My Medical Skills Give Me Experiences
Chapter 349: The body organs are connected to each other, Cheng Dazhuang's opportunity
【My medical skills can add experience points】【】
Opportunities for advanced studies are generally given to young doctors in their 30s and 40s, because they have great growth potential and will make great contributions to the hospital after returning from their studies.
After seeing Zhou Can's superb operation, Director Wang really admired it from the bottom of his heart.
It is even more eager to obtain Zhou Can's ability.
He thought to himself, even one of Tuya's regular trainees could be so good, if he, the chief physician, went to Tuya to study for a few months, he would definitely be better than Zhou Can!
But he never imagined that although Zhou Can is just a regular trainer, he is a unique existence.
Zhou Can's strength, not to mention the general training, even the general deputy chief physician would be ashamed of himself.
Director Wang, the chief physician of the County People's Hospital, might not even be able to make a fuss in the past.
"Director Wang, Doctor Zhou, the patient's heartbeat has returned to normal!"
Head nurse Liu exclaimed in surprise.
After the blocked blood vessels are unblocked, the blood supply returns to normal, the blood circulation of the heart recovers, and the beating naturally follows. The beating of the heart is a complex and delicate process.
The sinoatrial node cells at the junction of the right atrium and the superior vena cava have the highest self-discipline, so the sinoatrial node starts to be excited, becomes a pacemaker, sends out excitement, and then moves to the atrioventricular node, atrioventricular bundle, and finally the left and right Ventricular muscle, which completes one heart beat. Disorders in any part of this series of conduction systems can lead to serious arrhythmias or cardiac arrest.
Rather than the simple contraction of the myocardium as ordinary people think, it is as simple as the nerve signal controlling the discharge.
Even the heart is closely related to the operation of every organ in the body.
For example, we all know the kidney, which is the body's fluid organ. It also includes the filtration of blood.
When our heart feels a little tired and wants to relax, it can send a signal to the kidneys, "brother kidney, brother, my side works 24 hours a day, the master doesn't care about me at all, and he is greedy for food I ate a lot of high-salt food, which caused my blood to thicken and greatly increased my workload. I am too tired, so please help me find a way, otherwise I will fall down and you will all suffer.”
After the kidneys received the distress signal from the heart, they couldn't help trembling, feeling very nervous.
Big Brother Heart can't fall down, once it stops, we all have to finish the game.
As a result, the kidneys began to regulate the 'pump' mechanism, and began to increase the pumping of sodium to accurately excrete a large amount of sodium with the urine.
In this way, the viscosity of the blood decreases and gradually returns to normal, and the work of the heart is also relieved.
It can be seen from this that each organ of the body has its unique function and is closely related to other organs.
However, no matter which organ of the body, although it has a strong self-regulation ability, it can tolerate the owner's misbehavior and indulgence. But there is a degree.
Eating high-salt food, or high-sugar food, or fried food for a long time, they may all be tired.
As long as one of the organs lies down, the other organs will be affected accordingly.
At this time, the body also collapsed.
The owner of the body will feel obvious discomfort and develop various bad symptoms. That's when you're sick.
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【My medical skills can add experience points】【】
Chinese medicine often says that diseases come from the mouth, which is really not farting.
Many diseases are caused by eating.
…
The heart patient was successfully rescued after emergency interventional surgery, thrombectomy and stent placement.
"Doctor Zhou, thank you so much today! Our County People's Hospital can do interventional surgery, but it is far behind you. If it is possible, I will learn more from you in the future!"
Director Wang looked very happy.
The patient was successfully rescued, and I believe that every medical staff feels joy from the bottom of their hearts.
"I don't dare to learn from the experience! I can communicate with each other when I have the opportunity."
Zhou Can feels that it is a good thing to help the people's hospital in his hometown to improve the medical level. As long as he has time, he is quite happy to give advice to the doctors in these county people's hospitals.
"Dr. Zhou is young and promising, today really opened my eyes! When I saw you had the angiography operation, I cried out in my heart, my God, this is an angiography of the heart arteries, how could it be so simple La?"
Head nurse Liu Bin's words made everyone burst into laughter.
"Later, I found out that I was still too young! Because Dr. Zhou performed the heart artery thrombectomy and stent surgery, it only took less than seven minutes, and the key is that he did it so well, all of which were a success. This is subversive My understanding of heart stent surgery. The chief physician of our hospital performs heart stent surgery, and it takes more than half an hour just to insert the catheter. It takes at least two to three hours to complete a whole operation.”
The fast operation speed is indeed Zhou Can's major advantage.
"Head nurse Liu, haven't you studied in Tuya? Even Dr. Zhou can do it so fast, isn't it even more exaggerated by other attending and chief physicians? Could it be that Tuya's chief physician can complete a heart in a minute or two?" Stent surgery?"
Director Wang asked curiously.
Heart stent surgery has many technical difficulties, and it is unimaginable to complete the operation in a minute or two.
It's just that after seeing Zhou Can's terrifying speed, even if he was told now that Tuya's chief physician performs a heart stent operation every minute, he would dare to believe it.
"Uh... It doesn't seem to be true. I remember Tuya's Department of Cardiothoracic Surgery at that time. The most skilled doctor was Chief Physician Hu Kan, but Director Hu's operation speed was very slow. It seems that the doctors in the entire Department of Cardiothoracic Surgery were a bit slow in performing operations. They are mainly stable. The surgical accident rate is very low.”
The department head nurse Liu chose to study should be cardiothoracic surgery.
And it is likely to get the opportunity to study in the operating room.
"Then tell me, how long does it take for Tuya's general doctor to perform a heart stent operation?"
Director Wang didn't give up and continued to interrogate.
"It seems to take two or three hours! In a difficult situation, it may even take seven or eight hours." Head nurse Liu answered after thinking carefully.
"It will take so long! It's not much faster than our hospital!" Director Wang nodded, relieved a lot.
Suddenly realizing something, he turned to look at Zhou Can.
"Dr. Zhou, in this case, your operation is only fast! Are you really Gui Pei? In my impression, when Dr. Gui Pei is exhausted, he will sew up the skin, pull a hook, or run errands to get the test sheet. It is impossible for Gui Peisheng to do this kind of extremely risky operation. But you are too skilled in making heart stents. You must not be Gui Peisheng!"
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【My medical skills can add experience points】【】
Not to mention Director Wang, other people have already begun to doubt Zhou Can's true identity.
"Dr. Zhou and I are Fa Xiao. We are in contact with each other. I'm sure he is really Dr. Gui Pei, and he never lied to you." Cheng Dazhuang looked at Fa Xiao with complicated eyes.
He really didn't expect that Zhou Can graduated from university in the same year as him, and he was still an intern two years ago, but now there is such a huge difference in medical skills.
The heart stent surgery ability that Zhou Can showed just now is enough to beat Director Wang and others in their hospital.
It takes two years to train a medical student who has only practiced for one year to such an excellent level. Tuya Hospital is simply a temple for training top medical talents.
No wonder there are so many medical students and social doctors trying to get the training qualification of Tuya Hospital.
With such a big benefit, it is worthwhile to spend a lot of money to squeeze in.
"My surgical ability is really nothing. I was just a trainee in Tuya, and I never deceived you." Zhou Can showed a wry smile.
Being too good is not a good thing!
It is easy to be suspicious of identity.
The explanation alone gave Zhou Can a headache.
"How can there be such a powerful Gui Peisheng? I have to ask Tuya's teachers about your background. Dr. Zhou is so amazing at performing cardiac angiography and cardiac stent surgery, he must be working in the cardiothoracic surgery department, right?"
Head nurse Liu became more and more curious about his identity, so she decided to ask the teachers she knew when she was studying in Tuya.
The teachers that advanced students know are generally not too high-level.
Most of them are within the two levels of nurses in charge and attending physicians.
"I have been trained in cardiothoracic surgery. Actually, you really don't need to ask, I'm just a junior trainee."
Zhou Can just came to see Fa Xiao, which is equivalent to visiting the county people's hospital in his hometown.
If his true identity was revealed, he was a little worried about being received too warmly.
He has long seen through human nature.
As long as it smells it, the management of the County People's Hospital will definitely surround it like flies.
"It's too late for Dr. Zhou to say this, I've already sent the news!"
Head nurse Liu raised her phone to Zhou Can, showing a slightly smug smile.
What was revealed was the WeChat chat screen.
As for who is on the WeChat end, he doesn't know.
However, except for the new recruits in the past two years, he is basically familiar with the old staff of the cardiothoracic surgery.
It's really not bragging, Zhou Can's influence in cardiothoracic surgery is quite good.
"Anyway, it's not shameful. If you want to inquire, just inquire!" Zhou Can shook his head helplessly.
"Doctor Zhou, can I ask you a question?"
The female nurse Tutu finally found a chance to intervene.
Her status was relatively low, and she didn't dare to intervene indiscriminately when the chief physician and chief nurse were talking.
Seeing that the conversation between Head Nurse Liu and Zhou Can had come to an end, she seized this opportunity.
If you don't ask, you won't have a chance.
"Speaking!"
Zhou Can didn't put on any airs, and had the same attitude towards head nurse Liu and Tutu.
"Why do you know that the blood pressure of the heart patient's two arms is different? Can you explain it to me?"
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【My medical skills can add experience points】【】
"This, the principle is very simple! When a patient's heart arteries become narrowed or even blocked, it is very easy to have different blood pressures on both sides of the body. In addition to being related to the total amount of blood in the blood vessels, the blood pressure is also related to the internal space of the blood vessels. The size, the pumping speed of the heart, the blood circulation of the ventricles are all related."
Zhou Can explained with a smile.
"Under normal circumstances, when the blood pressure on both sides of the body is different, some abnormalities can be observed with the naked eye. For example, the surface skin of the patient's body may be ruddy on the side with high blood pressure, giving people the feeling of red light. If When the difference in blood pressure is too large, you can even feel the pulse of the patient's two arms."
"In the future, when you encounter blood pressure asymmetry between the two sides in the clinic, you must be very careful. It's not a heart attack, or it's a precursor to a critical illness such as cerebral hemorrhage."
Zhou Can was well-informed and talked eloquently. Hearing this little nurse nodded repeatedly, she admired him terribly.
When looking at him, there are countless little stars in the eyes.
"So that's the case! Thank you for your advice!"
She gratefully thanked Zhou Can.
Other medical staff also benefited a lot and remembered Zhou Can's words.
In fact, Zhou Can has learned a lot from those chief physicians with such clinical experience and knowledge. I can't finish writing several books.
"The patient is fine. I came here today mainly to find Fa Xiaocheng Dazhuang to catch up on the past, so I won't bother you."
Zhou Can carried Cheng Dazhuang out because he also wanted to improve Cheng Dazhuang's status in this hospital.
Let these people present understand that Cheng Dazhuang has backers and connections.
"Da Zhuang, let's go back to your duty office and talk again! I should be back soon!"
Zhou Can subconsciously raised his wrist and glanced at his watch.
It was an unintentional move, but Director Wang shrank slightly when he saw the watch he was wearing.
This is a wristwatch worth hundreds of thousands, and not everyone can afford it.
But he didn't point it out, but he looked at Zhou Can a few more times in his heart.
"Teachers, then I'll go back to work first!"
Cheng Dazhuang greeted Director Wang and others.
Usually, he basically has no chance to talk to Director Wang. Director Wang wouldn't even look him in the eye. People are so realistic.
Now, with Zhou Can, a Tuya doctor, as his friend, it's completely different.
Director Wang looked at him with a smile on his face.
"Yes, yes! Da Zhuang, treat Dr. Zhou well. If you have anything to do while on duty, you can ask Dr. Luo to do more."
Look at the friendly tone, the friendly attitude.
It made Cheng Dazhuang feel a little delusional. When did Director Wang become so amiable?
"Okay! Thank you Director Wang!"
Cheng Dazhuang quickly thanked him.
Doctor Luo Jian beside him felt depressed for a while. Tonight's work seems to be on his head.
"Doctor Cheng can be at ease with his good friend, and leave the ward affairs to me."
No matter whether you like it or not~www.readwn.com~ If you have a little emotional intelligence, you must express your stance like this at this time.
You have to express this attitude even if you grit your teeth.
This is called knowing the time and being timely.
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【My medical skills can add experience points】【】
Cheng Dazhuang accompanied Zhou Can back to the doctor's office on the third floor of the inpatient department, all the way as if he had won a big prize, and his brows were brimming with joy.
"Ah Can, you can do it. It's only been a few years, and your medical skills are so powerful. You can teach me more in the future."
"Isn't this bullshit? As I said, if you have any medical questions, you can send me a WeChat message at any time. As long as I can answer it, I will definitely answer it for you. Even if I can't answer it, I can also ask the teacher for help. "
Zhou Can really has the confidence.
In various departments of Tuya Hospital, he knew too many chief physicians.
And most of them are department elders and academic leaders.
"Haha, that's great! Now I feel more confident in my heart, and I have rekindled my hope for the examination of the medical license. I am so lucky to know a young boy like you."
Cheng Dazhuang smiled brightly, a spirit called vigor and aggressiveness was regained by him.
Seeing Fa Xiao's changes, Zhou Can was also very happy.
…
Not long after Zhou Can and Cheng Dazhuang left, head nurse Liu Bin said to Director Wang in shock, "God, no wonder this Dr. Zhou is so good! Do you know his background?"
"What's his history?"
Even though he knew that Head Nurse Liu was trying to trick her, Director Wang could only press her to ask.
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