My Medical Skills Give Me Experiences
Chapter 173: Growth can be seen, the ubiquitous sophistication of the world
To make them rush to say goodbye to Zhou Can, even a fool would not believe it if it was purely a friendship of colleagues. The main reason is that the potential revealed by Zhou Can is too amazing, and it has the value for them to climb.
Of course, friendship also plays a part.
Human relations in the world are originally composed of friendship and interests.
Friendship can make each other trust, and interest is an important link for both parties to keep in touch and help each other.
Without a foundation of trust, there is no way to give gifts.
No matter how poor the leader is, he will not accept a gift from a stranger. There must be a trusted acquaintance acting as a middleman to build a bridge and lead the way, so that the gift can be sent out.
These doctors in the intensive care department, like Dr. Hu, Deputy Director Yu, and Zhou Can do not have a deep friendship.
It is estimated that he also wanted to deepen his friendship with Zhou Can through this farewell.
In the future, if you ask for something, you can also talk.
After saying goodbye to them one by one, Zhou Can returned home from get off work.
Dr. Shi chased after him.
"Dr. Zhou went to another department, will you still write the paper together?" Dr. Shi asked. "Even if you don't participate, I will include you when I publish."
He added another sentence.
Dr. Shi is a taciturn and kind person who can't hide things on his face.
He said it politely, but his eyes and expression clearly did not want Zhou Can to withdraw from the cooperation.
With his own strength, he can complete the rest of the thesis.
But it is definitely not as powerful as two people.
"Participated, of course I did. I am extremely happy to be able to study and improve together with Dr. Shi." Zhou Can usually would not have the opportunity to be with a superior doctor.
Dr. Shi took him to write the thesis together, which was of great help to him.
The two have cooperated for nearly three months, and they already have a high degree of tacit understanding when doing research.
The two are working together to check information, dialectics, calculate various data, expand and expand the ideas of the thesis, etc.
At the beginning, Zhou Can was basically in the learning stage because he wrote few papers.
He had only written graduation thesis before, which was considered more formal.
The defense that I usually participate in is not a thesis at all.
Now the papers written by Dr. Shi are going to the core journals.
The brand and grade are not the same as the graduation thesis.
Dr. Shi wanted to rely on this thesis to lay the foundation for the title of deputy senior professional.
Zhou Can has a very strong learning ability and has a good foundation.
Only memorization-related medical knowledge is a bit weak, and English is relatively poor.
The foundation is weak, because I was lazy when I was in college, and I was not willing to spend hard work on memorizing those memorizing knowledge. Poor English, in addition to being lazy, there is also rejection of foreign languages in his bones.
He always felt that there was no need to spend too much time and energy on learning the language of foreigners.
Of course, in the end he was beaten by reality.
His poor medical background and poor foreign language should be the main reason for his failure in the postgraduate entrance examination.
In terms of talent, Zhou Can is really talented. Especially logic knowledge, through understanding and memory, his thinking is very quick.
Even the teacher praised him many times.
This is why his medical foundation is not particularly outstanding, but his pathological diagnosis is very good.
Because he is particularly interested in the diagnosis and treatment of various cases.
When reading a book, this kind of knowledge has a strong ability to absorb.
It can only be said that each has its own advantages and disadvantages.
In addition to his poor medical knowledge of memory, his surgical ability is actually not particularly good.
If you didn't get the experience point system before, you might not even be able to enter the top 100 in the regular training exam.
In fact, he has always worked very hard to practice his surgical skills.
Now, relying on the experience point system to improve all the medical skills is equivalent to making up for the original short board and turning it into the biggest advantage.
This is also the main reason why he can become more and more evil.
Cooperate with Dr. Shi to write the thesis, relying on Dr. Shi's leadership from the beginning. Up to now, his contribution in the thesis has even surpassed that of Dr. Shi.
Growth is really visible.
It is precisely because he is very important to the completion of the thesis that Dr. Shi caught up with him and chatted privately about it.
Dr. Shi also breathed a sigh of relief when he received Zhou Can's statement.
"keep in touch!"
Dr. Shi shook the cell phone he was holding, then turned and left.
…
The next day, Zhou Can rushed to the cardiothoracic surgery department early to report.
In order not to be caught by the pigtails.
Director Xie of the Department of Surgery has never been friendly to him, and his thoughts of suppressing him have always existed.
It's like the US emperor's heart to destroy China is not dead, and he has been doing all kinds of bad things and suppressing.
As long as Zhou Can doesn't submit to the surgery department, Director Xie will have trouble sleeping and eating, and always feels that Zhou Can will pose a huge threat to the surgery department in the future. His suppression of Zhou Can will not stop.
Cardiothoracic surgery is known as one of the four strongest departments in surgery, and it is by no means in vain.
Any heart bypass surgery can generate 70,000 to 80,000 yuan in revenue.
As for various heart, lung, and aortic surgeries, they are basically major surgeries. The cost is high and the technical difficulty is quite high.
This is also the reason why doctors in cardiothoracic surgery dare to be arrogant.
The only surgery that can compete with God at the technical level is cardiothoracic surgery.
However, in recent years, as some large hospitals have become more and more detailed.
Cardiovascular surgery gradually began to be listed as a separate department.
It is equivalent to dismembering the cardiothoracic surgery department.
This is actually quite a blow to the thoracic surgery department.
Tuya's cardiothoracic surgery department has not yet separated, so its strength is strong.
In the doctor's office, Zhou Can found that including him, there were only five new trainees in cardiothoracic surgery.
After filling out the information form, the doctor Guan Guipei said in a sharp voice, "Do you know what the first thing you do when you enter the cardiothoracic surgery department? Learn to take out the garbage. Because there are no minor surgeries in our cardiothoracic surgery department, they are all high-risk and high-tech requirements. Surgery. You regular trainees, don’t think about what you can do, what you can do is to watch more, learn more, listen more, ask less and do less.”
It is said that cardiothoracic surgery has always been arrogant and arrogant.
Zhou Can has personally learned the lesson today.
Although Gui Peisheng does have a la carte in many aspects, he is much better than an intern. What's more, some of the regular trainees present have been trained for more than two years.
He had obtained his medical license long ago, and he was already regarded as an official resident doctor.
There's nothing wrong with being a doctor.
When I got here, I asked people to learn how to take out the garbage, which is simply irritating.
Just as he was talking, a young female nurse rushed into the office in a hurry.
"Dr. Zhao, Dr. Zhao, a patient with chest pain is coming outside. The pain is very severe. Please go and have a look!"
"Why did you come here? Tell him to register and go to the outpatient clinic first!"
Doctor Zhao, who was speaking to Zhou Can and others, frowned.
When patients go directly to the doctor's office, they are usually persuaded to register first and go through the outpatient process.
Otherwise, wouldn't it be a mess if all the patients were doing this?
"You say you know Director Xueyan, why don't you go over and have a look!"
The nurse seemed a little embarrassed.
The relationship between doctors and nurses in the department is intricate. When encountering such patients who know the doctors in the department, the nurses generally treat them with caution.
He knew the chief physician, so he couldn't be rude enough to drive him away.
In case Director Xue blamed her afterwards, the nurse's life would be very difficult.
Usually in the hospital, don't watch the nurses swearing, they hate the patient's family, and the family hates the doctor. It seems that the sky is not afraid, and the earth is not afraid.
They are actually smart in what they do.
If you observe carefully, you will find that the nurses are all doctors below the resident level. When I meet a senior resident doctor, even if I feel dissatisfied in my heart, such as blaming the doctor for being too slow, or leaving everything to her. I absolutely dare not say it in person, and usually say a few words behind my back.
As for women, Sui Sui Nian is their innate skill.
As for the doctor in charge, unless the nurse's brain is pumped.
Chief doctors with higher professional titles, even their chief nurses, will greet them politely when they meet.
Some are respect in addition to respect.
When Dr. Zhao heard that he was a relative, he didn't dare to neglect, and walked out of the office, the patient was left at the door of the nurse's station. Lying flat on the cart, screaming incessantly.
Accompanied by three family members with scorched faces.
Judging by the way these people dress, they should have a decent net worth.
The two older men and women, who might be the patient's parents, stood there quite imposingly.
It is possible to be a petty official or manager in a certain unit or enterprise.
Generally, people with a little authority like to seek connections when they go to the hospital to see a doctor, and go through the back door.
In particular, small cadres in most public institutions almost always look for acquaintances or relationships when they go to the hospital for medical treatment.
It may be related to their working environment.
In many public institutions, most of the people who can be small cadres are people with background.
"Hi doctor, this is my son. I am very familiar with Director Xue. She is undergoing surgery now. Please help me find out what is wrong with my son?"
The older woman spoke first.
As for the young woman lying on the flatbed cart, she was pretty and had a good temperament. She didn't speak, but looked anxiously at the young man who kept screaming for pain.
These four should be a family of four.
The older men and women are the patients' parents, and the attractive young women are the patients' wives or girlfriends.
"How did he do it?"
Dr. Zhao was doing a physical examination on the patient while asking about the situation.
"My husband said that when he was doing pull-ups, he suddenly heard the sound of clothes being torn in his chest, and then it was extremely painful." The beautiful woman replied.
Dr. Zhao nodded, and opened the patient's neckline to check the condition of the chest wall.
"Where is the pain?"
"This... ah yo..."
The patient's physique is still quite strong, with both pectoral muscles quite large, and there is no bulge in the abdomen.
Usually should insist on exercising.
"It may be a pectoral muscle tear. You need to go to the outpatient clinic to register and have a chest CT examination to see the specific situation. If it is serious, you must have an operation."
After the examination, Dr. Zhao told the family members.
"Doctor, if you can do something special, can you directly apply for an examination for my son?"
"Sorry, I'm in charge of the inpatient department. You need to find an outpatient doctor for this matter."
Dr. Zhao politely refused.
These family members really dare to think that it is impossible for such a large hospital to operate without following the rules.
At most, the patient or the doctor himself was injured, and he happened to be familiar with the doctor in the examination room corresponding to the medical technology department. I asked him to take a film in private. Don't take the film, just see where the injury is and whether it is serious.
As for what the family members mentioned, don't even think about it.
Many patients who came to seek medical treatment from other places are still waiting for beds.
The family members had no choice but to take the patient to the outpatient clinic.
When I left, I was somewhat unhappy and didn't even say thank you.
Dr. Zhao directly began to assign tasks to Gui Peisheng.
The old rules, control the bed.
Including following surgery, writing medical records, learning to prescribe medical orders, etc.
Zhou Can manages 16-20 beds. The superior doctor is none other than Dr. Zhao.
I don't know if Zhou Can's luck is good or a bit unlucky.
As soon as the bed is in charge, patients with 17 beds need to arrange surgery.
This patient has been examined and requires clipping of the aneurysm.
Chest surgery and abdominal surgery are actually two concepts.
To open the abdominal cavity, it is enough to cut the skin, muscle, and peritoneal layers.
But to open the chest cavity, even if it is just to make a simple bypass for the heart vessels, you have to saw the sternum, and then use a chest expander to separate the bones to the two sides. After the operation, the sawed sternum was fixed with steel nails.
All thoracotomy operations are major operations, and the risks are extremely high.
Aortic aneurysm clipping surgery is a serious fourth-level major surgery.
As Dr. Zhao said, there are no minor surgeries in cardiothoracic surgery, but major surgeries.
The patient's operation time starts at eleven o'clock in the morning. The chief surgeon was none other than Chief Physician Xueyan whom the patient knew just now.
Fasting before surgery, the nurse has already informed. UU Reading www. uukanshu.com
What Zhou Can has to do is to make good records of body temperature and blood pressure before the operation, and to find out whether the patient has a history of allergies and so on.
The 19-bed patient is being discharged from the hospital, and there are many things that I don't understand.
From time to time, he ran over to ask questions, and Zhou Can patiently explained them one by one.
After three months of almost devil-like exercise in the intensive care medicine department, Zhou Can only felt that it was too easy to go to the specialized inpatient department to manage the bed.
You don't have to be nervous all the time, and you don't have to worry about the patient dying in the next second.
You don't even need to stay in front of the hospital bed all the time. You can go to the toilet whenever you want, go back to the office to write medical records, etc., and you can also be willful at any time.
Less than an hour later, the patient with a torn chest wall came again.
I still have the CT scan in my hand.
The related household is really kind, and they were arranged to be put on the hospital bed so quickly.
"Your bed is here. Director Xue has already explained that he will arrange surgery for him as soon as possible. During this period, don't eat or drink." The nurse sister brought the patient and his family here in person.
I directly stayed in the newly vacated bed 19.
Then the nurse from the inpatient department came over with a tray. Create files for patients, measure body temperature, blood pressure, heart rate and other basic data. Then give the patient painkillers.
The man who was screaming in pain finally stopped.
Knowing people, hospitalization and surgery in the hospital can indeed get some care.
The treatment enjoyed by this man with a torn chest wall has far exceeded that of ordinary patients. Whether it is medication, jumping in line to occupy a bed, or urgently arranging surgery, it is all a coquettish operation.
Behind this is because they know a chief physician and can receive the utmost care.
Zhou Can saw all these people's sophistication in his eyes, and thought to himself, a chief physician is really powerful.
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