Chapter 321 A good beginning and a good end, some subtle changes
It is very likely that Dean Zhu personally instructed her to do so, which is why she was so respectful to Zhou Can.
The hospital is a small society, and most people are very smart and perceptive. Being personally supervised by the dean, the information officer naturally did not dare to treat Zhou Can as an ordinary doctor.
Zhou Can took the information to the hospital outpatient office and found Yan Lele easily.
The data entry of attending doctors is more stringent than you might think.
While he was processing the matter, his cell phone rang again.
I looked down and found that it was Director Zhang from Xinxiang Maternity and Child Health Hospital calling.
I guess it was to perform corrective surgery on the little boy's deformed hands.
"Hello, Director Zhang!"
"Doctor Zhou, are you free at 11am this morning? I'm going to perform corrective surgery on that child this morning."
"Okay, I'll be there right away!"
Zhou Can was very happy when he heard that the surgery was finally scheduled.
That child and the family behind him have always been on his mind.
He wanted to have a good ending after a good beginning.
After completing the outpatient number activation procedures, Zhou Can quickly rushed to Xinxiang Women's and Children's Hospital. The journey was quite far and it took more than 50 minutes by taxi . When he arrived, it was almost eleven o'clock.
Rushed quickly into the pediatric orthopedics office.
"Doctor Zhou is here!"
In the office, Director Zhang, the five-year-old boy, and his family were all there. When Zhou Can appeared, the boy's father immediately stood up and greeted Zhou Can with a smile.
The little boy was still extremely withdrawn, with his head down and his hands hidden in his sleeves.
"Director Zhang, how are the preparations going?" Zhou Can nodded to the family members and turned to look at Director Zhang.
"I have just talked to the family. He told us to trust Dr. Zhou and to proceed with the surgery without any worries. The other preparations have been completed and we are just waiting for your arrival."
After hearing what Director Zhang said, Zhou Can felt a little touched.
The family's trust made him more determined to make the operation a success.
…
In the operating room, Director Zhang and his surgical team were ready. This type of surgery is usually without general anesthesia, but brachial plexus anesthesia is more common.
"Come on, let me do it!"
Zhou Can took the initiative to perform brachial plexus anesthesia on the patient.
"In order to save operation time, can we operate on the patient's two hands at the same time?" What we need to do today is mainly to loosen the subcutaneous strip, free skin grafting, etc.
"If you're fine, it would be better to perform the surgery at the same time." Director Zhang had never witnessed Zhou Can's surgical ability with his own eyes, so he was still somewhat worried.
"I'm totally fine. If I encounter a surgery that I'm not capable of, I won't try to be tough."
Zhou Can also anesthetized the boy's other arm.
After a while, the anesthetic took effect and the boy no longer felt the pain in his hands.
"Little boy, we are going to straighten your hands so that you can become like other children. Please don't move!"
Zhou Can squatted down to comfort the little boy, then blindfolded him.
The purpose of doing this is to prevent children from seeing the bloody process during the operation and feeling scared.
Some people may think that they can give their children general anesthesia to prevent them from moving during the operation.
Because children are not like adults, they are naive and ignorant and don't consider the consequences of their actions.
In fact, the doctor cannot decide what kind of anesthesia method to use.
General anesthesia is the highest level of anesthesia and has extremely strict requirements.
Anesthesiologists need to make a preoperative assessment before deciding whether to use general anesthesia. Even spinal anesthesia for lower body anesthesia has extremely strict evaluation standards.
If local anesthesia can be used, doctors will never use general anesthesia easily.
It is not only to help patients save costs, but also to minimize risks.
Also, local anesthesia also has risks.
There are many cases of patients dying due to brachial plexus anesthesia in hospitals, and it happens almost every year.
Not to mention general anesthesia.
Some patients never regain consciousness after anesthesia and become vegetative, or die of organ failure for unknown reasons. As for cardiac arrest and respiratory arrest during general anesthesia, that happens from time to time.
Any surgery has risks.
Before the operation, the doctor asked the family to sign a consent form for the operation. It was not that he was too timid and cautious.
It’s because doctors have seen all kinds of surgical accidents and they are well aware of the risks involved.
“Let’s get started!”
Zhou Can and Director Zhang performed surgery on the patient at the same time.
It is not uncommon for two doctors to operate on a patient at the same time. Sometimes, there are even three or four doctors operating on the same patient at the same time. For example, if this patient needs a skin graft, it must be a piece of skin from his own body that is transplanted to his hand.
One doctor removes the skin and another doctor performs the hand surgery, which saves a lot of time.
They were different this time.
Two people are each responsible for correcting one hand.
Zhou Can began to quickly loosen the subcutaneous band on the patient's left hand. The patient's hand was slightly deformed, resembling a chicken claw, which was also partly caused by the deformity of the skin fascia layer.
There is a shortage of skin, which needs to be solved by transplanting a flap.
Abnormal subcutaneous fascia bands need to be improved through surgical release. In addition, the skin of the hand is quite special. The palm surface and the back of the hand are two different concepts. The palm surface belongs to the thick skin layer.
For example, usually, skin grafting is first considered to be done from the thigh.
Because the skin in this area is wide, and leaving scars will not cause much trouble to the patient's future life.
But this surgery is not feasible, as a full-thickness skin graft must be removed.
Zhou Can's surgery was not only fast, but also caused minimal bleeding and had excellent quality.
The surgical wound was so smooth that it made Director Zhang, the chief physician, feel inferior.
Originally, Director Zhang was still worried about whether Zhou Can could complete the preliminary skin fascia deformity surgery.
When he saw Zhou Can picking up the scalpel and operating like a tiger, he was so scared that his heart almost jumped out of his chest. Until he found that Zhou Can had completed many surgical operations in a very short time, whether it was freeing the cortex, loosening the skin strip, or stopping bleeding, all were done with perfection.
How can this be called a regular trainee?
He is clearly a master of surgery.
Director Zhang had already begun to doubt his life. He did not dare to watch any further, otherwise Zhou Can would have finished the operation and he would still be there with the free cortex, and there would be no place for this old face.
…
The degree and condition of deformity of the patient's two hands are not the same.
The two had discussed the specific plan of the operation in detail before the operation. Therefore, there were no obstacles in the method at this moment. The most important issue was whether the technology could meet the standards.
The left hand that Zhou Can was responsible for needed to be operated on in three to four sessions.
Today we will mainly deal with the problem of thumb inability to abduct and severe palm flexion.
When it came to the metacarpal osteotomy stage, he humbly asked Director Zhang for advice and finally successfully completed the improvement of the metacarpal joint. The next step was skin grafting to improve the skin shortage on the palm.
Nearly an hour and a half later, Zhou Can had successfully completed the first stage of surgery on his left hand.
The left hand, which had been stitched, now looked completely different.
The palm can now maintain a relatively flat posture, and the thumb is no longer tightly tucked inward on the palm. The problem of narrow base of thumb has also been completely solved.
The patient's fingers still have a certain degree of deformity.
This will need to be corrected during the next surgery.
Then the patient's thumb cannot be restored in one operation and a second operation is required to restore most of its functional activities.
Overall, he is very satisfied with the results of the surgery at this moment.
We look forward to the patient undergoing the next surgery after his metacarpal bones have grown back.
This time will not be too long, estimated to be about two months at most. It depends on the child's recovery.
The operation on the left hand, which was performed by Zhou Can, was completed, but the operation on the right hand, which was performed by Director Zhang, was only halfway through.
Not everyone has Zhou Can's surgical speed.
He went over to help.
Later, Director Zhang discovered that Zhou Can had superb skills in hemostasis, suturing, and freeing the cortex.
He simply changed his role and became Zhou Can's assistant.
After more than forty minutes, the operation was successfully completed.
Zhou Can looked at the patient's hands after the operation and smiled with satisfaction. His experience points in fractured bone fusion increased by more than 200 points.
The system rewarded him with two 100-point experience points for fractured bone union.
The first was a metacarpal osteotomy and reattachment of the left hand, and the second was a joint correction of the right hand.
These were all difficult bone surgeries, with Director Zhang guiding them while he performed the surgeries. The results were very great.
"Not bad! Really good! Looking at his hands, I am very happy. This is exactly the surgical effect I wanted to achieve. It is even better than the first surgery I expected."
Director Zhang looked at the patient's hands and smiled with satisfaction.
Zhou Can was also full of a sense of accomplishment.
It’s like looking at a work of art completed by a novice.
"I have to go back to Tuya for work this afternoon, so I'll leave first!"
Zhou Can said to Director Zhang.
"It's already past lunch time. I've already ordered food. Let's eat before we leave! Otherwise, the extra lunch box will be wasted."
Director Zhang has been performing surgery here with Zhou Can and was not seen making the phone call to order food.
It seems that this was ordered in advance before the operation.
That’s really thoughtful.
The patient needs to be hospitalized. In this condition, we definitely don't feel comfortable letting him go home to recuperate.
Outside the operating room, the child's father was waiting anxiously.
Seeing the child being brought out, he immediately stepped forward to inquire about the situation. Before he opened his mouth, his eyes were already fixed on the child's hands.
"It's flat. My palm is flat now. My thumb is no longer pressing against my palm. Great!"
He murmured excitedly, great joy filled his entire face and then spread throughout his body little by little.
His rough hands were clenched into fists, his face was faintly red, and his body was shaking uncontrollably.
"Thank you, doctor! Thank you, doctor!"
He thanked Zhou Can, Director Zhang and others repeatedly.
"The successful completion of your son's first stage surgery is not only due to the efforts of our doctors, but also the contributions of the nurses!"
Zhou Can smiled and stood up for the nurse.
"Haha, I'm just a rough man, so don't get used to seeing you beautiful nurses. Thank you, thank you to every doctor and nurse, you are the angels of my family, you saved my family..." As he spoke, the man's voice became choked and he couldn't go on.
I have only experienced the painful experience of my wife and children being separated, and watching my son, who is over five years old and still cannot go to school like a normal child. The child is autistic, introverted, and extremely inferior all day long.
It must be a terrible feeling for a father.
I guess his heart must have been dark in the past few years, especially after his wife left home, and he couldn't see a ray of light.
Now, through hard work, the medical staff have partially corrected his son's hands, giving him hope. His life is no longer dark, and he has regained the courage and confidence to live.
As long as people have hope, they will not despair, and life will have a direction.
In a small conference room, Zhou Can, Director Zhang, and several doctors and nurses who performed the operation together were sitting together eating boxed lunches.
It was just the most ordinary boxed lunch, but they ate it with great relish.
Zhou Can himself performed extremely well during the operation, not inferior to the chief surgeon at all. Nurses and doctors alike admired him in their hearts. When the family members thanked him, Zhou Can said something fair for the nurses.
This group of people who have been working silently but rarely received the honor and praise they deserved, felt valued and respected for the first time. This also made them feel more favorable and respectful towards Zhou Can.
During the meal, Director Zhang talked to him mostly about the operation.
Some of the nurses who were cheerful took the initiative to chat with him about other topics.
For example, ask him, "Dr. Zhou is so young and promising, he must have a very high status in Tuya Hospital, right?"
Before Zhou Can could answer, a nurse rushed to answer, "Then he must have a high status! Didn't they give Dr. Zhou a seat in Tuya's expert consultation event? Only experts are qualified to do that."
Zhou Can was not arrogant and chatted with these young and lively nurses one after another.
The atmosphere is harmonious and everyone is having fun.
He also became much more familiar with the doctors and nurses in the orthopedic department.
"Okay, I'm done! Thank you Director Zhang for your money, and thank you all for your cooperation. I have to rush back to Tuya Hospital to work! Goodbye!"
Zhou Can waved to them.
"Director Zhang, please let me know when the child has surgery next time! "
"I will definitely invite you to come and host it. You are definitely the main force! By the way, can I pay you your consultation fee when the time comes?"
Director Zhang did not shy away from talking about the matter directly in front of everyone.
Ask someone to come and help with the surgery. It would be better if it is a doctor from our hospital.
Doctors from other hospitals usually give red envelopes directly.
"Why do you charge for consultation? You can teach me how to perform difficult osteotomies, bone setting, and bone and joint correction surgeries. These are simply not something that money can buy. I just came here to do a surgery, volunteer, and learn the techniques."
Zhou Can smiled and waved his hand.
"Yes, yes. Without your help, today's operation would have taken at least six or seven hours to complete. Besides, it was you who helped solve the major problems in the surgical plan. We are learning from each other. Your suturing techniques and free flap technology are very impressive to me, and I have learned a lot from them as well."
Director Zhang actually felt a sense of sympathy with him here.
"Haha, you are the most humble chief physician I have ever met. Let's go!"
Zhou Can didn't dwell on this topic any further.
If someone insists on giving it to you, then just accept it.
Sometimes, being too polite can make the relationship between people become strange and alienated.
Interests are always the best bond between adults.
Friendship certainly exists.
But in the adult world, interests are the most important thing. Even for close friends like Zhou Can and Li Lao, friendship is not the only thing that matters when it comes to major interests.
…
Zhou Can returned to the Department of Gastroenterology at Tuya Hospital. As soon as he entered the department, Director Shang called him over to help.
Several new difficult cases and cases with more serious conditions were admitted to the ward.
Director Shang seemed to have left it to him to solve on purpose.
With such a senior doctor, there is nothing much to say, just roll up your sleeves and get to work.
Zhou Can is always willing to take on tough tasks and is never afraid of them.
If you really want to improve your medical skills, in addition to daily accumulation, it is also essential to diagnose such difficult cases.
After returning from this visit with the expert, Zhou Can discovered that his status in the Department of Gastroenterology had clearly improved.
He couldn't tell the details.
Anyway, the attitude of other colleagues towards him and his weight in the department have obviously become different from before.
Dr. Chi had always thought highly of him and had always been quite friendly towards him.
Now there is a sense of respect that is hard to describe.
To say respectful might be a bit too much.
Respect might be more appropriate.
Then there is Director Zheng Hongtao, who dares to compete with Director Shang. Since the misunderstanding was resolved, Zheng Hongtao has been quite polite to Zhou Can. However, this is also based on interests, because Director Zheng's group sometimes cannot solve difficult cases and needs Zhou Can's help.
To put it bluntly, they are polite to Zhou Can because they have interests in mind.
Even so, when he saw Zhou Can he acted like an elder and called him "Little Zhou" very naturally.
There is nothing wrong with Director Zheng calling Zhou Can "Xiao Zhou" regardless of his age or seniority.
Zhou Can also accepted this calmly.
After returning this time, Director Zheng never called Xiao Zhou again. He always smiled and politely called him Doctor Zhou, which made Zhou Can a little uncomfortable.
In addition, when Zhou Can is managing patients and needs to give them medicine or something, he only needs to give instructions and the nurses station will immediately give him priority.
The subtle changes in various details made him clearly realize that his status had indeed risen.
