"Don't be in a hurry, don't crowd, fill out the medical record book, and I'll call them one by one." Ji Yu is trying to maintain order.

She is a very qualified nurse.

The standard of a good woman is to be able to go up to the hall and get down to the kitchen.

A good nurse must not only be proficient in the operation of injections and dressings, but also communicate with patients and maintain the order of the on-site clinic.

"Doctor Zhou, my son's left hand was injured, please help me take a look."

The young mother held her child distressedly, ranking first.

Look at this little boy is only two or three years old at most, with tears in his eyes, and there are still undried tears on his face. It seems that I have just cried.

After a physical examination, Zhou Can found that the little boy had a mild hematoma on his left wrist.

And his left hand seemed to be completely powerless, and he didn't even dare to move.

"How did you get this?"

"In the morning for breakfast, he was playing with hard-boiled eggs rolling on the table. As a result, he accidentally fell off a chair while chasing an egg. ”

It seems that young boys are more prone to falls, because boys are more naughty than girls.

Be a little more daring, too.

The probability of getting into trouble is naturally much higher.

"You didn't hit your head, did you?"

"Probably not! I was eating with my head down, and by the time I heard the noise, he had fallen to the ground. ”

Zhou Can finished asking his parents, but he still didn't dare to be careless.

A hand injury is just a small thing, and the bones of children are very flexible, and generally at most they are dislocated, joint displacement or something. Fractures are rare.

A head fall is the most dangerous.

Many children's skulls take a year or two to close, which is often referred to as the halogen.

When a newborn baby has a gap in the head, it is called a halogen. This is caused by the incomplete closure of the skull, which can usually be divided into anterior and posterior halogens, and the anterior halophylum is generally located at the top of the head and is diamond-shaped.

The posterior halophylum is close to the occipital and is triangular in shape.

The surface of the neonatal halogen door is only the scalp, and the inside contains the meninges, cerebrospinal fluid and brain.

If the child is over two years old and the halogen door is not closed, it is likely that the child has a physical problem. For example, calcium deficiency, or stunting, etc., at this time, it is necessary to take the child to the hospital to see a doctor.

Zhou Can is still worried that the child's head will be bruised, and he is afraid of intracranial hemorrhage or something.

The little boy was carefully examined, and there was no obvious bruise or hematoma on his head. When touching, the little boy showed no pain, and it was estimated that there was no major incident.

"I'll apply for an X-ray first, and you take him to take a picture. Be careful not to touch the injured part of his wrist as much as possible. Because no one knows whether the bones inside are broken or not. ”

Zhou Can told him again, and the woman took the list and took the child for an examination.

The second one turned out to be another child.

Slightly older than the previous boy, he was a five-year-old boy.

"Doctor Zhou, we saw on TV that you are very good at treating children's hand diseases, please see if my doll's hands can be cured?"

The family member is a young man who is no more than two years older than Zhou Can, and it is estimated that he will be twenty-six or seventeen years old at most.

I didn't expect that other people's children would already be able to make soy sauce.

Zhou Can somewhat understands his parents' constant urging to get married. When the parents watched the people who were about the same age as Zhou Can get married and have children one by one, they were naturally anxious.

"Yo, is this hand innate?"

Zhou Can found that the little boy was a little embarrassed and didn't dare to stretch out his hand.

The boy's father, still a little boy, grabbed his hand and put it on the table. It can be clearly seen that the fingers of the child's hands cannot be straightened and are hooked like chicken feet.

The thumb can be straightened, but not fully abducted.

This child's grip function will definitely be greatly affected.

"Within a few days of the child's shot, I noticed that his hands were different from ordinary people's hands, the fingers could not be straightened, and the fingers were oblique. Later, when he grew up a little bit, the problem was worse when he held things with his hands. I quarreled with his mother a lot about it, and I never came back after he left when he was three years old. ”

When the man talked about it, he looked very sad and full of regret.

"Doctor Zhou, if you can heal my son's hands, I can find a way to take him back to his mother."

Under normal circumstances, family members will not easily tell the doctor about these family scandals.

The man may indeed regret it and think about how to get his wife back.

It is easier to persuade the child's mother to come back after the child's illness is cured.

"Children without mothers are the most pitiful! Regardless of whether the child's hands can be healed or not, you should get the child's mother back. The child is innocent, and it is already very unfortunate that the hands are born with disabilities. If you can give him a warm and complete home, it will be of great benefit to the child's growth. ”

Zhou Can generally rarely takes care of the patient's family affairs.

This time was an exception.

Because children born with disabilities are more likely to have low self-esteem, their hearts are more fragile, and they need more maternal and fatherly care.

"You're right, it's also that I was too young to know how to cherish it. The child was born with a crippled hand, and I always blame her. Now that I think about it, I regret it, how can I blame her! It's not that I haven't looked for her in the past two years, but she has always refused to forgive me. Therefore, this time I made up my mind to take the child to heal my hands, only in this way can she change her mind. ”

When the man told the family about the situation, the little boy just lowered his head, looked at the table, and did not speak.

This child appears to be particularly autistic.

It's particularly distressing to watch.

"Don't be afraid, little ones. After your uncle checks you up, maybe he can find a way to help you heal! ”

Zhou Can comforted the little boy.

Started to give him a physical examination in earnest.

During the examination, the family is asked about their medical history.

"Do any members of your family have this kind of deformity of hands and feet?"

"Nope! Me and my siblings, parents, grandparents, all normal. ”

"What about the child's mother?" 、

"I asked her at that time, her siblings, parents, grandparents, are also able-bodied."

"Are you married to your wife as close relatives?"

"It's not."

"Did the child's mother take any medicine when she was pregnant with this child?"

"We were also quite careful at that time, when we had a cold, we just boiled a little ginger brown sugar water by ourselves, and we didn't dare to take medicine."

Family genetic history, close marriage, and drug damage caused by taking medicine during pregnancy can basically be ruled out.

"What kind of work did the child's mother do at that time? Have you been exposed to radioactive or toxic substances? ”

"She works with me in a food factory, so she shouldn't be exposed to these things."

"Okay, you take the child to have his blood checked and take an X-ray, and then I will look at the bones of the child's hand. He will most likely need surgery to correct this. If there is a particularly serious problem with the joint, then there may be no way to do surgery. In short, as long as there is a glimmer of hope, I will do my best to help him treat, please rest assured. ”

Zhou Can also knows that this family is very special.

Healing this child's hands not only opens a window of hope for a child whose life is dark, but also saves the family.

……

After an hour or so, the little boy who broke his wrist came back from the film.

Zhou Can took the film and looked at it, and a smile suddenly appeared on his face.

"Your son is very lucky, his wrist is only a skin injury, not a bone injury."

"Really! Great! ”

The little boy's mother was so happy that she won five million in the lottery.

"The child's recovery ability is very strong, buy him a bottle of safflower oil and other medicines, go home and wipe it, and it will be fine in a few days." Zhou Can said to the family.

"Thank you, thank you! That, does the hospital have this medicine to buy? Your doctors are more professional and will prescribe better medicines. Medicines in large hospitals are more secure. ”

The little boy's mother trusts Zhou Can very much.

"That's okay, I'll prescribe some medicine for him, and you can just pay for it yourself and go to the pharmacy to get it." You can rub it several times a day, pay attention to the child, and do not let him eat it in his mouth. ”

Zhou Can prescribed a bottle of the most commonly used blood stasis and blood activating medicine to the child.

Topical medication is relatively safe.

The only thing to pay attention to is to prevent the child from being hungry and licking it with his tongue.

The child was dealt with, and the child with deformed hands also came back after the examination.

First, I looked at the blood test report, and it was normal.

Then look at the patient's hand X-ray.

Good guy, I saw that the patient's finger metacarpophalangeal joint was ulnar deviation and metacarpophalangeal joint flexion. The left hand side X-ray looks like a hook, and the right hand side looks even more terrifying, a proper bird claw.

The hands are in the right position, and the shape of the patient's hand bones is equally frightening.

Zhou Can watched the X-ray, and then re-examined the shape of the patient's hands.

I saw that the skin on the palm side of the patient's hand was short and tight. If surgical correction is done, the skin may need to be stretched. The thumb is adducted, unable to abduct, and the mouth is narrow.

Try to break a little harder, you may maintain this adduction position for a long time, and the ductility of the skin of the tiger's mouth is extremely poor.

And the thumb joint is very stiff.

The patient's thenar is affected, is visibly stunted, and appears to be a severely malnourished lean fish.

He couldn't help but think of a name for a congenital malformation of his hands.

Congenital hair hand malformation.

It means that when the wind blows in one direction, the hand is crooked in that direction. The disease was first officially identified and named in France in 1897. The French have always been romantic, even when it comes to naming diseases.

According to the medical journals that Zhou Can has read, there are three significant features of congenital hair hand malformation.

That is, the palmar metacarpophalangeal joint is ulnar deviation, the metacarpophalangeal joint is flexed, and the thumb is adducted with the tiger's mouth twinning.

Ulnar deviation and flexion of the fingers at the metacarpophalangeal joint are most evident in appearance, but in fact, thumb adduction and mouth twinning have the greatest impact on hand function.

As far as Zhou Can knows, in addition to the typical triad, this disease also has the characteristics of congenital vertical talus and short stature.

After careful study of the patient's X-rays, Zhou Can worked hard to find the cause of the disease and the possible surgical options.

Abnormal palmoaponeurosis, intermetacarpal ligaments, and interwebbed ligaments are all causes of hand deformities.

It is also important to consider the ulnar deviation of the finger in the metacarpophalangeal joint, and the imbalance between the normal flexor tendon and the abnormal extensor tendon can also exacerbate the loss of the ability of the finger to extend.

Even the patient's left hand has been flexed at the wrist, which will definitely affect and limit the movement of the shoulder and elbow joints.

Surgical correction is very difficult.

After all, Zhou Can only trained in orthopedic surgery for three months, and spent the last month in the manual reduction room. It was no easy task to preside over this patient's surgery alone.

"Doctor Zhou, can my son's hand still be cured?"

The child's father looked at Zhou Can with hopeful eyes.

For Zhou Can, it is just a case in his career, but for patients and their families, the impact is a lifetime.

"I can't say that it will be cured, but after watching the film, I think I can try multiple surgeries to correct it, and I should be able to achieve satisfactory treatment results."

Zhou Can pondered for a while before answering the family's questions.

With such a serious deformity of the hand, it is impossible to correct it in one operation.

Even if it is a multi-operative operation, it can only be tried as much as possible, and no doctor dares to say that it will be cured.

"How much does the treatment cost?"

When the family heard Zhou Can say that he could be cured, they immediately showed a hint of joy.

For the poor, however, there is also the cost of treatment.

In the corridor of the hospital's intensive care department and outside the ward, family members of different ages squatted on the ground with their heads in their hands and cried every day. Because of the high cost of treatment, it is like a big mountain, which overwhelms them.

On the one hand, there is the constant family affection, and on the other hand, the unbearable cost of treatment, this is the cruelest world for adults.

"The specific cost depends on the actual treatment, but depending on your son's condition, it is conservatively estimated that it will cost 70,000 to 90,000 yuan for treatment." Zhou Can can only give an approximate estimated price.

The cost of surgery fluctuates greatly depending on the actual treatment situation, the physical condition of each person, whether there is an infection, whether the surgery went smoothly, and so on.

The price of treatment for a single hand deformity is about 30,000 to 45,000.

If the correction of the hand bone or the effect of the skin graft is not satisfactory, it will increase the cost of surgery. In the event of infection, or in extreme cases such as bone collapse and avascular necrosis during osteotomy and orthopedics, the cost will increase exponentially.

"That's what it takes!" The expressions on the faces of the family members became a little unpromised.

"Because the surgery is not done all at once, it will be done in multiple stages. This time span will be relatively long, and if you can raise about 70,000 yuan, I think you can start applying for surgery. Theoretically, the sooner the correction of congenital hand deformities, the more advantageous the cost, and the postoperative rehabilitation and hand function training can achieve more satisfactory results. ”

Zhou Can's idea is also simple, if the family can scrape together 70,000 yuan to operate on the little boy, they really can't come up with the money at that time, and it is no problem for him to donate about 20,000 yuan.

It depends mainly on the attitude of the family.

If the family members are unwilling to work hard, Zhou Can will naturally not be this savior.

His code of conduct is to only help those who can be helped.

Blindly lying flat, with a negative will, and only thinking about relying on others to save him, that kind of person is a headache for the government to look at.

The family thought about it for a minute or two, during which time they even took out a rather old mobile phone as a calculator and calculated how much money he could come up with.

Zhou Can saw it very clearly, the first thing the man entered was 53,000, which should be his deposit.

Then keep typing in the numbers one by one.

"70,000 yuan is no problem, I calculated it and can get it together. It's just that when the time comes, if it's not enough, I want to beg the hospital to let me owe it first, and I can save 30,000 or 40,000 yuan if I work for a year to get rid of food. At that time, I will be able to repay it with interest. ”

The man said sincerely to Zhou Can.

"I will report your situation to the hospital and try to reduce the fee as much as possible. In addition, this is only the initial treatment plan and estimated cost that I have told you. The specific surgical plan needs to be discussed with the orthopedic surgeon before being formulated. Do you live in the city? ”

Zhou Can asked.

"Yes, I work in a food factory, so I live in the dormitory with my son."

The man replied that most of them did not have a house in the city.

"You wait a minute, I'll ask Director Zhang."

Zhou Can stood up and walked to Director Zhang Bihua's side, and whispered a brief description of the patient's situation.

"Director Zhang, can you recommend that child's corrective surgery to Tuya Hospital?" This is the main thing that Zhou Can asked.

(End of chapter)