"Probably not! The child's grandmother never said anything about it, and we see the child almost every day, and we never see the child hurt. The man still didn't believe the child had been stabbed by a rusty, sharp object.

This is also out of trust in the elderly.

After all, the person who takes care of the child at home is his mother.

"Husband, you call and ask Mom! Doctors certainly don't talk nonsense! ”

The woman has already begun to persuade her husband.

The man believes in his mother, and when he is a daughter-in-law, he is separated by a layer after all, and it is very good to be able to get along with each other in ordinary times.

Now that this kind of thing has happened, she dares to be suspicious of her mother-in-law.

After hesitating for a few seconds, the man met his wife's gaze and finally took out his mobile phone to make a call.

The child himself was already very sick.

Figuring it out early will help the doctor's diagnosis.

"Mom, you're home!"

……

"We're in the hospital with Xiangxiang! One thing to ask you, has Xiangxiang been stabbed by something recently? The doctor asked us to ask if the child had ever been punctured by a rusty object. ”

He was afraid of upsetting the old man, so he explained again.

The man's face changed slightly after hearing two sentences.

"Ah...... I've really been pricked by a rusty horn iron! Okay, I see. I have to talk back to the doctor here, so I won't tell you yet! We won't be able to come back at noon, you don't have to wait for us, just eat by yourself! ”

It can be seen that the man is not very old, twenty-seven or eighteen years old, but he is very filial.

Zhou Can could already hear it clearly beside him, and he didn't need to relay anything.

A second checklist was opened.

"I initially suspected that the child had sepsis, which is a dangerous disease. You first go to check the procalcitonin, and after the results come out, I will formulate a corresponding treatment plan for the child according to the situation. ”

Zhou Can saw that the child's mother had a very unsightly face, and wanted to tell the family members to pay attention to the child in the future, it is best to put away sharp objects such as nails and knives.

There are also some tranquilizers and blood pressure lowering drugs that adults take, which should also be kept out of the reach of children.

Children are curious and exploratory about everything in the outside world.

The first sensory organ that babies use to explore the outside world is not the hand, but the tongue. For all animals, eating is instinctive from the moment of birth.

When a baby eats, he first uses his tongue to lick the taste of the object.

It's the taste they like, and that's what makes them suck and swallow.

So, the tongue is the earliest organ that humans used to explore things in the outside world, not the hand.

Human hands and feet were the first organs used to crawl.

Even in adulthood, the main role of the hand is not to perceive things in the outside world, but to grasp objects.

Toddlers under the age of three have little discernment, and instinctively shove anything they think they can eat into their mouths. The little girl had just scratched her hand by a sharp, rusty object, which was already a blessing in misfortune.

At least the doctor was given the opportunity to be treated.

Seeing the little girl's parents anxiously holding the child for examination, Zhou Can's mind was already thinking about the next treatment plan.

The patient is given a second test just to confirm the diagnosis.

In fact, based on his experience and medical knowledge, he was already 80% sure that the child was sepsis.

"Dr. Zhou looked young, but he didn't expect the diagnosis level to be abnormally high! That little girl was punctured by a rusty sharp object, and even his parents didn't know it, but you just looked at the blood test results and deduced it, it's really amazing! I've learned a lot today! ”

A woman with a very poor complexion and an unusually obese body sat down at Zhou Can's consultation table.

When he looked at Zhou Can, he was full of admiration.

Not only her, but also the family members and patients who were watching the excitement just now also admired Zhou Can very much.

He was blessed by the news of the interview, and his image as an 'expert' crept up.

It's just that this rise in fame has certain limitations and is very small.

Only a dozen patients and their families who were watching at the scene knew that he was very capable.

The accumulation of a famous doctor is really not easy.

It's hard to get started.

Other famous doctors are like him, who have accumulated popularity little by little, and eventually become well-known medical experts.

In addition, in addition to relying on the way of treating patients to enhance their reputation, famous doctors publish scientific research results and academic papers, which have a certain added effect. Then there are senior honorary titles such as senior titles, excellent youth, outstanding young people, Changjiang scholars, academicians, etc., which has a greater bonus effect.

As for the titles of professors and experts, in the eyes of industry insiders, they belong to the titles of rotten streets.

The chief physician who mixes well can basically get to the professor level in medical school.

"You've won a prize! Is there anything wrong with your body? ”

Zhou Can looked the obese woman up and down, and asked her about her condition straight to the point.

Looking at her complexion, there must be something wrong with her body.

After she sat down, she put the small registered note in front of Zhou Can.

"I just feel a little heartburn, I can't eat, I vomit all the time, and I feel very painful when I eat!" The woman recounted her symptoms.

Zhou Can glanced at Deputy Director Shi at the consultation table next to him.

Listening to the symptoms described by this woman, it should be a digestive tract disease.

At this moment, Deputy Director Shi was holding a patient's examination data and checking it repeatedly, his brows furrowed. Looking at this situation, most of them have encountered difficult cases again.

If he doesn't ask Zhou Can for help, it's okay.

If Zhou Can pushes another patient over, it is estimated that Deputy Director Shi will definitely be angry.

Zhou Can settled down, he has been training in gastroenterology for more than two months, and general digestive tract diseases can be easily dealt with. Even if it is a difficult digestive tract disease, as long as it does not happen to touch his knowledge shortcomings, he can most likely be able to diagnose it.

"How long has this been going on?"

"It's been almost a little over a month!"

"Did it come out of nowhere, or did it come slowly?"

"It was after I used a special weight loss method online that I slowly appeared."

She bowed her head a little embarrassed and replied.

"What kind of special law?"

Zhou Can asked.

There are various ways to lose weight online, and many of them are fabricated and packaged by unscrupulous merchants. Some are made up by non-professionals, and may indeed be effective for the parties, but not for everyone.

There are also methods that can only be written after the gods have gone mad.

For example, do not eat whole grains, only eat a little water and low-calorie food that sustains basic life.

Others are even more exaggerated, saying that the food they eat is slowly decreasing day by day, and finally reaching the so-called food qi therapy. This set was learned from a Taoist priest, swallowing purple qi and swallowing the sunset.

Normal people certainly don't believe this.

However, there are some obese people who are sick and rush to the doctor, and they really believe what they say.

After some tossing, he almost killed himself, and was finally carried into the hospital by his family for rescue.

Zhou Can has received similar cases in the Department of Gastroenterology and the Department of Surgery.

I don't know what kind of weight loss method this woman used?

Looking at her weak and sick appearance, I am afraid that there will be no less tossing.

"I, I use a medically special weight loss device called a fairy tube to lose weight. When buying fairy tubes online, the seller's service was particularly in place, and a special medical expert was invited to give a lecture to teach us how to operate, and told us that we don't have to worry about the side effects of taking diet pills to lose weight. ”

I saw that the woman hesitated and took out a plastic bag in her satchel, which contained a transparent plastic tube with a rather surprising diameter.

Its length is visually at least half a meter over.

The inner diameter of the pipe wall should not be smaller than that of a five-dime coin.

How to lose weight with such a thick tube?

"How do you usually do this? You don't have to demonstrate, just explain. ”

Zhou Can asked himself that he was also a professional, and he had never heard that a plastic tube could lose weight.

"After eating the food, after about half an hour, stretch this tube from the mouth into the esophagus, push it all the way inside, go straight to the stomach, and then lean over to pull out the food in the stomach."

She explained it again and again.

After listening, Zhou Can couldn't help but stroke his forehead with one hand, what kind of person dares to call himself a medical expert these days.

Doctors do gastroscopy on patients, that's an absolute professional, right? It is necessary to let the patient fast from water and food in advance, make adequate preparations, and be even more careful during the gastroscopy, and all kinds of protective measures are in place.

I can't imagine that the patient directly pokes such a thick plastic tube into the stomach, which is simply too scary.

Aren't those unscrupulous businesses afraid of killing people?

For the sake of money, outlaws really dare to do anything. As long as they eat food that does not kill people on the spot, they dare to sell it, regardless of whether the pesticide residues exceed the standard, or the food spoils and has a risk of causing cancer, anyway, it is the consumer's own business.

"How many times have you used this tube?"

"I can't remember the specifics, but twenty or thirty times should have been!"

"I now tell you very responsibly from the standpoint of a professional doctor that this way of losing weight should not be used again in the future. It is very easy to injure the esophageal mucosa and your stomach lining during the procedure. It can also cause bacterial infections, causing tracheitis and bronchitis. In more severe cases, food that causes reflux enters the trachea and death by suffocation can occur. ”

"Letting food spit out in such an extreme way is also very harmful to the body. The stomach contents contain a lot of gastric acid, which can severely burn the esophagus, trachea, throat, vocal cords, etc. during reflux. ”

Zhou Can could only persuade her bitterly.

As for people not listening, then there is no way.

Doctors have no way to restrict the patient's thoughts and actions, but can only fulfill the obligation of persuasion.

"Let's prescribe two tests for you first, and see what happens in the esophagus and stomach! Judging from the symptoms you are reacting to, I am afraid that the esophagus and stomach have been damaged to a certain extent. And listening to your voice is rough and hoarse, I'm afraid that your vocal cords are also hurt. ”

Zhou Can gave her an application for examination and asked her to go for an appointment for gastroscopy first.

"I really don't understand, since I care so much about my body, why don't I control my diet and exercise more?" Ji You looked at the back of the fat woman leaving and sighed deeply.

"At the end of the day, there are two reasons. I want to covet the appetite of the tongue, and when I see food, I want to eat it. I don't want to exercise and exercise more. At the same time, I want to have a slim and good body. How can you say there is such a good thing in the world? ”

Zhou Can can see it clearly.

Unscrupulous businesses have seized on the idea that patients are both greedy for pleasure and want to have a beautiful body.

At this time, the little boy with his feet came back from an X-ray.

"Doctor Zhou, this is a film just taken, please take a look."

The little boy's grandfather sat down with the child in his arms.

After taking the film, Zhou Can found that the child had an obvious fracture line on the right scaphoid bone, and the fracture line could not be seen on the front and side of the talus.

The boy had only a minor fracture.

Hematoma in the ankle area, this one is not in the way. There will be pain for a while, but it will go away after two days.

The body's ability to heal itself, as well as the absorption capacity of this local hematoma, is very powerful.

"He's got a bad foot break! You see, the scaphoid bones are all broken. ”

Zhou Can took the film and pointed it out to his family.

Theoretically, the scaphoid bone, talus, and first and second cuneiform bones are all prone to fractures during the traumatic process.

However, it is the scaphoid bone that is most likely to be fractured.

It has a relationship with the part where it is located.

It is an important link between the heel and the toe. When injured, it is often this part that is most affected by the external force.

And the vast majority of the broken foot is injured outward.

When the foot lands, the center of gravity is unstable and the foot is skimmed towards the outside of the foot. In this case, the body's own weight combined with the imbalance of force superimposes, and it is very easy to exceed the tolerance range of the bones.

Thus a fracture occurs.

Zhou Can has seen the most serious, direct comminuted fracture.

There was no way to fix and reduce it at all, so it could only be operated on.

And even with surgery, it is difficult to restore the patient's previous ability to exercise.

"So, what then? His father and mother are separated, his father is working outside, and his grandmother and I are with our grandchildren. Doctor, you need to help figure it out! ”

Grandpa didn't expect his grandson to be so seriously injured, and he was anxious when he heard it.

The first reaction of many family members at this time is to cry miserably.

Zhou Can is also used to it.

"Don't worry, I'll try to put him in a cast and do external fixation reduction treatment. But you must follow the doctor's instructions, and you must not be left to the child's temperament. If you don't recover well and cause walking disabilities, it's not easy to do. ”

There is a certain element of intimidation in this statement.

Zhou Can is also well-intentioned, his face is black, but his heart is red.

The little boy's parents divorced, his father was not at home, and he was brought by his grandparents to live with him. Normally, it is difficult for grandparents to control their grandchildren, and all kinds of spoiling since childhood are the truest portrayal.

Zhou Can now fixed the fracture for the little boy, but the little guy was naughty and dismantled it within two days.

That would not achieve the therapeutic effect of correction.

There is a real possibility of disabling.

After recovery, you can walk. But it will be a limp.

"Okay, okay, we'll listen to you!" Grandpa couldn't help but use the honorific title for Zhou Can. As soon as he lowered his head, he glared at his grandson again and said fiercely, "Boy, did you hear what the doctor said?" If you don't obey this time, your leg will be crippled. ”

The mouth is fierce, but the eyes are full of love.

"Uh-huh! I'm obedient! ”

The little boy promised very simply, and it was not clear whether he could really do it.

Zhou Can performed fracture external fixation on the little boy.

To put it bluntly, it's a plaster.

Once he had it done, he double-checked it. After observing for more than ten minutes, I was not relieved that the bandage was tied too tightly and the blood flow was blocked.

Putting a cast on a cast may seem like a very simple thing, but novice doctors are often nervous, either too tight or too loose when the bandage is fixed.

Too loose, not to achieve the ideal fixing effect.

If it is too tight, it is easy to cause avascular necrosis of the patient's lower limbs.

This kind of thing has not happened in a big hospital like Tuya, but he has heard from a colleague in the orthopedic surgery department. Some patients were treated with a plaster cast in a small clinic because of a broken foot. Later, because the bandage was too tight, the blood circulation of the lower limbs was blocked, which directly led to necrosis of the lower limbs.

When he was sent to Tuya Hospital, he had to amputate his leg to save his life.

Many operations that seem to be extremely simple in large hospitals often cause medical malpractice and even human life in small hospitals or small clinics.

This is because large hospitals have a heritage and a three-level responsibility mechanism.

Many bloody lessons are turned into experiences and passed down from generation to generation. So the probability of an accident in a big hospital is much lower.

Zhou Can told some precautions and sent the grandparents away.

There are a few patients who come to him for treatment.

There are also those who come to him with the results after the examination.

After more than an hour, the little girl who had scratched her palm by a rusty angle iron came back after checking the procalcitonin. As Zhou Can expected, the test result was abnormally elevated.

Now it has been basically confirmed that the patient is sepsis, and there is no doubt about it.

Since the patient responded with anuria and oliguria, Zhou Can deduced that the patient's kidney function must have been wrong.

Now that the cause has been diagnosed, it is the process of admission to the hospital.

Before that, kidney function must be checked.

Urine test is one of the important tests, the patient has no urine and oliguria, so he can only let the child drink more water, and finally squeeze out a little urine sample and send it for testing.

In addition to this method, doctors also have a way to encounter patients who are really anuria.

For example, inserting a urinary catheter.

If it doesn't work, it means that there is no urine in the bladder, and the situation is serious. At this time, CT, ultrasound and other examinations can be done to further clarify the condition of the kidneys.

Some patients with kidney failure may even have severe kidney atrophy, and the kidneys are barely visible on imaging tests.

The little girl clearly hadn't gotten that far.

After a series of examinations, the little girl was finally diagnosed with sepsis and acute renal failure. Zhou Can admitted her to the hospital for emergency treatment.

He was also the first patient to be admitted to the hospital alone.

(End of chapter)