My Medical Skills Give Me Experiences

Chapter 323: The good words of the predecessors, macrodactyly

【My medical skills can add experience points】【】

While Zhou Can was chatting with Director Dai, several outpatient doctors rushed over to work.

In addition to the white-haired old doctors, there are also young doctors in their thirties and forties.

Both men and women.

"Morning Director Dai!"

"I heard that you went to Xinxiang Women's and Children's Hospital for consultation for a week. How is it? Isn't it good?"

"Director Tang even praised you yesterday! He said it was for the pediatrics department of our Tuya Hospital. Don't say it, I feel that there seem to be more patients in the emergency department in the past two days. Alas, this is an authentic increase in the number of patients." No price increase! If you do more work, your income may not increase.”

These pediatric doctors usually have a good relationship.

When we met, chatting was also very casual.

"This must be Doctor Zhou, right?"

Finally, someone's eyes rested on Zhou Can.

"My name is Zhou Can. I'm new here. Please give me your advice!"

Zhou Can kept his posture very low, and greeted several outpatient doctors with a smile.

"Hehe, it looks quite modest! Pediatric outpatient clinics are very dangerous. You have to pay attention to the faces of your family members. If something is wrong, change your words quickly and put peace first!"

A short-haired female doctor in her thirties reminded him with a smile.

"Dr. Wuqin's words are not scaremongering. When Dr. Zhou sees unreasonable family members, he must be careful. Our pediatric doctors and nurses are the most likely to be beaten up by family members. As for being scolded, it is commonplace and we are used to it now." Don’t share common knowledge with family members, lest you get sick from anger.”

Director Dai also echoed from the side.

She was mainly worried that Zhou Can had just arrived in the pediatrics department and didn't know how deep he was.

In addition to being called the mute department, pediatrics is difficult to ask patients for medical history, etiology, symptoms and other information they need. It is also known as the most dangerous department because of the high probability of being beaten and scolded.

If the risk index of the emergency department is four stars, then the risk index of pediatrics can definitely reach five stars.

Many doctors and nurses tried to escape because they couldn't bear the wrangling environment of pediatrics.

The pediatricians and nurses who can stay are patient, caring, and have high emotional intelligence.

"You guys are exaggerating! I was a little terrified when I heard it."

Zhou Can said he was afraid, but how could he be really afraid.

The family member really hit someone, and he didn't mind acting in self-defense in front of the other child's face.

The social atmosphere these days is getting more and more evil.

Teachers dare not criticize students, and even get beaten and scolded by students instead. When a doctor sees a doctor, in addition to thinking about how to diagnose and treat the patient's disease, he must always beware of family members' old fists and big shoes of size 43 flying over.

"Young man, doctors shouldn't be afraid of their family members. You've heard that evil does not suppress good, right? As long as we are doctors, as long as we are upright, no matter how unreasonable our family members are, he will be afraid of us. Besides, something unpleasant happened. , I will teach you a few ways to deal with it. First protect yourself, then call the security of the hospital, and finally call the police. I have practiced medicine for so many years, and a family member directly poured water on my face. Later, the family member was detained for three days and told me Apologize."

The oldest doctor spoke.

Her age looked at least sixty and upwards. She has not retired at such an age, and other doctors respect her very much, so this old doctor must have a high status.

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【My medical skills can add experience points】【】

"Thank you for your advice. I will keep all those methods firmly in my heart. Any family member who dares to do something will definitely punish him by law."

Zhou Can didn't know what to call this old doctor.

That's all I can say.

"Director Yan is the treasure of our pediatrics department. Her experience is definitely useful. Because no matter how arrogant the family members are in front of Director Yan, they will become silent and lose their vicious power."

Director Dai vaguely introduced Director Yan's identity.

That is to say, Zhou Can doesn't like to try his luck very much. If it were another doctor, he would probably have already figured out all the chief physicians in the Department of Pediatrics.

"Director Yan? The top expert who allows all children to breathe freely is you! Sorry, sorry."

Zhou Can had really heard of the name of Director Yan.

Although she has the same surname as King Yama, what she does is completely opposite to King Yama.

Yan Wang only takes human lives, but Director Yan only treats various respiratory diseases of children. Including congenital airway narrowing, pulmonary insufficiency, no nose, acquired bronchial infection, pneumonia and so on.

As long as it is a respiratory disease, she can cure it.

Respiratory diseases in young children are the most difficult to treat and have a very high mortality rate.

She has been cultivating in this most difficult field for many years and has become a top expert, which is enough to prove her extraordinaryness.

"It's all a false name, if it's true, you lose! The time is almost up, let's go into the outpatient room and prepare for the consultation! Get the consultation early, maybe you can see one or two more patients!"

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Director Yan's body is still very strong.

When walking, the footsteps are like the wind.

Everyone entered the corresponding outpatient room. Some people bring students with them, while others are alone.

Even chief physicians like Director Dai do not have assistants.

Director Yan has two assistants who are more likely to be her students.

A man and a woman. The man is estimated to be close to forty years old. He is slightly fat and looks ordinary. But looking at the hands of the male doctor, he feels that he should perform operations frequently. People who play the piano, coders, programmers, information entry personnel, and surgeons, these people's hands are far more flexible than ordinary people.

Zhou Can himself is a very skilled surgeon, so he can distinguish the same kind at a glance.

There was already a long queue in the aisle outside the outpatient room, and thick medical records were piled up on the desks of the guides.

"Everyone, don't squeeze, you can fill in the basic information of the medical record first, and then hand it over to me. Those who haven't got a number first go to the number machine to get a number..."

The job task of the guide nurse is to maintain the order of the patients.

Avoid fights and accidents.

To fully guarantee the medical treatment of vulnerable groups. For example, the disabled and seriously ill patients need to be taken care of.

Help them get the number on the number machine, fill in the medical records, and if someone needs rescue or is in critical condition, notify the outpatient doctor or emergency department in time.

In addition, if the patient does not know where to get the examination, or the diagnosis information written by the doctor cannot be understood, the guiding nurse is obliged to explain it clearly to the patient.

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【My medical skills can add experience points】【】

Basically, all the prescriptions prescribed by doctors and the inspection application items written by them are full of flamboyance.

Ordinary people may not be able to understand it.

Zhou Can walked to the No. 17 clinic. The guiding nurse didn't know him, but when he saw him open the door and entered the No. 17 clinic, he immediately knew who he was. These nurses are very well informed.

They can find out which doctor's dog or pet cat has given birth.

Even the troubles in the hospital could not escape their whispering and whispering.

Don't see so many patients queuing up on the road, but after Zhou Can's clinic opened, it was deserted.

After more than half an hour, the first patient finally came.

"Doctor Zhou, can my daughter sprain her right foot during dance practice in the morning, can it be cured?"

A mother in her thirties walked in with a little girl of six or seven. Little girl in ballerina trousers and skirt.

Walking is completely dependent on her mother's support.

"Please sit down! I'll check for her first!"

He was very happy when a patient who was looking for him seriously came to see him.

Even though it was just a patient with a sprained right foot.

"Is this your first sprain?"

Zhou Can began to ask a doctor.

Children who practice dancing are particularly prone to strains, sprains, etc., and some old injuries recur. This is more difficult to treat.

"It's the second time. The last time I sprained my left foot, I was very unlucky." The little girl was very courageous, and she spoke like an adult.

"Hehe, the road to success must be full of thorns and challenges! It is because of the difficulties that those who can make it through are better than others. Uncle believes that your efforts will definitely be rewarded."

Zhou Can was amused by this child.

"Come on, try to raise your toes!"

"Ugh... it hurts, it hurts, I can't lift my toes!" she said after trying.

Through visual inspection, Zhou Can judged that a hematoma should have occurred in her right ankle. Just wearing white body socks, there is no way to check the specific situation.

"Can the child take off the socks? They will definitely have to take off the socks when the X-ray is taken later." Zhou Can looked at the child's mother.

He has always kept in mind the advice of those seniors in pediatrics.

In order to avoid conflicts between doctors and patients, even if the other party is just a little girl, ask her to take off her socks and still ask for the opinion of the child's mother first.

The mother of the child will definitely not beat someone, and it will be very troublesome if she complains.

"OK!"

The child's mother was very cooperative and took the initiative to help her take off her pantyhose.

"We also watched the TV news and knew that you are very good at treating children's bone injuries, so we came here to find you. First, we rushed to the Xinxiang Maternity and Children's Hospital to find you, and found that the expert team had left, so we ran to Tuya The hospital is here."

Zhou Can was quite moved after hearing the story of the family members.

Another fan gained through TV news.

"You guys support me so sincerely and trust me. You must pay more attention to treating the child to be worthy of this trust." Zhou Can responded while observing the little girl's right foot. "The hematoma isn't particularly serious, but she can't even lift her toes up, so she's afraid of hurting her bones. Let's take a picture first."

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【My medical skills can add experience points】【】

He issued an application for examination to the patient.

After the family left with the child, the clinic was quiet again. When the family members left, they thoughtfully closed the door behind him.

Dongdongdong!

Not long after, there was a knock on the door.

"Come in!"

Zhou Can secretly wondered, the family members brought the child back so soon? To take an X-ray, even if you are lucky and don't have to wait in line, it will take at least 20 minutes to go back and forth, including picking up the film.

After the door was pushed open, it was still family members with children who came in.

This is a woman in the clothes of a sanitation worker, estimated to be in her fifties, with rough hands and dirty, old cheap sneakers on her feet. With a little boy about three years old.

Zhou Can was a little uncertain, wondering if this woman is the little boy's mother or grandma?

These days, there are not a few women who give birth at an advanced age.

Especially some couples who have lost their only child and second-married couples, when they get older, they are more eager to have a common child.

"Hello, Doctor Zhou! I brought my grandson to see you after watching the TV news."

Another patient who came over after watching TV news, the influence of TV news is too great.

Zhou Can couldn't help being deeply grateful to the female reporter Mu Tie once again.

People will meet all kinds of noble people in their life.

Mu Jie is the noble person in Zhou Can's life.

It has been of great help to his career.

"Please sit down! What's wrong with him?" Zhou Can didn't see anything wrong with the child, but the little boy was a little shy and kept his head down. Put your hands in your trouser pockets.

"Lele, show your hand to Dr. Zhou!"

The child's grandmother said to the little boy.

He lowered his head and refused to take it out.

It turned out that there was a problem with the hand. Looking at the situation, it was probably a deformity of the hand.

"Good boy! Uncle is a doctor who specializes in treating diseases for you, take it out and have a look!"

It's really not used to him coaxing children like this.

But there is no way, as a doctor, what you eat is this bowl of rice, no matter whether you are fit or not, you have to be a good doctor. This is also the most basic professionalism.

The child's grandma coaxed and pulled him to take out his right hand.

A three-year-old child already has a strong self-esteem.

When the little boy took out his right hand, Zhou Can's eyes narrowed. It was the first time he was diagnosed with this disease.

I saw that the little boy's right index finger was extremely huge, at least three times thicker than ordinary fingers. The **** next to it is also obviously thicker, and it is bent to the other side.

He tried his best to calm himself down. Although it was the first time he was diagnosed with this disease, he had seen similar cases in books.

The disease is called macrodactyly. If it is not treated, it can be like cancer, hepatitis, and kidney disease. The disease will continue to progress and the situation will get worse.

Surgery before the age of three is the only treatment option.

There are many reasons for this.

Basically, abnormal fingers appear at birth. As the child grows up, macrodactyly will become more and more obvious.

Affected fingers will become thicker and thicker, and the length is much longer than ordinary fingers.

Usually, the affected finger cannot be flexed and remains in an extended position.

The affected fingers next to it will become thicker and longer, but they can be bent.

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【My medical skills can add experience points】【】

"Is the other hand normal?"

After Zhou Can saw it, he asked his family members.

"The other one is normal! Can this disease be cured?"

"It can be cured! Satisfactory results can be achieved through surgery."

"What is the cause of this? When the child was born, the palm of the right hand was a bit thick, and then it grew thicker and thicker. Even the **** next to it has changed. Now the child is almost three years old. Going to kindergarten. His father unfortunately had a car accident two years ago and left..." At this point, the old man began to wipe his tears.

Misfortune only looks for the poor, and the hemp rope is only picked at the fine point.

Fate sometimes seems particularly unfair to some people.

However, the poorer the family, because of backward ideas, low education level, coupled with poverty, many of their practices are themselves the root of disaster.

For example, overnight dishes and moldy rice were reluctant to be thrown away, and there was nothing wrong with eating them.

After a while, the tumor grows.

Moldy rice, corn, and peanuts contain a large amount of aflatoxin, which is frighteningly carcinogenic. What cigarettes, liquor, such carcinogens are not even grandchildren in front of it.

Aflatoxins are immunosuppressive, mutagenic, carcinogenic, and teratogenic.

As a highly toxic substance, its carcinogenicity is only the tip of the iceberg.

Short-term intake of large amounts of aflatoxin can cause acute aflatoxin poisoning, including acute hepatitis, hemorrhagic necrosis of liver tissue and other liver damage.

Even if it is only a small amount of aflatoxin, chronic poisoning symptoms such as liver fibrosis, growth retardation, infertility, and fetal malformation will occur if it is ingested for a long time.

Therefore, when you encounter moldy rice and corn, as well as peanuts and melon seeds that taste bitter in your mouth, you must spit them out in time.

What should be thrown must be thrown away.

Otherwise, the price to pay will be extremely heavy. A bag of rice costs only one or two hundred yuan, and the most you can lose if you throw it away is one or two hundred yuan.

If after eating, even if it does not cause cancer, but only acute hepatitis, the treatment cost will start at W. Severe acute hepatitis requires at least 40,000 to 50,000 yuan for treatment.

The lesser of two evils.

Whichever is more important, I believe that as long as you are a normal person, you will choose to throw away moldy food. Don't make fun of your own life.

"My daughter-in-law is a very filial woman~www.wuxiax.com~ After my son died in a car accident, she took the child to a age of more than one year old, and then went out to work. Now I have saved a little money and let me take my grandson Come to the hospital to see a doctor."

When the old man mentioned his daughter-in-law, his eyes were full of happiness and emotion.

People's hearts are made of flesh.

The relationship between mother-in-law and daughter-in-law is the most difficult. Mutual hatred and tension are almost universal. But there are also families with a good relationship between daughter-in-law and mother-in-law like this.

Just less.

Zhou Can sighed in his heart that every family has its own story. There is sadness and happiness behind every patient.

Every family has scriptures that are difficult to recite!

"In this way, I will prescribe a few tests for your grandson first, and you will come to me with the results after the checks. Then I will formulate a corresponding treatment plan according to the situation. Like this macrodactyly, there are many types, Neurofibromas are relatively common. The earlier the surgical treatment, the better the effect. Fortunately, you brought your child to the hospital this time. Before the age of three is the best treatment period. If it is over three years old, it may affect the growth and development of the child. Psychological and many other adverse effects."

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【My medical skills can add experience points】【】

Zhou Can was a little worried that his family members would not take the disease seriously, so he told him the dangers of the disease and the best time for treatment.

Some family members just register and see a doctor.

Then after the doctor prescribed the inspection items, the family members saw that there were many inspection items and the cost was not low, so they gave up the inspection and left.

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