Zhou Can was dealing with this woman who was very good at pretending to be pitiful, and at the same time examined the child.

After consultation, the nine-year-old boy accidentally fell while riding a bicycle, which caused a serious fall on his left arm and he could not lift it.

"Kid, what are your pains now?"

During the consultation, Zhou Can found that the boy's mother was answering on his behalf, and out of caution, he decided to ask the boy.

In general, small children do not lie.

"I just feel like it hurts here, but now as long as I don't move, it doesn't seem to hurt that much. Also, it's a little stuffy, like I'm going to vomit. ”

The boy replied timidly.

When Zhou Can heard this, he immediately became vigilant.

If only the left arm is injured, even if a serious fracture occurs, vomiting and chest tightness generally do not occur.

Of course, it is not excluded that the pain after the fall is too much, which will cause gastrointestinal spasms and vomiting. This phenomenon exists, but is rare.

"Did you hurt your head when you fell?"

"The back of my head felt like it hit me on the concrete floor."

The boy was honest and had something to say.

"You dead boy, you don't have to talk about all the little bruises. What kid didn't fall big? The boy's mother, who listened to this, glared at him and told him not to talk too much.

Zhou Can understands the family's thoughts, that is, they are worried that the doctor will prescribe a lot of examinations and over-treatment.

Many family members with financial constraints will only treat the most obvious injuries in the spirit of saving money.

For example, if you have multiple falls all over your body, accompanied by fractures, you may only agree to have the doctor treat the fracture site.

"Sister, it's a good thing that your child can be honest about the multiple injuries in the fall. Our hospital must be responsible for every patient, and some potential safety hazards must be detected and controlled as early as possible. ”

Zhou Can helped the boy speak, then stood up and walked behind the boy to check the back of his head.

The hair is quite long and quite thick.

Upon examination, no significant hematoma was found.

"First, go for an X-ray of your left arm to see if there's a fracture. Also, the child reacted to vomiting and stuffiness, so I opened a brain CT scan to rule out intracranial hemorrhage. A blood routine must also be done. ”

Zhou Can opened three inspection applications in one go.

Originally, I wanted to have another chest CT scan, but the face of the female family was already very ugly, so the chest CT was not opened for the time being.

When dealing with family members, doctors sometimes have to fight wits and courage, and pay attention to gradual progress.

Although Zhou Can is not afraid of family complaints, it is best to avoid it.

"Dr. Zhou, do you want to check your head? My child just broke his left hand, so there was no need to check his head. And that blood routine, what's the use of this checkup? I've heard that in order to make more money, your doctors will deliberately prescribe a bunch of examinations, whether they are sick or not, and the examination fee alone will cost hundreds or thousands of yuan. ”

The female family has a very knowledgeable expression, don't try to cheat my money.

For such patients, doctors are often very troubled.

"A CT scan doesn't really cost much, but it can be done to find out if your son has an intracranial injury to the greatest extent. Intracranial hemorrhage can be dangerous......"

Without waiting for Zhou Can to finish explaining, the female family member waved her hand impatiently and interrupted, "Okay, okay, you don't have to scare me." I understand all the routines of your doctors to manipulate family members, which is nothing more than to say that a minor illness is a major illness and that the situation is serious. I only agree to do the left hand check, not the rest. Originally, you could have left your left hand without doing it, and you could just connect my son's arm and it would have been done. ”

The female family is already very dissatisfied with Zhou Can.

In this regard, Zhou Can was speechless to the extreme.

I have long found that this female family member is very difficult to deal with, but I didn't expect it to be so difficult to deal with.

"If you don't agree to do these tests, I can't take that responsibility in case something happens. Why don't you find another doctor to see again? ”

Zhou Can died of depression.

Looking at a patient who was injured in such a fall, it would have been about ten minutes at most, and this female family member was very tricky. Asking questions, all kinds of non-cooperation, all kinds of questions, it has taken almost half an hour now.

I really don't have the time to spend it with her.

Specialists can limit the number to 15 patients a day, or 20 patients.

Zhou Can is a well-known 'traffic king'.

At least 100 outpatients are treated in a day. In many cases, it is even close to 200 people.

"What's your attitude? Don't you just think that you have some ability, and deliberately force patients and their families to agree to your various unnecessary tests? It's not too ugly to eat. If you give me a refund, I won't let you earn the twelve dollars. ”

The female family member was so angry that she turned her face directly, slapped the table and yelled.

This woman is terrible.

I don't know which man's 'blessing' is so good to marry such a fierce woman.

"Okay, okay, I'll give you a refund!"

If we can't afford to provoke us, can't we still hide?

When you encounter this kind of garbage person, you can't reason with her. Just stay away from her.

Zhou Can directly refunded her.

Originally, after nearly half an hour, it was not too much to charge 12 yuan for the consultation. The initial tests that should be done have been done, and the electronic medical records have been written. These are the cost of the doctor's time, and it takes energy.

Zhou Can's level is no worse than that of ordinary chief physicians, and he only charges a registration fee of 12 yuan, which is already very cost-effective for patients.

Besides, the woman's own disagreement with those tests is equivalent to refusing to be diagnosed.

Now let Zhou Can refund her registration fee, there is no reason to talk to this kind of person.

resolutely gave her a withdrawal number, and let her go to harm other doctors.

"I don't think there is any doctor in our hospital who can see your son's illness, I heard that the Provincial Children's Hospital is very professional, you can go there and try it. Maybe even the registration fee will be waived for you. ”

Zhou Can worries that this difficult female family member will continue to be the other pediatricians at the hospital.

simply learn from the cross talk actors in the Golden Basin Foot Washing City, you go to harm other families.

"Hmph, this kind of garbage hospital that pits money, I definitely won't come again."

The female family snorted angrily and left with the child.

Pity her child, with a broken arm, and his mother running around. And the words and deeds of parents are very easy to be imitated by children. If her children learn to be as unreasonable as their mothers in the future, they will be poisoned for the rest of their lives.

After sending away this extremely difficult female family member, Zhou Can continued to sit in the clinic.

It didn't take long for Zhou Can to receive a text message reminder and was complained.

Tuya is quite strict in terms of service attitude. After being complained by a patient, you need to log in to the intranet in time and write a complaint. Otherwise, points will be deducted and fined.

Those who have been repeatedly complained by different patients or family members will face more severe penalties.

Notification of criticism, suspension is possible.

The time frame for appealing is 24 hours, and if it is ignored, it will be deemed to have been abandoned.

Zhou Can definitely didn't have time to answer it now, so he left it alone.

A reserve-level famous doctor like him is much better treated than ordinary medical care. After 24 hours, the medical department will call to inquire about the situation, and will not deduct points or anything like that.

So, he didn't pay much attention to the patient's complaints.

During the consultation, any kind of patient and family member may encounter. Doctors are not waiters, and it is impossible to make patients and their families 100% satisfied. I can only do my best to cure the patient's disease.

Or if there are any deficiencies, improve them.

One patient after another enters the room, and he maintains a high speed. When encountering some familiar diseases, he often only needs to ask a few casual questions, and he can guess without even needing his family to inform him of his condition.

This type of patient is naturally processed quickly.

It takes a minute or two to complete the reception of a patient, and it is really not blown.

When it comes to tricky patients, it's hard to say.

It was close to half past nine when the first young woman who came to him to see a doctor came back with her baby in her arms.

After seeing the results of the blood routine, Zhou Can's face became extremely solemn.

It is highly likely that this child actually has neonatal sepsis.

There is a gold standard for diagnosing the disease, and that is to do a blood culture.

However, it usually takes two days, or 48 hours, for blood cultures to produce results. The patient's current condition is already very bad, and if it drags on for another two days, Zhou Can can't imagine the terrible consequences.

In the results of routine blood examination, the rod nuclear cells were much larger than 0.16.

After sepsis in newborns, there is an even more terrible thing, and that is purulent meningitis. Although the child's body temperature was temporarily normal, his mental state was very poor and his eyes lacked agility.

The development of the cerebral blood barrier of the newborn itself is not perfect, and after the occurrence of sepsis, meningitis is very likely to occur.

If this disease is not treated and intervened in time, even if the child is cured, it is easy to become a mentally retarded child and a disabled child.

"Dr. Zhou, is my child's illness serious?"

The woman saw the changes in Zhou Can's expression in her eyes, and she already had some bad premonitions.

"Your child is likely to need immediate hospital admission, which is very serious. Now, based on the results of the blood test and his symptoms, I highly suspect neonatal sepsis. There is a gold standard for diagnosis, but it takes two days for the results to come out. The child cannot wait that long and must be treated immediately. I'll report the situation to my superiors first, don't be too anxious, as long as you treat it in time, there will generally be no big problem. ”

At this time, Zhou Can must tell the patient's family the true situation.

At the same time, he reported the situation directly to Tang Fei, the section director.

The young woman was wiping her tears with a tissue while calling someone.

She didn't avoid Zhou Can, so she called in the outpatient room in front of Zhou Can.

"Didn't you say it's okay, don't call me?"

"The child is sick, very serious. I was being treated at Tuya Hospital, and the doctor told me that it was likely to be neonatal sepsis and needed to be hospitalized...... What should I do, can you come here? ”

"I can't come right now...... In this way, I will transfer you 100,000 yuan, and you will first take the child to the hospital, listen to the doctor's arrangement, and treat it well. I'll come back to see you in the evening. ”

"But ......"

The woman was only twenty-two or three years old, very young, and she panicked when she encountered this kind of thing.

Before I could say anything more, the man on the other end of the phone had already interrupted directly, "Okay, okay, let's do this first." After speaking, he hung up the phone directly.

Listening to the voice, the man on the other end of the phone must be a middle-aged and elderly man.

The voice was very calm, with an invisible majesty, a little old.

Zhou Can has been in the pediatric clinic for nearly two years, and he has long been surprised by some bigwigs who have been in the middle of the day and even given birth to children.

Therefore, his expression is always serious, operating on the computer, improving medical records, opening new examinations, and admitting to the hospital.

The woman wiped away her tears, took the list opened by Zhou Can and silently walked out of the outpatient room with the child in her arms.

She must be in a very bad mood at the moment.

More than 40 minutes later, the inpatient department told Zhou Can that the child had been admitted to the hospital. There are no beds, so there are temporary beds.

The next step in the treatment of the child will be carried out by the resident doctor and the nurse in the inpatient unit.

If they can't figure it out, they may call Zhou Can for advice when they prescribe a medical order.

From this point of view, the status of outpatient doctors is actually much higher than that of ordinary residents.

In terms of rank, outpatient physicians at least start as deputy directors, and many of them are very old doctors. In the inpatient department, the real main force of work is interns and trainees.

Trainees also do a lot of work, and sometimes when there is a shortage of people, trainees are used as headers.

It is not uncommon for departments to arrange advanced students to take interns and trainees.

After getting out of the outpatient clinic at noon, Zhou Can was stopped by Director Zhuang who was guarding outside as soon as he got out of the outpatient clinic.

"Doctor Zhou, the patient I said in the morning has been turned around, let's go to the cardiothoracic surgery department to help."

"Good!"

Zhou Can did not refuse.

Some feelings can't be erased.

People asked him to come over to help, which was to look down on him and recognize his skills.

Being able to transfer the patient in just one morning, and getting Tuya Cardiothoracic Surgery to agree to accept this child, is enough to show that the family's energy is quite large.

Next to Director Zhuang stood a man in his fifties, with a detached temperament and quite elegant dress. At first glance, it is a person with a very high quality of life.

This person had been trying to squeeze out a smile and looked at Zhou Can.

In this case, you must not turn a blind eye to others.

"Who is this?"

Zhou Can could only ask Director Zhuang.

"He's the child's grandfather."

The man waited until Director Zhuang finished his introduction, his face was full of smiles, and he took the initiative to stretch out his hand to Zhou Can, "Doctor Zhou, I have admired your name for a long time!" Director Zhuang has great respect for your medical skills. It's better to be famous than to meet, I really didn't expect you to be so young. My name is Chen Shaoqiang, and I am honored to know such a young and excellent doctor as you. ”

This person is quite talkative and speaks in a measured manner.

The invisible aura exuded, as well as the kind of personality charm, impressed Zhou Can deeply.

When shaking hands with the other person, the other person's wrist is strong and powerful, and the eyes are calm and friendly.

There is a hint of comfortable enthusiasm.

In short, it made Zhou Can feel very comfortable.

"You've won a prize! Nice to meet you! ”

Zhou Can said as little as possible to this kind of person who met for the first time, especially those who had a little energy.

Dr. Xu's tragic experience had some impact on Zhou Can.

Let him be on high alert to the powerful.

(End of chapter)