My Medical Skills Give Me Experiences

Chapter 131: Dimensionality reduction blow, female patient with fracture

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Director Xie came up with his idea. From a strategic point of view, it can prevent the emergency department from being overwhelmed. It is estimated that no specialized department is really willing to see the emergency department grow.

Because the emergency department is the preferred registration department for most patients.

If it is powerful, many cases can be digested directly, which is tantamount to stealing the diagnosis and treatment business of specialist departments in disguise.

Recruiting Zhou Can to the Department of Surgery can not only prevent the emergency department from being overwhelmed, but also introduce a super genius to the Department of Surgery.

Kill two birds with one stone, there are many benefits.

That's why Director Xie spared no effort to poach him.

"I don't think about it for the time being!"

Zhou Can politely declined Director Xie's invitation.

A good horse never turns back.

What's more, Zhou Can was extremely distrustful of Director Xie's various personalities. Then it is even more impossible to entrust the future to such a person.

"What if I told you that, given your excellent performance, you can enter neurosurgery, cardiothoracic surgery and other promising top surgical departments?"

His gaze was fixed on Zhou Can.

He thought that the bait he had thrown was enough to make all the regular trainees tempted.

The barriers to entry for these two departments are extremely high.

Even a postgraduate doctoral degree may not be able to enter.

"Thank you for your support and love for me. I still prefer to work in the emergency department."

Zhou Can rejected it more clearly this time.

Otherwise, if Director Xie offers a few more attractive conditions, he still won't be able to attract him, and he will probably become angry from embarrassment.

"Are you sure you don't want to think about it anymore?"

Director Xie's tone turned slightly colder.

"I've thought it through very clearly."

Zhou Can once again firmly rejected Director Xie's solicitation.

"It is a good thing to be talented and gifted. But without a good training environment, the final achievement will definitely not be much higher. You must recognize your own disadvantages. With low education, it is almost impossible to make great progress in the field of internal medicine. Surgery is your only opportunity and path for development. If you decide to stay in the emergency department, then I will explain all the departments of surgery and train you in the direction of emergency. "

Director Xie saw that the recruitment failed, so he started threatening directly.

Everyone is a civilized person and will not make threats.

Instead, they state their interests and force the other party to make a choice.

Like some shameless male professor, a lot older. He took a fancy to the body of a certain female student, but he would not use violent means to obtain it.

Instead, they deliberately let the other party's paper fail, or let the other party do some research on topics with no future.

In a disguised form, the other party is forced to agree to some unreasonable demands.

Zhou Can also encountered this unspoken rule at the moment.

If he does not agree, he will be left on the bench in the entire surgical training.

There is no need to doubt the strength of a great director.

As long as Director Xie said hello to the directors of the departments below, Zhou Can would fall into the ice cellar.

"The general can pull a boat in his stomach. I believe that you can sit in the position of chief surgeon, and you will definitely not come to deal with me, a small regular doctor, just because of such a trivial matter."

Zhou Can's face changed slightly.

Turning over the table and scolding mothers will definitely not work, it is no different from courting death.

Unless he doesn't want to hang out in Tuya anymore.

The only way is to hope that Director Xie will rely on his identity and will not attack him as a small-scale trainee.

"Hehe, it doesn't work to put a high hat on me. If you make a fuss about this matter with the dean, that's what I said too." Director Xie also knew that Zhou Can had some predestined relationship with Dean Zhu.

But if he dared to threaten Zhou Can, he was not afraid of Zhou Can making trouble.

In this kind of trivial matter, the eldest brother can really be so capricious.

Don't naively think about finding someone to reason with.

If Dean Zhu is invited here, there is a high probability that Zhou Can will only be criticized for his mistakes.

This phenomenon is not only in hospitals, but also in other enterprises and units.

Leaders are leaders, and the bottom is the bottom.

It is a taboo for the bottom to challenge the leadership.

"Can't you show your respect and let me, a little Pearson, go?"

Zhou Can is making the last effort.

Is it because Director Xie was beaten up in the emergency department last time? Then Director Xie held a grudge?

Now take the opportunity to suppress revenge?

This possibility is small. Because if Director Xie really hated him so much, it would be impossible to wait until now to attack him.

On his first day in orthopedic surgery, he might have been suppressed by Director Xie.

"Let me give you an example. If a mosquito was flying around next to you, would you reach out and hit it?"

Director Xie did not answer directly.

Instead, ask back questions with examples to let Zhou Can think for himself.

In this case, nine out of ten people will kill the mosquito.

Zhou Can smiled wryly to himself.

Director Xie compared this to a mosquito. Is it that annoying?

He thought for two seconds, and replied tactfully, "It's not good to hit mosquitoes with your hands, as it is easy to infect them with viruses and bacteria. I usually wave my hands to drive them away."

This answer is quite ingenious.

Crazy suggested to Director Xie that the 'mosquito' is poisonous, so don't hit it.

"Why did you reach out to chase it?"

Director Xie continued to ask.

"Fear of being bitten by them."

Zhou Can had no choice but to bite the bullet and answer.

"Since you understand, why bother to ask me again? Young man, the workplace is as deep as the sea. There are some truths, and you will understand sooner or later. Go to work, the door of surgery should always be open for you. If you understand, you can come again Find me."

Director Xie said so far, and directly issued an order to evict the guest.

However, Zhou Can still left a way out.

Coming out of the director's office, Zhou Can felt a little heavy.

The trees are beautiful in the forest, but the wind will destroy them.

Because he was too good, he suffered such a disaster, and he was really depressed.

Director Xie suppressed him probably because he was worried that he would learn too much in surgery and become a general in the emergency department in the future.

Nothing to do with personal grudges.

It is the consideration and competition of great interests among departments.

Right now, we can only take one step at a time.

The next day, Zhou Can went to work in the orthopedic surgery department of the hospital as usual.

Turn on the computer and prepare to view the surgical cases in this group.

"Login failed!"

A four-word dialog box popped up.

He thought that he had entered the wrong password and identity information, and tried again, still the same.

"Thank you, Director, for being quick!"

Zhou Can immediately understood what was going on.

He could no longer check the cases in this group, so he could only pick up the operation records and medical records he had written before to check.

These are all your own and can be viewed at any time.

No permissions required.

"Doctor Zhou came quite early!"

Dr. He was supposed to be on the night shift yesterday, with messy hair and dark circles under his eyes.

"morning!"

Zhou Can forced a smile.

Other doctors in the group arrived one after another, and so did Dr. Shan.

Their attitude towards Zhou Can is still the same as before, without any change.

It means that they are low-level and don't know what happened yet.

After experiencing the heat and cold among his colleagues in the emergency department, Zhou Can did not believe that these colleagues would stand firmly on his side and fight against their superiors.

At that time, everyone will hide from him like the **** of plague.

this is the truth.

"Hey, Dr. Zhou, why didn't I see you check the cases in this group today?"

Dr. Shan has worked with him for more than two months and has already relied on this powerful arm.

Take the thief yesterday as an example, only Zhou Can could find out the problem.

"My...login authority should be revoked."

Zhou Can said bitterly.

"Receive, take it back? Probably not, your orthopedic surgery training period is still 16 days away, let me ask for you."

Doctor Shan thought it was unlikely.

I was ready to call and ask the information department on the spot.

Then I looked at the time, and it was only 7.35 minutes, so I must have not gone to work there.

"Don't worry, when the information management department is on duty, I'll ask for you. You can use my computer to look at the case that is about to be operated on today! There is a case that needs to separate the nerve and then perform bone fracture. When the time comes, the nerve will be separated. The task will be handed over to you to complete.”

Ever since Zhou Can showed his hand when he separated the blood vessel.

During the operation, when she encounters more difficult tissue separation and free work, she always entrusts Zhou Can to do it.

Zhou Can has always performed well and never made a mistake.

This made Dr. Shan value and trust him even more.

Around eight o'clock, Dr. Yang walked into the office.

"Doctor Shan, I have something to discuss with you. Your subordinate Gui Peisheng, Zhou Can, may need to be transferred to the outpatient clinic for exercise."

Doctor Yang said very tactfully.

Sure enough, what should come has come.

Fortunately, Zhou Can has already learned the knowledge of orthopedic surgery and the treatment of patients during the entire perioperative period.

Proficiency is far from enough, but the foundation is firmly established.

"why?"

Dr. Shan was extremely surprised by this result.

"This is an arrangement made by the department. Dr. Zhou will return to work in the emergency department in the future, so the direction of his training is mainly to prepare for the work in the emergency department."

Doctor Yang has made it very clear.

They have no right to question the arrangements made by the department directors, only to obey them.

"Wait a minute, I'll call and respond to my teacher."

Director Shan obviously didn't want Zhou Can to be transferred.

What can Gui Peisheng learn in the outpatient clinic?

Zhou Can doesn't have a medical license yet, and he doesn't even have the qualifications to accompany the doctor in the outpatient clinic. Can only be a medical guide, or run errands.

The above arrangement is obviously aimed at Zhou Can.

The first thing Dr. Shan thought of was that someone was jealous of Zhou Can's ability and deliberately made troubles secretly.

Her teacher is not vegetarian either.

Even other chief physicians in the same department, including the director of orthopedic surgery, have to give her teacher some face.

"Doctor Shan, it's useless to ask Director Shen for this matter. You should obey the department's arrangement."

Doctor Yang's eyes flickered.

"What's the meaning?"

Dr. Shan is not simple, let alone stupid. She knew a little about the inside story and unspoken rules of the hospital.

"I'm afraid that even Director You of our orthopedic surgery department may not be able to make the decision. You'd better not cause trouble for Director Shen."

He said in a very firm tone.

The doctors present understood a little bit at this time.

Reminiscent of Zhou Can's login authority being suspended suddenly, and now the superiors are going to transfer Zhou Can to work in the outpatient clinic. It seems that Zhou Can has offended a big shot.

In the entire surgery department, there are only a handful of people with a higher status than Director You and Director Shen of the Orthopedic Surgery Department.

The one Zhou Can offended must have been the number one boss in the surgery department.

"Dr. Shan, thank you for taking care of and nurturing me these days. The green hills remain unchanged, and the green waters flow forever. We will have the opportunity to meet again. Today's surgery to separate the nerve, I can no longer fight with you Yes, sorry."

After Zhou Can went back yesterday, he thought about it all night.

He has thought about all possible outcomes.

The current results are not bad enough.

Dr. Shan is just an attending doctor, and he doesn't want her to be labeled badly by Director Xie because of this incident.

Her abilities are limited, and she can't change any results.

"Doctor He, thank you for your help and guidance to me these days."

Before Zhou Can left, there were three people who should be thanked.

Dr. He Zhang in the inpatient department, Dr. Shan in the operating room, and Director Shen.

"Brother, all difficulties will pass, hold on." Doctor He Zhang nodded to him.

He sympathized with Zhou Can's experience, but there was nothing he could do.

I will not wade into this muddy water.

"Doctor Shan, please say thank you to Director Shen for me. I sincerely appreciate his guidance and care for me these days."

After speaking, Zhou Can glanced at the others.

He found that the faces of the two doctors, Gui Peisheng and Dr. He, clearly revealed a hint of secret joy.

When Zhou Can was around, because he was too good, the three of them were overwhelmed. Now that they have been transferred, the three of them have a chance to make their mark, so they are happy.

"Goodbye, colleagues!"

Zhou Can was not too angry at the trio's gloating.

If people are not for themselves, heaven and earth will perish.

Can understand the thinking of these people. But forging iron still needs to be hard.

The talents recruited by Tuya Hospital are getting stronger from generation to generation. If they don't work hard enough and are not good enough, if Zhou Can leaves, there will be countless new talents pouring in.

"Doctor Yang, I don't know who I should report to at the outpatient clinic?"

Zhou Can looked at Dr. Yang.

"I'll take you there! Every day, you only need to arrive at the outpatient clinic before 8:00 am and get off work at 5:30 pm. You don't need to report to anyone again."

This arrangement is really nonsense.

It means that even the teachers who teach are gone.

Ask Zhou Can to do odd jobs in the orthopedic surgery clinic.

It almost means letting go.

"Then what do I do in the outpatient clinic?"

Zhou Can asked as he followed Dr. Yang.

"Look at things and do things. For example, if a patient doesn't know how to get to the laboratory, you can show them the way. Or if the patient doesn't follow the order during the waiting process, you can help maintain it..."

These tasks should be the work of guiding nurses and security guards.

It is overkill for him to be a doctor.

Zhou Can was very angry.

But he didn't get angry with Dr. Yang, it has nothing to do with Dr. Yang.

It was the arrangement made by Director Xie.

Soon, Zhou Can was brought to the corridor of the orthopedic surgery clinic. Dr. Yang greeted the responsible doctor and head nurse, and told them that there will be a special regular trainee in the outpatient clinic in the future.

A new person came, and it was a doctor, and word spread quickly in the clinic.

Mainly the broken mouths of the nurses, it was just horrible.

Especially those guide nurses, many of them are social recruiters, not regular nurses.

The work I am engaged in is also relatively simple, that is, to guide patients to see a doctor.

The quality of these people varies from high to low.

Broken mouth is the nature of most women.

They whispered to each other, and quickly spread the news that Zhou Can was transferred to the outpatient clinic to do chores to the ears of the medical staff in the orthopedic surgery clinic.

When some nurses and doctors looked at Zhou Can, they looked like they were looking at a rare species in a zoo.

Zhou Can was a little stage fright at first.

After staying longer, he gradually got used to it.

Mainly wearing a white coat and acting like an idiot in the corridors and halls of the outpatient clinic, which is too uncomfortable.

Not only will he be looked at by nurses and doctors as a rare animal, but also those family members, patients, and even the scalpers who are mixed in with him will cast strange eyes on him.

After two full hours, Zhou Can has been wandering around.

No one cares about him.

very free.

But no one arranged work for him.

Occasionally, a patient would ask him for directions, or ask him where to register, and what department the disease should be registered in, Zhou Can would patiently advise him one by one.

Orthopedic surgery, divided into traumatology, joints, microscopy and so on.

Different bone diseases require different departments for registration.

Registering the wrong number actually has a big impact.

For example, it is clearly a broken arm, but the number of a joint doctor in the joint department is listed.

This doctor may be better at diagnosing and treating bone injuries in joints.

The prescribed treatment plan may vary greatly.

Originally, traction should be done first before surgery, and the effect may be better. Because he is not so professional, he directly prescribed a surgical treatment plan.

Of course, before the operation, there will be a second check by the chief surgeon.

But it is also possible that the checks are not in place, and the operation is performed directly.

There may be some degree of malunion after surgery, or that the arm may not return as well as expected.

Why are there so many special-needed expert numbers so expensive?

That's because these experts who sit in the clinic, in addition to diagnosing you and giving you a treatment plan, may also perform surgery on you in person.

For some difficult operations, other doctors can do them, but not so well and not so thoroughly.

Experts do it for you, perfect solution.

A registration fee of several hundred yuan or thousands of yuan is worth it.

Therefore, for minor illnesses that are not serious, or common diseases, it is enough to register as a general doctor. Because no matter which doctor you hang up with, the treatment methods are similar.

If the disease is still unsatisfactory after being treated in several hospitals, then don't be stingy with the registration fee of several hundred yuan, and directly grab the account of a special-needs expert who is good at treating this disease.

Zhou Can is a doctor himself, and it is the luck of the patient to have him guide the patient to register.

"Someone's fainted here...doctor, doctor..."

Zhou Can followed the prestige, and in the waiting rest area of ​​the outpatient hall, a poorly dressed woman fainted to the ground.

He hurried over to check.

It was found that the woman's heartbeat and breathing were still there.

My heart was slightly relieved.

Only then did he have time to look at this woman.

At the age of about thirty, he has a particularly thick frame, but he looks very thin. His complexion was yellow, and he was obviously malnourished.

There was a lot of cold sweat on her forehead, her lips were pale and dry.

The clothes on his body looked like cheap street stalls.

Many places have been washed white, and you may even see traces of mending.

Not a single piece of jewelry could be seen on her hands, neck, or ears.

The patients in Tuya Hospital are very mixed. Because of its great reputation, patients from all over the province come to seek treatment. There are even patients from various provinces in the country who come to seek medical treatment from thousands of miles away.

This woman should be from the countryside.

The shoes on my feet were sneakers whose soles were about to wear out.

What really moved Zhou Can was her twisted right hand. With the doctor's professional vision, he could see at a glance that the woman's right hand was severely fractured.

As for whether there are other injuries, it is hard to say.

"Is the family there?"

After Zhou Can checked, her life was not in danger.

Then he stood up and asked loudly where the family members were. In order to learn more about the woman's condition.

Didn't see anyone stand up.

"Are the lady's family here?"

Zhou Can raised his volume.

However, the outpatient hall is very noisy, and the sound cannot be transmitted too far.

"She seems to have come alone."

An aunt in her fifties said.

The aunt's right foot was wrapped in white gauze, and there was a cane beside her. If I'm not mistaken, there is a plaster cast on the foot, which may be a treatment for a fracture.

The white gauze on it has turned black and yellow in some places, indicating that it has been for a long time.

Might be here today for a review.

Aunt has two people to accompany her, so she should sit here and wait.

So I know a little more about this woman who suddenly fell into a coma.

"Her arm seems to be broken. Does she have any family members?"

Zhou Can feels that when sick, relatives should be the most reliable.

"I saw her come in to buy a medical record, fill it out, and queue up for registration. She was all alone. She should not be accompanied by her family."

The aunt said with some sympathy.

Zhou Can had no choice but to wake up the woman first and ask about the situation.

If that doesn't work, she may need to be taken to the emergency department.

There is a special corresponding mechanism to deal with this kind of unaccompanied family members who are in urgent need of rescue.

Specialist surgery, without the signature of the family members, generally will not agree to do it.

But in the emergency department, when a patient really needs an emergency operation to save his life, he does not need the signature of his family members, but reports to the medical department, and the department leader signs on his behalf, and then the operation is performed directly.

If it happens during non-working hours, you can report directly to the vice president of the hospital, and then the department leader will sign the consent form for the operation.

"What's the matter with this woman?"

A nurse came over.

"She fainted suddenly."

As Zhou Can answered, he began to pinch the woman.

The patient is only mildly comatose, and when the heartbeat and breathing are normal, this trick is a more effective way to wake up.

After a while, she slowly opened her eyes.

"Girl, what's the matter with you?"

Zhou Can asked with concern. UU reading www.uukanshu.com

"I, I'm dizzy, I haven't eaten anything since last night..." She seemed weak.

If you don't eat for a long time, coupled with injury, you are prone to symptoms such as hypoglycemia.

Hungry dizzy, no joke.

But it can actually happen.

Zhou Can looked at the female nurse, "Can you help me go to the cafeteria and buy a boxed lunch? Don't want spicy food like chili and leeks. Her right hand should have suffered a severe fracture."

Zhou Can took out a hundred-yuan bill.

Good thing I had cash on hand. As mobile payments become more and more convenient, he has fewer and fewer opportunities to use cash.

In life, mobile payment is chosen most of the time.

The nurse took a surprised look at Zhou Can, took the money, and went to run errands to buy food.

"Girl, are you the only one who came to the hospital?"

Zhou Can quickly asked the key points.

Mainly afraid that she would faint again.

And now I don't know if there are other fractures on her body, and I dare not help her up.

Just let her lie on the ground.

"Um!"

She hummed lightly.

Perhaps seeing Zhou Can spend money to buy food for her, I feel a little more grateful and trust Zhou Can.

Without letting Zhou Can ask, she went on to say, "I was digging wild solitary and medicinal herbs on the mountain. I was suddenly attacked by a wild boar, and my arm was broken. It seems that one or two ribs were broken. There is only one grandma who is over 80 years old in the family. She was injured. Later, I was afraid that my grandma would be worried, so I kept it from her, and only said that I would go out for a few days, and then went to Tuya Hospital to see a doctor."

"I heard that the medical skills here are good, and my injury can heal faster."

What happened to her is distressing.

The filial piety revealed made Zhou Can feel admiration.

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