Chapter 165 The Cause Is Found, Medication Difficult(2/3)
It was so meaningful to do this.
Since it has been confirmed that it is a parasite and is causing trouble in the small intestine, taking anti-parasitic drugs should quickly stop the gastrointestinal bleeding of the 7-bed patient.
Although the cause of the disease has been clearly diagnosed, how to convince superior doctors is still a problem.
The superior doctor was extremely cautious in using medicine. The patient was already extremely weak. If something happened, no one would be able to bear the responsibility.
He decided to call his superior doctor Hu Yiba first.
When he first entered the Department of Critical Care Medicine, Zhou Can was only familiar with Hu Yiba.
I took out my phone and luckily I saved Hu Yiba's phone number when I got off work.
Call directly.
After two rings, the call was connected.
"Which one?"
It seems that Dr. Hu did not save his number.
From this point, we can also see that doctors actually look down on the "connected households" who are greeted by someone above them.
Zhou Can is much better than those with connections but no ability.
At least he was cultivated by Vice Dean Ye based on his strength.
But in Dr. Hu's eyes, his status is still very low.
"Hello, Dr. Hu, I am Zhou Can, the graduate student who was just assigned to you today."
Zhou Can introduced his name in a very humble manner.
"Oh! It's Xiao Zhou, is there something wrong?"
Dr. Hu's attitude remains mild.
"After diligent analysis and consultation with superior doctors, I seem to have found the cause of the bleeding in the patient in bed 7."
Zhou Can knew that his qualifications were relatively low, so it would be difficult for Dr. Hu to believe him without trying to treat two superior doctors as if they were superior doctors.
"Haha, you found the cause of bleeding so quickly? Tell me."
Doctor Hu obviously didn't take it seriously.
I even felt that Zhou Can was a bit eager for quick success and wanted to make meritorious deeds as soon as he entered the Department of Critical Care Medicine.
The patient in bed 7 has been consulted by many doctors in the gastroenterology department, including chief physicians. After being admitted to the ICU, Dr. Hu, Dr. Shi, and the chief physician of the department all understood the patient's condition.
So many people, no one has found the cause of bleeding.
On his first day in the Department of Critical Care Medicine, Zhou Can told him that the cause of the patient's bleeding had been found.
Dr. Hu only felt that this young man was a little naive and superficial.
Of course, he wouldn't point it out face to face.
“I asked the patient’s attending physician, Dr.
Dialectically, we believe that the patient’s real lesion is likely to be in the small intestine. It is also possible that the excretion of parasites causes telangiectasia in the inner wall of the large intestine, and ultimately causes bleeding..."
Zhou Can could naturally tell that Dr. Hu didn't take his diagnosis seriously.
He still tried hard to explain the diagnostic ideas.
He even went to Dr. Xia and told him.
"Well! I will take your diagnostic opinions seriously. I'm off work now. If you have any questions, we can discuss them at work tomorrow!"
What Dr. Hu said is just a cliche.
There are mostly perfunctory elements.
"The patient's condition is critical. If it can be diagnosed early and treated with medication, it will definitely be of great significance. Do you think it can be handled today?"
Zhou Can asked bravely.
Judging from Dr. Hu's tone, he definitely didn't take it seriously.
After finally diagnosing the cause, the superior doctor did not trust me, and subsequent treatment could not be implemented.
This made Zhou Can extremely unwilling.
The rewards from the experience point system are already in place, so his diagnosis is definitely correct.
Unexpectedly, I got stuck at the level of senior doctor.
"Xiao Zhou, newcomers should avoid rushing for quick success and be calm. Every patient in the ICU is dying. According to you, insecticides are likely to be needed. All insecticides are sprays.
It will have a certain impact on the body. Normal people can tolerate it and may not even notice any symptoms. But for critically ill patients, any adverse impact on the body may be multiplied."
"You said that parasites are causing trouble in the small intestine. You can't just rely on inferences! There must be scientific diagnosis basis. It is extremely irresponsible to use insecticides on critically ill patients just based on inferences. There is no way.
A doctor can bear the possible adverse consequences."
Dr. Hu criticized him very tactfully.
These words all make sense.
This is the truth.
But doing everything according to rules and procedures would be a bit dogmatic.
This arbitrary approach will definitely delay patient treatment.
"Of course, your spirit of daring to explore and diligent in research is very worthy of encouragement. We will discuss the diagnosis and treatment of patients in the 7-bed hospital tomorrow. Now the regular departments of the hospital are off work and cannot start work. Go to bed early.
Bar!"
After saying that, Dr. Hu hung up the phone.
Zhou Can was stunned on the spot.
Full of joy and excitement, a basin of cold water poured over my head.
After taking two deep breaths and adjusting his mood, he decided not to hit the wall or look back.
Go directly to the duty room of the intensive care unit to find the taciturn Dr. Shi.
Doing this requires tremendous courage.
Because in the end it is very likely that things will not work out and it will be a disappointment.
People want face, trees want bark.
I have been continuously rejected and criticized by superior doctors. I believe that no doctor is willing to do such a thankless thing.
Zhou Can has always been a bit 'stupid' when it comes to treating patients.
He walked directly to the door of the Department of Critical Care Medicine.
Ring the doorbell.
The door opened quickly.
A nurse stood inside.
It looks quite familiar.
The working hours of nurses in the intensive care unit are 12 hours. In fact, they often need to work more than 13 hours.
Zhou Can got off work and the nurse did not take over the shift.
"Dr. Zhou, aren't you off work? Have you forgotten something?"
The nurse asked him with a smile.
"I would like to ask Dr. Shi to report some of the conditions of patients in bed 7."
Zhou Can walked in directly.
"Doctor Shi happens to be in the duty room. Just change your clothes and go find him."
"Thanks."
Zhou Can changed into isolation clothes and walked into the duty room.
Several doctors and nurses were discussing the patient's treatment and condition inside. Dr. Shi seemed to be giving medical instructions to the patient, and was constantly operating on the computer, sometimes frowning and thinking.
Zhou Can entered the duty room and did not attract much attention from other medical staff.
"Dr. Shi, can I disturb you?"
Zhou Can walked to Dr. Shi and said hello.
Doctor Shi looked up at him and recognized him.
"Aren't you the doctor under Dr. Hu? What do you want from me?"
There was no smile on his face, and his tone was quite cold.
Zhou Can gritted his teeth and told the story of the 7th patient.
Dr. Shi has been listening silently, and the expression on his face has not changed much.
To be continued...