First, get a thorough understanding of the patient’s condition, medical 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 Medicine.
The rescue of the gastrointestinal bleeding patient this morning was just a signal of his arrival.
Now it’s time 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 time to measure the patient’s vital signs and record them.
Being assigned to manage the patient alone means 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 tremendous 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 time to adapt to eating orally.
"Excuse me, please make way!"
At this moment, 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 members to settle the patient in bed No. 72 before looking up and greeting Zhou Can.
"I am Zhou Can, may I have your name?"
Zhou Can responded with a smile.
"Duan Zifu! I am also a resident doctor in Doctor Shang’s team, nice to meet 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 medical 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 medical teams have very strong execution power.
Normally, a smaller medical 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 medical 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 medical team often requires a key element - 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 meet 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 recruitment 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 medical 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 mechanism in our team; it’s necessary to have normal competition."
Zhou Can was amused by his words.
Competition doesn’t mean one has to be an enemy; it can mean helping each other.
Duan Zifu seemed 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 performed such surgeries before.
He could be considered quite knowledgeable about this disease.
Currently, there’s no way to fully cure this disease. Typically, surgical treatment can achieve satisfactory results.
This is Digestive Internal Medicine, Director Shang admitted the patient, is she planning to invite General Surgery doctors to perform the operation? Or is she preparing for medicinal treatment?