Chapter 323: Advice from Seniors, Macrodactyly
While Zhou Can was chatting with Director Dai, several outpatient doctors came to work.
In addition to the elderly doctors with gray hair, there are also young doctors .
Both men and women.
"Morning, Director Dai!"
"I heard that you went to Xinxiang Women's and Children's Hospital for a week. How was it? Was it good?"
"Director Tang praised you yesterday! He said you brought honor to the Pediatric Department of Tuya Hospital. To be honest, I feel like there are more patients in the outpatient and emergency departments these two days. Alas, we are the authentic policy of increasing quantity without increasing price! Even if you do more work, your income may not increase."
These pediatric doctors should have a good relationship with each other.
When we met, the chat was very casual.
"This must be Doctor Zhou, right?"
Finally, someone's eyes stopped on Zhou Can.
"My name is Zhou Can. I'm new here. I hope you can give me your guidance!"
Zhou Can kept a very humble attitude and greeted several outpatient doctors with a smile.
"Haha, you look quite modest! Pediatric outpatient clinics are very dangerous. You have to pay attention to the family members' expressions. If there is something wrong, change your words immediately and try to make peace!"
A short-haired female doctor in her thirties reminded him with a smile.
"What Dr. Wuqin said was not alarmist. Dr. Zhou should be careful when he encounters unreasonable family members during his consultation. Our pediatric doctors and nurses are most likely to be beaten up by family members. As for being scolded, it is commonplace and we are used to it now. Don't argue with family members, lest you get sick from anger."
Director Dai also echoed the sentiment.
She was mainly worried that Zhou Can had just started working in the pediatric department and didn't know the ins and outs of the department.
Pediatrics is not only known as a dumb department because it is difficult to obtain the required information such as medical history, cause of disease, symptoms, etc. from patients, but it is also known as the most dangerous department because of the high chance of being beaten and scolded.
If the emergency department's risk index is four stars, then the pediatric department's risk index can definitely reach five stars.
Many doctors and nurses tried to escape because they couldn't stand the controversial environment in pediatrics.
The pediatricians and nurses who are able to stay are patient, caring, and have high emotional intelligence.
"You guys are exaggerating! I'm a little scared just listening to you."
Zhou Can said he was afraid, but how could he really be afraid?
If the family member really beats someone, he doesn't mind performing a self-defense scene in front of the other person's children.
The social atmosphere these days is becoming more and more weird.
Teachers don’t dare to criticize students, and are even beaten and scolded by them. Doctors not only have to think about how to diagnose and treat patients, but also have to be on guard against punches from family members and size 43 shoes.
"Young man, doctors should not be afraid of family members. Have you heard that good cannot prevail over evil? As doctors, as long as we are upright, no matter how unreasonable the family members are, they will be afraid of us. Besides, if something unpleasant really happens, I will teach you a few ways to deal with it. Protect yourself first, then call the hospital security, and finally call the police. In all my years of practicing medicine, a family member directly splashed water on my face. Later, the family member was detained for three days and apologized to me."
The oldest doctor spoke.
She looked to be at least 60 years old. She had not retired at such an old age, and other doctors seemed to respect her very much, so she must have a high status.
"Thank you for your advice. I will keep all those methods firmly in mind. If any family member dares to do this, he will be punished by law."
Zhou Can didn't know what to call this old doctor.
That's the only answer I can give.
"Director Yan is a treasure of our pediatric department. Her experience is definitely useful. Because even the most arrogant family members will become subdued and lose their ferocity in front of Director Yan."
Director Dai vaguely introduced Director Yan's identity.
In other words, Zhou Can is not a person who likes to curry favor with others. If it were another doctor, he would have already found out all the chief physicians in the pediatric department.
"Director Yan? It turns out that you are the top expert who allows all children to breathe freely! I am so sorry."
Zhou Can had actually heard of the name of Director Yan.
Even though she has the same surname as King Yama, what she does is completely opposite to King Yama.
The King of Hell specializes in taking lives, but Director Yan specializes in treating various respiratory diseases in children, including congenital airway stenosis, pulmonary insufficiency, anhedonia, acquired bronchial infection, pneumonia , etc.
She can treat any respiratory disease.
Respiratory diseases in young children are the most difficult to treat and have a very high mortality rate.
The fact that she has been able to work in this most difficult field for many years and become a top expert is enough to prove her extraordinary ability.
"They are just empty names. If you take them seriously, you will lose! The time is almost up. Let's go into the clinic and prepare to see patients! If we see , we may be able to see one or two more patients!"
Director Yan is still in very good health.
When walking, his footsteps are as fast as the wind.
Everyone went into their respective clinics, some with their students and some by themselves.
Even chief physicians like Director Dai are not equipped with assistants.
Director Yan has two assistants, who are more likely her students.
A man and a woman, the man is probably close to 40 years old, slightly fat, and looks ordinary, but looking at the male doctor's hands, it seems that he often performs surgeries. People who play the piano, coders, such as programmers, data entry clerks, and surgeons, these people's hands are much more flexible than ordinary people.
Zhou Can is a very skilled surgeon himself, so he can recognize his kind at a glance.
There was a long line in the corridor outside the outpatient clinic, and the guides' desks were piled with thick medical records.
"Everyone, please don't crowd. You can fill in the basic information in your medical record book first, and then hand it to me. Those who haven't got a number yet, please go to the number machine to get one..."
The job of the guide nurse is to maintain the order of patients seeking medical treatment.
Avoid fights and accidents.
We must fully protect the medical treatment of vulnerable groups, such as the disabled and seriously ill patients, who all need certain care.
Help them get a number from the number-taking machine, fill out the medical record book, and if someone is found to need emergency treatment or is in critical condition, notify the outpatient doctor or the emergency department in a timely manner.
Another situation is that if the patient does not know where to get the examination done, or cannot understand the diagnostic information written by the doctor, the guiding nurse has the obligation to explain it clearly to the patient.
Basically, all the prescriptions written by doctors, the examination application items they write, etc. are written in a flamboyant manner.
Ordinary people may not be able to understand it.
Zhou Can walked towards Clinic Room 17. The nurse who guided him didn't recognize him, but when she saw him push the door and enter Clinic Room 17, she immediately knew who he was. These nurses were very well-informed.
They can find out which doctor's dog or cat has given birth.
Any movement in the hospital could not escape their whispering and gossip.
Although there were so many patients queuing in the corridor, Zhou Can's clinic was deserted after it opened.
After more than half an hour, the first patient finally arrived.
"Doctor Zhou, my daughter sprained her right foot while practicing dancing this morning. Can it be treated?"
A mother in her thirties came in with a little girl of six or seven years old. The little girl was wearing ballet pants and skirt.
She needs her mother's support to walk.
"Please take a seat! Let me check her out first!"
He was very happy when a patient came to see him seriously.
Even though it was just a patient with a sprained right foot.
"Is this the first time you've sprained it?"
Zhou Can began to examine the patient.
Children who practice dancing are particularly prone to strains and sprains, and some are recurrences of old injuries, which are more difficult to treat.
"It's the second time. Last time I sprained my left foot. I'm so unlucky." The little girl was very brave and spoke like a little adult.
"Haha, the road to success is definitely full of thorns and challenges! Precisely because of the difficulties, those who can get through it are stronger than others. Uncle believes that your efforts will definitely be rewarded."
Zhou Can was amused by the child.
"Come on, try to stand on your tiptoes!"
"Ugh... it hurts, it hurts, I can't tiptoe!" she said after trying.
Zhou Can determined through visual inspection that her right ankle should have a hematoma . However, she was wearing a white body stocking, so he could not see the specific situation.
"Can you let the child take off his socks? He will definitely have to take them off when taking the X-ray later." Zhou Can looked at the child's mother.
He always kept in mind the advice of his pediatric predecessors.
In order to avoid conflicts between doctors and patients, even if the patient is just a little girl, the parents will still ask the child's mother for her opinion before asking her to take off her socks.
The child’s mother definitely won’t hit anyone, and it would be very troublesome if she filed a complaint.
"OK!"
The child's mother was very cooperative and took the initiative to help her take off her pantyhose.
"We also watched the TV news and learned that you are very good at treating children's bone injuries, so we came here specifically to find you. We first rushed to Xinxiang Women's and Children's Hospital to look for you, but found that the expert team had left, so we ran to Tuya Hospital."
After listening to the family members' stories, Zhou Can was quite moved.
Another fan gained through TV news.
"You support me so sincerely and trust me, so I must treat the child with more care to live up to this trust." Zhou Can responded while observing the little girl's right foot. "The hematoma is not particularly serious, but she can't even curl her toes, so I'm afraid the bones are injured. Let's take an X-ray first."
He prescribed an examination request to the patient.
After the family member left with the child, the clinic became quiet again. When the family member left, he even closed the door considerately.
Boom boom boom!
Not long after, there was a knock on the door.
"Come in!"
Zhou Can secretly wondered, why did the family return with the child so quickly? Even if you were lucky enough not to have to wait in line, it would take at least twenty minutes to take an X-ray, including the return trip and getting the film.
After the door was opened, the people who came in were still family members with children.
This woman was wearing the uniform of a sanitation worker, probably in her fifties, with rough hands and dirty, old, cheap sneakers on her feet. She was with a little boy about three years old.
Zhou Can was a little unsure. He didn't know if this woman was the little boy's mother or grandmother?
Nowadays, there are many women giving birth at an advanced age.
Especially some couples who have lost their only child or remarried couples, when they get older, they are more eager to have a child together.
"Hello, Dr. Zhou! I brought my grandson to see you after watching the news on TV."
This patient came here after watching the TV news. The influence of TV news is too great.
Zhou Can couldn't help but feel deeply grateful to the female reporter Mu Ming once again.
People will meet all kinds of noble people in their lives.
Mu Ming is the noble person in Zhou Can's life.
It helped his career a lot.
"Please sit down! What's wrong with him?" Zhou Can didn't see anything wrong with the child, but the little boy was a little introverted, lowered his head and didn't speak. He put his hands in his trouser pockets.
"Le Le, take your hand out and let Dr. Zhou take a look!"
The child's grandmother said to the little boy.
He lowered his head and refused to take it out.
It turns out there is something wrong with his hand. Looking at the situation, it is very likely that the hand is deformed.
"Good boy! Uncle is a doctor, specializing in treating you. Take it out and let me see it!"
It's a bit strange to ask him to coax children like this.
But there is no other way. Being a doctor is your job, so you have to be a good doctor no matter if you are not used to it or not. This is also the most basic professional quality.
The child's grandmother had to coax and pull his right hand out.
A three-year-old child already has a strong sense of self-esteem.
When the little boy took out his right hand, Zhou Can's eyes narrowed slightly. It was the first time he had treated this disease.
The little boy's right index finger was huge, at least three times thicker than an ordinary finger. The middle finger next to it was also obviously thicker and bent to the other side.
He tried to calm himself down. Although this was the first time he had seen a patient with this disease, he had seen similar cases in books.
This disease is called macrodactyly. If it is not treated, it can progress and get worse, just like cancer, hepatitis, and kidney disease.
Surgery is the only treatment option before the age of three.
There are many reasons for this.
Finger abnormalities are basically present at birth, and as the child grows older, macrodactyly will become more and more obvious.
The affected fingers will become thicker and longer than normal fingers.
Typically, the affected finger cannot bend and remains in an extended position.
The affected fingers next to the affected finger will become thicker and longer, but can be bent.
"Is the other hand normal?"
After reading it, Zhou Can asked the family members.
"The other one is normal! Can this disease be cured?"
"It can be cured! Surgery can achieve a relatively satisfactory therapeutic effect."
"What exactly caused this? When the child was just born, the index finger of his right hand was a little thick, and it grew thicker and thicker as it grew. Even the middle finger next to it changed. Now the child is almost three years old and will soon go to kindergarten. His father unfortunately died in a car accident two years ago..." At this point, the old man began to wipe away his tears.
Misfortune always seeks out the unfortunate, and a hemp rope always breaks at its thinnest point.
Sometimes fate seems particularly unfair to some people.
However, the poorer the family, the more backward their ideas, low cultural level and poverty will lead to many of their actions laying the seeds of disaster.
For example, you can’t bear to throw away leftover food or moldy rice, so you eat it and there’s nothing wrong with it at the time.
After a while, a tumor grew.
Moldy rice, corn, and peanuts contain a lot of aflatoxin, which is extremely carcinogenic. Cigarettes and liquor are no match for these carcinogens.
Aflatoxin is immunosuppressive, mutagenic, carcinogenic and teratogenic.
As a highly toxic substance, carcinogenicity is just the tip of the iceberg of its harm.
Short-term and excessive intake of aflatoxin can cause acute aflatoxin poisoning, resulting in liver damage including acute hepatitis and hemorrhagic necrosis of liver tissue.
Even a small amount of aflatoxin, if consumed for a long time, can cause chronic poisoning symptoms such as liver fibrosis, growth retardation, infertility, fetal malformations, etc.
Therefore, if you encounter moldy rice or corn, or peanuts or melon seeds that taste bitter after eating, you must spit them out immediately.
What should be thrown away must be thrown away.
Otherwise, the price you pay will be extremely heavy. A bag of rice is only about 100 or 200 yuan, and throwing it away will only result in a loss of 100 or 200 yuan at most.
If you take it, even if it does not cause cancer, but only acute hepatitis, the treatment cost starts at W. Severe acute hepatitis requires at least 40,000 to 50,000 yuan for treatment.
Choose the lesser of two evils.
Regardless of the importance of the matter, I believe that any normal person would choose to throw away the moldy food. Don't joke with your own life.
"My daughter-in-law is a very filial woman. After my son died in a car accident, she raised the child until he was about one year old, and then went out to work. Now she has saved some money and asked me to bring my grandson to the hospital for treatment."
When the old man mentioned his daughter-in-law, his eyes were full of happiness and emotion.
People are all made of flesh and blood.
The relationship between mother-in-law and daughter-in-law is the most difficult to get along with. It is almost universal that they hate each other and have a tense relationship. However, there are also families where the relationship between daughter-in-law and mother-in-law is good.
Just less.
Zhou Can sighed in his heart that every family has its own story, and behind every patient there is sadness and happiness.
Every family has its own problems!
"Well, I'll prescribe a few tests for your grandson. When you're done, come to me with the results. I'll then develop a treatment plan based on the situation. There are many types of macrodactyly, and neurofibroma is the most common. The earlier the surgery is done, the better the effect. Fortunately, you brought your child to the hospital this time. The best treatment period is before the age of three. If the child is over three years old, it may have adverse effects on the child's growth, development, psychology, and many other aspects."
Zhou Can was a little worried that the family members would not take the disease seriously, so he told them about the dangers of the disease and the best treatment time.
Some family members just make an appointment and see a doctor.
Then after the doctor ordered the examination items, the family members saw that there were many items and the fees were not low, so they simply gave up the examination and left.
