My Medical Skills Give Me Experience Points Chapter 527 - 230: Warm and Cold Attitudes Among Group Membe
First, get a thorough understanding of the patient’s condition, dical history, symptoms, and all other relevant information. Then, contemplate a surgical plan, which will be more targeted.
This is also Zhou Can’s first battle since joining Digestive Internal dicine.
The rescue of the gastrointestinal bleeding patient this morning was just a signal of his arrival.
Now it’s ti to truly establish a reputation and solidify his position.
However, the difficulty of treating this patient is essentially hellish.
It’s not just Zhou Can who might not be confident, even Director Shang might not be sure.
While the woman was fetching other materials, Zhou Can took the ti to asure the patient’s vital signs and record them.
Being assigned to manage the patient alone ans that he has to do everything by himself.
The patient’s condition looks very bad.
For several months unable to eat, they have been relying solely on intravenous feeding for nutrition, which is not only costly but also a trendous suffering for the patient. Their whole body has shrunk to skin and bones, with joints at the ribs, hands, and feet particularly prominent.
Long-term dependence on intravenous nutritional fluids for survival without oral feeding can also cause the gastrointestinal mucosa to atrophy and the intestinal villi to shorten.
Even if surgery opens up the passage between the patient’s esophagus and jejunum, the patient would need a long ti to adapt to eating orally.
"Excuse , please make way!"
At this mont, another patient led by nurses and doctors walked into the ward.
Zhou Can glanced at the empty No. 72 bed nearby.
It seems that the patient in bed No. 71 has a neighbor.
"Eh, this doctor seems new! Are you the newly arrived Zhou Can?"
The young doctor directed the family mbers to settle the patient in bed No. 72 before looking up and greeting Zhou Can.
"I am Zhou Can, may I have your na?"
Zhou Can responded with a smile.
"Duan Zifu! I am also a resident doctor in Doctor Shang’s team, nice to et you!"
The other person must have a cheerful personality, as he stepped forward proactively and shook hands with Zhou Can with a smile.
Director Shang’s team must have quite a few doctors.
Strong dical teams often have a dozen or more people, including interns, resident doctors, and attending doctors.
Zhou Can once saw the most impressive director physician, whose team reached a peak of eleven interns. Adding on resident doctors and attending physicians, the total number was nearly twenty.
Such dical teams have very strong execution power.
Normally, a smaller dical team would only consist of three or four doctors.
It’s even possible to have gaps.
For instance, a director might only have one or two resident doctors to do the work, without any attending physicians.
Creating a strong dical team isn’t easy.
Private hospitals put profits first, needless to say. Public hospitals also value performance greatly; the hospital can’t afford to keep staff not working.
Therefore, producing a strong dical team often requires a key elent - an exceptionally outstanding ’leader’.
Director Shang is a renowned doctor at Tuya Hospital, naturally attracting patients, ensuring enough work to sustain a large team.
That’s the key to maintaining a big team.
Zhou Can and Duan Zifu shook hands, and the latter was very enthusiastic.
"Pleasure to et you!"
He found the other’s hand quite soft, and though the shake was enthusiastic, the grip was weak. Generally, people with a soft handshake are indecisive by nature.
Of course, this was just Zhou Can’s personal experience.
The other person must be around thirty years old.
To still be a resident at that age, he must either be a graduate student or a practicing doctor, like Jin Mingxi, who entered through the resident recruitnt examination.
Either way, it’s quite impressive.
"Doctor Duan, what is your patient diagnosed with?"
"Gallstones. We’re admitting him today to prepare for an interventional surgery."
Doctor Duan promptly showed Zhou Can the patient’s examination reports and dical records.
"There are only three resident doctors in our group, including a Miss Yu, who is a beautiful doctor. I hope Dr. Zhou will take care of her in the future! Of course, there is a competitive chanism in our team; it’s necessary to have normal competition."
Zhou Can was amused by his words.
Competition doesn’t an one has to be an enemy; it can an helping each other.
Duan Zifu seed to have quite an enlightened mindset.
"Haha, you’re absolutely right."
Zhou Can quickly reviewed the data for bed 72. It’s just an ordinary case of gallstones, which can be completely resolved by interventional surgery.
Since it’s not a patient he’s responsible for, a brief understanding is enough.
This patient doesn’t offer much value for learning.
It’s a very common case.
"The patient in bed No. 74 is also under my care, diagnosed with esophageal cardia achalasia, which causes difficulty swallowing, and often regurgitation when eating. Seen at two third-grade class-A hospitals, none dared to perform surgery. Director Shang decided to admit her after extensive examination when he heard that the patient had traveled all the way from a remote area, which wasn’t easy."
Doctor Duan introduced another patient’s situation to Zhou Can.
There are four beds in this ward; Zhou Can wondered who was in charge of bed No. 73.
Since Doctor Duan skipped this bed in his introduction, it’s certainly not his responsibility.
Esophageal cardia achalasia is a difficult disease to treat, with a variety of causes.
Zhou Can had perford such surgeries before.
He could be considered quite knowledgeable about this disease.
Currently, there’s no way to fully cure this disease. Typically, surgical treatnt can achieve satisfactory results.
This is Digestive Internal dicine, Director Shang admitted the patient, is she planning to invite General Surgery doctors to perform the operation? Or is she preparing for dicinal treatnt?
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