Chapter 321: A Good Beginning and a Good End, Some Subtle Changes
It is likely that Dean Zhu personally explained that she would be so respectful to Zhou Can.
The hospital is a small society, and the vast majority of people are very clever and discerning. can be personally supervised by the dean, this informant naturally does not dare to treat Zhou Can as an ordinary doctor.
Zhou Can took the information to the outpatient office of the hospital and found Yan Lele very smoothly.
The information entry of the attending doctor is stricter than expected.
While he was in the process of processing, his phone rang again.
When I looked down, I found that it was Director Zhang from Xinxiang Women's and Children's Hospital who called.
Presumably, it was to perform surgery to correct the deformity of the little boy's hands.
"Hello Director Zhang!"
"Doctor Zhou, I wonder if you have time at 11 o'clock this morning? I'm going to have corrective surgery on that kid in the morning. β
"Okay, I'll be right here!"
Zhou Can was very happy to hear that the operation was finally arranged.
That child, as well as the family behind it, has always touched his heart.
Good beginning, he wants to have a good ending.
After completing the procedures for opening the outpatient number, Zhou Can quickly rushed to Xinxiang Women's and Children's Hospital. The distance is quite long, and it takes more than 50 minutes to take a taxi. By the time he arrived, it was nearly eleven o'clock.
All the way to the office of the pediatric orthopedic surgeon.
"Dr. Zhou is here!"
In the office, Director Zhang, the five-year-old boy, and his family members were all there. Seeing Zhou Can appear, the little boy's father immediately stood up and greeted Zhou Can with a smile.
The little boy was still extremely autistic, keeping his head down and hiding his hands in his sleeves.
"Director Zhang, how are you preparing?" After Zhou Can nodded to his family, he turned his head to look at Director Zhang.
"I've already spoken to the family just now. He said that he believed in Dr. Chow and let us rest assured that the operation would be done. Other preparations have been made, just waiting for your arrival. β
Hearing Director Zhang's words, Zhou Can was a little moved in his heart.
The trust of his family made him even more determined to make the operation a success.
β¦β¦
In the operating room, Director Zhang and his operating team were ready to take place. This procedure is usually performed not under general anesthesia, but with brachial plexus anesthesia.
"Come on, I'll do it!"
Zhou Can took the initiative to perform brachial plexus anesthesia for the patient.
"In order to save the operation time, can we operate on the patient's two hands separately at the same time?" What we need to do today is mainly to loosen the subcutaneous band, free skin grafting, etc.
"If you're okay, it's better to have surgery at the same time." Director Zhang has not seen Zhou Can's surgical ability with his own eyes, and he is still a little uneasy.
"I'm totally fine. If I encounter a surgery that I am not capable of, I will not be relentless. β
Zhou Can also anesthetized the boy's other arm.
After a few moments, the anesthetic took effect, and the boy's hands were no longer painful.
"Children, we will straighten your hands so that you can become like other children. Don't move! β
Zhou Can squatted down to comfort the little boy, and then put a strip of cloth on the little boy with a blindfold.
The purpose of this is to prevent the little ones from getting scared when they see the gore during the procedure.
Some people may think that it is okay to give the child a general anesthetic to avoid the child's movement during the operation.
Because children are not like adults, they are naΓ―ve and ignorant, and they do not think about the consequences of chaos at all.
In fact, what kind of anesthesia to use is not a random decision of the doctor.
General anesthesia is the highest level of anesthesia and is extremely demanding.
A preoperative evaluation by an anesthesiologist is required before the decision to use general anesthesia is made. Even the spinal anesthesia for lower body anesthesia has extremely strict evaluation criteria.
Local anesthesia can be used, and doctors will never use general anesthesia lightly.
Not only to save money for patients, but also to minimize risk.
In addition, local anesthesia is also at risk.
There are many cases of patients dying due to brachial plexus anesthesia in hospitals, which occur almost every year.
Not to mention general anesthesia.
Some patients never wake up after anesthesia, become vegetative, or die of unexplained organ failure. As for cardiac arrest and respiratory arrest during general anesthesia, it happens from time to time.
There are risks associated with any surgery.
Before the operation, the doctor asked the family to sign the consent form for the operation, which was really not too timid and cautious.
It's because doctors have seen all kinds of surgical accidents, and they are well aware of the risks.
"Let's get started!"
Zhou Can and Director Zhang performed surgery on the patient at the same time.
It is not uncommon for two doctors to operate at the same time. Sometimes even three or four doctors operate on a patient at the same time. For example, if the patient needs a skin graft, it must be a piece of skin from his own body and implanted on his hand.
One doctor removes the skin and one doctor performs the surgery on the hand, which saves a lot of time.
This time they are different.
Both are responsible for the correction of one hand.
I saw that Zhou Can began to quickly loosen the subcutaneous strip for the patient's left hand. The patient's hand is slightly shaped and shaped like a chicken claw, which is also partly due to a deformity of the fascial layer of the skin.
There is a shortage of skin, and this needs to be resolved by a post-transplant flap.
If the subcutaneous fascial band is abnormal, it needs to be corrected by surgical release. In addition, the skin of the hand is quite special, the palm surface and the skin on the back of the hand are two concepts, and the palm surface belongs to the thick cortex.
For example, usually, skin grafting is considered to take the skin from the thigh first.
Because the skin in this area is wide, and the scar will not cause much trouble for the patient's life later in life.
But this surgery is not possible, and the full-thickness skin is taken.
Zhou Can's surgery was not only fast, but also had very little bleeding and excellent surgical quality.
The surgical wound was flat enough to make Director Zhang, the chief physician, feel inferior.
Originally, Director Zhang was still worried about whether Zhou Can could complete the preliminary surgery for the deformity of the skin fascial layer.
When he saw Zhou Can pick up the scalpel and operate as fiercely as a tiger, he was so frightened that his heart almost jumped out. Until it was discovered that Zhou Can had completed a number of surgical operations in a very short period of time, whether it was free cortex, loosening the skin, or stopping bleeding, it was all wonderful.
What kind of rules is this?
It's clearly a proper surgical boss.
Director Zhang's heart has begun to doubt life. He didn't dare to look any further, otherwise Zhou Can would have completed the operation later, and he would still be free of the cortex there, and there would be no place to put this old face.
β¦β¦
The patient's two hands, the degree of deformity, and the deformity are not the same.
The specific plan of the operation was discussed in detail by the two before the operation. So at this moment, there is no methodological obstacle. At most, it is a question of whether the technical standard can be met.
The left hand that Zhou Can is in charge of needs to complete all the surgeries in three to four times.
Today is mainly dealing with the problem of the inability to abduct the thumb, as well as the problem of severe palm flexion.
When it came to the metacarpal osteotomy, he humbly asked Director Zhang for advice, and finally successfully completed the improvement of the metacarpal joint. The next step is skin grafting, which completes the improvement of the skin shortage in the palm.
Nearly an hour and a half later, Zhou Can had successfully completed the first stage of surgery on his left hand.
The stitched left hand now looks drastically changed.
The palm of the hand can already maintain a good flat posture, and the thumb is no longer tightly buckled inward on the palm. The problem of stenosis has also been cured.
The patient's fingers still have some degree of deformity.
This will need to be corrected at the next surgery.
Then the patient's thumb cannot be operated on in one operation, and a second operation is required to restore most of its mobility.
Overall, he is very satisfied with the results of the surgery at the moment.
It is expected that the patient's metacarpal bones will grow well before receiving the next surgery.
This time will not be too long, it is estimated that it will be about two months at most. When the time comes, it depends on the child's degree of recovery.
The left hand in charge of Zhou Can has already completed the operation, but the right hand in charge of Director Zhang is only halfway through.
Not everyone has Zhou Can's speed of surgery.
He went over to help.
Later, Director Zhang found that Zhou Can was highly skilled in hemostasis, suturing, and free cortex.
He simply changed his role and became Zhou Can's assistant.
More than 40 minutes later, the operation was successfully completed.
Zhou Can looked at the patient's hands after surgery and showed a satisfied smile. His broken bone joint technique directly increased by more than two hundred experience points.
The system rewarded him with 100 Broken Bone Junction experience twice.
The first is an osteotomy reconnection of the metacarpal bone of the left hand. The second is osteoarticular correction of the right hand.
These are all difficult orthopedic surgeries, and Director Zhang is on the side to guide him, and he will perform the operation. The harvest is very big.
"Not bad! That's great! Looking at his hands, I was very happy in my heart. It was exactly the result I wanted to achieve. It was even better than I expected the first surgery. β
Director Zhang looked at the patient's hands and smiled with satisfaction.
Zhou Can is also full of a sense of accomplishment.
It's like looking at a work of art done by a novice.
"I have to go back to Tuya to work in the afternoon, then I will withdraw first!"
Zhou Can said to Director Zhang.
"It's all past lunch, I've already ordered a meal, eat before leaving! Otherwise, the extra lunch box will be wasted. β
Director Zhang has been operating with Zhou Can here and did not see him calling to order food.
It seems that this was booked in advance before the surgery.
It's really heartfelt.
The patient needs to be hospitalized, and in this way, he must not be at ease to go home to recuperate.
Outside the operating room, the child's father was anxiously waiting.
Seeing that the child was taken out, he immediately stepped forward to inquire about the situation, and before he could speak, his eyes were already staring at the child's hands.
"It's flat, the palm is flat. The thumb is no longer clasped in the palm of the hand. That's great! β
He muttered excitedly, and great joy filled his entire face, and then little by little spread throughout his body.
His rough hands were clenched into fists, his face was already faintly red, and his body was trembling uncontrollably.
"Thank you, doctor! Thank you doctor! β
He thanked Zhou Can, Director Zhang and others again and again.
"Your son's first stage of surgery was successfully completed, not only thanks to our doctors, but also to the nurses!"
Zhou Can smiled and hugged the nurse.
"Hehe, I'm just a rough person, and a few beautiful nurses are not used to it. Thank you, thank you to every doctor and nurse, you are the angels of my family, saving my family......" As he spoke, the man's voice became choked and he couldn't go on.
I have only experienced the painful experience of being separated from my wife, watching my son still unable to go to school like a normal child when he is more than five years old, and the child is autistic, introverted, and extremely inferior.
It's certainly not a taste in the heart of a father.
Presumably, in the past few years, especially after his wife ran away from home, his heart has been dark. Not a ray of light can be seen.
Now, through their efforts, the doctors and nurses have corrected part of his son's hands, giving him a glimmer of hope. Life is no longer dark, and he has regained the courage and confidence to live.
As long as people have hope, they will not despair, and life will have a rush.
In a small conference room, Zhou Can and Director Zhang, as well as several doctors and nurses who operated together, sat inside and ate a boxed lunch.
It's the most ordinary boxed lunch, but they eat it very deliciously.
Zhou Can himself performed extremely well in the operation, and he did not lose to the level of the main surgeon at all. Whether it is a nurse or a doctor, they are full of admiration for him. When the family thanked them, Zhou Can said a fair word for the nurses.
Let this group, which has been working hard silently, but rarely gets the honor and praise it deserves, feels valued and respected for the first time. This also made them have a little more affection and respect for Zhou Can.
During the meal, Director Zhang chatted with him a lot about the operation.
The nurses had a cheerful personality and offered to talk to him about other topics.
For example, ask him, "Dr. Zhou is so young and promising, his status in Tuya Hospital must be very high, right?" β
Without waiting for Zhou Can to answer, a nurse rushed to reply, "That must be a high status!" Didn't their Tuya's expert consultation activity give Dr. Zhou a seat? That's what experts are all good at. β
Zhou Can didn't have much to say, chatting with these young and lively nurses.
The atmosphere is harmonious and enjoyable.
He has also become familiar with these doctors and nurses in the Department of Orthopedic Surgery.
"Alright, I'm done! Thank you, Director Zhang, for breaking the fee, thank you for working together, I have to rush back to Tuya Hospital to work! Good bye! β
Zhou Can waved at them.
"Director Zhang, remember to notify me of the child's next operation!"
"I will definitely invite you to come and preside, you are the absolute main force! By the way, can you pay your house call fee then? β
Director Zhang did not shy away from it, and talked about it directly in front of everyone.
Ask someone to come and help with the operation, if it is a doctor from our hospital, it will be fine.
Doctors in the outer hospital usually give red envelopes directly.
"What do you want for the house call fee? Can you guide me through those difficult osteotomys, bone grafts, and osteoarthritis surgeries, which money simply cannot buy. I just came here to have an operation, volunteered, and learned the technique. β
Zhou Can smiled and waved his hand.
"To give, to give. If you hadn't come over to help, this operation wouldn't have been completed in six or seven hours today. Besides, you still help solve the major problems in the surgical plan. Let's learn from each other. Your suturing techniques, as well as the technique of free flaps, have been my ears and ears, and I have learned a lot from them. β
Director Zhang is here to sympathize with him.
"Haha, you're one of the most humble chief physicians I've ever met. Let's go! β
Zhou Can didn't dwell on this topic anymore.
If people insist on giving it, then take it.
Sometimes, being too polite can make the relationship between each other strange and estranged.
Interests are always the best bond between the bound adults.
Friendship is certainly there, too.
It's just that the world of adults must be based on interests. Even if there are iron buddies like Zhou Can and Li Xuan, in the face of major interests, friendship will definitely not account for all the weight.
β¦β¦
Zhou Can returned to the Department of Gastroenterology of Tuya Hospital, and as soon as he entered the department, Director Shang called him over to help.
Several new difficult cases and more serious cases were admitted to the ward.
Director Shang seemed to have deliberately left it to him to solve.
There is such a senior doctor, there is nothing to say, roll up his sleeves and do it.
Zhou Can gnawed hard bones and was never afraid.
If you really want to improve your medical skills, in addition to the usual accumulation, it is also essential to diagnose such difficult cases.
After returning from this expert consultation, Zhou Can found that his status in the Department of Gastroenterology had obviously risen a lot.
He couldn't say the specifics.
Anyway, the attitude of other colleagues towards him, as well as his weight in the department, have obviously become different from before.
Dr. Chi had already looked up to him several times, and his attitude towards him had always been quite friendly.
Now it's a little more indescribable and inexplicable respect.
It may be a bit too much to say respectful.
Respect may be appropriate.
There is also Director Zheng Hongtao, who dares to compete with Director Shang. Since the misunderstanding was resolved, Zheng Hongtao has been polite to Zhou Can. However, this is also based on interests, because Director Zheng's group encounters difficult cases, sometimes they can't solve them, and they need to ask Zhou Can for help.
To put it bluntly, it is because of the need for interests that he will be polite to Zhou Can.
Even so, when he saw Zhou Can, he was also an old qualification, and it was natural to call a little Zhou.
Director Zheng, regardless of age or seniority, calls Zhou Can Xiao Zhou, which is nothing wrong.
Zhou Can also accepted this calmly.
After coming back this time, Director Zheng never called Xiao Zhou again. Every time, he called him Dr. Zhou with a smile and politely, which made Zhou Can really feel a little uncomfortable.
In addition, when Zhou Can manages patients, he needs to give the patient medicine or something, as long as he explains, the nurse station will immediately give him priority.
The subtle changes in all kinds of details made him clearly realize that his status had indeed risen.
(End of chapter)