My medical skills add experience

Chapter 228 The Director Directly Books, Internal Medicine That Subverts Cognition
Gao Jian should have paid close attention to him.

Because of the two meetings, Gao Jian was able to accurately tell Zhou Can's recent glorious deeds.

In the past, Zhou Can regarded Gao Jian as a strong competitor.

Now as his strength is getting stronger and stronger, and his shortcomings in basic medical knowledge are being quickly filled, he no longer takes his opinions too seriously.

In life, it is through continuous efforts to surpass each opponent and leave them far behind.

While filling out the form, Dr. Xia Ping came in after finishing his work.

"Doctor Chi, have Zhou Can's admission procedures been completed?"

Doctor Xia Ping was still playing with Zhou Can's idea.

Otherwise, they wouldn't be so enthusiastic about inquiring.

"Just wait until he finishes filling out the form. I heard that the patient in the 51st bed under your care has a problem. Are you okay now?" We are all doctors in the same department, and we are fairly familiar with each other.

"Don't mention it, thanks to the young man Zhou Can, something big happened today."

After Xia Ping sat down in his seat, he picked up the cup and took a sip of water to moisten his throat.

"Tell me quickly! Look at your relaxed face, the matter must be resolved."

Doctor Chi became interested.

He also knows something about the patients in bed 51.The patient did several checks but failed to find out where the bleeding was.

I only know that the patient has blood in the stool, which must be gastrointestinal bleeding.

There is no way to lock the specific part.

As soon as he arrived at the hospital this morning, he heard that a patient in bed 51 suddenly went into shock and was sent to the intervention room for emergency rescue.He was still worried about the patient.

He was particularly curious about where the patient was bleeding?How did it work out?
"You can't imagine that the patient turned out to be bleeding caused by a stromal tumor in the small intestine wall. No wonder we checked the colonoscopy and even the capsule gastroscopy, but still couldn't find the bleeding point. How did you find it?"

Xia Ping was still a little emotional when he talked about it.

"Then how did you find out later? I heard that the patients were already in shock at that time, so it must have hit you in a hurry, right?"

Doctor Chi heard that it was the disease, and he had a sudden realization expression on his face.

Small intestinal stromal tumor is known as the ghost killer in gastrointestinal diseases, and it is very difficult to find.

"Thanks to Dr. Zhou for reminding me to do an angiography of the digestive tract as soon as possible. Hey, it's really accurate." When Xia Ping talked about this, he gave Zhou Can a grateful look. "By the way, Dr. Zhou has been helping to rescue that patient. The department didn't record him as late, did he?"

"No, Dr. Luo has already told me about this."

Doctor Chi quickly clarified that he would not be this villain.

"Who...does Dr. Zhou take care of it?" Xia Ping inquired about it with a wicked smile.

"Haha, it turns out I'm not the only one who came up with Dr. Zhou's idea! It's a pity that Director Shang has already made an appointment, so you and I don't want to think about it!" Dr. Chi smiled happily.

Somewhat regained a little psychological balance.

He was not the only one who failed to snatch Zhou Can.

"Director Shang is well-informed. I'm afraid he knew that Dr. Zhou was very good, so he made the move ahead of time. I really envy him for finding a good helper! Originally, I still have a vacancy for a tutor, so I wanted to say hello and send Zhou Can wants to come over, that's all!"

Xia Ping sighed and shook his head.

After being promoted to attending doctor, you will be qualified to teach.

Interns are free helpers.

The powerful attending doctor has several interns to help with the work.

Gui Peisheng is a little more advanced, and the work he can do will be more advanced.

So, don't look at the attending and chief physicians with sullen faces all day long, scolding and teaching the interns and regular trainees under them.But these free labors are very important to them.

When the hospital assesses the teaching teacher, if violations are found, an intern under the doctor will be transferred.

For those who have repeatedly violated the regulations or failed the assessment, until all the adjustments are completed.

Those who are outstanding in the assessment will usually have more places to teach students.

It can also be seen from this point that the number of interns and regular trainees under a doctor is equivalent to a part of the working ability.

"Old Xia, aren't you talking ill of me again?"

A hearty middle-aged man's voice sounded, and then a middle-aged male doctor with a medium height and slightly fat body walked into the office.Round face, with a three-pointed smile, but at the same time majestic.

This must be Director Shang of the Department of Gastroenterology.

There are many chief physicians in a department, but there is only one department director.

The director of a department is only an administrative position and does not represent the level of medical skills.

In some departments, there will even be an attending physician as the department director.

Management level and coordination ability, these are the key factors for being a department director.Of course, under normal circumstances, to be able to serve as a department director, the level of medical skills is not bad.

"How dare I speak ill of you! I mean you are wise and far-sighted, and you booked Zhou Can in advance. You don't know how good he performed today..."

Doctor Xia Ping looked very arrogant in front of junior doctors, but he didn't expect to look completely different in front of Director Shang.

Flattery is out of the question, but there is no shortage of flattery.

This is the law of workplace survival.

No matter how rebellious a character is, he will slowly learn how to survive.

"Oh, it seems that the rumors are indeed true! I heard that Dr. Zhou has a habit. When he enters a new department, he will always find a way to make a great contribution as an introduction ceremony. It seems that it is no exception when we transfer to our gastroenterology department!"

Director Shang obviously knew something about Zhou Can's deeds.

No wonder Zhou Can was booked in advance.

"Hehe, the rumors are unbelievable! I happened to meet him too, so I took the lead, and I can't say that I have made great achievements. Today's rescue of the patient with gastrointestinal bleeding was also done by Dr. Xia, Director General Jia and others. completed under the direction of the

Zhou Can didn't dare to monopolize the great work.

Low-key humility is his usual style of conduct.

Fame and utilitarianism, he really doesn't care.

Rescuing patients and earning medical experience points are what he values ​​most.

"The young man is not arrogant or impatient, really good." Director Shang praised him, then turned to look at Xia Ping. "Old Xia, it's really a blessing that the patient was rescued today. You should take this incident as a warning and learn from it, so that similar safety accidents must not happen again."

Director Shang typed a few words seriously.

That faint coercion directly frightened Xia Ping so much that he didn't even dare to lift his head.

"I will reflect deeply, draw inferences from one instance to other cases, and prevent such incidents from happening again. After the operation just now, after I came back, I immediately checked the patients in the group I was in charge of."

If you do something wrong, you must have a correct attitude of admitting your mistakes.

Xia Ping accepted the criticism very sincerely, and immediately corrected himself after returning from the operation.

This attitude of admitting mistakes is still worthy of recognition.

Director Shang's expression relaxed a lot.

"This incident is also a profound lesson for our department. Tomorrow morning, we will notify all the doctors in the department to hold a morning meeting. Vice President Ye has been emphasizing medical safety recently, and we cannot commit crimes against the wind."

It is not easy to be a good department director.

The policies explained above must be implemented well, and at the same time, some opportunities must be seized to carry out warning education work within the department.More attention should be paid to the performance of the department.

There are so many things to worry about.

Therefore, many chief physicians are unwilling to serve as department directors, because it will take up a lot of their time and energy.

Director Shang has dealt with the safety incident, and looked at Zhou Can again.

"This is Dr. Zhou's first rotation to the Department of Internal Medicine, right?"

"Yes, it is!"

Zhou Can stood up and answered.

"Sit, sit, if you enter our department, you are a family, so you don't have to be too cautious. We don't have so many red tape rules here." Director Shang quickly raised his hand and pressed down, signaling Zhou Can not to stand and talk.

Internal medicine doctors, most of them have a gentle personality.

This may have something to do with the content of their work.

"Do you know what is important in internal medicine?"

Director Shang stared at him and asked lightly.

"Heavy pharmacology and pathology." Zhou Can replied.

"To be precise, internal medicine attaches great importance to the stable operation of the body system. The respiratory and digestive systems are the primary support in the life of the human body. Many people compare the blood to the gasoline of a car, which is actually inappropriate. Because what really provides the human body with energy for survival It's oxygen and food. They're the real 'gasoline.'"

Every doctor has a different understanding of the human body and life.

The Department of Gastroenterology attaches great importance to its own research in this field.

I am also more willing to emphasize the importance of the digestive system.

Director Shang's theory is quite unique.

At least Zhou Can had never heard of it before.

"To be more precise, when a car's engine burns, oxygen exists alone in the air, not part of the gasoline. Therefore, food is the real 'gasoline' for the human body to run."

After hearing this, Zhou Can thought for a while, then nodded in agreement.

What is medical science?
What makes sense and is based on facts is medical theory.

Director Shang told Zhou Can that food is the "gasoline" for the human body to run, and there is really no way to refute it.

Because what people say makes sense.

"What we really need to learn in internal medicine is not pharmacology and pathology, but the human operation mechanism. When we find that there is a problem with the operation mechanism, we can use drugs or interventional surgery to help a certain system of the body to resume operation, and at the same time, we must ensure that it will not Affecting the operation of other systems is the highest level of medication."

As soon as the expert makes a move, he will know if there is any.

After listening to Director Shang's remarks, Zhou Can took it very seriously.

It seems that this decision is very wise to give up the recruitment of multiple departments of surgery and insist on coming to the department of internal medicine to complete the training.

Fortunately, I met a very high-level teacher as soon as I entered the Department of Gastroenterology.

Director Shang's theories gave him a new understanding of the life mechanism of the human body and the effects of drugs.

In the past, didn't he think that medicines were only used to treat diseases?
I really haven't thought deeply about the positioning and real role of drugs in treatment.

"How do you understand the four words symptomatic treatment?"

It is estimated that the first lesson that Director Shang taught him will leave an extremely deep impression on him.

"It is to treat according to the patient's symptoms!"

Zhou Can thought to himself, is there a deeper explanation?

It is said that internal medicine is the origin of medicine, and all physicians are masters in medicine and medicine.Through a brief conversation with Director Shang, he preliminarily approved this statement.

The most learned thing in surgery is how to operate and how to lock the lesion according to the examination results.

Internal medicine seems to be very different from what he thought.

"It's just stomach pain. Use painkillers to relieve the pain. Respiratory failure and ventilator to help the patient breathe. Constipation, dry stool, use Kaisailu to help the patient expel the accumulated stool?"

Director Shang took the time to pursue the question.

"Yes, that's it. Treat according to the patient's symptoms."

Zhou Can nodded.

"Then let me tell you that symptomatic treatment in internal medicine is wrong, can you accept it?" Director Shang is about to completely overturn Zhou Can's perception of medicine.

In other words, it is necessary to smash the medical definition that Zhou Can knew before, and let him know it again.

The medicine he knew before was only on the outside, now let him know the inside of medicine.

"Hehe, this is a bit difficult to accept. I was in school, and the teacher often taught us symptomatic treatment. In the clinical department, practice, training, teaching teachers, superior doctors, have always taught us to treat symptomatic treatment. Now you tell me this is wrong , I'm really a little hard to accept."

Zhou Can smiled and shook his head.

He also wanted to see how Director Shang was going to subvert his medical cognition today.

Instead, there was a hint of excitement in my heart.

There is more than one temple of medicine.

In addition to the outer hall, there is also the inner hall.

"Symptomatic treatment is actually treating the symptoms rather than the root cause, which is what Western medicine advocates. Our internal medicine in China benefits from traditional Chinese medicine, especially the Yellow Emperor's Internal Classic, which makes our country's internal medicine somewhat different from foreign internal medicine. What I am going to teach you today is that it is both right and wrong to treat the disease and treat the symptoms."

Director Shang ignored Zhou Can's horrified expression and continued.

"Internal medicine advocates treating according to the symptoms. First, we must differentiate the pathological mechanism to find out the real cause, and then correct a certain body system that has gone wrong to help it return to normal operation. Symptomatic treatment is to cure the headache. Treat foot pain and treat the foot. Treat the symptoms according to the symptoms, but you may have a headache and treat the feet, pointing to the root of the pathology. Internal medicine pays attention to treating the root cause. Or both the symptoms and the root cause.”

This brand-new treatment theory made Zhou Can feel as if a new medical door had been opened.

The medical world I see has become different.

To be more precise, he used to look like he was looking down from a low place, and what he saw was only a part of the landscape.Now that I have been exposed to internal medicine, it is equivalent to climbing to the top of a mountain and looking at the whole scenery.

Able to see farther and more comprehensively.

"What you said clearly overturned my understanding of medicine, but it made me feel very reasonable. My God, internal medicine is amazing."

What Zhou Can said was somewhat exaggerated.

He also has the intention of enlivening the atmosphere.

"Haha, there are still many amazing places in internal medicine! Gastroenterology is only a part of the many departments of internal medicine. The really powerful ones are neurology, cardiovascular medicine and other weighty departments. You can learn more when you go there."

Director Shang laughed happily.

The other doctors in the office also smiled.

(End of this chapter)