My medical skills add experience

Chapter 317 'Discussion' of surgical plan, Director You's enthusiastic help
When it comes to treating children, it really doesn't mean that the more spoiled the better.

In addition to caring for children, they also need proper and correct guidance to establish a correct three views for them and know what is good and what is evil.

Speaking of this, I must praise martial arts novels and TV series, which have influenced a whole generation.

Today's post-[-]s, post-[-]s, and post-[-]s generally have a sense of justice in their bones and can distinguish right from wrong.It has a lot to do with their liking for watching martial arts novels, TV dramas, admiring the heroism of the protagonist, and being chivalrous and courageous.

Don't bully the weak, men don't bully women, clean up all kinds of bullies, these are positive thoughts with far-reaching influence.

As a result, many foreign girls are more and more fond of Chinese men.

"It's okay, you don't have to be polite. Hurry up and take the child for a re-examination! If there is no problem, come back to me and put a plaster on him at that time. After a period of maintenance, there will be no major problems."

Zhou Can applied for an examination for the child and asked the family members to take it for a review.

Soon, they came back after checking.

Zhou Can took the film and watched it with great anticipation.

I saw that the displaced ankle joint has returned to its normal position, and the ankle joint in the film looks fresh and natural, without any sense of disobedience.

"Doctor Zhou, how is it? Has the position been successful?"

Mrs. Guan asked nervously and looking forward to it.

"Congratulations, the child has undergone re-examination, and the dislocated joint bones have returned to their original positions. I put him in a plaster cast and maintained it for about 30 days. He came to the hospital to remove the plasterboard."

Zhou Can gave the follow-up treatment plan with a smile on his face.

He felt a great sense of accomplishment for successfully helping the child with bone-setting reduction and avoiding the expensive costs and huge risks brought about by the operation.

He was also happy to make bold medical attempts and succeed.

"thanks, thanks!"

Mrs. Guan wept with joy, repeating the simplest word of thanks over and over again.In this way, she expressed her gratitude and inner joy to Zhou Can.

The driver Xiao Xu was also very happy.

In order to treat the child's foot injury, he spent nearly a day in the hospital with him after busy work.If the child's injury is not cured, his work is basically in vain.

Now that the child is fine, the meaning is completely different.

When something is done, that is gong.If it fails, you have to be careful that the leader is unhappy and blame him for not doing things well.

In the end, Mrs. Guan took the child and left happily.

His gratitude to Zhou Can was beyond words, and as for the unhappiness that Zhou Can had with them, it had already disappeared.

This also illustrates a problem, no matter how noble and powerful people are, there is only one purpose for entering the hospital, which is to treat diseases.No matter how respectful your attitude is, if you can't cure their disease.

People with a little bit of power and status, the most indispensable thing around them is the flatterers.They have long been tired of all kinds of compliments and flattery.

It is very unrealistic to expect appreciation and gratitude with a warm attitude and a few compliments.

Zhou Can's side continued to achieve brilliant results, detonating rounds of applause, which made Du Leng jealous.On the last day, Zhou Can won multiple rounds of jackpots, earning enough attention and popularity.

But Du Cooling drove high and went low, and continued to go low.

Today is even worse than yesterday, and there are only a few patients who see him.

Some people even registered his number and waited in line, but seeing that there were few people here or something, they secretly ran to the window to register the number of other experts, and went to see other experts for treatment.

This made Du Leng even more depressed.

Zhou Can has earned a lot of popularity and honor in this expert consultation activity, and he is a proper winner in life.

When Du Leng came, he was full of confidence, and his mind was full of fantasies about being a blockbuster.

Taking advantage of this consultation activity to stand out, the top management of Tuya Hospital admired him.In this way, more resources can be obtained, paving the way for his career as a famous doctor.

It's a pity that things backfired, and his trip to the expert was a complete failure.

Behaved terribly.

……

It was close to six o'clock in the afternoon, and the outpatient hall had become quite deserted.

The patients who seek medical treatment have basically been dealt with.

There may be some patients who have not been able to complete the examination. I am afraid that other doctors from Xinxiang Maternal and Children's Hospital will have to take over.

"Okay, it's almost six o'clock in the afternoon. Let's have a successful conclusion of this expert visit! Everyone go to the cafeteria to finish dinner, then go back to the hotel to pack up, and prepare to go back to Tuya Hospital tomorrow morning. If you still have handover For patients who are finished, hurry up and hand over."

Director Zhang Bihua was the captain of the event, and she gave orders.

Zhou Can has no backlog of untreated patients, so his handover is very simple.

The only thing that worries him is the little boy with deformed hands.

There is still no movement from the Xinxiang Maternity and Children's Hospital until now, and they are really convinced.

"Section Chief Tang, I want to ask you something!"

"Doctor Zhou, please tell me!"

Section Chief Tang was very polite to Zhou Canna.

Can you be polite to the special talents you want to poach?

"It's the little boy with deformed hands two days ago. Has the surgery plan been worked out? It's been two days. I guess the family members are waiting anxiously."

Zhou Can asked politely.

If you don't urge him, he will leave soon, and it will be even more difficult to manage this matter at that time.

"Oh! I'll ask Director Zhang about this later."

Section Chief Tang must know something about the situation, but it is impossible for him, the chief of the Propaganda Combat Department, to directly order the chief physician of a department.

At most, it's just a matter of asking, if it's really not possible, report the matter to Dean Tian.

However, there is a high probability that Dean Tian will not be asked to make this small report, because it is very offensive.

Two days ago, Director Zhang had actually been pressured once, but the effect didn't seem to be very good.It was just forcing Director Zhang to agree to take over the child's surgery.

Afterwards, Director Zhang kept procrastinating, and Section Chief Tang couldn't do anything about it.

When Zhou Can was about to finish eating in the cafeteria, Section Chief Tang took the initiative to come over.

"Doctor Zhou, just now I asked Director Zhang to find out about the situation, and he said that it is already being arranged. He also knows that you are very concerned about that patient's operation, and said that if you want, you can go directly to the orthopedic surgery department of the Pediatric Department after dinner. It’s time to discuss the child’s surgery plan.”

It was because of Zhou Can's face that he went over to remind him.

"Okay, thank you! I'll be there right away!"

Zhou Can finished the rest of the meal quickly, washed the dishes and put them in the tableware recycling place.

After saying hello to Director Zhang, he hurried to the pediatric orthopedic surgery department.

When he arrived, he found that the orthopedic surgery office was not very big, and there were only six seats in it.There was actually one seat that appeared to be vacant.

It means that only five or six doctors go to work.

Like Tuya Hospital, the scale of hundreds of people in a department is unimaginable.

However, the pediatric orthopedic surgery of Xinxiang Maternity and Children's Hospital itself belongs to a sub-department under a second-level discipline.

Pediatrics belongs to the second-level discipline, and surgery also belongs to the second-level discipline. Pediatric orthopedic surgery is narrower than pure orthopedic surgery.It is limited to the field of orthopedic surgery for children.

Does not involve orthopedic surgery in adults.

Although the two may have many similarities in medical principles.

Seeing the scale of the office, Zhou Can understood how shabby the department was.

To put it bluntly, Tuya's emergency department is much better than it.

This also made him deeply aware that the same top three hospitals may have a very large gap in strength.

The strongest departments of Xinxiang Maternity and Children's Hospital are obstetrics and gynecology, pediatric internal medicine, especially the respiratory department of pediatric internal medicine, which is very powerful.Not to mention obstetrics and gynecology, which belongs to its main business.

Boom boom boom!
Zhou Can stood at the door and knocked. Director Zhang, who was looking up the information, looked up.

"Director Zhang, hello! I'm here to discuss with you the treatment plan for the child with deformed hands." Zhou Can walked in with a smile on his face.

There were three doctors sitting inside, Director Zhang was older, and the other two doctors were about 37 or [-] years old.

All three male doctors.

Pediatrics is actually more suitable for the development of female doctors.Women have a natural affinity and are more gentle.They have an advantage when communicating with children, and their movements should be gentler.

It is definitely good for children's immature bodies.

"Please sit down quickly! I'm really sorry that this matter has been dragged on and no surgical plan has been given."

Director Zhang's attitude is not bad.

The posture is very low.

"The corrective surgery for that child's hands is indeed extremely difficult. When formulating the surgical plan, all aspects need to be considered. It will take a long time. I can understand it very well."

Zhou Can saved enough face for the other party.

"Where are we now?"

His eyes caught a glimpse of the books Director Zhang was looking at were books on surgery.

Look at that pattern, it is a typical treatment case for hand deformity.

It's just that the situation of each patient is different, and the surgical plan needs to be flexibly changed.It will definitely not work if it is completely copied from the book.

If the doctor's experience is not enough and the level is average, even a small change is enough to make the doctor in question scratch his head.

"Hmm... There is only a general operation plan, and the specifics have not yet been worked out. Does Dr. Zhou have any good suggestions or plans?" No matter how embarrassed Director Zhang was, he had to bite the bullet and ask.

Because he really can't handle it.

In the past two days, except for the necessary work, he has been looking up relevant information and looking for people to ask for advice.

It's a pity that orthopedic surgery itself is not the strong point of Xinxiang Maternity and Children's Hospital. This case of corrective surgery for congenital hand deformity is frighteningly difficult.Other doctors gave him only minor help.

They are also powerless to solve some key issues.

"I really have some suggestions. There are many problems to be solved in this operation. I think it is highly feasible to adopt a step-by-step decomposition method. For example, the first step can be to loosen the subcutaneous band first. It is also possible Improve finger flexion deformity by covering skin defect with full-thickness skin graft…”

Zhou Can talked eloquently, and the suggestions he gave were very targeted, and they could really solve the problem.

The programs he proposed are not entirely derived from clinical experience in orthopedic surgery.

It involves many theories and clinical practices of general surgery.

Mr. Liu passed on his lifelong knowledge to him, which helped him a lot in understanding general surgery and solving various difficult problems.

"Subcutaneous strip release! This solution is very good!"

Director Zhang only listened to the first suggestion, and his eyes lighted up slightly.

"Thick skin transplantation is also a very practical method! Tuya Hospital really lives up to its reputation, and the strength of Tuya Orthopedic Surgery is really strong."

Director Zhang took it for granted that Zhou Can must have consulted the experts of Tuya Orthopedic Surgery to come up with these brilliant treatment plans.

He thinks that Zhou Can is just repeating it now.

When Zhou Can heard Director Zhang earnestly praised the orthopedic surgery department of Tuya Hospital, he was taken aback for a while, and then smiled indifferently.

He did consult Director Shen of the Orthopedic Surgery Department of Tuya Hospital.

But Director Shen did not tell him the specific operation plan.Because Director Shen is not good at this type of operation, he also discussed with the chief physician of orthopedic surgery who is good at hand joints, and directly told Zhou Can that Tuya can do this operation.

Zhou Can's surgery suggestions just now are all his own 'shallow opinions'.

"How to solve the contracted tiger's mouth?" Director Zhang simply asked some of the difficulties that he could not solve.

"Free skin grafting or transfer of skin flaps should be feasible to open a large and shrunken tiger's mouth."

This kind of problem is not a problem at all in Zhou Can's view.

He had done a similar operation in the emergency department. At that time, Dr. Xu explained to him a variety of specific and feasible surgical plans in detail.

"How to deal with the cross-displacement of the inner muscles of the hand?" Director Zhang took the first step, and simply stopped caring about his face.Asked one question after another.

"Surgical correction is enough. Specific surgical operations, if possible, I can complete such operations."

Zhou Can directly expressed his opinion to him.

Come over to participate in the discussion, contribute ideas, and do more than just give advice.

It is also one of Zhou Can's goals to obtain surgical tasks.

"Dr. Zhou...is he really sure that he is competent for such a difficult and delicate operation?" Director Zhang re-examined Zhou Can.

According to his understanding, there are a lot of people who have never touched a knife before the training, and almost more than [-]% of the students will not have the opportunity to touch the scalpel until the end of the training.

Zhou Can directly stated that he was able to complete the corrective surgery for the cross-displacement of the inner hand muscles, which is really scary.

"Surgery matters, human life is at stake, I dare not make jokes."

Zhou Can has a serious face.

Director Zhang just nodded and didn't make a clear statement.He was obviously skeptical of Zhou Can's surgical ability.

Next, he 'discussed' with Zhou Can many difficult problems that needed to be solved in the operation.

Zhou Can didn't hide his secrets, and answered all of them one by one.

These include how to reposition a slipped tendon, and fusion of the metacarpophalangeal joint of the thumb, among others.

After discussion, Director Zhang finally had some confidence in this extremely difficult operation.However, there is still a key problem that cannot be resolved.

It is a difficult question about the metacarpal joints.

Zhou Can is not good at this aspect.

Director Zhang also couldn't think of a solution because of his limited level.

"Dr. Zhou, thank you for coming to discuss this patient's operation plan today. It has given us great help. I finally have a little confidence in this operation. I will arrange for the patient after the last problem is solved. Surgery, when the time comes, please come and participate in the surgery together."

They were almost done discussing, and Zhou Can got up to leave.

Director Zhang hurriedly got up to see him off.

And took the initiative to shake hands with Zhou Can to express his gratitude.

"no problem."

Zhou Can readily agreed.

At least Director Zhang's positive attitude made him feel satisfied.

Back at the hotel, Zhou Can directly asked Director Shen of Tuya Orthopedic Surgery for advice on how to deal with the bone joint.

Director Shen asked him to call Director You directly for advice.

Because of the field of bone joints, he is really not very good at it.

Zhou Can's relationship with Director You is okay, but he is not as close as Director Shen.He was a little nervous and tried to call Director You.

"Which one?"

"Hello, Director You, I'm Zhou Can! Do you remember?"

"Oh, it's Zhou Can! Remember! Is your work going well recently?"

Director You actually cared about him very much, which surprised Zhou Can.

"Thank you for your concern. My work is going well. Now I have a surgical problem and I would like to ask you for advice..." Zhou Can briefly explained the problem.

"Director Shen approached me about this case two days earlier, and told you clearly that Tuya can definitely do it here. I understand the orthopedic surgery capabilities of Xinxiang Maternity and Children's Hospital. They are actually a bit reluctant to complete this case. But with you there, helping with the surgery, the result shouldn't be too bad."

Director You is an old man, and he understood what was going on as soon as he heard it.

He is very optimistic about Zhou Can's surgical ability.

"Xiao Zhou, the solution to the bone joint is not in the joint, it just needs to be corrected by osteotomy of the metacarpal bone of the fingers. You can add my WeChat in a while, and I will draw a detailed picture of the operation and take a photo for you."

Director You's words moved Zhou Can for a while.

There is really nothing to say about the help people have given him.

(End of this chapter)