Chapter 323: The Golden Jade Words of the Predecessors, Macrodactyly
Just as Zhou Can was chatting with Director Dai, several outpatient doctors rushed over to work.
In addition to the old doctors who are gray, there are also young doctors in their thirties and forties.
Both men and women.
"Director Dai, morning!"
"I heard that you went to Xinxiang Women's and Children's Hospital for a week, how is it, it's not bad, right?"
"Director Tang praised you yesterday! It is said that it has won glory for the pediatrics of our Tuya Hospital. Not to mention, I feel like there have been more patients in the emergency department in the past two days. Alas, let's do this authentic increase without increasing the price! The more work you do, the more you earn, the more you earn. ”
These pediatric doctors should have a good relationship.
When we met, the chat was also very casual.
"This must be Dr. Zhou, right?"
Finally, someone's eyes stayed on Zhou Can.
"My name is Zhou Can, I am a newcomer, and I would like to ask you for more advice!"
Zhou Can lowered his posture very low, smiled and greeted several outpatient doctors.
"Hehe, it looks quite modest! The outpatient clinic of pediatrics is very dangerous, you have to pay attention to the faces of family members, if there is a slight mistake, quickly change your words, and take harmony as the top! ”
A short-haired female doctor in her thirties reminded him with a smile.
"Dr. Uchin is not alarmist. When Dr. Zhou sits in for a consultation, he should indeed be careful when encountering unreasonable family members. Our pediatric doctors and nurses are the most likely to be beaten by their families. As for being scolded, it was commonplace, and now I'm used to it. Don't be familiar with your family members, lest you get angry. ”
Director Dai also echoed on the side.
She was mainly worried that Zhou Can had just arrived at the pediatric clinic and didn't know the depths.
In addition to being called a dumb department, it is difficult to ask patients for the required medical history, causes, symptoms, etc., and it is also known as the most dangerous department because of the high probability of being beaten and scolded.
If the emergency department has a four-star hazard index, then the pediatric department can definitely have a five-star hazard index.
Many doctors and nurses have tried to flee because they can't stand the pediatric harsh environment.
The pediatricians and nurses who can stay are patient, caring, and have high emotional intelligence.
"What an exaggeration! I was a little stunned when I heard it. ”
Zhou Can said that he was afraid, how could he really be afraid.
The family really started beating people, and he didn't mind staging a justified defense drama in front of the other party's children.
The social atmosphere in recent years has become more and more evil.
When the teacher does not dare to criticize the students, they are even beaten and scolded by the students. When the doctor sees a doctor, in addition to thinking about how to diagnose and treat the patient's disease, he must always beware of the family's old fists and big shoes of 43 yards flying over.
"Young man, doctors shouldn't be afraid of family members. You've heard that evil doesn't prevail over good, right? As long as we are doctors, as long as we are upright, no matter how unreasonable our family members are, they will be afraid of us. Besides, if something unpleasant happens, I'll teach you a few ways to deal with it. Protect yourself first, then call the security guard at the hospital, and finally call the police. I have been practicing medicine for so many years, and a family member threw water directly on my face, and then the family member was detained for three days and apologized to me. ”
The oldest doctor spoke.
She looked to be at least sixty years old. At such an age, she has not yet retired, and the other doctors respect her very much, presumably the status of this old doctor must not be low.
"Thank you for your advice, I'll keep all of those methods in mind. If any family member dares to do it, he will definitely be punished by law. ”
Zhou Can didn't know what to call this old doctor.
That's all I can say.
"Director Yan is a gem of our pediatrics, and her experience will definitely work. Because no matter how arrogant the family members are, they have become silent and have lost their fierceness in front of Director Yan. ”
Director Dai vaguely introduced Director Yan's identity.
That is to say, Zhou Can doesn't like to drill camps very much, if he were replaced by another doctor, it is estimated that he would have figured out all the chief physicians of pediatrics.
"Director Yan? The top expert who makes it possible for all children to breathe freely is you! Disrespectful and disrespectful. ”
Zhou Can had really heard of the name of Director Yan.
Don't look at her as having the same surname as King Yama, but doing the opposite of what King Yama does.
Hades specializes in human life, but Director Yan specializes in treating children's various respiratory diseases. Including congenital airway stenosis, pulmonary insufficiency, nasal anose, acquired bronchial infection, pneumonia and so on.
As long as it is a respiratory disease, she can cure it.
Respiratory diseases in young children are the most difficult to treat, and mortality is very high.
Her ability to work in this most difficult field for many years and become a top expert is a testament to her extraordinary.
"It's all false names, if you really do, you'll lose! It's almost time, let's go into the outpatient room and get ready to receive treatment! If you take care of yourself early, you might be able to see one or two more patients! ”
Director Yan's body is still very strong.
When walking, the footsteps are like the wind.
Everyone went to the corresponding outpatient room. Some people have students, and some people are alone.
Including the chief physician like Director Dai, there are no assistants.
Director Yan has two assistants, more likely to be her students.
A man and a woman, the man is estimated to be close to forty years old, slightly chubby, and ordinary-looking, but looking at the male doctor's hands, he should have frequent surgeries based on his feelings. People who play the piano, code farmers, such as programmers, information entry workers, and surgeons, have far more flexible hands than ordinary people.
Zhou Can himself is a very clever surgeon, so he can distinguish the same kind at a glance.
There was already a long line in the aisle outside the outpatient clinic, and the desks of the dosers were already stacked with thick medical records.
"Don't crowd it, you can fill in the basic information of the medical record book first, and then hand it over to me. If you don't get the number, go to the number machine to get the number first......"
The task of the nurse is to maintain the order of the patient's treatment.
Avoid fights and accidents.
It is necessary to fully guarantee the medical treatment of vulnerable groups. For example, people with disabilities, patients with serious illnesses, these need to be taken care of.
Help them take the number on the number machine, fill in the medical record book, and notify the outpatient doctor or the emergency department in time if they find someone who needs rescue or is in critical condition.
In addition, if the patient does not know where to do the examination, or the diagnosis information written by the doctor cannot be understood, the nurse has the obligation to explain it to the patient.
Basically, all the prescriptions prescribed by doctors, the examination application items written, etc., are all dragon flying phoenix dance.
Ordinary people may not be able to understand it.
Zhou Can walked to the No. 17 consultation room, the nurse didn't know him, but when she saw him push the door into the No. 17 consultation room, she immediately knew who he was. These nurses are very well-informed.
Any doctor's dog or pet cat has given birth, they can find out.
The turmoil in the hospital can't escape their ear to ear and whisper.
Don't see so many patients queuing up on the road, but after Zhou Can's clinic opened, it was deserted.
After more than half an hour, the first patient finally came.
"Doctor Zhou, can my daughter's sprained right foot be cured when she practiced dancing in the morning?"
A mother of about thirty walked in with a little girl of six or seven years old. The little girl wears ballet pants and skirts.
She needs her mom to walk completely.
"You may be seated! I'll check it out for her first! ”
He was delighted to have a patient who came to see him in earnest.
Despite being only a patient with a sprain in his right foot.
"Is it the first sprain?"
Zhou Can began to inquire.
Children who practice dance are particularly prone to strain, sprain, etc., and some of them have recurrence of old injuries. This is more difficult to treat.
"It's the second time. Last time I sprained my left foot, I was quite unlucky. "The little girl is very bold and speaks like a little adult.
"Hehe, the road to success must be full of thorns and challenges! It is precisely because of the difficulties that those who can break through can be better than others, and my uncle believes that your efforts will definitely be rewarded. ”
Zhou Can was amused by this child.
"Here, try to hook your toes!"
"Hmm...... It hurts, it hurts, I can't hook my toes! She said after trying.
Through visual examination, Zhou Can judged that she should have developed a hematoma in her right ankle. It's just wearing white tights, so I can't see the situation.
"Can I get my child to take their socks off? When the X-ray is taken, it will definitely have to be taken off. Zhou Can looked at the child's mother.
He has always kept in mind the admonitions of his predecessors in pediatrics.
In order to avoid doctor-patient conflicts, even if the other party is only a little girl, ask the child's mother for advice before asking her to take off her socks.
The child's mother will definitely not hit someone, and it will be very troublesome in case of complaining or something.
"Okay!"
The child's mother was very cooperative and took the initiative to help her take off her pantyhose.
"We also watched the TV news and knew that you were very good at treating children's bone injuries, so we came to you. First, I rushed to Xinxiang Women's and Children's Hospital to look for you, and found that the expert group had left, so I ran to Tuya Hospital. ”
After listening to the family's story, Zhou Can was quite moved.
Another fan gained through TV news.
"You support me so sincerely and trust me, then you must be more attentive to the child's medical treatment to be worthy of this trust." Zhou Can responded while observing the little girl's right foot. "The hematoma wasn't particularly serious, but she couldn't even hook her toes for fear of hurting her bones. Let's take a look at it first. ”
He gave the patient a request for examination.
After the family left with the child, the clinic was quiet again. When the family left, they also brought him the door intimately.
Knock knock!
Not long after, there was a knock on the door.
"Please come in!"
Zhou Can secretly wondered, the family came back with the child so soon? Take an X-ray, even if you are lucky and don't have to queue, it will take at least 20 minutes to go back and forth, including picking up the film.
When the door opened, it was still family members with children who came in.
It was a woman in a sanitation worker's clothes, estimated to be in her fifties, with rough hands and dirty, old cheap sneakers on her feet. With a little boy about three years old.
Zhou Can was a little unsure, I don't know if this woman is the little boy's mother or grandmother?
In these years, there are not a few women who give birth at an advanced age.
In particular, some single couples and second-married couples, when they get older, they are more eager to have a common child.
"Hello Dr. Zhou! I watched the TV news and brought my grandson to see you. ”
It's the patient who watched the TV news again, and the influence of the TV news is too great.
Zhou Can couldn't help but once again be deeply grateful to the female reporter Twilight.
People will meet all kinds of noble people in their lives.
Twilight is the noble person in Zhou Can's life.
It has helped him a lot in his career.
"You may be seated! What is his disease? Zhou Can didn't see anything wrong with the child, but the little boy was a little introverted, bowing his head and not speaking. Put your hands in your trouser pockets.
"Lele, take your hand out and show it to Dr. Zhou!"
The child's grandmother said to the little boy.
He bowed his head and refused to take it out.
It turned out to be a problem with the hand, and looking at the situation, it was likely to be a deformity of the hand.
"Good boy! Uncle is a doctor, who specializes in helping you treat diseases, take it out and take a look! ”
It's really a bit unaccustomed to him coaxing children like this.
But there is no way, when you become a doctor, you eat this bowl of rice, and you have to treat the doctor as a good doctor regardless of whether you are suitable or not. This is also the most basic professional quality.
The child's grandmother coaxed and pulled him out, and then took out his right hand.
A three-year-old child already has a strong sense of self-esteem.
When the little boy's right hand was taken out, Zhou Can's eyes shrank. It was the first time he had been treated for the disease.
I saw that the index finger of the little boy's right hand was extremely large, at least three times thicker than an ordinary finger. The middle finger next to it is also noticeably thicker and bent to the other side.
He tried to calm down, and although the disease was the first time he had been treated, he had seen similar cases in books.
This disease is called macrodactyly, and if left untreated, it can progress, like cancer, hepatitis, or kidney disease, and the condition will get worse and worse.
Surgery before the age of three is the only treatment.
There are many reasons for this.
Finger abnormalities are basically present at birth, and as the child grows older, macrodactyly will become more and more obvious.
The affected finger will become thicker and thicker, and the length will be much longer than that of a normal finger.
Usually, the diseased finger is unable to flex and remains in an upright position all the time.
The affected finger next to it will become thicker and longer, but it can be flexed.
"The other hand is normal, right?"
After Zhou Can saw it, he asked the family.
"The other one is normal! Can this disease be cured? ”
"Negi! Surgery can achieve satisfactory treatment results. ”
"What is the cause of this? When the child is first born, the hand food of the right hand is a little thicker, and later it grows thicker and thicker. Even the middle finger next to him has changed. Now the child is almost three years old and is about to enter kindergarten. His father was in a car accident two years ago and ...... gone" The old man began to wipe his tears.
Doom is looking for the miserable, and the hemp rope is broken in detail.
Fate sometimes seems particularly unfair to some people.
However, the poorer the family, because of the backward ideology, low level of education, coupled with poverty, many of their practices themselves have laid the root of the bane.
For example, overnight dishes, moldy rice is reluctant to throw away, and there is nothing wrong when you eat it.
After a while, the tumor grows.
Moldy rice, corn and peanuts contain high levels of aflatoxins, which are frighteningly carcinogenic. What cigarettes, liquor, such carcinogens are not even grandchildren in front of it.
Aflatoxin is immunosuppressive, mutagenic, carcinogenic, and teratogenic.
As a highly toxic substance, carcinogenic is only the tip of the iceberg.
Short-term intake of large amounts of aflatoxin can cause acute aflatoxin poisoning, including acute hepatitis, hemorrhagic necrosis of liver tissue and other liver damage.
Even if only a small amount of aflatoxin is ingested for a long time, chronic poisoning symptoms such as liver fibrosis, growth retardation, infertility, and fetal malformations will occur.
Therefore, if you encounter moldy rice, corn, as well as peanuts and melon seeds that are bitter in your mouth, you must spit them out in time.
What should be thrown away must be thrown away.
Otherwise, the price will be extremely high. A bag of rice is only one or two hundred yuan, and the maximum loss is one or two hundred yuan if it is thrown away.
If it is not carcinogenic, it is only acute hepatitis after eating, and the treatment cost starts at W. Severe acute hepatitis requires at least 40,000 or 50,000 yuan for treatment.
The lesser of two evils.
I believe that as long as you are a normal person, you will choose to throw away moldy food. Don't joke with your own life.
"My daughter-in-law is a very filial woman. After my son died in a car accident, she brought the child to the age of more than a year and went out to work. Now I have saved a little money and let me bring my grandson to the hospital. ”
When the old man mentioned his daughter-in-law, his eyes were full of happiness and emotion.
The human heart is made of flesh.
The relationship between the mother-in-law and the daughter-in-law is the most difficult. Hatred of each other and tensions in relations are almost universal. But there are also families like this where the daughter-in-law has a good relationship with the mother-in-law.
It's just relatively little.
Zhou Can sighed in his heart that every family has its own story. Behind every patient is sadness and happiness.
Every family has a scripture that is difficult to read!
"In this case, I will first prescribe a few tests for your grandson, and you will come to me with the results after you have done the checks. When the time comes, I will make a treatment plan according to the situation. There are many types of macrodactyly, and neurofibromas are more common. The sooner the surgery is treated, the better the results. Thankfully, you brought your child to the hospital this time, and the best time for treatment is before the age of three. If you are more than three years old, it may have adverse effects on your child's growth and development, psychology and other aspects. ”
Zhou Can was a little worried that his family would not pay attention to this disease, so he informed the other party of the harm of this disease and the best time for treatment.
Some family members just register and find a doctor.
Then after the doctor prescribed the examination items, the family saw that there were many examination items and the cost was not low, so they simply gave up the examination and left.
(End of chapter)