This matter had to be put on hold for the time being.

However, Zhou Can still kept an eye on the man. Patients like this who have just undergone surgery should pay close attention within 12 hours to prevent accidents.

Sometimes, some surgeries are overstepped or unsuccessful, and the more timely they are detected, the better the chance of salvage.

"Let's put aside the work at hand first, and Director Shen will bring someone over to do rounds immediately, and be ready."

The chief inpatient doctor shouted loudly to inform the doctors in the ward.

Residents who manage the bed are required to visit the room at least twice a day.

The time is in the morning and early in the evening before work.

In fact, the more responsible junior doctors tend to check on patients who are under intensive care every two hours. Even at night, make sure to check at least once every three to four hours.

Although hospitalized patients are accompanied by family members, their understanding of medical knowledge is very limited.

When a patient is in danger, it is difficult for family members to detect it in time.

It is also impossible to make effective treatment measures.

It is mainly up to doctors and nurses.

When it comes to nurses, there is actually a big difference between them and doctors.

They are responsible for administering injections, changing dressings, and giving professional advice on pre- and post-operative nutrition. Then it's time to communicate the doctor's order.

The only real diagnostic power is doctors.

Ward rounds are the most effective way to prevent accidents.

Junior doctors are very diligent in ward rounds, but their level is limited, and they often have no ability to find out in time and answer some hidden dangers in the face of some doubts and hidden dangers of patients.

This requires doctors at the two levels of attending and director to join the ward rounds.

At present, all major hospitals implement a three-level ward round system.

The resident doctor rounds the ward two to three times a day, the attending doctor rounds the ward once a day, and the director rounds the ward once or twice a week.

When Dr. He heard that Director Shen was coming, he was a little nervous.

"Well, the three of you are helping to sort out the examination reports and medical records of the ten beds. Then the diet, bowel movements, and other conditions of some key patients should be found out. ”

According to the requirements, when the attending and director rounds the ward, they have to follow these little minions. Introduce the patient's situation in a timely manner, and provide relevant examination reports and medical records.

Dr. He Zhang seems to be quite timid.

Hurriedly and quickly sorted out all kinds of information about the patient.

Zhou Can looked at it and laughed secretly.

Isn't it just the director checking the room? Do you need to be so scared?

"Does Director Shen manage many patients? I see a lot of doctors are rushing to prepare! Zhou Can inquired about the two interns.

"Senior brother, you may have just arrived, and you don't know how powerful Director Shen is. He is a professor in the group, and he is proficient in various treatments and research in the field of orthopedic trauma. Most of the patients in our orthopedic surgery department are under his supervision. The cases of bone trauma with slightly higher difficulty are basically checked by him personally. ”

When the two little interns mentioned this Director Shen, their faces were full of admiration.

In the minds of the interns, the professors in the group are all giants.

It belongs to the existence that only dares to look up.

After Dr. He prepared all the documents, he personally placed them at the patient's bedside and explained them to the family and the patient.

At this moment, Director Shen is nowhere to be seen.

But the doctors in charge of the beds have already taken up their positions next to the beds they manage.

Wait quietly.

It must be mentioned here that this kind of open bed area, standing by the bed and waiting in advance is a kind of respect. If you are in a hospital room, you will have to stand in the corridor outside and wait.

If the director hasn't arrived yet, and you run into the ward stupidly, people won't think it's a sign of respect for him.

Instead, it seems to be deliberately stealing the limelight from the director.

In particular, sometimes the leaders of the hospital come up to make rounds, and the interns are basically not qualified to enter.

Because there are too many people.

Finally, a team of seven or eight people appeared in sight.

At the front, in the middle is a male doctor in his sixties. The aura is extremely powerful, and between walking, it has the demeanor of a king.

This must be Director Shen.

Next to him should be the attending physician and head nurse of the department.

Dr. Yang, who is in charge of managing the trainees, can only be in the back position.

Zhou Can noticed that there was a wavy-haired female doctor with particularly fair skin, who was actually following Director Shen closely.

With a confident but haughty smile on his face.

Her aura is equally powerful.

The doctors around her are also quite respectful of her.

Just by looking at the position of these people, you can know who has a high status and who has a low status.

"Who is the woman behind Director Shen? It looks young, but it seems to have a very high status! ”

Zhou Can asked Doctor He in front of him in a low voice.

Only then did he realize that Dr. He's expression was still nervous, and a layer of fine sweat even appeared on his forehead.

The hand holding the data, clutching the edge of the data, is trembling slightly.

"That is Dr. Shan, the youngest attending physician in the Department of Orthopedic Surgery, who is only 31 years old this year. The surgical ability is very strong, known for its finesse, and the education is not low. A paper was published in the Lancet Medical Journal. It's the famous medical journal in the UK, you know, right? ”

"Yes. One of the core journals of medicine! ”

When Zhou Can wrote his graduation thesis, he also borrowed some knowledge and opinions from The Lancet Journal.

At the age of 31, he was hired as an attending doctor by Tuya Hospital, and this woman is definitely a genius.

No wonder the status is so high.

Director Shen took people and checked the beds over there.

For some patients whose conditions are simple and straightforward, he basically simply listens to the report and then checks on the next bed.

After more than 20 minutes, Zhou Canguan's 115-124 bed area was finally found.

"Hello Director Shen! I'm the 115-124 bed doctor He Zhang. ”

Dr. Ho is so hilarious.

Couched on his shoulders, bent down slightly, and greeted Director Shen with a smile on his face.

Maybe because I was too nervous, my tongue was a little knotted when I spoke, and my hands were shaking a little bit.

Don't laugh at him for licking like that.

Everyone wants to try to climb up. If a low-level resident doctor like him can be appreciated by Director Shen, his fate can be changed immediately.

Even if it is just to leave a good impression in Director Shen's heart, it is very good.

"Thank you! The doctor in charge of the bed is the one who knows the patient's condition best, you can give us a brief introduction to the situation of each patient! ”

Director Shen said with an amiable smile.

"No problem!"

Dr. He's body immediately stood up straight and began to introduce the situation of each patient to Director Shen in the most concise language.

There was no big problem with the first few beds, and Director Shen just asked a few words.

When introducing the female patient who kept shouting "I'm going to die", Director Shen listened carefully.

And took her inspection reports and carefully reviewed them one by one.

Especially the films.

"This hip joint is cracked, and there is more than one place, the surgical plan is a bit complicated!"

After Director Shen read it, he handed the examination report to Dr. Shan, who was particularly fair-skinned.

After she took it, she looked at the light and carefully examined the patient's film.

"It's really complicated, and she still has osteoporosis symptoms, and the repair effect is yet to be evaluated."

After reading it, Dr. Shan expressed his opinion.

"It may be necessary to ask Director Luo, who specializes in the field of bone and joint, to discuss with him, and make a comprehensive discussion from the patient's nutritional strengthening, surgical repair or replacement of the entire hip joint, and evaluate an optimal surgical plan."

Hip fractures are inherently difficult to treat.

Because it belongs to the connection point between the lower limb and the upper body, and this part is still movable.

"Who are the families?"

Director Shen asked.

"This is the sick man's son. In a single-parent family, the patient is injured in a car accident, and the driver is fully responsible, and the insurance company has been docked to deal with it. ”

Dr. He hastened to introduce.

The adequate preparations made before welcoming Director Shen's arrival came in handy at this moment.

At least the answers in all respects satisfied the senior doctors.

"Young man, because your mother's injury is a hip joint and multiple facial fractures, we have to have a rigorous discussion before working out the best treatment plan. It may take two to three days, and then we will talk to you when the results are discussed. ”

Director Shen took the initiative to explain to the family.

"Yes."

The young man just nodded indifferently, and then realized that there was nothing wrong, and continued to bow his head and do his game.

Therefore, it makes sense to say that a habitual son is like a murderer.

This young man, not by bad nature, could make him so indifferent to his mother's pain and only care about playing games. I believe that it must have been caused by being overly spoiled and pampered by my mother since I was a child.

Director Shen just looked at the young man and smiled, then walked to the next bed.

Dr. He was about to introduce when Director Shen waved his hand.

"I know this patient. I did the surgery myself. ”

He looked at the man on the hospital bed.

"Did you drink water and eat after the surgery?"

"Drank a bowl of porridge."

"Did you urinate?"

"Lined up once!"

"The urine color is normal, right?"

"Bright yellow!"

"Well, it seems pretty good. In order to save your leg, our entire medical team performed a full 11-hour operation. If there is no rejection after the operation, and the first seven days are overcome, the leg is basically saved. ”

Director Shen lifted the quilt and examined the patient's legs.

"The skin tone on the feet is ok and the temperature is good. It seems that Dr. Shan's anastomosis of blood vessels and nerves has reached a high level! ”

"It's because of your guidance that I can progress so fast."

Dr. Shan's emotional intelligence is quite high.

In front of his superiors, he is not at all stubborn.

Zhou Can looked at Dr. He, hoping that Dr. He would take this opportunity to report the patient's slight edema and purple spots. Who knew that Dr. He pretended not to see it.

Understandable.

He felt that the patient's edema was just a normal postoperative reaction.

At this time, pointing out objections in public may make Director Shen and Dr. Shan, who personally operated on the patient, unhappy.

If you offend someone, sometimes it's really just a thought.

Especially now that the atmosphere is very good, Director Shen is also very satisfied with the operation he did.

Director Shan is even more proud.

If the problem is serious, it's okay.

But there was only a slight edema, and when the two senior doctors were in a good mood and proud, they questioned whether their surgery was not done well.

With your toes, you can imagine what will happen.

When Zhou Can saw that Dr. He was so cowardly, he felt that it was necessary to seize this rare opportunity to report to Director Shen.

After seeing Director Shen ask a few words, he was about to move to the next bed.

Zhou Can stubbornly said, "Director Shen......"

As soon as he spoke, Dr. He tugged at his clothes.

Shook his head at him slightly.

Motioned for him not to say it at this time.

"Is there anything wrong with you?"

Director Shen looked at Zhou Can in surprise.

He can't name many resident doctors, and the new trainees are even more unknown.

"Patient reports leg pain!"

Zhou Can was determined to say that this is really not the time to think about personal gains and losses, but to try to save the patient's leg. If there is a problem with the operation, correct it in time.

In case it's okay, that's for the best.

"Well, I know. The patient has just reacted, which is a normal phenomenon after surgery. ”

Director Shen's tone was still gentle.

The face is quite kind.

"I looked closely at the patient's leg and found that the edema close to the surgical site was severe, and there was purpura under the skin."

Zhou Can had a straight face.

He doesn't talk as licking and coquettish as Dr. He. It's a normal way to respond to the leader, neither humble nor arrogant.

From this point, it can also be seen that people who have the ability to face their superiors have a lot of confidence in their hearts.

This is the self-confidence that comes with strength.

"Because the patient's leg was run over by a car, there was a mild subcutaneous purpura in the ankle area, which is generally not a big problem." The smile on Director Shen's face subsided a little.

The young doctor spoke a little unpleasantly.

Even if you want to get out of the position, you have to divide the occasion.

He had personally examined the patient's leg just now. Zhou Canti's phenomena, will he not see them?

"Edema at the proximal end is also a normal reaction after surgery. After a day or two, the edema will subside. You should humbly ask the instructor for advice on these questions in the future. ”

Although he did not scold people explicitly, there was already a hint of dissatisfaction and criticism in his words.

"The new trainees are not sensible, and when they get off work, I will give them a meeting for training." Dr. Yang quickly stood up and took a stand.

With so many patients and family members watching, he had some scruples about speaking.

Otherwise, it is likely to scold Zhou Can directly.

It stands to reason that with a little bit of eyesight, Zhou Can should admit his mistake at this time, and then stand behind honestly and stop talking.

He's hard-headed.

"Director Shen, I'm just making a bold assumption, is there a hidden danger such as blood vessel damage or blood clots in the patient's legs? I feel that this patient's edema and subcutaneous purpura are somewhat different from the normal postoperative reaction. I have also seen postoperative edema in the emergency operating room, and the edema is usually not so hard after surgery. Purpura, if it is a skin lesion, will be darker in color. And it doesn't continue to spread and get bigger. ”

Zhou Can dares to be iron, which comes from rich surgical experience.

This patient is definitely not normal.

When Director Shen examined the patient's leg just now, Zhou Can clearly saw that the scope of purpura had expanded somewhat.

It spreads to the ankle bone.

Director Shen's face changed slightly, but he didn't say much this time.

seems to be thinking about Zhou Can's words.

The single doctor next to him didn't do it.

The blood vessels and nerves in this patient's legs were repaired and anastomosed by her, and Zhou Can questioned that the patient might have vascular damage or even more serious blood clots. It's basically the same as questioning her in public that her surgery was not successful.

To be promoted to the rank of chief surgeon at such a young age, and to have a high talent in surgery, she must be extremely proud in her heart.

If Director Shen questioned that her surgery was not done well, she would not have any opinion.

But she is a regular trainee, and she is from the most popular emergency department, so she dares to question her in public.

This was hard for her to accept anyway.

"Doctor Yang, it seems that you have strengthened your training for these trainees at night! Their spirit of exploration is so 'cute'. ”

A highly educated woman will never scold the street like a shrew.

Even though this Doctor Shan was so angry with Zhou Can that her face turned blue and her chest rose and fell violently, she still maintained the art of speaking.

How could Dr. Yang not hear the dissatisfaction in Dr. Shan's words?

When he looked at Zhou Can, his eyes were cold.

I'm afraid that I have the mind to strangle Zhou Can.

"Xiaohe, take him to the office first and explain it to him well, so as not to make jokes next time."

Dr. Yang can't pull away right now.

I can only ask Dr. He to take this ignorant doctor away.

He really convinced Zhou Can, and other junior doctors all wanted to make a good impression in front of Director Shen. This young man was stunned to offend the two most powerful doctors in the orthopedic trauma department of orthopedic surgery.

The key is to offend, and he has to be the attending physician of the regulation trainees.

It is true that people sit at home, and woe comes from heaven.

During the ward rounds, there was nothing wrong with the patient, but he was poked in a basket by this kid.

Dr. He was about to cry.

How could he have thought that Zhou Can would be so shafted! It's really just a tendon in the brain, without turning.

"Dr. Zhou, come with me to the office, and I will explain all your doubts to you. Don't influence Director Shen and their ward rounds here. Dr. He Zhang grabbed Zhou Can, almost with a drag, and led him towards the office.

"Wait!"

Director Shen actually took the initiative to stop Zhou Can, who was about to be forcibly taken away.

"He was very analytic and very observant. Out of responsibility to the patient, I think this should be done with caution. ”

(End of chapter)