Chapter 297: Being forced to do something, having the ability makes a difference
Old people often say that it takes a hundred days to heal a broken bone.
In fact, bone healing is also divided into multiple processes. It takes at least half a year to restore the original strength and motor function after healing.
However, initial healing and callus formation will take about two weeks.
In fact, the growth of the fractured bones begins from the moment they break.
In clinical practice, some patients can grow callus at the fracture ends in just ten days. Children in particular can recover from fractures at an astonishingly fast speed.
This pregnant woman is not very old, she is considered a young adult, and she has a good physique, so her recovery speed must be faster than that of ordinary people.
Four days have passed and healing and growth are occurring.
The sooner the broken ends of her bones are reconnected and fixed, the better it will be for her recovery.
If the bone setting is done too late, even if the fracture ends only grow 0.1 mm thick, it will make it impossible to fit the fractured parts together tightly during bone setting.
This will cause gaps to appear at the fracture site after connection, which is extremely detrimental to the recovery of the fracture.
Zhou Can's request was agreed by Director Zhang, and he was relieved.
If nothing goes wrong, the pregnant woman's bone setting and fracture external fixation surgery can be completed tomorrow.
"Doctor Zhou, there's Doctor Pang watching over the emergency room, so there shouldn't be any problems. I asked you to come to the outpatient clinic because your diagnostic ability is extremely outstanding. I want to open a separate table for you so that you can try to see patients alone."
Director Zhang Bihua said to him with a smile.
This really compliments him greatly.
The hospital opened a specialist clinic and gave him a desk to sit alone. None of the attending physicians had this treatment.
"This... isn't good! I'm just a resident doctor!"
Zhou Can wanted to exercise, but he also had some concerns.
The main concern is that it will bring shame to Tuya Hospital.
He has always been a pragmatic person and would never become carried away by a small achievement.
Although he has made great contributions in diagnosing many difficult cases, this is actually a bit one-sided. Seeing patients alone means that he may encounter all kinds of cases. He helps other experts in consultation and only gives suggestions when he is good at it.
When I encounter something I am not good at, I won’t speak at all.
This creates the illusion that he can handle any difficult case.
But in fact, there are many cases that cannot be handled.
Only family members know their own business, and he still has a lot to learn.
At present, I have neither a special field of expertise nor the skills of a general practitioner. Medicine cannot be played with any empty words.
The more knowledge you learn, the more techniques and pathology and pharmacology you master, and the more experience you accumulate, the more capable you are. In the field of surgery, he has basically rotated through all the departments he should learn, and he doesn't have any shortcomings.
I have only studied gastroenterology for less than three months, and I have never spent a single day in other internal medicine departments.
Seeing patients is a particular test of a doctor’s knowledge of internal medicine.
No wonder he wanted to seize this opportunity to see patients, but was also worried about making a fool of himself, and his feelings were quite complicated.
"What's wrong with being a resident intern? Director Tan and Director Yin Hua of the Department of Internal Medicine both started as resident interns. Didn't you already have your medical license? Whether you're seeing patients or prescribing medicine, it's all legal and compliant! Everything is difficult at the beginning, so be bolder and thicker-skinned and give it a try. If there's a case you can't handle, our experts here will help you."
Zhang Bihua encouraged him to be braver.
Zhou Can also knew that this was a very good opportunity.
Director Zhang Bihua suddenly asked him to sit in for consultation, probably because she wanted to train his ability to work independently.
This is a hurdle that no famous doctor can avoid.
"Since you've said so, I have nothing to be afraid of. Let's give it a try! But let me be frank. If I bring shame to Tuya Hospital and the experts present here, you can't blame me."
Zhou Can readily agreed.
His courage never seemed to diminish.
Since Director Zhang and the experts present here are backing him up, he might as well go all out and do his best.
"Doctor Zhou, don't worry. We all went through the same thing. You are much better than we were when we were young." Director Jiang of the Department of Neurology was the first to show goodwill to Zhou Can.
Encourage him not to look ahead or behind.
"A sapling that has not experienced wind and rain will not grow up, and a doctor who has not experienced setbacks can only stay behind the scenes and do some auxiliary work. Dr. Zhou, just keep working hard!"
Director Luo from the Department of Obstetrics and Gynecology also encouraged him.
"Xiao Zhou, go for it! I believe you can do it!" Deputy Director Shi also looked at him expectantly.
There was no expression on Du Leng's face, but there was a hint of anxiety in his eyes.
Zhou Can has begun to surpass him in all aspects.
If Zhou Can learns how to see patients by the time Du Leng gets there, he will have no advantage over him except for his higher education.
It usually takes more than eight years to study for a doctorate. Du Leng's study abroad not only cost a lot, but also because he attended a prestigious university, he had to go through many difficulties and put in a lot of effort to get the offer.
Now he has been overtaken by a domestic undergraduate student in all aspects. You can imagine how he feels.
"Doctor Zhou, I really envy you!" Gao Jian raised his right fist to him. While expressing his envy, he also cheered for Zhou Can.
Yang Chan looked at him with a rather complicated look.
There is happiness, admiration, and a hint of proud stubbornness and unwillingness to admit defeat.
Watching Zhou Can rising into the sky like the blazing sun, shining in all directions, she, a top student who once far surpassed Zhou Can in academic performance, felt a little unwilling in her heart.
It’s just that Zhou Can is too charming, so charming that she can only look up to him.
The gap between the two is already very large.
The only area where she can beat Zhou Can is probably the field of obstetrics and gynecology.
"Come on, old classmate!"
She did not lose her class monitor's demeanor.
With so much support from so many people, Zhou Can’s confidence increased and he accepted the task of seeing patients in the outpatient clinic.
The next operation is simple.
He provided his medical license, training materials, and set his own area of expertise, and Xinxiang Women's and Children's Hospital opened a special temporary outpatient number for him.
By the time all the formalities were completed, it was already close to ten in the morning.
After the outpatient number was opened, a consultation table was added to the outpatient hall, on which Zhou Can's personal business card was temporarily made. Zhou Can wrote that his expertise was in the treatment of miscellaneous diseases and emergencies.
Not to mention miscellaneous diseases, he can diagnose almost all common diseases in the field of surgery.
Although there are only two words in "emergency", it means that it is very easy to see critically ill patients. Without confidence, I really dare not write these two words.
His training experience in multiple departments including critical care medicine, neurosurgery, cardiothoracic surgery, and emergency department, as well as his experience in critical care rescue and a large amount of surgical experience gave him the courage and confidence.
He sat at his own consulting table. There was no assistant doctor, only an assistant nurse, Ji You.
Tuya Hospital sent a total of 28 people, one of whom was absent due to illness, so there were actually only 27 medical staff participating in the expert clinic activities. Zhou Can's crisis management team accounted for four people, not counting the nominal team leader, Deputy Director Shi.
It was very good that he could have an auxiliary nurse.
Today is the third day of the specialist clinic, and the number of patients seeking treatment has increased significantly.
It is free to make an appointment with a specialist, especially since Zhang Bihua, a top expert in obstetrics and gynecology, is here to see patients. This has attracted many patients to come for treatment.
It was the peak time for medical consultations, but the desks of Deputy Director Shi and Du Leng were still deserted, with only two or three patients seeking medical treatment.
However, compared with the embarrassing situation of being closed for the past two days, this is already a very good situation for Deputy Director Shi.
Du Leng opened high and ended low.
On the first day of opening the specialist clinic, a large number of patients rushed to the consulting table of this overseas returnee doctor. As a result, his reputation has been ruined, and coupled with his limited ability, he is afraid of being scolded by family members and patients, so he has become hesitant during the diagnosis process.
Naturally, fewer people came to him for medical treatment.
He seemed to have learned from his experience and gradually adapted to this more pragmatic way of working. He no longer talked big, but instead carefully reasoned and made careful diagnoses after seeing the patient.
However, a tree as big as a man's embrace grows from a tiny seed, and the cultivation time itself was very short, only one year.
During the training, he always maintained a high-minded attitude and lacked the most basic clinical experience. Even though he has gradually corrected his work attitude, he is still a little stretched and it is difficult for him to make any achievements.
The cases he was able to diagnose were those with clear lesions and distinct pathologies.
When it comes to some complex pathological changes, he is unable to handle it and can only refer it to other experts.
Zhou Can has neither a dazzling high degree nor a white-bearded old expert, but he is too young to be real. Sitting here, he was ready to eat duck eggs in his heart.
Unexpectedly, after sitting for a while, a man ran into the outpatient hall holding a three-year-old boy, followed by a young mother.
The little boy was held in the man's arms, crying heart-wrenchingly.
"Doctor, doctor, my son accidentally fell off a chair while playing at home, and his right arm can no longer move."
The man anxiously told the nurse about his child's condition.
"Don't worry, make an emergency appointment and take an X-ray."
The nurse who guided the patients was already used to all kinds of situations, and she spoke calmly.
"I noticed that you are holding a specialist consultation event here. Can you make an appointment with a specialist at Tuya Hospital to help my son?"
The man was obviously somewhat disgusted with the emergency department of Xinxiang Maternity and Child Health Hospital.
This is normal.
Given a choice, everyone wants to see an expert.
Expert, professor, famous doctor, doctor of medicine, these words have high value and trust in the minds of ordinary people.
"You want to find a specialist in Tuya to treat your child, right?"
"Um!"
"There is Director Dai from the Pediatric Department, and Dr. Zhou Can who specializes in miscellaneous diseases and emergencies. Which doctor do you think you should choose?"
The guidance nurse helps patients register by themselves .
"My son fell and it's an emergency. Let's make an appointment with Dr. Zhou!" The man gave an answer after thinking for a few seconds.
Zhou Can, who was sitting there doing nothing, felt delighted.
It’s finally open.
After the couple registered, they came straight to him under the guidance of the nurse.
"Excuse me, who is Dr. Zhou Can?"
The man looked at Zhou Can, who was sitting behind the examination table, and the standing nurse Ji You, with confusion on his face.
Because Zhou Can is too young.
When patients and their families see young doctors, their first reaction is that they feel uneasy.
"I am! Based on my experience, your child's right arm is dislocated. Try not to let the right arm hang down when holding the child, and don't swing it, otherwise it will increase the child's pain."
Zhou Can stood up and helped the three-year-old boy correct the position of his right arm.
Miraculously, not long after being corrected, the little boy stopped crying.
Apparently it didn't hurt as much.
This small gesture immediately won the initial trust of the family members.
The couple looked at each other with surprise in their eyes.
When he looked at Zhou Can again, there was less contempt and more trust and admiration.
For patients and their families, this kind of immediate effect is what they expect.
"Doctor Zhou, please help my son! At around nine in the morning, he was playing on a chair in the restaurant area. I don't know how he got on the back of the chair. The chair fell over, and when my wife ran over to see him, he couldn't lift his right arm. I was at work at the time, and when I received the call, I immediately took a leave and went home to bring my son to see the 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 naughty children to climb to high places and then fall and get injured.
"Let me check it first. Don't move. You're a very good kid!" Zhou Can walked over and gave the boy a preliminary physical examination.
The main check is whether there are obvious signs of trauma on the head.
Some children fall and hit their heads, which may cause intracranial hemorrhage, which is a very dangerous symptom.
If the attending doctor fails to discover the disease in time, the best time for rescue may be missed.
After a thorough examination, Zhou Can found no obvious head injuries, masses, or hematomas, except for a minor abrasion on his nose.
"First, apply for an X-ray examination for him. You can take him to take an X-ray. Pay attention to the child's arm. In the case of a dislocation, the arm loses bone support. Try not to twist it."
After Zhou Can conducted the examination, he gave some instructions.
X-rays are taken very quickly.
In particular, the diagnosis and treatment business of Xinxiang Women and Children's Hospital has shrunk seriously, and there are not many patients. Basically, there is no need to queue up for various examinations.
Only color ultrasound and B-ultrasound require queuing, and other examination departments generally do not require waiting.
In maternal and child hospitals, there are many patients in the gynecology and obstetrics departments, and there is a great demand for color ultrasound examinations.
In hospitals with a large number of patients, it is very common to wait in line for several hours for color ultrasound.
Not long after, the family came back with the child.
He was fine when he left, but now the little boy is crying loudly in pain again.
There is no other way. In order to obtain a clear bone position when taking an X-ray, it is necessary to scan from at least two angles.
It is normal for the boy's arm to feel pain .
"Doctor Zhou, after taking the X-ray just now, my son's arm seemed to be in pain when it was moved. The doctor who took the X-ray helped to fiddle with it twice but it didn't work. Can you help me again?"
Poor parents in the world.
Seeing their son crying so heartbreakingly, the parents must have felt heartbroken too.
They also tried every possible way to alleviate the child's pain.
Zhou Can had shown his medical skills before, which made them quite confident in his medical skills.
So I'm asking for help again at this moment.
"Hold him flat... Oh, that's right, that's it." Zhou Can stood up and adjusted the position and angle of the boy's right arm again, and the boy soon stopped crying. "What a good kid."
Zhou Can did not forget to praise the little boy.
The little guy opened his two bright black eyes full of tears and stared at Zhou Can.
His eyes were full of curiosity and affection.
Because he knew that the uncle in white clothes in front of him had magic. As long as he helped him adjust his right arm, the pain would soon be gone.
"Dr. Zhou is indeed an expert, so amazing!"
The boy's father exclaimed with heartfelt praise.
The doctor who took the X-ray also helped correct the child's arm position, but it didn't work at all.
The level of professional skills is sometimes reflected in these specific clinical diagnosis and treatment processes.
"You are so kind!"
Zhou Can spoke modestly, but he was very happy in his heart.
There is no doctor who doesn't like to be praised by family members and patients.
He was able to do so well thanks to studying in the outpatient reduction room of the orthopedic surgery department for more than a month, which gave him a deeper understanding of the structure of human bones and joints and accumulated rich clinical experience.
He can roughly judge the patient's fracture and dislocation with just one glance, and adjust the angle so that it will not be so painful. It is an easy task for him.
At this moment, the female reporter named Mu Ming flew over again like a bee smelling something.
She stood behind and did not disturb them, but the photographer's camera was aimed at Zhou Can.
As long as she doesn't bother him, Zhou Can will naturally ignore her.
Take the boy's X-ray and check it.
"Doctor Zhou, is my son's arm seriously injured? Does he need surgery?"
the boy's mother asked worriedly.
