Chapter 410
Chapter 408: Chapter 189: The Three Elements that Determine a Doctor’s Status, Did Director Jia Misjudge?_3
Director Jia finally diagnosed the patient with a duodenal ulcer and arranged for surgical treatment.
Many gastrointestinal bleeding diseases can only be completely cured by surgery.
“Patient in bed 13, male, 45 years old, felt discomfort in the upper abdomen, nausea and stuffiness, and suddenly vomited a large amount of fresh blood two hours ago, accompanied by residues of gastric contents…”
This case is yet another high-risk patient.
Basically, all the patients admitted to the hospital are of such acute and severe conditions.
Zhou Can immediately noticed the patient’s pallor and jaundice, a typical appearance of anemia.
And it is very likely that liver disease is present.
Especially considering the patient’s palms, which are clearly indicative of palmar erythema.
This hospital admission should be due to acute upper gastrointestinal bleeding.
The patient’s current blood pressure is very low, presumably related to vomiting blood.
Definitely, surgery must be arranged as soon as possible.
After examining two patients in a row, Zhou Can gained a preliminary understanding of the Digestive Surgery.
The volume of surgeries here is quite substantial, it seems that in the following two months, as long as Director Jia is really willing to delegate, Zhou Can will surely gain a substantial amount of surgical experience points.
There’s no need to think about leading a surgery alone, but he can strive to participate in key parts of surgeries.
When the time comes, with Director Jia’s guidance on the side, he can quickly accumulate experience in digestive surgical procedures.
…
After the ward round, Director Jia gave instructive opinions for those key patients.
Such as medication guidance, emergency treatment, and then reviewed the surgical schedules for these patients.
Emergency cases with life-threatening conditions are given priority for surgery.
Having thought that Director Jia would immediately lead them into the operating room for surgery, to Zhou Can’s surprise, Director Jia brought both him and Qiu Hong to the outpatient clinic instead.
Doing rounds with the chief physician had been something Zhou Can yearned for but could not achieve before.
Because he had yet to obtain his dual certifications, it would be impossible for senior doctors to take someone like him to see patients.
Unless he begged persistently, the senior doctors would consider taking him once or twice.
Now it’s different, Director Jia had agreed in a private conversation that from now on, Zhou Can could accompany him daily in clinics and surgeries.
It seems that Zhou Can’s pathology diagnostic experience points are finally set to rise.
His current level is 4 in pathology diagnosis, the lower level of an attending physician.
Which obviously cannot compare with a chief physician.
But it is much stronger than the typical resident doctor.
The three of them arrived at the outpatient clinic and entered the VIP Specialist Clinic Room 1.
My, it appears that Director Jia’s status in Digestive Surgery is even higher than Zhou Can had imagined!
Just now during the ward round, listening to Director Jia diagnose those patients and propose treatment plans also gave a glimpse into Director Jia’s capabilities.
Other doctors, when discussing treatment plans with patients, rarely speak with such certainty.
However, when Director Jia faced patients’ inquiries, he confidently provided affirmative answers.
“We can treat your condition, the recurrence rate won’t exceed 1%.”
“Your disease can be cured, don’t worry about it, I’ve performed many cases and have not had one that couldn’t be cured.”
Look, this is the confidence that Director Jia conveys when he speaks.
After hearing this, patients feel as if they’ve taken a sedative.
If a doctor did not possess real expertise, how could they dare to make such definite promises to patients and their families?
“Xiao Zhou, the volume of patients in the outpatient clinic is large, each person that comes for consultation has different needs and conditions, you must listen carefully and think deeply. If there is anything you don’t understand, you may ask me after the patient leaves.”
Director Jia said this, probably because he feared that Zhou Can, due to his young age, might ask inappropriate questions during the diagnosis and treatment of patients.
“Okay, I understand!”
Zhou Can seemed somewhat preoccupied.
Because during the ward round, the patient in bed 3 left a deep impression on him.
Although he hasn’t reviewed the specific examination report of that patient, Zhou Can has recently crammed a lot of medical basic knowledge from various fields, including immunology and digestion.
Director Jia concluded that the patient had a duodenal ulcer, consistent with the diagnosis of the receiving doctor.
But Zhou Can felt that the patient’s condition could be more complicated than it seemed on the surface.
This was related to his three months of work in the Intensive Care Medicine Department.
Every day he would come in contact with a large number of patients in the late stages of cancer.
Several aspects of that patient’s condition intuitively suggested to him the possibility of cancer rather than a simple ulcer.