Chapter 391: He is also well-known in pediatrics, conversation skills
Back in the emergency department, Zhou Can calmed himself down and continued to work on the operation.
At present, the most important thing for him is to perform every operation well, build up the surgical team as quickly as possible, and expand the basic base.
The emergency department now has no special features and no areas of expertise. It simply relies on the Tuya Hospital brand to serve as an outpatient and emergency platform.
Those who cannot get an appointment with a specialist, don't know which department to go to, those who think their condition is very serious and urgent, and all kinds of truly critically ill and injured patients, all go to the emergency department.
They have only one goal, which is to see a doctor as soon as possible.
Although the number of outpatient visits to the emergency department is astonishingly large every day, among these patients, almost none of them come specifically for the emergency department's sign.
The situation is very different for those powerful specialized departments.
They have well-known experts, famous chief physicians, and departmental reputations. Even if they are listed separately from the Tuya system, these departments can bring their own traffic and reputation.
The emergency department has nothing now, even survival is a problem.
Therefore, the top priority is to accumulate word of mouth and expand the base by performing surgeries quickly and well.
First seek survival, then seek development, and finally seek strength.
…
After finishing the last operation, Zhou Can asked Dr. Xu when he was leaving get off work, "Teacher, tomorrow is Wednesday. I need to go to the pediatric department for outpatient treatment. What do you think about the operating room?"
I have been working in the pediatric outpatient clinic for almost a year.
At present, Zhou Can has accumulated a certain amount of popularity and his fame has gradually spread.
Now many people know that there is a young doctor named Zhou in the pediatric department of Tuya Hospital. His consultation fees are cheap and he can cure all kinds of difficult and complicated diseases.
It was the hospital that arranged for him to see patients in the pediatric department.
It is beneficial to Tuya, Pediatrics, and Zhou Can himself, and it is a win-win situation for all three parties. It will never be easily cancelled.
Even if Zhou Can wanted to quit, neither the hospital nor the pediatric department would agree.
"You can't delay your visit to the pediatric outpatient department. Just go there directly." Dr. Xu agreed readily.
“Thank you, teacher!”
Zhou Can thought Dr. Xu would not agree.
"Don't be too happy just yet. When you come back from the outpatient clinic, go to the operating room for the night shift. If there are any important surgeries, I will save them for you to perform." Dr. Xu's words made Zhou Can's face turn bitter.
This meant he had to work sixteen hours every Wednesday .
"Okay!" He agreed, gritting his teeth.
Dr. Xu looked at Qiao Yu and Luo Shishen.
"You two should also adjust your working hours tomorrow to match Zhou Can's and work the evening shift together."
"no problem!"
Mr. Luo seemed very happy.
Working the night shift meant that he had free time during the day. Young interns like him could definitely go out and have some fun if they didn't have to work during the day.
Qiao Yu also had no objection.
There is not much difference between working the day shift and the night shift.
In fact, many hospitals have A and B shifts, not three shifts, but two shifts.
This means that a shift needs to be twelve hours, and it is common for doctors and nurses to work overtime. In fact, it has become a daily routine for shifts to last far longer than twelve hours.
After get off work, Zhou Can received information about the child with leukemia sent by Mu Ming on his mobile phone.
After reading the information, Zhou Can sat in the office in silence for a long time, his brows slightly furrowed.
The child was just over seven years old. His father died in a mining accident and his mother, due to excessive , accidentally fell into a mixing tank while working in a paper mill.
Only the elderly grandparents and the seven-year-old grandson were left at home.
Misfortune always favors the unfortunate.
God's cruelty to this family continues. The child always has nosebleeds for no reason. Not long ago, he was diagnosed with leukemia.
Medically, leukemia is divided into two types.
There are two diseases, aplastic anemia and leukemia, which are completely different.
Aplastic anemia is a syndrome caused by failure of bone marrow hematopoietic function.
Leukemia is a blood disease that can cause systemic bleeding, thrombocytopenia, and affect the function of platelets.
Generally speaking, both types of leukemia are serious diseases, but aplastic anemia is often overlooked.
If this disease is not treated in time, it can easily cause various discomforts due to anemia.
According to the current examination data, this poor little boy suffers from aplastic anemia.
The cause of this disease is currently unclear, and the main manifestations are low bone marrow hematopoietic function, pancytopenia, anemia, bleeding and infection.
The specific treatment method needs to be formulated based on the patient's condition, blood count, and bone marrow count.
It can be divided into severe aplastic anemia and non-severe aplastic anemia.
The conditions and level of county-level hospitals are limited, and the examination data are ultimately not perfect.
Zhou Can felt that it was necessary to take the child to a large hospital like Tuya to undergo some more examinations, clarify the type of disease, and then develop a corresponding treatment plan.
Tuya also provides some public welfare treatment assistance every year.
But it can't be compared with the completely public welfare of the Red Cross.
"Reporter Mu, is it convenient for you to take your child to Tuya Hospital for a checkup tomorrow? I will be in the pediatric clinic tomorrow, so you can bring your child to see me directly."
Zhou Can sent her a message back.
"OK!"
She responded with an emoticon.
Reporters have to rush to write news releases and conduct interviews every day. Some even have to appear on camera for reports. Pretty female reporters like her are often pulled out by the leaders of the station to accompany them for drinks. She is very busy all day long.
She must be extremely busy at the moment.
After Zhou Can agreed with her, he called Tang Fei, the director of the pediatric department.
The child's support should not be short-term, but long-term, until he or she reaches adulthood. Long-term support is even more necessary in terms of life, schooling and other issues.
If the child's treatment can obtain public welfare assistance from the hospital, Zhou Can can use the donation funds originally intended for the child's treatment to solve the child's living difficulties and future tuition fees.
"Hello, Director Tang!"
"Doctor Zhou, is there anything wrong?"
"A female reporter came to me and asked me to help a seven-year-old boy who had lost his parents. This boy probably has aplastic anemia..."
Zhou Can did not hide anything and told the whole story.
"What do you need me to do for you?"
Director Tang Fei asked directly.
As the director of the pediatric department, she is in charge of several sub-departments and has seen many poor patients.
After hearing the boy's life story, she seemed calmer.
"I would like to ask you to help this little boy apply for charity treatment at the hospital. At that time, you can also ask the female reporter to raise funds to solve part of the treatment costs . The charity group of the hospital will bear another part. I will personally pay for the boy's future living and schooling."
When Zhou Can encountered such a thing, he could only try his best to help.
He can bear the entire burden alone, but it will not be conducive to helping more people in need.
Doing charity is a good thing in itself, but if you don't pay attention to the strategy, you can only help a very small number of people. You may even be insulted and criticized by others, and you may not get any benefit from doing good.
"Send me the child's information first. If he meets the requirements, I will apply for him."
Tang Fei has preliminarily agreed to help.
"Thank you! Thank you Director Tang!"
Zhou Can felt very happy.
This matter is basically accomplished.
To Zhou Can, it was just a small thing, but to the little boy, it was a ray of sunshine in the darkness. His life and destiny would be completely changed.
…
The next day, Zhou Can went to the pediatric outpatient clinic for consultation.
"Good morning, Doctor Zhou!"
"It would be great if Dr. Zhou could come to our pediatric department every day! There are often patients who specifically ask to make an appointment with you!"
"Doctor Zhou looks so handsome today!"
The pediatric doctors and nurses greeted him enthusiastically .
Most of the pediatric doctors are female. Some female interns, or unmarried interns and residents are particularly interested in potential stocks like Zhou Can.
Every time we met, he was very enthusiastic.
When I arrived at outpatient room No. 17, the nurse guiding the patients outside was still Zhou Yanqing.
He has a very good relationship with Zhou Can.
"Doctor Zhou, these are all patients who have registered with you. You will be busy today!"
Zhou Yanqing had already collected the patients' medical records, a thick stack of at least thirty books.
"It's an honor for me that patients and their families trust me. It's okay, just wait and call the numbers one by one. As usual, observe the patients waiting for treatment. If they encounter urgent or serious conditions, try to give them priority."
Zhou Can explained to her.
"no problem!"
She had worked with Zhou Can many times and had long been familiar with his working style.
Before Zhou Can sat down, the family of the first patient came in, holding a two or three-year-old child.
"Doctor Zhou, I heard from my cousin that you are an excellent doctor, so I came here to make an appointment with you."
The woman was a woman in her thirties.
He spoke with a lisp and his face was full of anxiety.
The little girl in his arms had a look of pain on her face.
"Sit down first, don't be in a hurry."
Zhou Can had noticed the child's pale face. He first listened to the child's heartbeat with a stethoscope, then moved the probe of the stethoscope down and placed it on the child's abdomen.
"Does she have a stomachache?"
"Yes, yes, you really have real skills. My daughter has been complaining about stomachaches these past few days. Last night she rolled over on the bed in pain. It was really scary."
The middle-aged woman looked at Zhou Can with admiration and respect.
Zhou Can didn't ask about the child's condition, she just knew that he had a stomachache. In her opinion, it was simply amazing.
"You should have come to the hospital earlier. If a child has abdominal pain for a short time and the pain is relieved after defecation or rest, then there is no big problem. But your daughter is so pale and sweaty, which means she is in extreme pain. I will prescribe three tests for you. Take her to get them done. You don't have to wait in line after the test. Come here to see me with the results."
After Zhou Can finished the physical examination of the little girl, he did not ask any questions, but urged the parents to take the child for examination as soon as possible.
After working as a clinician for a long time, his experience is no longer comparable to that of a novice.
Nowadays, many children can roughly infer the symptoms and causes of the disease just by coming to his clinic, taking a look, and even without asking.
The necessary inspections must be done; this is a necessary procedure.
It can avoid misdiagnosis and missed diagnosis, and also serve as the basis for prescribing medication or formulating surgical plans.
When treating patients, doctors cannot just prescribe whatever medicine they want. As for surgery, it is even more stringent and requires multiple evaluations to ensure that the patient meets the surgical criteria before it can be performed.
If I'm not mistaken, this little girl is most likely suffering from acute enteritis.
I just touched her stomach and it was very deflated, which means she hasn't eaten for a day or two. The parents are really careless. If the case is so serious, they should have taken her to the hospital to see a doctor.
Zhou Can is not naive enough to think that patients would wait for two days just to make an appointment with him.
As long as the patient is in an emergency, it is impossible for them to wait two or three days to get an appointment with a doctor or specialist. Not to mention waiting for two or three days, even waiting for half a day is impossible.
Whenever an emergency occurs, the vast majority of patients or their families react by rushing to the hospital as if there was a fire.
At this time, all they want is to save lives, and they don’t care at all which doctor treats them.
As long as I can see a doctor immediately.
The first patient just went out and the second patient came in.
He was a little boy of about five or six years old, with a chubby face, but his face was all red from crying.
"You broke your right hand, didn't you?"
Zhou Can stared at the little boy for a few seconds and then asked the family members who looked nervous.
The child's parents were extremely anxious.
"Yes, yes, my son climbed onto the roof of the car to play, but he rolled down. He couldn't lift his right hand up right away." The child's mother said in tears.
"Don't worry too much. Children's bones are strong and generally there won't be any major problems."
Zhou Can walked up to the little boy and squatted down.
"Little boy, uncle will check you out. If it hurts, just nod or tell me."
The main areas to check are the head and back.
Compared with injuries to the hands and feet, injuries to the head and back spine require more vigilance.
Fortunately, this kid has a thick layer of fat, and there are no obvious scars on important parts. There is a scratch on the right forehead, which seems to be bleeding, but it is not a big problem.
"Let's take an X-ray first. After a preliminary examination, I think the right shoulder joint may be dislocated."
Zhou Can did not rashly perform bone-setting treatment on the child.
After getting the checkup form, the child's parents took the child for the checkup.
Zhou Can's eyes were fixed on the child's mother's buttocks until she left the clinic.
…
This is basically what Zhou Can’s daily outpatient clinic routine is like.
Compared with ordinary pediatric outpatient doctors, he sometimes provides simple treatments to patients in the outpatient clinic, and the most common treatment he does is bone setting.
Not long after, the little boy who broke his right arm came back after the examination.
It only takes an X-ray and doesn't take too long.
"Look, the child's shoulder joint has come out of the joint capsule. This is a pretty serious fall. Children should never be allowed to play on the roof of a car again. Fortunately, he didn't fall on his head, otherwise the consequences would be disastrous."
Zhou Can said to the family members seriously.
"Doctor, what about my son's right hand? Does he need to be hospitalized for surgery?"
The child's mother was about 27 or 28 years old. She was well dressed and had a decent temperament. But when she mentioned her son's injury, she started to cry. It was conceivable that the little boy must have been spoiled at home.
Nowadays, many families have only one child.
If you hold it in your mouth, you're afraid it will melt; if you hold it in your hands, you're afraid it will fall. Who wouldn't love it like a treasure?
I was extremely anxious when I saw that my child was a little sick.
"The operation will cause great harm to the child, and it will affect his studies and leave an ugly scar. I will give it a try. It would be best if I can manually reattach his broken right arm."
Zhou Can was actually more than 90% sure.
But you must be careful to leave room for maneuver when speaking, and not be too rigid. If the child fails to connect the thread or does not connect it well, the child's parents will scold him, which is the least of their worries. Some more aggressive parents may even hit the child.
As Zhou Can has been seeing patients for a long time, his skills in communicating with family members have become more refined.
First, the patient's condition should be described as more serious, and then when the treatment plan is given, the benefits and advantages of the plan in his mind should be highlighted. This will guide the family members to choose the treatment plan he has planned.
Otherwise, some family members always think that the most expensive is the best.
