My Medical Skills Give Me Experiences
Chapter 37: fainting pregnant woman
"I don't know much about Dr. Xu's past, because I have only been in Tuya for five years. I only know that Dr. Xu seems to be very influential in surgery, and many surgeons in charge of surgery respect him very much. The director and the chief physician are all polite when talking to him. Even Director Lou and Deputy Director Han in our emergency department don't have that much face."
In this way, Dr. Xu may have been a big surgeon in the past.
Maybe because he offended a powerful person, or made a mistake, he was sent to the "cold palace" of the emergency department.
Zhou Can secretly guessed.
"There is another very interesting thing. Once a seriously injured patient was admitted to the emergency department and needed emergency surgery. Several director-level physicians came, and it seemed that Dr. Xu was finally invited to perform the most critical part of the operation."
This is another shocking news.
Any doctor at the specialist director level can become the trump card of a prefecture-level city hospital.
This kind of existence can't do the part of the operation, but Dr. Xu took care of it.
What kind of ability does Xu Yidao, who has created a legend, have?
Zhou Can is becoming more and more curious about him now.
"Although Dr. Xu is a bit harsh, he is actually very good to people, and his level in many fields of surgery is also very high. I wanted to worship him as a teacher two years ago. It is not a bad thing to be in the emergency department. Occasionally, I will be taught some surgical techniques. It is a pity that my comprehension is limited, my surgical thinking is not flexible enough, and my level is improving slowly. But I can still feel that after two years in the emergency department, the operation Under the guidance of Dr. Xu, his ability and diagnosis ability have been greatly improved."
When Dr. Lin said this, a satisfied smile appeared on his face.
For him who is less talented, he is already very satisfied to have made such a big improvement.
"Doctor Zhou, don't mind if you say something simple and profound. I think Dr. Xu thinks highly of you. You should seize this good opportunity and settle down to learn from Dr. Xu. Your talent is far superior to mine. I believe that after studying with Dr. Xu for a few years, there will be no small achievements."
Dr. Lin said to him sincerely.
"Thank you Dr. Lin for your kind words. Don't worry, I'm not the kind of person who is too ambitious. From the moment I entered the emergency department, I was determined to do a good job in the emergency department. To get such a good teacher as Dr. Xu, It is my greatest luck. I will cherish it."
Zhou Can was blessed by misfortune, and entered the emergency department known as "Leng Yamen", but he was able to get a senior doctor who was as capable as the chief surgeon of the surgery and carefully cultivated him.
He has had enough.
Even if he entered the weighted department, with his academic qualifications, it is impossible for him to be valued so much by the chief physician.
…
Back in the emergency department, only Dr. Lu, Jin Mingxi, and Tang Ling were operating on the patient in the operating room.
The patient's palm was scratched by a sharp object, and they are doing debridement and suturing.
Without the presence of the attending doctor, Dr. Lu can only perform a first-level operation at most.
"Doctor Zhou is back! Your master told you to go to the emergency room first. It seems that there is a pregnant woman who is unconscious and needs to be rescued." Tang Ling said to him.
"Dr. Xu is just his superior doctor. He didn't say he was accepted as an apprentice. Don't wear a hat." Dr. Lu was obviously jealous of this, but he couldn't say it clearly, so he took the opportunity to criticize Tang Ling.
In the operating room, the chief surgeon has absolute authority.
The tiger is not there, the monkey is the king.
In the absence of Dr. Xu, Dr. Lu has the highest status.
He is the master knife.
Although he can only preside over a first-level operation, he is still majestic.
Zhou Can was too lazy to listen to this guy's babbling, so he turned around and left the operating room.
All the way to the emergency room.
There was a well-dressed old lady standing outside the door, looking anxiously inside.
After Zhou Can entered the emergency room, he found Director Lou and Dr. Xu there. There are also two senior doctors who are slightly familiar.
I've seen it a few times before in my ED practice.
The thin, tall, slightly hunched middle-aged male doctor is the deputy director of the emergency department—Han Changqing. Despite his plain appearance, he is the chief physician of the emergency internal medicine department.
Of course, the chief physician of internal medicine may have water.
But to be able to get the title of Chief Physician in the Tuya Appraisal, no matter how high the water content is, it will not be far behind.
Another middle-aged female doctor with a medium build and slightly fat body and brown curly hair is the attending general practitioner in the emergency department.
What is general practice? That is, diseases in the four departments of internal and external gynecology and children can all be seen and cured.
However, a person's energy and time are limited, and there are almost no doctors who are proficient in general diseases.
She is likely to be rich but not good.
It is rare for so many directors and attending doctors of the emergency department to gather in the emergency room. The patient's condition is particularly critical.
"Hello Director Lou! Hello teachers!"
Zhou Can took the initiative to say hello to several people.
Deputy Director Han Changqing glanced at him and frowned, "Why did Gui Peisheng come in too?" There was a hint of displeasure in his tone.
The pregnant woman's condition is critical, but the diagnosis and treatment have not made substantial progress, and he is annoyed.
Come in a regular trainee, isn't this adding to the chaos?
"I asked him to come." Dr. Xu said calmly.
Even in the face of the deputy director of the department, Dr. Xu still stood firm like a mountain and stood still.
Zhou Can suddenly felt that as long as he has real skills, even if it is just an indication, he can be very good.
Whether Dr. Xu directly called Deputy Director Liu in a peer-to-peer tone, or the attending doctor of orthopedic surgery worshiped and respected him, or confronted the deputy director of the department with an extremely indifferent tone at this moment.
All are exciting.
"His name is Zhou Can, and I picked him back yesterday. He has the first overall score in regular training, and after arriving in the emergency department, his performance is also outstanding. Letting him participate in the diagnosis is also a kind of training for newcomers!"
Director Lou also spoke for Zhou Can.
Han Changqing, who hadn't even looked at Zhou Can in the first place, turned his head to take a serious look for the first time at this Gui Peisheng who could win the appreciation of two important figures in the emergency department.
"You are Zhou Can?"
Han Changqing's question was...very mentally handicapped.
Director Lou has already introduced them.
He still asked.
It's nothing more than an expression of arrogance. He wanted to establish his position as the deputy director of the department and the chief physician of the internal medicine department in front of Zhou Can through this method, which was close to half-demonstration and half-beating.
"You can just call me Xiao Zhou."
Zhou Can just entered the emergency department and is still in the learning stage, so naturally he would not offend the deputy director of the department for such a trivial matter.
Lowering your posture is definitely a manifestation of high emotional intelligence.
When Zhou Can grows up in the future, it will be Deputy Director Han's turn to look up to him, a junior.
"Yesterday I heard that you performed well. You are indeed a good-looking talent! Since Director Lou and Dr. Xu are optimistic about you, I will give you a chance to watch and learn from our diagnosis. Cherish it, ordinary residents don't have this Treatment!"
Between the lines of Han Changqing's words, there is a high-ranking senior style.
It feels like a very arrogant person.
Zhou Can didn't even want to talk to this kind of person, so he just nodded and stood behind Dr. Xu.
"Look at the information first."
Dr. Xu took the information bluntly and stuffed it into Zhou Can's hands.
This move made Deputy Director Han and the general practitioner look at Zhou Can again.
"Hehe, Dr. Xu seems to care about this newcomer Gui Peisheng!"
"The main reason is that this kid is timid. If you don't give it to him, he will definitely not dare to take the initiative to get the materials in front of you." Dr. Xu's explanation is absolutely dead.
Zhou Can began to quickly check the patient's information and films.
With so many senior doctors present, it was impossible for him to occupy the information all the time.
There is not much time left for him.
"Patient, female, 36 years old, twenty-four and a half weeks pregnant, with a history of hypertension, on the way to take a taxi from home to parents' residence, suddenly complained of feeling unwell, UU Reading www.uukanshu.com consciousness gradually became unclear, and then Fainted. After being sent to the hospital, after investigation, the sick woman's heart rate was as high as 180, blood pressure was 192/120mmHg, and fetal heart rate monitoring was weak..."
Hypertensive patients belong to the high-risk group.
It is even more frightening for hypertensive patients during pregnancy.
In addition, the patient's age is over 35 years old, which belongs to advanced maternal age.
All kinds of data are enough to make professional medical staff feel terrified.
If the systolic blood pressure is higher than 180, it belongs to the third stage of hypertension. It is also the most serious level.
The patient's systolic blood pressure was as high as 192.
It's unbelievable that she was able to enter the hospital alive.
Preliminary B-ultrasound examination of the chest and abdomen and CT scan of the head have been done. Blood testing is a routine inspection item, especially for such critically ill patients. It's just that the test results haven't come out yet.
The urinary catheter has not been inserted yet, and the urine sample cannot be obtained, so the urine test should not be done yet.
After Zhou Can read all the materials, he put them back on the table in the emergency room.
This kind of behavior of knowing the proportion and knowing the current affairs has won the favor of the superior doctors to some extent. If he is a regular student and keeps researching with materials, it is likely to offend the superior doctors.
After all, Zhou Can participated in this diagnosis as a student.
To put it bluntly, he is a supporting role.
No one expected him to contribute to this diagnosis.
Deputy Director Han is the only chief physician of internal medicine in the emergency department, and he is the absolute main force for this diagnosis.
At this moment, he has already circled the rescue bed three times, and it seems that he has no intention of stopping his "confusing" behavior.
Director Lou couldn't hold back at first.
"Old Han, you are the only one in the emergency department who has a relatively deep knowledge of internal medicine. Do you see anything?"
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