Chapter 394: The first accident. If you don’t kill a few people, you can’t be a good doctor.
"Do you know what our greatest ability is?" she asked, staring at Zhou Can.
Zhou Can shook his head.
"Interview rights! As long as we think the news is valuable, we can interview and write a press release, which can be displayed to the public after review. If your character can remain so upright, this reporter can help you promote it for free."
It is said that women are very emotional.
Zhou Can helped her rescue the child, and as the conversation resonated with some of her thoughts, she directly expressed her willingness to help Zhou Can with free publicity.
This is a benefit that other doctors would love to have.
Zhou Can, however, acted very calm.
"There's really no need to deliberately report my positive news. People are afraid of being famous, just like pigs are afraid of getting fat. It's better for me to work quietly and improve myself step by step. Your satellite TV station has too much influence. If you ask me to appear on TV again, I'm afraid I won't be able to handle it."
Zhou Can declined her kindness.
Old Qin, who was sitting opposite, just shook his head and looked at Zhou Can with a little surprise.
It is rare to find young people who are indifferent to fame and fortune these days.
Even rarer than the giant panda.
"Haha, what are you thinking about! Do you think it's easy to be on TV news? I mean newspapers and self-media." She likes Zhou Can's naivety.
The less a person pursues fame and fortune, the better he is.
"You don't need to advertise in newspapers or on our own media! I know you mean well, but I really don't need it right now. Can I come back to you when I need it later?"
Zhou Can refused again.
"Okay, okay! Don't blame me for not reminding you. If you don't want to promote me now, I will have certain conditions next time you come to me."
She narrowed her eyes slightly.
"become!"
Zhou Can agreed readily.
"Hey, I have to go back to the emergency room for the night shift, so I can't accompany you. Take your time eating!"
He glanced at the time and quickly stood up to say goodbye to Mu Ming and Lao Qin.
Back in the emergency department, Dr. Xu really took good care of him and reserved two level 3 surgeries for him.
Due to the high risks of level tertiary surgery, Dr. Xu did not leave work as usual, but stayed in the operating room to guide Zhou Can in the operation.
"Did your pediatric consultation go well today?"
Dr. Xu asked casually as he was preparing for surgery.
"Everything went smoothly. One of the children fell from the roof of a car and dislocated his right arm. After I performed manual manipulation to reset his joint, the child kept crying in pain and was still crying when he left. But after his shoulder joint was successfully reset, he was able to lift his right arm and regain his grip. Do you think there will be any problems?"
Zhou Can saw patients all day, and this was the only patient that made him feel a little uncomfortable.
I have to say, it’s quite a blessing to have a teacher to talk to.
"Didn't you take another X-ray after the bone was reset?"
Dr. Xu thought for a moment and asked.
"No!"
Zhou Can did this to help patients save treatment costs and also to save patients from radiation exposure.
The radiation from X-rays is not high, but it should be avoided if possible.
"Did you take an X-ray before the bone setting?"
“Of course they took the photo!”
"Tomorrow after work, go to the pediatric department and get the pre-bonesetting films and send them to me. If the child was crying loudly before the bonesetting, it means he was spoiled and there is no big problem. If he didn't cry when he came to you for treatment, but cried loudly and screamed in pain after the shoulder joint was repositioned, then we need to further investigate for hidden dangers."
After all, Dr. Xu is an old doctor and has much more experience in diagnosis and treatment than Zhou Can.
The crux of the problem is pointed out in just a few words.
Zhou Can recalled that the child did not cry when he came into the clinic, but there were traces of crying on his face.
Later, after the examination, I came back to see him and he didn't cry either.
He felt vaguely uneasy.
We can only wait until tomorrow to get the X-ray of the child's right arm before reduction.
Generally speaking, if any problems occur after patients receive treatment, they will usually report them to the hospital within a very short time.
So far, the family has not called the hospital to report any issues.
It also made Zhou Can feel a little relieved.
It goes without saying that he was in the operating room of the emergency department, performing surgery with Qiao Yu and Luo Shishen.
…
Early the next morning, before eight o'clock, Zhou Can went to the pediatric department to retrieve the patient's file.
He reviewed the patient's films and found no obvious problems.
All you can see is a dislocated shoulder joint.
He sent the film to Dr. Xu for review and also wrote down the phone number that the child had left when seeking medical treatment.
Be prepared to call the family members when the time comes.
As soon as he returned to the emergency department, Zhou Yanqing, the outpatient nurse, called him.
"Doctor Zhou, there is something I want to tell you."
"you say!"
Zhou Can heard her tone and realized that it might not be a good thing.
"The boy who dislocated his right arm yesterday, his parents have come to the hospital again with their child. They are clamoring to see the person in charge."
What you fear will come true.
After returning home yesterday, Zhou Can has been thinking about the sick child.
I still can't understand why the child kept crying and shouting in pain after his shoulder joint was successfully reduced?
Now that the family members have come directly to our door, it is very likely that something has happened to the child.
"Did you say anything?"
It was the first time that Zhou Can encountered such a thing, and he felt somewhat nervous.
"The child's father was very fierce, saying that I had treated their child badly. I didn't dare to ask more questions for fear of being beaten. Now I have reported the matter to Director Tang, and asked someone to take the family to the doctor's office."
Letting family members make noise in the outpatient department has an extremely bad impact .
That definitely won't work.
Therefore, the best way is to take the family members to the doctor's office or the reception room of the medical department to comfort them and understand the cause of the matter.
"Okay, I understand. Thank you for tipping me off."
After Zhou Can hung up the phone, his brows were tightly furrowed.
Not long after I hung up the phone, it rang again.
Director Tang Fei called personally.
The situation is more serious than we thought.
I just don’t know what happened?
Logically speaking, what could possibly go wrong with manual reduction of the shoulder joint? The worst that could happen is that the reduction would fail and the shoulder joint would dislocate again.
"Doctor Zhou, are you busy now?"
"I'm just about to make my rounds, so I'm not too busy. If you have anything to say, just let me know."
Zhou Can was actually mentally prepared.
"Yesterday you treated a five-year-old boy with a dislocated right shoulder. His family said that you used manual manipulation to reposition the child's shoulder in the outpatient clinic. Do you remember that?"
Director Tang Fei also speaks in a gentle and calm tone when encountering problems, which is something Zhou Can should learn from.
The higher your position, the more you need to remain calm when encountering problems.
Zhou Can can remain calm when encountering things, but compared with Director Tang Fei, there is obviously still a certain gap.
"I remember this patient. What happened?"
"The family members complained that the reduction was done roughly, causing a fracture in the child's right shoulder joint capsule. They took the child to the Provincial Children's Hospital for an X-ray, where a clear fracture line could indeed be seen."
"No wonder the child kept crying and screaming in pain after the reduction was successfully done! It turned out that the joint capsule was fractured."
Zhou Can suddenly realized.
This is a very troublesome matter. If it was really done by Zhou Can, it can be classified as a minor medical accident.
"Did they use a lot of force when setting the bone? According to my clinical experience, it is almost impossible to cause a serious fracture of the joint capsule during reduction. Because the child's bones are very flexible, the force used to reduce the shoulder joint cannot be said to be very strong."
Director Tang Fei calmly inquired about the situation at that time.
"Also, you don't have to feel too much psychological burden about this matter. Even if it was caused by your carelessness during the treatment, the department will bear all the consequences for you and will not let you bear it personally."
Zhou Can felt very warmed when he heard this.
"Thank you! Thank you Director Tang for taking such good care of me and giving me the most generous love and care."
At this moment, Zhou Can had a deep recognition of Director Tang Fei's character, and his trust in her increased significantly in an instant.
"I didn't use a lot of force when setting the child's bones. At least I don't think it was possible to cause a bone fracture. And it wasn't the first time I reset a child's shoulder joint. I thought my experience, technique, and strength were all good. But I can't explain it now, and I can't guarantee that it wasn't me who did it."
Zhou Can was very frank when talking to his own people.
Say whatever you want to say.
"It is indeed difficult to defend myself, mainly because I lack strong evidence to prove my innocence. When you saw the patient, you took an X-ray of the child, right?"
Director Tang Fei asked after pondering for a moment.
"Yes! I just went to the pediatric department to retrieve the patient's file and rechecked the X-ray, but I didn't find any problems."
Speaking of this, Zhou Can felt somewhat depressed.
This is the first time I've encountered such a thing.
He even began to doubt whether his medical skills were too poor?
In theory, bone-setting skills at the attending level should be basically sufficient!
As long as it is not a particularly dangerous joint repositioning or bone setting, he can generally do it. For example, the repositioning of the cervical spine is extremely risky, so he is not qualified to do it now.
Mainly because I’m afraid something might happen.
"Okay, don't worry about it for now. I called you just to understand the situation. You don't have to feel any psychological burden. When it's handled, I'll give you feedback on the results."
Director Tang Fei comforted him with a few words and hung up the phone.
One can imagine how Zhou Can felt after encountering such a bad thing so early in the morning.
"Xiao Zhou, I just watched the film you sent me. There must be something wrong with it."
Doctor Xu came over with his cell phone.
"What's the problem? The pediatric department called me just now and said that the family brought the child to cause trouble, saying that I treated the child badly. They checked at the Provincial Children's Hospital and found that the shoulder joint capsule was fractured."
When Zhou Can heard that Dr. Xu had found the problem, it was like a drowning man grabbing a life-saving straw.
If he could prove his innocence, the nature of the case would be very different.
At most it was a misdiagnosis and the problem was not found.
Hospitals have much less responsibility to bear.
"Oh! Family members are here to cause trouble? Well, don't do the ward rounds yet, and follow me to the discussion room."
Doctor Xu took Zhou Can into the discussion room and projected and enlarged the films taken of the child.
"Look, see, the fracture line at this location is already quite obvious."
A teacher is a teacher.
After watching the film, I immediately found the problem.
But on a mobile phone, because of the limited screen size, even if the light film is magnified several times, the fracture line cannot be seen clearly.
Now put it on the projector and magnify it thirty times, and the obvious fracture line is immediately found.
"Really! I didn't notice this hidden danger at the time. I was careless."
Zhou Can was very upset.
He took a picture directly and sent it to Director Tang Fei.
Immediately afterwards, Zhou Can called directly.
If I'm not mistaken, the hospital is communicating with the family. Zhou Can will definitely not take the blame for this unjust injustice.
"Director Tang, I just showed the patient's shoulder bone fragment to my teacher. After 30 times magnification, I found a relatively clear fracture line. I have sent you the picture on WeChat. Please take a look and see if this fracture line is consistent with the fracture line that was photographed after the patient was examined at the Provincial Children's Hospital?"
This was the first time Zhou Can encountered such a thing, so he couldn't help but feel a little impatient.
I just wanted to prove my innocence as soon as possible and solve the problem.
"Okay, I understand. We are communicating with the family and we will report this to them."
She obviously had trouble speaking.
It is very likely that family members were present at the scene.
The call was hung up directly, and Zhou Can could even vaguely hear the family members' roars.
In any hospital, when a medical accident occurs, the first thing to do is to protect the medical staff. They should not be made to sweat and shed tears.
Doctors and nurses are in a high-risk profession, and risks are everywhere.
If doctors are pushed out to deal with the anger of the patient's family members at the slightest problem, who would dare to be a doctor?
No matter what, doctors always have good intentions when treating patients.
Taking huge risks and doing everything possible to save patients is something that deserves respect and protection alone.
In this accident, if Zhou Can cannot prove his innocence, the hospital will most likely pay some money and apologize.
If it is a shady hospital, there are more ways to deal with the family members.
In many cases, patients and their families are the weaker party. The hospital represents an organization, while the patient is just an individual.
If one person wants to fight a group of people, the result can be imagined.
Unless you have sufficient evidence and hire a professional lawyer to fight the case, there is a high probability that you will lose.
"Is this your first time encountering a medical emergency?"
Doctor Xu looked at Zhou Can calmly.
"Um!"
Zhou Can nodded honestly.
"As long as we doctors are engaged in diagnosis and treatment, accidents are unavoidable. You can learn a lesson from this incident and be more cautious in future medical practice, but you don't have to be afraid to act in the future."
Dr. Xu's voice was surprisingly gentle.
"I was performing surgery in the operating room with a senior doctor. The patient had aortic dissection and died on the operating table. It was the first time someone died during surgery. I was so scared that I didn't even know how I walked out of the operating room. Many years later, I still remember that I was filled with guilt. I always felt that we were the one who killed the person."
"Later, the department director called me into his office and reassured me that I didn't need to be afraid. A doctor can't develop his skills or grow to the point where he is fearless of all diseases unless he kills a few people. I didn't quite understand at the time, and I didn't dare to refute him. I just nodded. I have long forgotten what the department director said to me later."
"It was not until later, when I had more experiences, and even when I was the lead surgeon, a patient died on the operating table! Only then did I gradually understand the teachings of the department director. Doctors don't have to worry too much when treating patients. Otherwise, it's like putting shackles on yourself, and your medical skills will never improve."
Dr. Xu shared his own growth experience with Zhou Can in an earnest tone.
