Chapter 232 Director Shang’s high recognition and Dr. Yu’s disguised request for help

Author: Jiangbian Yuweng

Chapter 232 Director Shang’s high recognition and Dr. Yu’s disguised request for help

It's like drilling a hole into a wall. No one can guarantee that it will accurately drill through to the point drawn on the opposite side.

It's normal to hit the target crookedly or miss the target.

What's more, the patient's occluded anastomosis segment is not a little long.

When an occlusion occurs, if surgical treatment can be received as soon as possible, the difficulty will be relatively small. Now in the past few months, the occlusion has been extended a lot, and it is more difficult to open it up.

Zhou Can thought hard about the surgical plan.

A bold surgical plan gradually took shape in his mind.

"With the help of endoscopic ultrasound and X-ray assistance, it may be possible to successfully open the blocked esophagus-jejunum connection. This requires the cooperation of a skilled nurse, and the surgeon who controls the endoscope must have superb endoscopic surgery skills and puncture skills.

Technique."

Needless to say, Zhou Can's endoscopic operation skills are extremely talented and skillful.

Puncture and injection are actually very similar.

The level of injection is high, and the level of puncture is also high.

Therefore, Zhou Can performed the surgery on this patient himself, and there was no technical obstacle.

It is not difficult to find a skilled nurse to cooperate.

First, use endoscopic ultrasound to open up the blocked segment. Just use a thin needle to puncture from the esophageal anastomosis end to the jejunum end. Then place a covered metal stent to open the blocked esophagus to jejunum anastomosis segment.

It was successfully opened.

As for the solution of esophageal anastomotic fistula, conservative treatment is generally chosen when it is not serious.

This patient's condition is considered very serious, and surgical removal of the fistula is the first choice.

Zhou Can went through the patient's surgical plan several times in his mind, reviewing and checking for omissions step by step. He even drew a drawing of the surgical plan by hand.

After doing all this, the only thing left is to ask Director Shang for instructions.

If approved, communicate with family members.

As long as the family trusts the hospital and agrees to the surgical plan, it can be implemented.

After thinking about it carefully, I waited for Director Shang to arrive.

Chief physicians usually come late, and many arrive at the department office around nine o'clock.

Anyway, he doesn't have any other work at hand, so he has nothing to do when he is idle.

Start looking at other cases in the group.

Recalling that he entered the ward in the morning and saw the patient in bed 73 humming, he decided to find out about the patient's condition first.

The patient was 51 years old and had a long-term history of drinking. He was unhappy every day without drinking. This time he was admitted to the hospital for examination because of unbearable abdominal distension and pain. Ultrasound and X-ray examinations both showed pancreatic duct stones.

The attending physician was Director Shang, who prescribed endoscopic stone removal for the patient.

Surgery was done yesterday.

A pancreaticobiliary sphincterotomy was performed, and the pancreatic duct was dilated and stone removed.

The surgery went smoothly.

Both the operation records and the postoperative care records show that the patient's operation was successful.

There should be nothing wrong with this patient.

After Zhou Can finished reading, he continued to check other cases in this group.

What interests him most are those difficult and complicated diseases.

Every time a case of this kind is diagnosed, a reward of 100 pathological diagnosis experience points will be obtained.

Until now, his pathological diagnosis is still below the level of primary care.

This medical skill is also the most difficult to upgrade among many medical skills.

Pharmacological syndrome differentiation is also difficult, mainly because there was no prescription right before.

Now that I have obtained a medical license, have the right to prescribe medicine, and have entered a major internal medicine department that focuses on drug treatment, my experience in pharmacological syndrome differentiation will definitely increase.

"Hey, Dr. Zhou came very early! The early bird catches the worm. You work so hard every day. No wonder your medical level is so high."

The chief resident, Luo Shengsheng, came back from the ward. As soon as he entered the office, he saw Zhou Can, who was carefully checking and studying the cases of this group, and immediately greeted him with a smile.

In fact, there are two other intern doctors and a resident doctor in the office at Nottingham University.

Luo Shengsheng turned a blind eye to them, but gave priority to greeting Zhou Can.

It can also be seen that this person is a bit arrogant.

Seeing that Zhou Can has outstanding potential and is directly led by Director Shang, he has a bright future. He naturally wants to take a second look at Zhou Can.

In his mind, Zhou Can's status even surpassed that of ordinary residents.

"Mr. Luo, please don't praise me! Compared with seniors like you, my diligence is nothing. Besides, there is a saying that goes like this, the worm that gets up early is eaten by the bird. I came early,

You might end up with a difficult patient, and it’s very possible that you’ll be tortured to the point where you can’t find a way out.”

Zhou Can responded with a smile.

"Haha! Dr. Zhou's thinking is really unusual. The early bird gets eaten by the early worm. This is the first time I have heard of this kind of reverse thinking. Speaking of difficult patients, I actually met one, No. 13

The patient in bed had several near misses last night, and this morning from around six o'clock to now, it almost made me collapse. By the way, is Dr. Chi here?"

When Luo Shengsheng talked about the patient, he looked sad and looked like he was in bad luck.

It makes people laugh.

Sometimes, all of them, whether they are residents, interns, or trainees, will try their best to avoid those difficult patients.

Because everyone is afraid of getting into trouble.

Luo Shengsheng is the chief resident and is on duty all year round. He cannot avoid this kind of thing.

However, becoming an inpatient is also the only way to become an attending physician.

It can be regarded as a kind of tempering.

It's really a workout.

After a year of training, many residents can become a completely different person.

They can benefit a lot from their ability to stand alone, their adaptability to rescue critically ill patients, and their ability to face various emergencies, such as patients' physical signs declining sharply, family members causing trouble, etc.

The difficult patient Luo Shengsheng encountered was probably the patient in charge of Dr. Chi.

Otherwise, I wouldn’t ask this question.

"When I came here, I only saw the three of them, but not Dr. Chi." Zhou Can came very early.

"Oh! That should arrive later. I'd better write down the course of the disease first!"

Luo Shengsheng sat down in front of the computer and began to write down the course of the disease.

Not long after, Dr. Xia Ping and Dr. Chi walked into the office together.

The two seemed to be in a good mood, chatting and laughing all the way into the office.

"Dr. Chi, the patient in bed 13 almost had a big accident this morning. Since about 11 o'clock last night, the patient's condition has not been good. I think you have been tired for a day. As long as it is not dangerous, I can't handle it.

I will definitely not disturb you. One night, I rescued him six times and never closed my eyes once."

Luo Shengsheng was both complaining and asking for credit.

After working all night, he naturally wanted Dr. Chi to know.

"Thank you for your hard work! I'll go over and take a look right away."

Dr. Chi put down his bag, went into the inner room and changed into work clothes, and quickly rushed to the ward to check on the patient's condition.

As business hours approach, more and more doctors enter the office.

Zhou Can is just a regular trainee. He has just entered the gastroenterology department for one day, and his status is a bit unsettled.

Seeing so many doctors coming in, he wisely logged out of his account, stood up, and gave up his seat.

There are other trainees and interns who are as knowledgeable as him.

Everyone is self-aware and no one would compete with the superior doctor for a seat.

Some people may not know how low the status of interns is.

There isn't even a hook to hang clothes.

As for arranging a fixed seat for interns or trainees in the office, that's nonsense.

Doctors all work in separate shifts. So many doctors came today and the office was crowded. This made Zhou Can extremely confused.

Is there a family member who wants to cause trouble? The department got the news and called all the doctors in advance to suppress the situation?
To be continued...