My medical skills add experience

Chapter 297

Old people often say that it takes a hundred days to hurt one's muscles and bones.

In fact, the healing of bones is also divided into multiple processes. It takes at least half a year to restore the original strength and motor function after healing.

However, the initial healing and callus will take about two weeks.

In fact, the growth of the broken end begins from the moment it breaks.

In clinical practice, some patients even need about ten days for the fracture to grow a callus.Children, in particular, heal from fractures surprisingly quickly.

The pregnant woman is not very old, she is considered a young man, and with her good physique, the recovery speed must be faster than that of ordinary people.

Four days have passed and the healing and growth of the fractured stump is taking place.

The sooner the broken ends are connected back to her and then fixed, the better for her recovery.

If the bone setting time is late, even if the broken end of the fracture grows only 0.1 mm thick, it will cause the fracture site to be no longer tightly joined together during bone setting.

It will lead to gaps in the fracture site after splicing, which is extremely detrimental to the recovery of the fracture.

Zhou Can's request was approved by Director Zhang, and he felt relieved.

If there is no accident, the osteosynthesis and external fixation of fractures for pregnant women can be done tomorrow.

"Doctor Zhou, there should be no problem with Dr. Pang watching over the emergency room. I called you to the outpatient clinic because your diagnostic ability is extremely outstanding. I want to open a separate consultation table for you. Try sitting alone."

Director Zhang Bihua said to him with a smile.

This is really very worthy of him.

He set up an expert clinic, and even gave him a consultation table and asked him to sit alone.Those attending physicians did not have this treatment.

"This...isn't that good! I'm just a training doctor!"

Zhou Can thought he wanted to exercise, but he also had certain concerns.

The main thing is to worry about embarrassing Tuya Hospital.

He has always been pragmatic, and he will never lose his way because of a small achievement.

Regardless of his great achievements in the diagnosis of many difficult cases, this is actually somewhat one-sided.Sitting alone means that any kind of case may be encountered.Help other experts to consult, and only give advice when he is good at it.

If you encounter something you are not good at, you will not speak at all.

This also creates an illusion that as long as it is a difficult case, he can handle it.

But in fact, there are many cases that cannot be solved.

His family knows his own affairs, and he still has a lot to learn.

At present, there is neither a special field of specialization nor the ability of a general practitioner.Medicine should not be played in the slightest.

How much knowledge has been learned, how many techniques, pathology, and pharmacology have been comprehended, and how much experience has been accumulated, that is how much ability one has.In the field of surgery, he has basically rotated the departments he should study, so there is no shortcoming.

At present, I have only studied in Gastroenterology for less than three months, and I have never stayed in other internal medicine for a day.

Attending a consultation is a special test of a doctor's internal medicine skills.

It's no wonder that he wants to seize this opportunity to sit in the clinic, but he is also worried about making a fool of himself, and his heart is quite complicated.

"What's wrong with Gui Peisheng? Director Tan and Director Yin Hua of the Department of Internal Medicine all began to consult with Gui Peisheng. Haven't you already obtained a medical license? Whether it's a consultation or a prescription, it's legal and compliant! Everything starts with the beginning." Difficult, be more courageous, thick-skinned, how about giving it a try? In case there is a case that cannot be resolved, all of our experts present will help you."

Zhang Bihua encouraged him to be brave.

Zhou Can also knew that this was a very good opportunity.

Director Zhang Bihua suddenly asked him to sit in the clinic, probably because he wanted to exercise his ability to stand alone.

This is a threshold that any famous doctor can't get around.

"Since you have said so, I have nothing to be afraid of, just try it! But the ugly words are up front, if you lose face to Tuya Hospital and the experts here, you can't blame me."

Zhou Can readily agreed.

He never seemed to be less courageous.

Since Director Zhang and the experts here have given him the full picture, let's go all out and go all out.

"Doctor Zhou, just put your heart in your stomach, we all came here like this. You are much better than us when we were young." Director Jiang, who is in the gods, was the first to show his affection to Zhou Can.

Encourage him not to look back.

"Saplings that have not experienced wind and rain will not grow up, and doctors who have not experienced beatings will always be able to shrink behind the scenes and do some auxiliary work. Dr. Zhou will just work hard!"

Director Luo of the Department of Obstetrics and Gynecology also cheered him on.

"Xiao Zhou, let's do it! I believe you will do it!" Deputy Director Shi also looked at him expectantly.

There was no expression on Du Leng's face, but there was a trace of anxiety in his eyes.

Zhou Can has already begun to overtake him in an all-round way.

If Zhou Can learns to be a doctor, Du Leng will have no advantage other than his academic qualifications.

Generally, it takes more than eight years to study for a Ph. D. Du Leng’s study abroad not only costs a lot, but also because he is studying in a prestigious school, he had to pass five tests when he got the offer, and it took a lot of effort.

Now he is completely overtaken by a domestic undergraduate student, one can imagine his mood.

"Doctor Zhou, I really envy you!" Gao Jian raised his right fist at him.While envious, he also cheered for Zhou Can.

Yang Chan looked at him with a more complicated look.

There is joy, admiration, and a hint of arrogant stubbornness and unwillingness to admit defeat.

Seeing Zhou Can rise into the sky like the scorching sun, shining in all directions, she, a top student who once far surpassed Zhou Can in terms of grades, felt somewhat unwilling in her heart.

It's just that Zhou Can is too evil, so evil that she can only look up to her.

The gap between the two is already very large.

The only thing she can win against Zhou Can is probably in the field of obstetrics and gynecology.

"Old classmate, come on!"

She didn't lose her monitor demeanor.

With the support of so many people, Zhou Can's confidence doubled, and he accepted the task of outpatient consultation.

The next operation is simple.

He provided his medical license, training materials, and set his own areas of expertise, and Xinxiang Maternity and Children's Hospital opened a special temporary outpatient number for him.

It was almost ten o'clock in the morning when all the procedures were completed.

After opening the outpatient number, a consultation table has been added to the outpatient hall, on which Zhou Can's personal business card is temporarily made.Zhou Can's field of expertise is the treatment of miscellaneous diseases and emergencies.

Needless to say miscellaneous diseases, he can diagnose almost all common diseases in the field of surgery.

Although there are only two words for emergency, it means that it is very easy to receive critically ill patients.Without a bit of confidence, I really dare not write these two words.

The training experience in the intensive care medicine department, neurosurgery department, cardiothoracic surgery department, emergency department and other departments, critical care rescue experience and a lot of surgical experience gave him confidence and confidence.

He sat in front of his own consultation table, there was no assistant doctor, only one assistant nurse, and that was Ji You.

A total of 28 people were dispatched from Tuya Hospital, and one of them was absent due to illness. In fact, only 27 medical staff came here to participate in the expert outpatient activities.Zhou Can's crisis management team consisted of four people, not counting the nominal team leader, Deputy Director Shi.

It is very good to arrange an assistant nurse for him.

Today is the third day of opening specialist outpatient clinics, and the number of patients who come to seek treatment has increased significantly.

The expert account is free, especially Zhang Bihua, a top expert in obstetrics and gynecology, sits here, and the banner is spread, attracting many patients to come for consultation.

Right now is the peak time for seeking medical treatment, and the consultation desks of Deputy Director Shi and Du Leng are still deserted, with only two or three sparse patients seeking treatment.

However, compared to the embarrassing situation of not opening two days ago, it is already very good for Deputy Director Shi.

Du Leng drove high and low.

When the expert clinic was opened on the first day, a large number of patients came to the consultation desk of this returnee doctor of medicine.As a result, his reputation has become bad now, coupled with his limited ability, he is afraid of being scolded by his family members and patients, and he has become timid during the diagnosis process.

Naturally, fewer people came to him for medical treatment.

He seems to have learned lessons and gradually adapted to this more pragmatic way of working.No more high-spirited talk, but after receiving patients, reasoning carefully and making a careful diagnosis.

It's just that the Hebao tree was born at the end of the millennium, and his regular training time itself was very short, only one year of regular training.

In the process of regular training, he always maintained a high-level and low-key tone, lacking the most basic clinical experience accumulation.Now even though I have gradually corrected my work attitude, I am still a bit stretched, and it is difficult to achieve anything.

Some of the cases he was able to diagnose were those with clear lesions and clear pathology.

When it comes to some complicated pathological changes, he can't stand it and can only push it to other experts.

Zhou Can neither has a dazzling high education, nor is he an old expert with a white beard. He is too young to be ridiculous.Sitting here, he was ready to eat duck eggs in his heart.

Unexpectedly, just after sitting for a while, a man ran into the outpatient hall with a three-year-old boy in his arms, followed by a young mother.

The little boy was held in the arms of the man, crying heartbreakingly.

"Doctor, doctor, my son accidentally fell off the chair while playing at home, and the right arm can no longer move."

The man anxiously told the nurse about the child's condition.

"Don't worry, first call the emergency number and take a picture."

The guiding nurse has long been used to seeing various scenes, so she said calmly.

"I saw that you are engaging in expert consultation activities here? Can you get an expert account of Tuya Hospital to help my son take a look?"

The man obviously disliked the emergency department of Xinxiang Women's and Children's Hospital.

This is normal.

When there is a choice, everyone wants to register as an expert.

Experts, professors, famous doctors, and doctors of medicine, these words have high gold content and trust in the minds of ordinary people.

"Do you want to find an expert from Tuya to help your child see a doctor?"

"Ok!"

"There is Director Dai from the Department of Pediatrics, and Dr. Zhou Can who is good at miscellaneous diseases and emergencies. Which doctor do you think you should choose?"

Guide nurses help patients self-register.

"My son was injured in a fall. It's an emergency. Just call Dr. Zhou!" The man gave the answer after thinking for a few seconds.

Zhou Can, who was sitting there like an idle fish, was overjoyed.

Finally opened.

After registering the number, the couple came straight to him under the guidance of the guiding nurse.

"Excuse me, who is Dr. Zhou Can?"

The man looked suspiciously at Zhou Can who was sitting behind the consultation table, and the nurse Ji You who was standing, his face full of doubts.

Because Zhou Can is too young.

The first reaction of patients and family members to see young doctors is to feel uneasy.

"I am! Based on experience and visual inspection, your child's right arm should be dislocated. Try not to let the right arm hang down when you hold it, let alone shake it, otherwise it will aggravate the child's pain."

Zhou Can stood up and helped the three-year-old boy correct the posture of his right arm.

Strange to say, not long after the correction, the little boy stopped crying.

Apparently it didn't hurt that much.

A small move immediately won the initial trust of the family members.

The couple looked at each other with surprise in their eyes.

When I look at Zhou Can again, the previous contempt is less, and there is more trust and admiration.

For patients and families, this immediate effect is what is expected.

"Doctor Zhou, please take a look at my son! At around nine o'clock in the morning, he was climbing a chair to play in the restaurant area alone, and he didn't know how to ride on the back of the chair. The chair fell, and when my wife ran over to see , His right arm could no longer be lifted. I was at work at the time, and when I received a call, I quickly asked for leave and went home to bring my son to see a doctor.”

Children are naughty by nature and like to try everything.

Boys are generally more naughty and courageous than girls.It is very common in hospitals for bear children to climb to high places and then fall.

"Let me check first, don't move, the kid is so good!" Zhou Can walked over to give the boy a preliminary physical examination.

Mainly check whether there are obvious signs of trauma on the head.

Some children hurt their heads, which can cause intracranial hemorrhage, which is a very dangerous symptom.

If the receiving doctor cannot find out in time, it is easy to miss the best rescue time.

After some inspection, Zhou Can found no obvious head trauma, mass, or hematoma.Only the nose was scratched a little.

"First apply for an X-ray examination, and you take it to take a film. Pay attention to the child's arm. In the case of dislocation, the arm loses bone support, and try not to twist it."

After Zhou Can opened the inspection, he explained some precautions.

X-rays are taken very quickly.

Especially when the diagnosis and treatment business of Xinxiang Maternity and Children's Hospital has shrunk severely and there are not many patients.Basically, there is not much need to queue up for various inspections.

In other words, only the color Doppler ultrasound and the B-ultrasound need to queue up, and other examination departments generally do not need to wait.

Women's and Children's Hospitals have many patients in gynecology and obstetrics, and there is a great demand for color Doppler ultrasound examination.

In hospitals with a large number of patients, it is very common to queue for several hours for color Doppler ultrasound.

Not long after, the family returned with the child in their arms.

It was fine when I went there, but the little boy was crying in pain again.

No way, in order to obtain a clear bone position when taking X-rays, it is necessary to scan from at least two angles.

It is normal for the boy's arm to cause pain as it moves or changes position during this procedure.

"Doctor Zhou, after taking the film just now, I moved my son's arm. He seems to be in pain. The doctor who took the film helped me to fiddle with it twice, but it didn't work. Can you help me?"

Pity the parents of the world.

Seeing their son crying heart-piercingly, the parents' hearts must be tugging too.

They also try to alleviate the child's suffering.

Zhou Can showed his skills before, which made them trust Zhou Can's medical skills.

So asking for help again at this moment.

"Baoping... Hey, that's right, that's it." Zhou Can stood up and adjusted the posture and angle of the little boy's right arm again, and the little boy stopped crying soon. "The kid is so good."

Zhou Can did not forget to praise the little boy.

The little guy stared closely at Zhou Can with teary black eyes.

His eyes were full of curiosity and affection.

Because he knew that the uncle in white in front of him had magic.As long as he fiddled with his right arm, the pain soon became less painful.

"Doctor Zhou is indeed an expert, really amazing!"

The boy's father exclaimed sincerely.

The doctor who took the film just now also helped to correct the child's arm position, but it didn't work at all.

The level is sometimes reflected in these specific clinical diagnosis and treatment processes.

"You flatter me!"

Zhou Can said modestly, but he was very happy in his heart.

There is no doctor who does not like to be praised by family members and patients.

He can be so good thanks to studying in the orthopedic surgery outpatient reduction room for more than a month.He has a deep understanding of the bone and joint structure of the human body and has accumulated rich clinical experience.

He can roughly judge the patient's fracture and dislocation just by looking at it, and adjust the angle to make it less painful, which is a piece of cake for him.

At this moment, the female reporter named Mu Bi flew over again like a bee smelling the smell.

She stood behind and did not disturb, but the photographer's lens was aimed at Zhou Can.

As long as she doesn't pester her, Zhou Can will naturally not care about her.

Take the boy's X-ray film to check.

"Doctor Zhou, is my son's arm hurt badly? Will he need an operation?"

the boy's mother asked worriedly.

(End of this chapter)