually progressed to severe pneumonia.

"Ji You and I will be on the night shift tonight. I estimate that if we keep guarding her for one more night, we should be able to consider removing the ventilator tomorrow."

Zhou Can was particularly happy as he watched the condition of the pregnant woman continue to improve.

"Ji You, can you work hard for another night?"

He turned to look at Ji You, who had followed him to the rescue room.

"completely fine."

She gladly accepted the night shift assignment.

Yesterday, I accompanied Zhou Can on the night shift and had a late-night snack, which she enjoyed very much.

…

The next day, Zhou Can made a preliminary assessment and believed that the pregnant woman could try to remove the ventilator and rely entirely on spontaneous breathing.

Before removing the ventilator, there is one thing that needs to be done, and that is to help her perform external femoral fixation.

This is considering that if the ventilator is suddenly removed, her respiratory function cannot return to normal immediately.

If external fixation of the femur is performed immediately after the ventilator is removed, it will definitely cause great stimulation and impact on her body. This is very dangerous and is called a stress reaction in medicine.

For example, if a patient needs surgery on two parts at the same time, for the sake of safety, the doctor will generally recommend elective surgery in two phases instead of one surgery.

After Dr. Pang came to take over, Zhou Can went back to the hotel to wash up and didn't mention breakfast.

During breakfast, Director Zhang happened to be still in the restaurant on the first floor of the hotel.

Zhou Can went over to talk to her about the treatment of pregnant women.

"Now that you've made the assessment and the treatment plan has been formulated, let's go to the emergency room now to help her perform external fixation of the femur. Then we'll check her condition during the lunch break. If there's nothing abnormal, we can consider it.
To be continued...