My Medical Skills Give Me Experiences

After the critically ill pregnant woman was brought over, Du Leng found that media reporters were interviewing her, and he probably thought it was an opportunity to show his face.

In addition, there was no patient at his consultation table, so he also came forward to participate in the consultation.

It was nothing.

But after he participated in the consultation, the sad discovery was the same as the high opinion, and he couldn't say anything.

Not to mention giving constructive advice.

Not to mention him, even old comrades like Deputy Director Shi had to force their way to express a little opinion.

Without any dry goods accumulated in clinical practice, no matter how much theoretical knowledge you learn, it is useless.

Optics is not enough, you have to apply what you have learned to be considered a real skill.

Throughout the ages, how many nerds have done well?

Du Leng is not a nerd, but he is a bit ambitious and always thinks of flying to the sky to do big things, which is why he is in the current embarrassing situation. To put it bluntly, it means high-sightedness and low-handedness.

To use a popular saying in the society, big money cannot be earned, small money is not rare, seven people are not angry, eight people are not convinced, and they are nothing.

He participated in the consultation of this pregnant woman because he wanted to show his face in front of the media reporters, so he could save face when he returned to Tuya Hospital. It is also of great benefit to future career development.

With his innate condition, as long as he has some ability, Tuya Hospital is very willing to help him to the throne of famous doctor.

He knows that very well.

But in fact, Tuya Hospital is currently supporting Zhou Can. The various treatments given to Zhou Can are also getting better and better. Du Leng doesn't say anything, but he is like a bright mirror in his heart.

If he said in his heart that he was not in a hurry, it would be a lie.

Seeing Zhou Can's great achievements again at this moment, Du Leng was both jealous and anxious. Under the chaos, he was stunned and openly questioned Director Zhang's diagnosis and treatment behavior in front of so many people.

Perhaps in his opinion, what he questioned was Zhou Can's diagnosis, but he didn't think about whether it was a bit hasty to ask Director Zhang's diagnosis in front of so many media reporters, family members, patients, and doctors and nurses from two hospitals.

This is simply to die.

Director Zhang Bihua, who is that? He is the head of the obstetrics and gynecology department of Tuya General Hospital, the department director and top experts, and is the authority of obstetrics and gynecology.

Not to mention Du Leng, even Dean Zhu had to be polite when talking to Zhang Bihua.

This is really not an exaggeration. As for the leader of a department, can the weight be low?

Just look at how good Director Xie of the Department of Surgery is.

He dealt with Zhou Can several times, what was the result?

At best, the top management of the hospital would tell him not to do it again. Director Xie has never been given any substantive punishment, let alone harsh words.

Now, Du Leng, a newcomer, relying on his dazzling resume as a doctor of returnees, has taken the courage to question Zhang Bihua's hasty diagnosis in public.

This is not to die what is it?

Director Zhang usually speaks to Du Leng with a three-point smile. At this moment, the smile on Director Zhang's face is still the same, but his eyes have become extremely cold. invisible pressure.

"Dr. Du thinks that Dr. Zhou Can and I's diagnosis is too hasty, so I want to ask you, can you clearly diagnose the cause of this pregnant woman?"

..."I...I need time and more tests! I believe that as long as all the tests that should be done are done in place, the diagnosis of the cause will be much more accurate."

Facing Director Zhang's questioning, Du Leng was at a loss.

"You need time is a very good saying. But have you ever thought that this pregnant woman is in a critical condition, and every minute and every second is extremely precious. Waiting for you to put a lot of unnecessary or unimportant checks After everything is done, at this time, the patient may have missed the best time for rescue, and even a tragedy that no one wants to see will happen directly."

Director Zhang Bihua speaks quite well.

Even though he was extremely angry in his heart, he didn't point at Du Leng's nose and scold. When talking about the possible situation of the patient, he tried to avoid words like death.

"Dr. Du, you are also a medical doctor who graduated from a prestigious overseas university. I don't need to teach you the truth. As a veteran doctor with more than 30 years of medical experience, I advise you that practicing medicine is not about writing articles. Those flashy superficial things can save you a lot of money. To save the life of a patient, what you should do is to race against time, avoid dogmatism, let alone stick to the form, engage in formalism, and ignore the patient's life. This pregnant woman is now in a critical condition, and the least and fastest examination is needed Find ways to find out her cause of disease and give correct rescue, this is the correct way of rescue."

"Judging from your words and deeds, you haven't learned a lesson from what happened yesterday. I hope you can listen to it and truly respect life and put patients first."

Ginger is definitely old and spicy.

Director Zhang Bihua criticized Du Leng to the point of preaching.

At the same time won the applause.

During the period when she criticized Du Leng, the patient had already been sent to the emergency room to insert a urinary catheter and take urine samples for testing.

It is delusional that he also wants to challenge Director Zhang Bihua's status and authority.

No one will pay attention to his doubts at all.

Du Leng's face turned red, white, and blue.

If it is said that the reason for the embarrassment yesterday was because the family members were not good at it, then it is purely self-inflicted to be ashamed in public today.

Sometimes, no matter how smart a person is, it is possible to come up with some stupid tricks.

This is a typical case of cleverness being mistaken by cleverness.

"I will listen carefully to your teachings, reflect deeply, and strive to do better in the future."

After Du Leng said a scene, he sat back at his consulting table in a daze.

At this moment, he was afraid that he wanted to die.

Faced with countless pairs of strange gazes, as well as photos taken by media reporters, he felt shame, shame, and anger in his heart.

Not long after, bad news came from the emergency room.

"Chief Tang, it's not good. The pregnant woman who was sent to the rescue just now had a sudden drop in blood pressure, difficulty breathing, and fell into a coma."

Hearing the bad news, Section Chief Tang almost collapsed on the ground.

I'm really afraid of something.

Now the entire process of the pregnant woman's consultation has been recorded by the media, and there are many family members who took pictures on the spot.

What if something goes wrong?

Holding this expert consultation activity is simply a double-edged sword.

.... Yesterday, a life was almost lost, and today this kind of thrilling drama is staged again.

It's really difficult for him, the head of the Publicity Combat Section.

"Director Zhang, you are an authoritative expert in this field, please bring someone over there to find a solution."

Section Chief Tang could only ask Director Zhang Bihua for help.

The strength of Xinxiang Women's and Children's Hospital is actually not weak, and the emergency room has its chief physician sitting in charge. If it weren't for help, they would definitely not ask Section Chief Tang for help.

"Members of the crisis management team will go to the rescue room with me!"

Zhang Bihua had no choice but to bite the bullet.

Plans can't keep up with changes.

Originally, according to her idea yesterday, if such a need for rescue happened, the crisis management team and the doctors and nurses of Xinxiang Women's and Children's Hospital would be able to rescue the patient together.

But the current situation is special, she is the receiving doctor, and the patient is pregnant, so she cannot refuse.

"Remind me about the laboratory test results. The cause of the pregnant woman is unknown, which is extremely detrimental to the rescue work."

Director Zhang Bihua is well aware of the danger involved.

Only by finding the cause can the correct rescue measures be given.

At this time, Chief Tang's cell phone rang again.

"I'm Tang Jiuyin, please tell me!"

Section Chief Tang was in a state of desperation, so his tone was naturally not very good.

But soon, he shouted in great surprise, "Okay, your test results came too soon." After hanging up the phone, Section Chief Tang shouted to Director Zhang Bihua, who had already led the team to the emergency room, " Director Zhang, the test results are back, the blood free fat droplet is positive, and the urine fat droplet is positive.”

At this critical moment, the test results came out, which greatly encouraged Director Zhang, Zhou Can and others.

"The possibility of fat embolism is already very high. The disease is extremely dangerous and the fatality rate is extremely high. I hope there is still time to rescue." Director Zhang Bihua rushed to the emergency room with Zhou Can and others, and immediately implemented various rescue measures for the patient .

Because it is difficult to pinpoint the specific location of embolism, there are no special treatment measures for this disease.

Nothing more than starting from three aspects, breathing support, generally giving priority to non-invasive ventilators. In severe or special cases, invasive ventilator support is required.

Protection and monitoring of brain function, including intracranial pressure monitoring, prevention of cerebral edema, etc.

Circulatory support, mainly central venous pressure monitoring, pulmonary artery floating catheter for hemodynamic monitoring. Because of the timely diagnosis, the pregnant woman was still in the early stage of the disease. After discussing with Director Zhang, Zhou Can also used fluid resuscitation and vasoactive drugs on her to help her survive the difficulties of life.

…

More than three hours later, the vital signs of the pregnant woman have stabilized after a series of rescue efforts.

"Director Shi, Zhou Can, I will leave this to you."

Director Zhang said to the two chief and deputy team leaders with a tired face.

The whole process of rescuing the pregnant woman was extremely dangerous, ordinary medical staff were just busy, but Director Zhang, Deputy Director Shi, and Zhou Can were under enormous pressure.

Fortunately, Zhou Can is a good hand in rescue. Whether it is invasive intubation, such as invasive ventilator, establishment of central venous pressure monitoring, etc., Zhou Can is all in charge.

…. There are also some important rescue measures formulated, and Zhou Can also made great contributions.

On the contrary, it was Deputy Director Shi, who ostensibly served as the leader of the crisis management team, but actually spent most of his time standing by and making soy sauce.

"Go and do your work, we will take good care of her. If you encounter a situation that cannot be handled, please come and help me." Deputy Director Shi quickly expressed his opinion.

Director Zhang Bihua criticized Du Leng in public, and the invisible authority established was enough to make Deputy Director Shi and others feel sorry for him.

It can be clearly felt that Deputy Director Shi's attitude towards Director Zhang has become very awed.

On the contrary, Zhou Can didn't feel much.

It is also possible that he and Zhang Bihua had a close relationship in the first place.

In his opinion, Du Leng is looking for scolding on his own.

I really can't blame Director Zhang for being strict.

"Now the patient's condition has stabilized, and you take turns to eat. Doctors and nurses are human too, and they are not made of iron. You should also take care of your health."

Zhang Bihua is strict, and he is also very concerned about the health of the medical staff.

"I have asked the chef in the cafeteria to prepare hot meals and hot dishes, and I will call to arrange for someone to deliver them. Oh, I have worked hard today, everyone. If it weren't for everyone's hard work, this pregnant woman might have died a long time ago."

Section Chief Tang was also very happy to see that the pregnant woman turned from danger to safety.

During the entire rescue process, the two most frightened were not Director Zhang and Zhou Can, but Section Chief Tang and Dean Tian.

Although Dean Tian didn't show up, calling every fifteen minutes to inquire about the progress of the rescue is enough to show that Dean Tian sitting in the office is more anxious and anxious than anyone else.

Now that the danger is saved, everyone is happy.

This group of doctors and nurses who rescued pregnant women are all heroes.

Nature should be well rewarded.

As soon as Director Zhang walked out of the door of the emergency room, several reporters immediately surrounded him.

"Director Zhang, how is the situation of the pregnant woman?" These reporters are more concerned about the safety of the pregnant woman than the family members, which is really dumbfounding.

All I can say is that they are very dedicated.

It is estimated that when they were in the outpatient hall before, they had already taken photos and picked up news materials, and now they are only waiting for one result before they can finish writing the press release first.

"Thank you for your concern. After the joint rescue of many medical staff from our Tuya Hospital and Xinxiang Maternal and Children's Hospital, the pregnant woman has been saved for the time being. Director Zhang has been busy rescuing patients, and he hasn't eaten yet. Please step aside."

Section Chief Tang directly blocked the group of reporters for Director Zhang.

"Excuse me, why didn't the medical staff involved in the rescue come out?"

Mu Bi misses Zhou Can.

She didn't see Zhou Can coming out, so she naturally thought that there was still something going on inside.

Maybe the patient is still being rescued.

After all, Section Chief Tang, a propagandist, shouldn't take what he said too seriously.

"The rest of the medical staff are still guarding the pregnant woman to ensure the safety of the pregnant woman and the fetus. Our medical staff are working very hard. Please do not interfere with their work as much as possible."

These reporters were not so easy to dismiss.

Guard at the door and refuse to leave.

On the contrary, the family members of the pregnant woman couldn't help being overjoyed when they heard that the pregnant woman had turned the corner.

... After a while, the hospital cafeteria sent someone to deliver food.

The medical staff in the emergency room came out to eat in turn.

In fact, after the vital signs of pregnant women become stable, they can be observed for a while. If there are no major problems, they can be hospitalized and transferred to the general ward for follow-up treatment.

Most cases of fat embolism syndrome recover fully with treatment.

At present, as long as the condition of this pregnant woman does not deteriorate further, her life will definitely be saved.

It is estimated that after staying in the emergency room for about three or four days, the ventilator is expected to be removed.

In general, fat embolism syndrome is much less malignant than amniotic fluid embolism.

However, even if the pregnant woman survives the current difficulties safely, she is still not optimistic. Her femoral head fell to the point of fracture. I am afraid that no doctor would dare to operate on her.

But wait until after she gave birth to the operation, the callus has already formed, and there may even be a malunion.

These are very difficult questions.

Zhou Can took the X-ray film of the femoral head of the pregnant woman and studied it carefully.

Her fractures were serious, and when surgery was inoperable, external fixation could only be given as much as possible to help the fracture site heal in situ.

But the structure of the femoral head is one of the most complicated bones and joints in the whole body.

Even with surgery, sometimes it cannot be cured, and the entire hip joint needs to be replaced.

Now if you want to fix it without surgery, it is a test of the doctor's fracture external fixation skills and level.

Zhou Can’s fracture external fixation is currently at the third level, and the resident doctor’s level is medium.

This is also because after the end of the orthopedic surgery training, I can occasionally get an opportunity to earn experience points in fracture external fixation in operations in multiple departments. ???..

Otherwise, he should still be at the lower level of a resident doctor now.

"Doctor Zhou, we've finished our meal, you and Ji You should go eat quickly!"

Deputy Director Shi came back after eating with other medical staff.

Zhou Can and nurse Ji You went to eat instead.

Ji You has worked in the Department of Critical Care Medicine and has rich experience in rescue assistance. He performed very well in today's rescue. Moreover, she has a gentle personality, never pushes back and forth in doing things, and has a high professional level in intensive care and rescue.

There are not many gentle and capable nurses, and Zhou Can is very satisfied with her.

However, the two were just assigned to this newly established crisis management team yesterday, so they were far from familiar.

"Doctor Zhou is gone! You want to study the fracture treatment plan for pregnant women, and you can come back to study after eating! You forget to eat and sleep when you work, which is very unfriendly to your body!"

She greeted Zhou Can with a smile~www.wuxiaspot.com~ let's go, let's eat! "

Zhou Can quite enjoyed the feeling of being cared about.

Put down the x-rays.

"Director Shi, I will entrust the situation here to you for the time being. Be sure to closely monitor her central venous pressure and blood oxygen index, and call me if you have any questions. Don't worry that I haven't finished my meal."

Before Zhou Can left, he was still a little worried.

There is great variability in all vascular embolic types of disease.

Sometimes things really change quickly.

Just like the battlefield, it looked peaceful yesterday, but suddenly there was a fierce exchange of fire the next day, and the side that was in a good situation was defeated.

The pregnant woman was temporarily out of danger after hard work, but there is still a possibility of a rebound.

Deputy Director Shi's rescue skills are actually far inferior to Zhou Can's.

Director Shi himself knew this very well.

"Don't worry, I'm watching! Go eat!"

Deputy Director Shi urged him.

Zhou Can and Ji You walked out of the emergency room, and the female reporter Mu Que who had been squatting at the door immediately greeted them.

Others don't know Zhou Can's strength and hidden status, but she knows it very well.

Wanting to know the specific condition of the pregnant woman, Director Zhang refused to accept interviews, and it was difficult to get accurate information from other medical staff. So, the other reporters left, but she stayed here.

Zhou Can was her target.

Especially seeing that other medical staff came out of the emergency room to eat, only Zhou Can never showed up, she was even more sure of her guess.

"Hi! Doctor Zhou, can I ask you about the condition of that pregnant woman?"

Mu Bi waved to Zhou Can to say hello, with a slight smile on his face.

My medical skills can add experience points.

Jiangbian Yuweng reminds you: remember to collect after reading