Chapter 591: Chapter 251: Getting Shot Even When Lying Down, The Benefits of Cultivating Both Internally and Externally_3
“What treatment plan has Doctor Huang currently prescribed for the patient?”
“When the patient was admitted, he experienced abdominal pain. After initial treatment, he still suffered frequent and severe abdominal pain last night, and he started vomiting this morning around 6 AM due to an intensification of the pain. Currently, the treatment given to the patient is fluid expansion and rehydration. In addition, since this morning the patient has had a fever, and I prescribed oral antipyretics and physical cooling with ice packs during my morning rounds.”
Huang Liang detailed some of the treatments implemented for the patient.
Overall, these treatment measures are standard and without major faults.
However, in Zhou Can’s opinion, they seem somewhat conservative.
And seeing the patient’s facial distortion from pain and his body curled up like a shrimp indicated that the treatments applied by Doctor Huang did not have much effect.
Although abdominal pain is not as dangerous as chest pain, patients with such frequent and severe abdominal pain can easily fall into critical condition if treatment is delayed.
Zhou Can had studied for three months in Digestive Surgery under Director Jia, so he was particularly clear about some dangerous symptoms of gastrointestinal diseases.
At this moment, he perceived the patient’s condition as extremely dangerous.
However, with so many directors leading the rounds, it certainly wasn’t his place as an intern to voice his opinions.
Moreover, since Zheng Hongtao and Doctor Huang inherently held biases against Zhou Can, if he dared to criticize Doctor Huang’s treatment in front of so many people, it would definitely offend Doctor Huang severely.
In Zheng Hongtao’s view, it would also come off as showing off his skills.
Zhou Can decided to first listen to what the directors had to say.
“The measures taken by Doctor Huang seem reliable to me; Director Shang, what do you think?”
There were several directors in Digestive Internal Medicine.
Zheng Hongtao considered only Director Shang a match for his capabilities.
He did not ask for other directors’ opinions and only wanted to hear from Director Shang.
“From a treatment perspective, symptomatic treatment has been achieved. However, seeing the patient in such pain, only using fluid expansion might be excessively conservative,” advised Director Shang diplomatically.
The patient’s condition leans more towards a surgical issue, and it seems that these directors of internal medicine have not yet recognized the severity of the situation.
Zhou Can became anxious.
“Both abdominal ultrasound and flat abdominal film suggest the patient’s condition is moderately hopeful. Director Shang, what additional treatment measures do you recommend?”
This time Zheng Hongtao was genuinely asking for advice.
Based on his understanding, the treatments provided should be adequate. Future treatments would have to be decided step by step, depending on changes in the patient’s condition.
This step-by-step approach is also common in internal medicine.
Patients are initially treated symptomatically with life support and then, by observing the treatment results and changes in the condition, adjustments are continuously made.
In this regard, internal medicine treatment has great similarities with ancient Chinese medicine practices.
“It’s hard to specify what additional measures to take right now. Just the fact that he’s in such pain means we must take it seriously. Let me look at his test results and medical records.”
Director Shang didn’t dare make hasty conclusions.
Deciding to first thoroughly understand the patient’s situation before proceeding.
Directors rounds are intended to identify possible safety risks or overlooks in diagnosis and treatment.
“Dr. Zhou, come and help give your input as well!”
Director Shang waved at Zhou Can, who was standing near the door.
Helplessly, as an intern, Zhou Can was lucky to not be pushed out by the many directors, deputy directors, and attending physicians present.
“Not asking for advice from his deputy directors or attending physicians, but preferring to ask Dr. Zhou, the intern, first—it seems that Dr. Zhou holds a higher place in Director Shang’s regard than I imagined,” Zheng Hongtao remarked.
Deputy Director Shi, Physician Huang Xinggui, and others under Director Shang frowned slightly upon hearing this.
They were optimistic about Zhou Can’s capabilities, but would never admit that his skills surpassed theirs.
Zhou Can walked over to Director Shang while addressing Zheng Hongtao, “Director Zheng misunderstands; it is not that I hold a high status, but that Director Shang is nurturing me, a novice doctor, and wants to take this opportunity to broaden my experience. Deputy Director Shi and Doctor Huang have also been extremely supportive to me within the group. I am extremely fortunate to have encountered so many warm-hearted senior physicians.”
With a single sentence, he perfectly resolved Zheng Hongtao’s attempt at creating discord.
Huang Xinggui and Deputy Director Shi looked at Zhou Can, now smiling.
Senior physicians appreciate such modest young doctors.
Zhou Can’s way of speaking and doing things pleases people.
Taking some examination data from Director Shang, Zhou Can began to carefully review it, especially some of the key test data.
In cases of acute gastroenteritis, blood indicators are a very important reference.
After seeing the patient’s blood test results, Zhou Can’s face changed dramatically.
Director Shang noticed the shift in Zhou Can’s expression.
“Zhou Can, what’s wrong? Is there a significant problem with the patient’s tests?” Having witnessed Zhou Can’s capabilities in various aspects, Director Shang had never seen his expression so serious and somber.
Being in charge of a department, his greatest concern was patient accidents within the hospital.
So when he saw Zhou Can’s expression, his nerves immediately tightened.
“The situation is very bad; I need to look at the urine test next!”
Zhou Can quickly pulled out the urine test and, after reviewing it, his expression became even more grave, as if an army was already at the gates, and the city’s fall was imminent.
“Dr. Xiao Zhou, could you please not be so dramatic? This could cause the patient and their family to become extremely anxious.”
Huang Liang voiced some dissatisfaction.
Calling him neither Dr. Zhou nor Zhou Can, but explicitly calling him Dr. Xiao Zhou in front of everyone, was clearly a form of disdain and insult.
However, Zhou Can was not distracted by this.
Instead, he closely scrutinized each parameter in the urine test report.
“Director Shang, this patient’s condition is extremely critical. I recommend we immediately consult with doctors from General Surgery. If we delay, the consequences could be very, very severe.”
Zhou Can, always measured in his actions and words, using ‘very’ twice, clearly indicated how perilous the patient’s condition was.