Chapter 132: Friendship in the same group, seeking errands in the manual reset room
From her description, it can be inferred that this ordinary-looking, stout-skeletal woman should be dependent on her grandmother.
If there were other relatives in the family, it would be impossible for her to hold on to her broken arm and come to Tuya alone for medical treatment.
"Registered?"
Zhou Canting sympathized with the woman.
In hospitals, it is common to see vulnerable groups at the bottom of society.
Most doctors and nurses will give these people some care as much as they can.
"I've registered and I'm waiting to be called! I don't know why I fainted! ”
As she spoke, she tried to sit up.
"Don't move, don't move! Rib fractures, moving easily stabbing the heart and lungs and other important organs, and also easily leading to aggravation of fractures. Zhou Can hurriedly pressed her shoulder.
Motioned for her to lie down first.
As for the reason why she fainted, it was because of the injury, the vitality was greatly damaged, and the symptoms such as low blood sugar after not eating for a long time made her faint.
"Which side of the rib hurts? Does it hurt now? ”
"The location. It was hit by a wild boar at the time. ”
She struggled to lift her left hand and point to the upper abdomen on her left side.
After Zhou Can heard this, he had a bottom in his heart.
"How long have you been injured?"
"After I fled home from the injuries I received yesterday morning, I went to the clinic in town. When they saw that I was seriously injured, they immediately advised me to go to a major hospital for treatment. So I took a car for nearly a day and rushed to Tuya Hospital for treatment. ”
The time of injury is relatively short.
If the time is more than half a month, the broken bone will grow callus, which is extremely unfavorable for the operation.
Basically, if the fracture lasts for more than a month, many doctors are reluctant to perform another operation.
The surgery is difficult and the results are poor.
She was so badly injured that she came to the provincial capital by car.
Looking at her dress, the possibility of taking a taxi is almost zero. Riding a long-distance bus is the most likely to crowd the bus.
I really admire her perseverance.
If it were a squeamish woman who broke one of her arms, she might have two broken ribs. I'm afraid I'm already lying on the ground humming.
"I want to sit up, it should be fine!"
She strained her waist again.
Zhou Can had to carefully lift her up from the ground, and then sit on the chair.
At this time, the nurse bought food and came over.
"Fast food bought, 15 yuan!"
She returned the rest of the money to Zhou Can.
"Good work!"
Zhou Can took the fast food and opened it.
Look at the nurse.
"Her arm is broken, and it should be very inconvenient to eat, can you feed her hard?"
The nurse's brow furrowed slightly, and a look of embarrassment appeared on her face.
Feeding patients is really not a nurse's job. Like that kind of nurse holding food and carefully feeding it to patients, it basically only appears in TV dramas.
In reality, it is good for nurses to be able to speak gently to patients and their families.
Many times, nurses are actually very fierce, and their ability to scare people is also very strong.
Outpatient nurses, in particular, are rarely honest and can be bullied.
"I'm sorry, I still have something to do over there!"
The female nurse made an excuse and left.
Zhou Can had no choice but to feed the female patient himself.
"I can eat it myself."
She holds chopsticks in her left hand.
Zhou Can helped her carry the lunch box, as close to her mouth as possible.
Maybe I'm really hungry.
The woman quickly ate a box of meals.
Zhou Can ran and poured her a glass of water.
After eating the food, she was in a much better condition.
"Show me your registration list."
Zhou Can saw that she was not accompanied by her family, and decided to help this poor woman.
He's fine, anyway.
It's better to do something good.
"The doctor is actually Dr. Chi."
Zhou Can touched his nose.
Outpatient and inpatient are two different concepts.
Many people think that even a doctor has the opportunity to sit in the clinic, but that is a big mistake.
Not to mention a big hospital like Tuya, it is a slightly stronger hospital, and the requirements for outpatient doctors are extremely high.
Tuya's doctors, if they want to apply for outpatient consultation, basically start with the attending at the minimum.
If you are a deputy director or above, the probability of passing will be higher.
As for the residency, it is very rare. Only a very small number of particularly evil people, either with high academic achievements or strong surgical ability, are evaluated by the directors of the department and reported to the hospital.
It is not necessarily possible to pass, it can only be said that there is a chance to obtain the consent of the hospital and open a personal outpatient number.
From this point of view, the road to the growth of doctors is really a long road.
And the income gap is staggering.
In the same hospital, the weak chief physician may only have an annual income of about 150,000 yuan. Amazing, you can get more than 600,000.
The salary of doctors in Tuya Hospital mainly includes several aspects, such as rank salary, quarterly bonus, holiday allowance, year-end performance, medical research award, and workload, which are all normal and visible income.
Seventy-seven-eighty-eight combined, there are many doctors who are more than a million before taxes.
Basically, they are all deputy directors and director-level bosses.
Zhou Can now only has a pitiful basic salary and a little overtime pay.
When he gets the certificate of completion of regular training and the doctor's practice certificate, and is hired as a resident doctor by the hospital, he will be eligible to receive some bonuses, performance and other income.
"Sit here and wait a while, I'll help you ask, can I check it on you first."
Zhou Can asked the woman to sit here and wait.
She is so seriously injured and unfamiliar with the diagnosis and treatment process, if she can get the film before tomorrow, it will be considered as burning high incense.
Help her, and you should be good.
Zhou Can took her registration list and medical record book and went straight to the 2014 outpatient room.
The door is closed.
Inside, there were patients diagnosing and a dozen patients standing outside the door.
It is estimated that the numbers of these people are relatively high.
Zhou Can waited until the patients inside came out after diagnosis, and rushed in.
The other patients saw that he was wearing a white coat and that he was a doctor, but they didn't have much opinion.
"Doctor Chi, excuse me."
Zhou Can was ready to be rejected.
After all, he is now being suppressed by Director Xie, and the other doctors are likely to show cold faces. It's too late to hide from him, let alone help.
"It's Dr. Zhou! What's the matter, you say! ”
Dr. Chi's attitude towards him has not changed much.
This made Zhou Can have a little more affection for him.
In fact, the two usually only get acquainted with each other in the operating room or during case discussions.
"This patient had just fainted outside. She had broken arms and ribs, and she was a female patient in the mountains, not accompanied by her family. Do you want her to cut in line and give priority to diagnosis? ”
When Zhou Can said these words, he was actually quite apprehensive in his heart.
Asking for someone is like swallowing a three-foot sword.
He is now unable to protect himself, and he is still here to ask for a special care opportunity for the patient, and Dr. Chi can not buy it.
"Call her, don't wait for the number to be called, you can call her in now."
After hearing this, Dr. Chi readily agreed.
This made Zhou Can very grateful.
"Hurry up! When you go to the clinic, there are actually a lot of learning opportunities, such as the manual reduction room. ”
At this moment, in addition to Zhou Can and Doctor Chi, there was also a patient and two family members in the room.
There are some things that Dr. Chi says in a more subtle way.
But he must already know what happened to Zhou Can.
"I'm not familiar with the doctors in the manual reduction room!"
Zhou Can didn't think about this path.
His osteopathic technique happened to take this opportunity to practice.
But the world is hot and cold, why should the doctor in the manual reduction room give him a chance to learn?
"You'll understand when you go. Today's work is Dr. Fu Zhi'an, who used to be a student of Director Shen. Half of our group. ”
When Doctor Chi said this, he winked at Zhou Can.
The expression was mysterious.
Zhou Can was not stupid, and immediately understood a lot of meaning from his words.
Director Xie asked the following departments to cooperate in suppressing Zhou Can, suppressing this demon, and preventing him from rising. But people are all about feelings and have a conscience.
On the surface, it is actually very good to follow Director Xie's wishes, and within a reasonable range, appropriately open some small convenient doors for Zhou Can and form a good fate.
It can not only make his conscience very comfortable, but also get Zhou Can's reward when he is in trouble or needs help in the future.
The main reason why they can take this small risk is because Zhou Can's potential is extremely amazing.
Potential, invisible or tangible, is a powerful tool in interpersonal relationships.
It's like your neighbor is an orphan who is only eight years old and his parents are killed in an accident. This child is very sensible, and his academic performance is the first in the school every time. Would you like to help this child?
The answer is yes.
On the contrary, this kid is not sensible and is a demon king of the world. Causing trouble every day, stealing chickens and touching dogs, and getting bad grades.
You're definitely avoiding it.
During the more than two months of orthopedic surgery, Zhou Can showed extremely amazing potential, and he was also impeccable in terms of personality.
Director Shen likes him, and Dr. Shan and Dr. Chi also like this trainee.
The other attending doctors in the same group should have no reason to hate him.
The doctor in the manual reduction room should specialize in bone and joint. That's why Dr. Chi said that Dr. Fu Chi On is only half of the doctors in this group.
Zhou Can took the woman to Dr. Chi's outpatient room.
After a brief physical examination of her, Dr. Chi applied for a check-up. Routine blood tests, X-rays, this is also the most basic routine examination.
In some hospitals, there may be income-generating tasks, or the number of indicators to be checked.
The doctor will prescribe a little more tests.
Even if you are seriously ill or minor, you will follow the routine examination routine.
Patients are not fools, and although they belong to the vulnerable group, they may avoid this hospital next time.
Excessive medical treatment is a common phenomenon all over the world.
Patients in developed countries, who do not have medical insurance, are basically afraid to go to the hospital when they get sick.
Once you are treated, you can bankrupt you.
This is not an exaggeration.
The concept of consumption in foreign countries itself is different from that of China, and they like to consume in advance. Ordinary families basically have no savings. A slightly more serious illness can bankrupt them.
Of course, the health insurance system in developed countries is relatively sound.
The reimbursement rate is quite high.
This is also why people in developed countries are particularly afraid of unemployment.
Because of unemployment, it means that the next month may be cut off, and all kinds of insurance will also be cut off.
It's a very scary thing.
Zhou Can led the female patient to pay the examination fee first, and then took her to take blood for testing and queuing up for X-ray examination.
He is just a regular trainee now, and it is not easy to help her say hello and ask for a favor in the outpatient room.
It is unrealistic to go to the medical and technical departments where the related households are piled up to say hello and ask for special care.
Honestly wait.
"Miss Wei, are you and your grandmother the only ones in the family?"
Zhou Can chatted with her.
"Hmmm! My parents divorced when I was very young, and when I was five years old, my dad accidentally fell off a cliff while chopping wood in the mountains. Because his family was poor and had no money for medical treatment, he died the day after he was brought home. It was my grandmother who single-handedly pulled me up. ”
No wonder she has deep feelings for her grandmother.
The hemp rope is broken in detail, and the bad luck is looking for the miserable.
This female patient's name is Wei Fang, who has lost the love of her parents since she was a child, and is a child with a hard life.
"What do you usually make money at home? Dig wild mushrooms with herbs? ”
"Hmm!"
She doesn't seem to like to talk much.
It may also have something to do with her broken ribs.
Generally speaking, if there is a fracture or injury to the ribs, coughing or talking will affect the injury and cause pain.
But until now, I haven't heard her snort, nor have I cried out in pain.
It felt like the fracture of her right arm should be quite severe.
The condition of the ribs needs to wait until the results of the X-ray are available.
"You shouldn't be making much money digging wild mushrooms and herbs, right?"
Zhou Can asked again.
"If you're lucky, you can earn two or three thousand yuan a year."
She was a little embarrassed to report an outrageously low income figure.
On average, the income is less than 300 yuan a month.
It's a matter of luck.
Otherwise, the income will only be lower.
"Haven't you ever thought about working in the city? Even if you work in the factory, you will have at least three or four thousand yuan a month. ”
"My grandmother is old and needs to be taken care of. I went out to work, and I didn't feel at ease. ”
Zhou Can also guessed a few points of the reason she gave.
Many of the people in the mountains are very simple.
They take family affection very seriously.
Especially the nurturing grace of parents, it is higher than the sky and deeper than the sea.
Wei Fang was almost single-handedly pulled by her grandmother, the two depended on each other, and her feelings for her grandmother were deeper than anyone else's.
It's understandable that he was reluctant to leave his grandmother and go to the city to work.
"Now that you're so badly injured, it will take at least two or three months to recover, what are you going to do during this time?"
"I ...... I don't know. I had surgery in the hospital first, stayed for a while, and when my injuries stabilized a little, I went home to recuperate. She thought for a moment before replying.
Zhou Can nodded and didn't say anything more.
Nearly an hour later, her test results were in.
Four ribs were broken, two of which were completely severed. This is a very scary injury.
According to Zhou Can's professional medical knowledge, she will not only need to be hospitalized, but will most likely need to have a thoracotomy. Attach the broken ribs and make an internal fixation.
Without surgery, a severed rib can easily puncture the internal organs.
Even if it only touches her lungs, it can cause severe symptoms such as severe coughing, lung inflammation, and fluid buildup.
In addition, if the rib cage is completely severed and not surgically connected, the deformity will heal.
The impact on the rest of her life will have a huge impact.
Look at the X-ray of the right hand.
Fractures of the arm bone, equally severe.
The fracture line is obvious, and this also requires surgery.
Just a plaster cast and external fixation will have a poor treatment effect.
It can also lead to disability of the right hand.
"Doctor Zhou, is my illness serious?"
Women are not stupid.
When Zhou Can took her ID card and helped her print out the X-ray from the self-service machine, she saw that Zhou Can's face became very solemn.
"Your injuries are serious. Four ribs were broken, two were broken, and the ulna and radius of the right arm were all broken. The specific treatment plan, Dr. Chi will tell you. Although this result is a bit bad, you are very lucky to have saved your life from the attack of the big boar. ”
Zhou Can could only comfort her like this.
Since ancient times, the mountain people have a saying that there are one pig, two bears and three tigers.
The fighting power of adult wild boars is terrifying.
Long fangs, like two daggers. With a flick of its long beak, it can throw people more than ten meters away.
A head-on collision can break a tree with a thick bowl mouth.
Zhou Can led her to Chi Yihe's outpatient room before leaving.
That's basically all I can help her.
He subconsciously walked towards the manual reset room.
I thought it would be great if I could get a learning opportunity in the manual reduction room, as Dr. Chi said.
The manual reduction room is located in the orthopedic surgery waiting room.
Outside, there were more than a dozen patients and their families.
A child's crying voice can be heard from the reset room.
No anesthetic is used during manual reduction, and the pain during the reduction process is often unbearable for many patients.
Zhou Can squeezed in and saw that it was an eleven or twelve-year-old boy, fat and dunton, almost one meter six.
In these years, children's nutrition is generally very good, and their physical development is also early.
A female nurse, a boy's mother, a young male doctor, all three of them couldn't hold him.
There was also a middle-aged male doctor with gray temples, probably in his forties.
The boy is being given a manual reduction of the shoulder joint.
For many boys, not dislocating the shoulder once or twice is sorry for the naughtiness of childhood.
Zhou Can felt that this was a good opportunity.
Hurry up and help hold the boy down.
He is a practitioner, a female nurse and a boy's mother, and the combined strength is not as great as his.
The young male doctor was also far worse than him.
With his strong intervention, the crying and struggling boy was immediately immobilized.
The middle-aged male doctor, who was in the process of manual reduction, but was unable to operate because of the boy's violent struggle, turned his head to look at Zhou Can.
"It's a lot of power! Finally hold this little calf down! ”
The middle-aged male doctor should know who he is.
He smiled at him and complimented.
"Are you Dr. Fu?" Zhou Can took advantage of the situation and asked.
"Well, I'm Fu Zhi'an! Basically, I sat in the manual reduction room. ”
The middle-aged male doctor nodded slightly.
The tone, the attitude, are all quite friendly.
"I'm Zhou Can, who has just been transferred to the outpatient clinic for training, and I will ask Dr. Fu to take care of me in the future."
Zhou Can fully exerts his cheeky kung fu at home.
If you have the opportunity, you should take the initiative to fight for it.
"No problem! You have time and can always come here to help. There are often some minor patients who do not cooperate with the treatment, so you need a powerful assistant to help immobilize the patient. ”
Dr. Foo readily agreed.
Didn't even hesitate.
Sure enough, as Dr. Chi said, as long as Zhou Can came over, he would give Zhou Can some care.
Thank you for the book friend pastor mode tip support.
(End of chapter)