Chinese medicine: When you do things to the extreme

Chapter 255 Conquest (Subscription Request)

Zhou Yanqing was embarrassed for about three or four seconds before she said hesitantly, "Sister Miao, I can't say I can give you any advice. I don't actually know how to teach people how to read films."

Xiang Miao is three years older than Zhou Yanqing. Zhou Yanqing is the youngest here. Except for the interns, it is okay to call most people "brother" or "sister".

Xiang Miao said: "Doctor Zhou, just tell me what you think."

"If you look closely, the signs of blood vessel rupture are quite obvious." Zhou Yanqing gave a very violent 'explanation'!
Teaching level also needs to be learned. Even if it is not studied systematically, one must have the concept and system of teaching.

It is obvious that Zhou Yanqing is only at the very beginning of this journey!

Previously, it was Zhou Yanqing who pushed Brother Yu Yue forward with his strong knowledge base and forced him to practice hard!
Zhou Yanqing’s own CT film reading skills are not low. He has currently reached expert level 3/15 and can handle most of the film readings without any problem.

But Zhou Yanqing really couldn't bring himself to teach a stranger.

Zhou Yanqing's words attracted a lot of different looks. Xiang Miao was a little choked up and said in a slightly awkward tone: "Is it that obvious?"

"Here!~" Zhou Yanqing circled it with the mouse.

"Look, this is the aortic arch, this is the rupture point, the intima is not continuous."

Xiang Miao felt that he had asked in vain.

What's here, what's there...

Could you please explain it more clearly?

However, knowing something yourself and being able to teach others are two different categories of abilities.

Some people are naturally good at learning on their own, but not good at teaching others.

"It's obvious. Look at the anatomy."

"The heart is here. The aortic arch is formed after it extends from the left ventricle. The contrast layer on the CT scan is here."

"After finding the layers of the aortic arch, we can find the discontinuity points based on the shape of the aortic arch, and then we can determine that this is..." Zhou Yanqing said a lot of things in a very logical manner.

But Zhou Yanqing's teaching method is actually his own way of reading films.

If you talk to a primary school student about routine examples of quadratic equations, it would be strange if he can understand it directly.

If the person standing opposite him was a professor of imaging or vascular surgery of the same level as Zhou Yanqing, he would nod immediately!

This is not teaching, this is suitable for peer communication.

Xiang Miao unilaterally admitted defeat: "Doctor Zhou, you are awesome!~"

Although Xiang Miao wanted to learn, he no longer forced it!

Zhou Yanqing's expression was very sincere. He was not deliberately making fun of himself, nor did he want to see himself embarrassed.

Asking a student to be good at teaching and to teach himself is somewhat embarrassing and also a bit disrespectful to his "teacher"!
Why do you make slow progress when your teacher teaches you, but you ask Zhou Yanqing to give you a smooth path to success that will make you successful immediately?
Zhou Yanqing said apologetically, "Sister Miao, CT scans are read step by step. First, you need to know the approximate anatomical structure, and then carefully determine every small part of the anatomical organ."

"After being able to read the anatomical parts very clearly, we can then read their morphology very accurately through their development layers on CT..."

Zhou Yanqing gave Xiang Miao an idea from a general perspective.

These contents are somewhat consistent with Xiang Miao’s teacher!
Xiang Miao replied: "Okay, Doctor Zhou, maybe my skills are not good enough..."

However, when I heard this.

Zheng Qi from the neurosurgery department became curious and asked, "Yanqing, it seems that you are very good at reading CT scans? Then can you help me take a look at this patient's head CT scan?"

"Brother Qi, have you finished reading it all?" Zhou Yanqing was a little embarrassed.

It's obvious that Zheng Qi just wants to eat melons and has no other intentions.

"You can take a look first, in case there are any mistakes or omissions..." Zheng Qi still felt that Zhou Yanqing was a little mysterious.

Zhou Yanqing opened the head CT scan without hesitation and scrolled the slices.

A patient's imaging examination data are packaged in a system. As long as you can enter the system and know the patient's outpatient number or inpatient number, you can query any part of the data.

There is no rule that if you are an orthopedic surgeon, you are not allowed to view other specialist imaging studies.

Zhou Yanqing just glanced and suddenly turned his head towards Zheng Qi.

His eyes tightened, his tongue licked his upper lip, and then he quickly moved back and forth between Zheng Qi and the computer screen.

Zheng Qi was stabbed by Zhou Yanqing's gaze, and instantly began to panic as if he had lost weight: "No, Yanqing, don't scare your brother Qi, I'm timid."

"If you have something to say, just say it."

Zhou Yanqing stood up and whispered something in Zheng Qi's ear. Zheng Qi immediately began to re-examine the CT scan in front of his computer!
After reading it for less than ten seconds, Zheng Qi quickly took out a mobile phone and called a professor who was close to him.

After the call was connected, Zheng Qi asked, "Brother Feng, are you in the outpatient clinic now?"

"Can you help me watch a movie?" Zheng Qi asked.

"210XXXXX"

After Zheng Qi finished speaking, he stopped interrupting and continued the call.

"It's a right aneurysm, but the aneurysm is not big. It still needs to be observed and re-examined. After the trauma, there is a risk of rupture, right?" Zheng Qi asked back.

"Okay, thank you, Brother Feng. I'm just not sure, so I wanted to ask you, Brother Feng, so that I can communicate with the patient's family carefully."

When Zheng Qi hung up the phone, Gong Zhenyu, who was standing next to him, rubbed his face with both hands and asked in amazement: "Teacher Xu also said there was an aneurysm?"

No?

Brother, didn’t we agree that this was just a joke?
This time he came to the emergency room. Although the aneurysm in the head did not rupture, this was a diagnosis that neither he nor Zheng Qi had discovered, but Zhou Yanqing picked it out at first sight.

This is quite a slap in the face, isn't it?

It should be said that this joke is too much.

Zhou Yanqing has returned to his workstation, looking at his nose with his mouth and his heart with his nose, and he has fallen silent.

He just went to explain to Zheng Qi in a low voice in person because he didn't want to attract attention, but Zheng Qi openly called his superiors and reacted like this!
Zhou Yanqing was not responsible for dealing with other people's stunned and disbelieving looks.

If Lan Zhuozhi was confused by Zhou Yanqing's words, then Zheng Qi was also confused by Zhou Yanqing's words!

People who work in the medical field actually know this.

Whether it is an emergency or an elective.

The reason for the deaths is partly due to unpredictable complications, but more so due to insufficient information about the patients!

It is possible that the inspection was not comprehensive and detailed enough, in fact it is more likely!
The person making the diagnosis is not perfect in his ability, so he is unable to obtain the intricate signs from the existing examination data.

To put it more simply, most doctors have limited abilities and make mistakes! Moreover, the average point of these mistakes is the standard for dividing a national guideline, and it is also the tolerance rate that the country sets for doctors!

Above the tolerance rate, the state has the responsibility to bear.

Within the tolerance level, the state shall bear part of the responsibility.

There is no way. You cannot expect a doctor in a county hospital or even a town hospital to have the same strength as the top experts in Union Hospital. You cannot even expect them to have the same comprehensive abilities as the chief residents in top hospitals.

Therefore, doctors should carefully assess their abilities.

If you feel that you have above-average ability, you can make your own decision. The country has laws that allow those with associate senior professional titles and above to make partial revisions to the guidelines based on experience, and you do not have to follow the guidelines for diagnosis and treatment, and it will not be considered a mistake.

Unless it is a particularly low-level mistake, no one will be held accountable...

Those who can stay in Xiangya Hospital, even if they are just inpatients, have a level slightly above the average!

In other words, they can follow the guidelines and provide standardized 'no-responsibility' treatment for common or rare diseases with almost no time!
It is normal that Zheng Qi cannot see the hemangioma. If he could see it, he would be an associate professor or even a professor.

With this kind of analogy and calculation, it is clear who is a normal person and who is seriously ill.

Yang Lingchong, Xiang Miao, Du Guodong and Yue Lizhong from the gastrointestinal surgery department, Zheng Qi and Gong Zhenyu from the neurosurgery department, Huang Yaqin and Liao Huatong from the hepatobiliary surgery department, all started scraping Zhou Yanqing's body at the same time.

The look was full of fear!

Also, respect! ~
Why be afraid?

Are you afraid that you will find my mistake?

Doctors are not afraid of peer review and can calmly accept that their abilities are limited. However, when faced with teachers, people with high-level titles, and great powers, they feel powerless, like a child meeting an adult.

There is such a big Buddha in the trauma center.

In the future, everyone will be more restrained in doing things.

Zhou Yanqing was not talking nonsense, nor was he deliberately making it up!
This was not the first or second film Zhou Yanqing had reviewed, but the eighty-ninth, without exception.

Maybe Zhou Yanqing also "missed the diagnosis", but that is probably a 'loophole' that can be discovered by very, very few people!
All other diagnoses pointed out by Zhou Yanqing were confirmed.

The silence lasted for about half a minute before Huang Yaqin broke the deadlock: "Professor Yang?"

"this?"

"Doctor Zhou?"

"The more capable you are, the more work you should do. I think he should take on more responsibilities."

Diagnostic ability is a skill that will accompany a doctor throughout his life. It must be constantly honed and improved. There is no end to it! ~
As long as you are a doctor, there is a 100% chance that you will make misdiagnoses!
The difference is that the misdiagnosis rate of top experts and professors will be lower, while the misdiagnosis rate of those who are new to the medical industry will be very high.

This is the limitation of medical technology and average medical level.

Yang Lingchong didn't dare to sit still any longer, and quickly got up from his seat and walked towards Zhou Yanqing: "Doctor Zhou?"

"How about that? Let's discuss it. From now on, even if there are hand surgeons, we will take care of these routine consultations for you."

"You are mainly responsible for reading the films and making diagnoses?"

"Give some advice?" Yang Lingchong asked very cautiously.

It can be said that the large consultation team formed by professors at the Xiangya Hospital can go to the Hall of Hell and negotiate with the King of Hell to win back a few emergency patients who might otherwise die.

However, Xiangya Hospital cannot accommodate such abundant resources to accommodate so many specialized professors.

Because there are very few people who can truly reach the professor level recognized by Xiangya Hospital, a large number of people may never reach this threshold in their entire lives.

Are specialized diseases no longer treatable? Are specialized surgeries still performed?
Is it enough to just be responsible for emergency surgery?
If the medical resources of Xiangya Hospital are so rich that the gatekeeper can be a professor, then there is no need to say more, just make such a rule!

Based on this, Yang Lingchong now discovered that there is a biggest big shot in his group who can cover up everyone on the scene. If he doesn't worship such a person, he will be making things difficult for himself!

"Professor Yang, that's not necessary. I still have to see emergency cases in the hand surgery department. This is my mission."

"As for film reading, let's communicate with each other!~" Zhou Yanqing responded cautiously and found his position.

A resident chief is riding on the heads of associate professors from other specialties. Even if Yang Lingchong is willing, there are still a large number of associate professors who are unwilling to do so!

Before today, no!

Before noon, each of these attending physicians and chief residents was extremely arrogant and looked at themselves as if they were a joke.

They even expected the orthopedics department to be too arrogant and only arrange a chief resident, and then it would fail...

"This is not appropriate. Doctor Zhou, you are too tired."

"How about this, I'll contact the director of your orthopedics department and ask them to send one more person to help you."

"What else? Doctor Zhou, you are too tired." Yang Lingchong changed the subject and directly found another feasible solution.

If we want to ask Zhou Yanqing to take on more important tasks, we must first free up Zhou Yanqing's time.

Otherwise, if an emergency patient comes in and the patient is a hand surgery patient, Zhou Yanqing will not treat the patient but instead review the X-ray film of another thoracic surgery patient.

Who do you think the patient is troubling?
It’s better to look for Zhou Yanqing!
Before asking someone to do something for you, smart people will try to find ways to make the other person have more time. Just like studying in Xiangya Hospital, the more you try to get your teacher to set aside time, the more chances you have to get more guidance.

If you cause trouble to the teacher, the teacher will definitely give priority to dealing with the troublesome matters...

This is independent learning, which provides some guidance for those who know how to learn.

"Doctor Zhou, it's settled!" Yang Lingchong said in a firm tone.

Without any hesitation, Zhou Yanqing's status was directly raised.

Zhou Yanqing is responsible for making diagnoses, which is the treatment he gets as a junior superior, or even as a "team leader".

But there's nothing I can do, Zhou Yanqinglu's moves are just too beautiful.

The power is strong and the rhythm is smooth.

If you are unwilling to admit it, you may be crushed by this rhythm and force.

Therefore, you must surrender.

Unless someone wants to use the same workplace bullying tactics in the department as they do outside...

Yang Lingchong immediately went out to find Director Li Xiangming!
The request for the orthopedics department to send another resident can only be negotiated by Director Li Xiangming on behalf of the trauma center of the emergency department!

He, Yang Lingchong, does not have such ability and qualifications!

(End of this chapter)