Chapter 297: Catching ducks on the shelves, having strength is different
The old man often said that it would take a hundred days to break his muscles and bones.
In fact, the healing of bones is also divided into multiple processes, and it takes at least half a year to restore the original strength and motor function after healing.
However, the initial healing and the growth of the callus can take about two weeks.
In fact, the growth of the broken end of the fracture begins from the moment it is broken.
In clinical practice, some patients even only need about ten days for the broken end of the fracture to grow callus. In particular, fracture recovery in children is surprisingly fast.
The age of this pregnant woman is not very large, she is considered a young man, and coupled with her good physique, her recovery speed is definitely faster than that of ordinary people.
Four days have passed, and healing and growth of the broken end of the fracture is taking place.
The sooner she is given the broken end back and then fixed it, the better it will be for her recovery.
If the bone grafting time is late, even if the fracture end only grows 0.1 mm thick, it will cause the fracture parts to be no longer tightly joined together during bone grafting.
This can lead to gaps in the fracture site after the joint, which is extremely detrimental to the recovery of the fracture.
Zhou Can's request was agreed by Director Zhang, and he let go of a matter.
If nothing else, the external fixation of the bone graft and fracture of the pregnant woman will be done tomorrow.
"Doctor Zhou, there should be no problem with Doctor Pang watching over there in the emergency room. I asked you to come to the outpatient clinic because your diagnostic ability is extremely outstanding, and I want to open a separate consultation table for you to try to sit alone. ”
Director Zhang Bihua said to him with a smile.
That's a lot to look up to.
opened a specialist outpatient clinic, and even gave him a consultation table and let him sit alone. None of the attending physicians had this treatment.
"This ...... Not so good! I'm just a regular doctor! ”
Zhou Can wanted to exercise, but he also had certain concerns.
The main thing is to worry about embarrassing Tuya Hospital.
He has always been pragmatic, and he will never drift away from finding the north because he has achieved a little achievement.
Don't look at his great contribution to the diagnosis of many difficult cases, which is actually one-sided. Sitting alone means that any kind of case can be encountered. Help other experts consult, and only make recommendations if he is good at it.
If you encounter someone you are not good at, you will not speak at all.
This also creates the illusion that as long as it is a difficult case, he can handle it.
But in fact, there are more cases that can't be solved.
His family knows his own affairs, and he still has a lot to learn.
At present, there is no area of specialization in which he is particularly proficient, nor does he have the skills of a general practitioner. Medicine can't be played in the slightest.
How much knowledge you have learned, how many skills, pathologies, and pharmacology you have comprehended, and how much experience you have accumulated, how much ability you have. In the field of surgery, he has basically rotated the departments he should study, but he has no shortcomings.
At present, the Department of Internal Medicine has only studied in the Department of Gastroenterology for less than three months, and the other departments of Internal Medicine have not stayed for a day.
Sitting in the clinic is a special test of a doctor's internal medicine skills.
It's no wonder that he wants to seize this opportunity to sit for a consultation, but he is worried about his appearance, and his heart is quite complicated.
"What happened to Gui Peisheng? Director Tan and Director Yin Hua of the Department of Internal Medicine both started from the regular trainees. Haven't you already got your medical license? Whether it is sitting for a consultation or prescribing, it is legal and compliant! Everything is difficult at the beginning, be bold and thick-skinned, how about trying? In case there is a case that cannot be solved, our experts on the scene will help you. ”
Zhang Bihua encouraged him to be brave.
Zhou Can also knows that this is a very good opportunity.
Director Zhang Bihua suddenly asked him to sit in the clinic, probably because he also wanted to exercise his ability to stand alone.
This is a threshold that no famous doctor can bypass.
"Since you've said so, what else do I have to be afraid of, just try it! But the ugly words are ahead, in case I lose face to Tuya Hospital and the experts here, everyone can't blame me. ”
Zhou Can readily agreed.
His courage never seemed to be small.
Since Director Zhang and the experts present here have given him a cover, let's go out and go all out.
"Although Dr. Zhou put his heart in his stomach, we all came here like this. You're so much better than we were when we were younger. Director Jiang in the god was the first to show favor to Zhou Can.
Encourage him not to look ahead and backwards.
"Saplings that haven't experienced wind and rain don't grow big, and doctors who haven't experienced beatings can only shrink behind the scenes to do some auxiliary work. Dr. Zhou, just do it! ”
Director Luo of the Department of Obstetrics and Gynecology also cheered him on.
"Xiao Zhou, let's do it! I'm sure you'll be able to do it! Deputy Director Shi also looked at him expectantly.
Du Leng's face was expressionless, but there was a trace of anxiety in his eyes.
Zhou Can has begun to catch up with him in an all-round way.
If Zhou Can learns to sit in the clinic, Du Leng will have no advantage except that his academic qualifications are stronger than him.
Studying for a doctorate is generally more than eight years, Du Leng studied overseas, not only spent a huge amount of money, but also because he studied in a prestigious school, he also passed five levels when he got the offer, and it took a lot of effort.
Now that he has been overtaken by a domestic undergraduate, his mood can be imagined.
"Doctor Zhou, I really envy you!" Takami raised his right fist at him. While envious, he also cheered for Zhou Can.
Yang Chan looked at him with a more complicated look.
There is joy, admiration, and a trace of arrogant stubbornness and refusal to admit defeat.
Watching Zhou Can rise into the sky like the sun, shining in all directions, she, a scholar who once far surpassed Zhou Can in terms of grades, felt a little unwilling in her heart.
It's just that Zhou Can is too demonic, so demonic that she can only look up.
The gap between the two is already very large.
The only thing she can win against Zhou Can is probably only in the field of obstetrics and gynecology.
"Old classmate, come on!"
She didn't lose the demeanor of the squad leader.
Zhou Can received the support of so many people, and his confidence doubled, and he accepted the task of outpatient consultation.
The rest is simple.
He provided medical certificates, training materials, and set his own areas of expertise, and Xinxiang Women's and Children's Hospital opened a special temporary outpatient number for him.
All the formalities were completed, and it was close to 10 o'clock in the morning.
After the opening of the outpatient number, a consultation table has been added to the outpatient hall, on which Zhou Can's personal business card is temporarily made. Zhou Can's field of expertise is the treatment of miscellaneous diseases and emergencies.
In addition to miscellaneous diseases, he can diagnose almost all common diseases in the field of surgery.
Although there are only two words, emergency means that it is very easy to receive critically ill patients. I don't have any confidence, and I really don't dare to write these two words.
The training experience, critical care rescue experience and a large number of surgical experiences in intensive care medicine, neurosurgery, cardiothoracic surgery, emergency department and other departments have given him confidence and confidence.
He sat at his desk, there was no auxiliary doctor, only one auxiliary nurse, that was Ji You.
Of the 28 people sent from Tuya Hospital, one was absent due to illness, and only 27 medical staff actually came here to participate in the specialist outpatient activities. Zhou Can's crisis management team accounted for four people, not counting the nominal team leader, Deputy Director Shi.
It's a good idea to have a nurse to give him.
Today is the third day of the specialist outpatient clinic, and there has been a significant increase in the number of patients coming to see us.
Free registration of experts, especially Zhang Bihua, a top expert in obstetrics and gynecology, sat here, and the banner was out, attracting many patients to come for treatment.
At this moment, it is the peak period of consultation, and the consultation table of Deputy Director Shi and Du Leng is still deserted, and only two or three patients are sparsely treated.
However, compared with the embarrassing situation of not opening two days ago, it is already very good for Deputy Director Shi.
Du Leng is high and low.
On the first day of the clinic, a large number of patients rushed to the returnee MD's desk. As a result, his reputation is now stinky, coupled with his limited ability, and he is afraid of being scolded by his family and patients, so he has become reticent in the diagnosis process.
Naturally, fewer people came to see him.
He seems to have learned his lessons and adapted to this more pragmatic way of working. No longer talking about it, but after receiving the patient, he reasoned carefully and made a careful diagnosis.
It's just that Hehuzhimu was born in the end of the millennium, and his training time itself is very short, only one year.
In the process of regular training, he has always maintained a high-level and low-level tone, lacking the most basic clinical experience accumulation. Now, even if I gradually correct my work attitude, I am still a little stretched, and it is difficult to make any achievements.
Some of the cases he was able to diagnose were those with clear lesions and clear pathology.
When it comes to some complex pathological changes, he can't bear it, so he can only push it to other experts.
Zhou Can has no dazzling high education, and he is not an old expert with a white beard, so he is too young to speak. Sitting here, his heart was ready to eat duck eggs.
After sitting for a while, a man ran into the outpatient hall with a three-year-old boy in his arms, followed by a young mother.
The little boy was held in the man's arms and cried heartbreakingly.
"Doctor, doctor, my son accidentally fell off a chair while playing at home, and he couldn't move his right arm."
The man's anxious nurse told the child about the child's condition.
"Don't worry, let's hang up the emergency number and take a film."
The nurse guide has long been accustomed to seeing all kinds of scenes, and said unhurriedly.
"I see that you guys are not doing expert consultation activities here? Can you hang up an expert number from Tuya Hospital to help my son take a look? ”
The man apparently had some dislike for the emergency department of Xinxiang Women's and Children's Hospital.
This is normal.
If you have a choice, everyone wants to register as an expert.
Experts, professors, famous doctors, and medical doctors, these words have a high gold content and trust in the minds of ordinary people.
"Would you like to find a specialist from Tuya to help your child see a doctor?"
"Hmm!"
"There is Director Dai of Pediatrics, and Dr. Zhou Can, who is good at miscellaneous and emergency diseases, which doctor do you want to choose?"
The nurse guide helps the patient to register by themselves.
"My son fell and injured himself, which is an emergency, so let's hang this Dr. Zhou's number!" The man thought for a few seconds before giving the answer.
Zhou Can, who was sitting there as an idle fish, was overjoyed.
It's finally open.
I saw that the couple had finished registering, and under the guidance of the nurse, they came directly to him.
"Who is Dr. Zhou Can?"
The man glanced at Zhou Can, who was sitting behind the consultation table, and Ji You, the nurse who was standing, with doubts on his face.
Because Zhou Can is too young.
The first reaction of patients and their families when they see young doctors is that they feel unsure.
"I am! On visual inspection based on experience, your child's right arm should be dislocated. When hugging, try not to let the right arm hang down, let alone shake it, otherwise it will aggravate the pain of the child. ”
Zhou Can stood up and helped the three-year-old boy correct the posture of his right arm.
It was also miraculous to say, and it didn't take long for the little boy to stop crying.
Apparently it doesn't hurt that much.
A small gesture immediately won the initial trust of the family.
The couple looked at each other with surprise in their eyes.
When I looked at Zhou Can again, I had less contempt before and more trust and admiration.
For patients and families, the expectation is this immediate effect.
"Dr. Zhou, please help my son take a look! At about nine o'clock in the morning, he was playing on a chair in the dining area alone, and he didn't know how to ride on the back of the chair. The chair fell and when my wife ran over to look, his right arm could not be lifted. I was at work at the time, and when I received a phone call, I quickly asked for leave and went home to bring my son to the doctor. ”
Children are naughty by nature and love to try everything.
Boys are generally more naughty and bolder than girls. It is very common for children to climb to a height and fall and injure themselves, which is very common in hospitals.
"I'll check first, don't move, the kid is so good!" Zhou Can walked over to give the boy a preliminary physical examination.
The head is mainly examined for obvious signs of trauma.
Some children fall and break their heads, which can cause intracranial hemorrhage, which is a very dangerous symptom.
If the attending doctor can't find it in time, it's easy to miss the best time to rescue.
After some examination, Zhou Can did not find obvious head trauma, mass, or hematoma. Only the nose was scratched a little bit of skin.
"Let's get him an X-ray first, and you can take it for a film. Pay attention to your child's arm, in the case of a dislocation, the arm loses bone support, try not to twist it. ”
After Zhou Can opened the inspection, he explained some precautions.
X-rays are taken very quickly.
In particular, the diagnosis and treatment business of Xinxiang Maternity and Child Medicine has shrunk severely, and there are not many patients. Basically, you don't have to wait in line to do all kinds of tests.
Only color ultrasound and B ultrasound need to queue up, and other examination departments generally do not need to wait.
In women's and children's hospitals, there are many patients in gynecology and obstetrics, and there is a great demand for color ultrasound examinations.
In hospitals with a large number of patients, it is extremely common to queue for several hours for color ultrasound.
Not long after, the family returned with the child in their arms.
It was fine when he went, but the little boy would cry in pain again.
No way, in order to get a clear bone bit, you need to scan it from at least two angles.
It is normal for a boy's arm to be painful due to movement or change of position during this process.
"Dr. Zhou, after filming just now, moved my son's arm, and he seems to be in pain. The doctor who took the film helped me with two fiddling sessions and it didn't work, could you please help me get it again? ”
Pity the hearts of parents all over the world.
Seeing his son crying heartbreakingly, the parents' hearts must also be tugging.
They are looking for ways to alleviate the child's pain as well.
Zhou Can showed his hand before, which made them trust Zhou Can's medical skills.
So ask for help again at this moment.
"Hug Ping...... Oh, yes, that's it. Zhou Can stood up and adjusted the posture and angle of the little boy's right arm again, and the little boy soon stopped crying. The children are so well-behaved. ”
Zhou Can didn't forget to praise the little boy.
The little guy stared at Zhou Can tightly with two small black eyes with tears in his eyes.
His eyes were full of curiosity and affection.
Because he knew that the uncle in white in front of him had magic. As long as I helped him fiddle with his right arm, it would soon be less painful.
"Dr. Zhou is worthy of being an expert, really amazing!"
The boy's father exclaimed with heartfelt admiration.
The doctor who had just taken the film also helped to correct the posture of the child's arm, but it had no effect at all.
level, sometimes reflected in these specific clinical diagnosis and treatment processes.
"You've won a prize!"
Zhou Can was humble on his lips, but he was very happy in his heart.
There is no doctor who doesn't like to be praised by his family and patients.
He was able to be so powerful thanks to studying in the outpatient reduction room of the Department of Orthopedic Surgery for more than a month. He has a deep understanding of the structure of human bones and joints, and has also accumulated rich clinical experience.
He only needs to look at it to roughly judge the patient's fracture and dislocation, and adjust it to what angle it will not be so painful, which is a trivial matter that is easy for him.
At this moment, the female reporter named Twilight Mantis flew over again, like a bee smelling the smell.
She stood behind and didn't bother, but the photographer's lens was aimed at Zhou Can.
As long as she doesn't entangle, Zhou Can will naturally not care about her.
I took the boy's X-ray and looked at it.
"Dr. Zhou, is my son's arm badly injured? Do I have to have surgery? ”
The boy's mother asked worriedly.
(End of chapter)