Chapter 298: Easily cured, the patient who was kicked around
The child is so young, and the parents are most worried about the huge risks of surgery and the ugly scars that will be left. They are even more worried about whether the arm can recover normal motor function after treatment.
Some falls are serious enough to leave children disabled.
"From the X-ray, the child's right shoulder is severely dislocated. I can try to reposition it manually. If it is successful, he only needs to rest for about a month to recover. If it cannot be repositioned manually, I may need to consider surgery."
Zhou Can has seen patients many times with the chief physicians.
Although this was his first time to see patients independently, he was able to easily answer questions from family members and patients.
Don't be final and try to give answers that leave room for flexibility. This is a basic principle in communication between doctors and patients.
The progression of many medical conditions is rapid.
Some patients appear to have mild symptoms when they are first seen, but may die after an hour or two.
The most common ones are cerebral infarction and sudden cardiac death.
"Is manual reduction really all that's needed? That's great! Can Dr. Zhou perform this manual reduction?" After hearing the treatment plan, the boy's mother strongly hoped that the doctor could perform manual reduction on her son.
It is economical and the children suffer less.
“I can try!”
After Zhou Can finished speaking, he stood up and walked to the boy, still letting the child's father hold him.
"It will be a little painful during the reduction manipulation, so be brave, little one!" Zhou Can comforted the child while signaling the child's father to cooperate.
He grabbed the child's right arm and supported the child's right shoulder with his other hand.
The boy immediately showed a painful expression.
Zhou Can gently swung the boy's right arm, looking for a suitable joint repositioning point.
“Woo woo…”
The boy whimpered softly; the pain was still within his tolerance range.
His eyes were fixed on Zhou Can, with a hint of fear in them.
Not to mention the child's parents.
Their hearts were also hanging in the air as Zhou Can's right hand swung, and their expressions were extremely nervous.
Suddenly, Zhou Can's eyes turned cold, and he pushed and pressed upwards with a slight force.
"Crack!"
The sound of the bone joint being repositioned was heard, and the boy burst into tears because of the sudden severe pain.
The child's parents' hearts almost jumped out of their throats.
"Doctor Zhou, how is my son?"
The boy's mother asked first.
If you are not a professional, you cannot tell the extent of the injury from the outside.
"Is that a lollipop in your hand?" Zhou Can asked the child's mother instead of answering.
"Yes! The child cried loudly on the way here, so I bought two candies to comfort him."
The boy’s mother didn’t know why Zhou Can asked this?
"Here, lend it to me."
Zhou Can took the candy from her hand and waved it in front of the crying boy. It's true, this trick is very effective.
When children cry, they actually want adults to coax them and care about them.
Although the boy was crying very sadly, he actually had a small slit in his eyes and was secretly observing the adults' reactions.
For children, sweets have an irresistible temptation.
"Want to eat?"
Zhou Can didn't want to say even a single extra word and went straight to the point.
"Wow... I want to!"
The little boy was only three years old and didn't have the scheming of an adult at all.
Children's thinking is very simple.
When he saw his favorite food, he wanted to eat it very much.
"for you!"
Zhou Can handed it to him.
The boy immediately took it with his left hand, but Zhou Can shook his head.
"Use that hand!"
The boy hesitated at first, but finally couldn't resist the temptation of sweets and tried to stretch out his right hand to take it.
"Oh... God, it's okay, it's really okay! My baby's arm has been reattached!"
The boy's mother covered her mouth in disbelief, with a look of surprise on her face. She was really excited.
"Haha, an expert is an expert. He reattached my son's arm while chatting with me! This is really an eye-opener!"
The boy's father was also very happy.
Zhou Can seemed to have known how to answer the call a long time ago, and he looked calm with a faint smile on his face.
Looking at the family of three immersed in joy.
The boy stopped crying after he got the candy.
But maybe she cried a little sadly and still sobbed from time to time.
"Doctor Zhou, is this all right for my son? Does he need to take medicine?"
"The child is only three years old, so I won't prescribe any medicine for him. After all, medicine is toxic! However, if a joint is dislocated once and it is not taken care of within a short period of time, it is very easy to dislocate again. So I need to make a bandage for him and hang his right hand around his neck for about a month. Then you can give the child more calcium-rich foods. I will also prescribe a bottle of calcium tablets for children."
Zhou Can gave a follow-up treatment plan.
Dislocation is not a big problem, but the joint capsule will become loose due to dislocation, which will greatly reduce the difficulty of dislocating the joint again.
When you see people performing acrobatics on the street, they can dislocate their arms by themselves without any external force. This is because through a lot of practice, their joint capsule has become very loose, making dislocation particularly easy.
After the doctor manually repositions a dislocated joint for a patient, he or she will usually put a cast on it or hang it around the neck and let the patient recuperate for about a month.
At the same time, prescribe some calcium tablets to strengthen the patient's bone strength.
"Okay! We'll all listen to you!"
The boy's parents witnessed the process of Zhou Can curing their son and were very impressed by his medical skills.
The two people's trust in Zhou Can also reached a new level.
They accepted all the treatment plans Zhou Can prescribed.
"Here is the payment slip. Please go and pay the fee first so I can get the materials to bind the child's arm."
The charges are not expensive, just the fee for the manual reduction, the cost of consumables, and the purchase of two bottles of calcium tablets.
Many people think that medicines in hospitals are more expensive than those outside, but this is actually completely the opposite.
The prices of medicines that can actually cure diseases are actually cheaper in hospitals, and many of them can be reimbursed by medical insurance.
The medicines that the doctor instructs you to buy from an outside pharmacy are likely to be much more expensive than those sold in the hospital.
To put it bluntly, it is to avoid legal risks and take kickbacks.
As for the common statements made by this type of doctors, it is nothing more than that our hospital does not have this kind of medicine, and that some medicine from a certain pharmacy outside is more effective.
After the child's mother paid the fee, Ji You brought the bandage over.
Zhou Can bandaged the child with skillful techniques, and then asked the family to go to the pharmacy to get calcium tablets. After giving some instructions, the child was cured.
The family members thanked the child profusely and left with their child.
After the little boy's arm was reattached and bandaged, he was able to walk freely.
He held a lollipop in his mouth, his hand no longer hurt, and a smile reappeared on his face. Children's happiness is always so simple.
"Doctor Zhou, I asked the photographer to take all the photos of your handsome appearance just now! Excuse me for a few minutes and accept an interview!"
Mu Ming was really determined to do something evil. As soon as she found an opportunity, she set her sights on Zhou Can again.
She was so happy to see Zhou Can sitting in the outpatient hall today.
At that time, I clenched my fists and thought to myself, "Where are you going to run this time?"
In the end, her wish came true.
The entire process of Zhou Can treating the boy was successfully captured.
It was quite shocking to her that a child with a broken arm could be healed so easily in a very short time.
This is real skill.
"Sorry, we don't accept interviews during our work!"
Zhou Can refused mercilessly.
"You don't have any patients now!" She winked at Zhou Can.
Compared with other doctors, Zhou Can's desk is particularly deserted.
At this moment, Du Leng, who was not far away, was also quietly observing Zhou Can's every move. When he saw Zhou Can showing off his skills and reattaching a child's broken arm, it would be a lie to say that he was not jealous.
But there is no point in being jealous, because Zhou Can has this ability, but Du Lengleng does not.
Manual reduction looks simple, but it is extremely difficult to do.
There are some orthopedic surgeons who are capable of manual reduction, but those who are skilled in this technique are rare.
Du Leng was also diagnosing a child at this moment.
This child was over 8 years old and had vomiting, diarrhea, low-grade fever, frequent urination, and a host of other symptoms. His condition was extremely complicated.
I have been to two hospitals and there is no improvement.
Even the provincial tertiary hospital, the Provincial Children's Hospital, was unable to cure the child.
After Du Leng took over the patient, he found that the child had undergone all the necessary examinations, and also had done a lot of unnecessary ones.
Some of the examinations were done very recently and were duplicates.
Having learned the lesson from being scolded by family members the day before yesterday, Du Leng no longer dares to issue random examination applications to patients.
He flipped through the patient's medical records several times, looking thoughtful and unable to give a diagnosis.
The family member asked urgently, "Dr. Du, what disease does my child have?"
"Uh... well, it's hard to say. His condition is very complicated. You have checked everything that needs to be checked at the Provincial Children's Hospital and the County Women and Children's Hospital. Otherwise, why don't you ask Director Dai from the Pediatrics Department?"
Du Leng pushed the patient out with a red face.
Overall, he has made progress.
At least he had changed his habit of talking a lot and giving the family members a lot of irrelevant medical knowledge. The family members' scolding was like a whip, forcing him to change.
Otherwise, there will be new family members pointing fingers at him and scolding him.
I spent a total of seven days seeing patients and was scolded by the family members for seven days. It is simply unimaginable.
Some people think that society is the best university, and they are right. Before entering society, I always felt that I was full of knowledge and had great abilities. But once I entered society, I was beaten by it and realized that I was useless.
Then I started to work hard, keep learning, become mature and steady, become down-to-earth, and slowly adapt to this cruel real society.
When Director Dai heard Du Leng push the patient to her again, she felt bitter.
In the morning, Du Leng had already assigned three difficult cases to her.
Unfortunately, none of the three difficult cases were cured. Now another one was given to her, and Director Dai was so excited. This Xiao Du was trying to use her as a scapegoat!
Media reporters and so many family members and patients were watching nearby.
As a pediatrician, she could neither diagnose the cause of the disease nor cure it. In the eyes of others, she became a mere whiz.
Du Leng has already laid down and given up, so what else could he do now if not trying to destroy her reputation as a pediatric expert?
"Xiao Du, I'm busy here! You can also refer the patient to other experts for diagnosis!" Director Dai could only find a reasonable excuse to refuse.
When Du Leng was treating the child just now, she was only separated by a diagnosis table, but she could hear everything clearly.
There are so many diseases that just hearing them makes my head hurt.
Not to mention that this child had been treated in two hospitals and had no success. Such a patient must be a very difficult case.
Director Dai knows her own limitations and may be able to handle cases of medium to high difficulty.
Once you receive this extremely difficult case, you will never have any other illusions except being slapped in the face.
It’s not a big deal if we receive one or two cases a day where the cause of the disease cannot be found.
But if we take four cases in one morning, that would really damage our reputation.
"Oh... I'm sorry, I didn't pay attention to your situation." Du Leng's emotional intelligence is not low. When he saw Director Dai's ugly face, he immediately understood what was going on.
Because there were more child patients seen this morning.
When I encountered something I couldn't handle, I subconsciously pushed it to Director Dai. It seemed that I pushed too much to her and made her feel disgusted.
"You should find another expert! Director Dai has a lot of patients waiting to be seen and he can't see them all." Du Leng said to the family members.
"OK, thanks!"
The family member's eyes swept across the numerous expert consultation seats and finally fell on Zhou Can's table.
"Wife, I just saw that young doctor who seems to be quite capable. He cured a child with a broken arm in just a few seconds without any surgery. Why don't we go see him?"
The two family members discussed it.
"That's amazing! I hope to meet a skilled doctor who can cure my son's illness. But that doctor is also very young, just like Dr. Du!"
The woman obviously had something else in her words.
This Dr. Du is unreliable, and that Dr. Zhou looks younger, so I’m afraid he’s not reliable either.
But since she was already there and her husband had seen with his own eyes that the young doctor was very capable, she still decided to go and try her luck.
When they came over with the child, Mu Ming was pestering Zhou Can and wanted to interview him.
"Doctor, you can treat emergencies here, right?"
"Um!"
Zhou Can looked up at the four people approaching: two children and two adults.
Who is sick?
After taking a quick look at the complexions of the four people, his eyes immediately locked on the boy who was about eight or nine years old. He looked pale, a little blue and dark, with sunken eye sockets.
It seems that the sick person is this child.
"Reporter Mu, can you please stop staring at me during your interview? There are so many experts and famous doctors worth interviewing. There is really no need to stare at a small trainee like me."
Zhou Can finally had another patient, which allowed him to drive Mu Ming away openly.
The two family members were quite young. Even if they didn't know what a resident trainee was, they knew it was probably something like an intern. Their faces changed.
"Other experts are not as capable as you. If any of them can reattach a patient's broken arm with just a push like you can, I will go interview them."
Mu Ming's words restored some of the two family members' trust in Zhou Can.
"It's okay. I don't have anything to do anyway. I'll just wait by the side so I can watch you treat a new patient." After Mu Ming finished speaking, she smiled and looked at the two family members. "Hello, I'm a TV reporter from the satellite TV station. Can I interview Dr. Zhou while he treats your child?"
Her beauty and strong affinity are enough to make her family members like her more.
What's more, she also has the identity of a TV reporter, which is definitely a very honorable identity in the eyes of ordinary people.
"There is absolutely no problem with the interview. It's just that my child is still young, so I hope you can blur his face when reporting to avoid any negative impact on my child."
The child's father was the first to agree.
Men tend to be soft-hearted when faced with a beautiful woman's request.
The child's mother seemed a little jealous and glared at her husband. However, in front of outsiders, she still gave her husband enough face.
Didn't say much.
"Doctor, my son fell ill a few days ago and has been treated in the local county maternal and child hospital and the provincial children's hospital, but there has been no improvement. Please help me." The child's father spoke very skillfully.
Under normal circumstances, family members will intentionally conceal the patient’s visits to other hospitals.
He told Zhou Can right away that he had been treated in two hospitals but neither was successful.
The implicit meaning is to let Zhou Can weigh the matter himself.
If it can be cured, treat it. If it can’t be cured, it’s best not to try to cure it.
After hearing this, Zhou Can's face remained calm and he just nodded indifferently.
"Let's take a look at the examination data and treatment status at the other hospital first!"
Taking the information bag from the family, he began to carefully check the condition of the sick child.
The boy was 8 years old. He suffered from vomiting, diarrhea, fever, and had to urinate many times a day. After several days without any improvement, his family took him to the hospital for treatment.
I thought it was caused by a cold, but I didn't expect that the cause of the child's illness was because he ate a very small live fish.