Chapter 442 This woman is too scary, the boss is begging for help
While dealing with this woman who was very good at pretending to be pitiful, Zhou Can examined the child.
After questioning, it was found that the nine-year-old boy accidentally fell while riding a bicycle, which caused serious injury to his left arm and he was unable to lift it.
"Little friend, where are you feeling pain right now?"
During the consultation, Zhou Can discovered that it was the boy's mother who was answering the questions on his behalf. Out of caution, he decided to ask the boy.
Children generally don't lie.
"I just feel pain here, but now as long as I don't move, it doesn't seem to hurt that much. Also, I feel a little stuffy, like I'm going to vomit."
The boy answered timidly.
When Zhou Can heard this, he immediately became alert.
If only the left arm is injured, even if a serious fracture occurs, vomiting and chest tightness generally will not occur.
Of course, it is possible that excessive pain after a fall may cause gastrointestinal spasms and vomiting. This phenomenon does occur, but it is rare.
"Did you hit your head when you fell?"
"It felt like the back of my head hit the concrete floor."
The boy is very honest and says what he thinks.
"You stupid kid, there's no need to tell us about those minor scratches. Which child doesn't get hurt from falls?" The boy's mother glared at him and told him not to talk too much.
Zhou Can understood the family’s thoughts, which was that they were worried that the doctor would prescribe a lot of tests and over-treat.
Many families with financial constraints will only treat the most obvious injured parts in order to save money.
For example, if someone falls and injures multiple parts of the body, along with fractures, he or she may only agree to let the doctor treat the fractured parts.
"Sister, your child can honestly describe the multiple parts of his body that were injured in the fall. This is a good thing. Our hospital must be responsible for every patient and try to discover and control potential safety hazards as early as possible."
While Zhou Can was helping the boy speak, he stood up and walked behind him to check the back of his head.
The hair is quite long and thick.
After inspection, no obvious hematoma was found.
"First, let's do an X-ray of his left arm to see if there is any fracture. Also, the child is vomiting and short of breath, so I'll order a brain CT scan to rule out intracranial hemorrhage. A blood test will also be done."
Zhou Can submitted three inspection applications in one go.
We originally wanted to do a chest CT scan, but the female family member’s face looked very bad, so the chest CT scan was not done for the time being.
When doctors deal with family members, they sometimes have to use a combination of wits and courage and pay attention to proceeding step by step.
Although Zhou Can is not afraid of complaints from family members, it would be best to avoid them.
"Doctor Zhou, can you not check the head? My child just broke his left hand, there's really no need to check the head. And what's the point of doing a blood test? I heard that you doctors will deliberately prescribe a lot of tests to make more money, regardless of whether the child is sick or not. The test fees alone are hundreds or even thousands of yuan."
The female family member looked like she was saying, "I know my business, don't try to cheat me out of my money."
Doctors often have a headache for such patients.
"A CT scan doesn't actually cost that much, but it can help us detect to the greatest extent possible whether your son has intracranial injury. Intracranial hemorrhage is extremely dangerous..."
Before Zhou Can finished explaining, the female family member waved her hand impatiently and interrupted, "Okay, okay, don't scare me. I know all the tricks you doctors use to manipulate family members. It's nothing more than exaggerating a minor illness into a major one and making the situation more serious. I only agree to do an examination on the left hand, and nothing else. Originally, you don't even need to do the examination on the left hand, you can just connect my son's arm and be done with it."
The female family member was already very dissatisfied with Zhou Can .
Zhou Can was extremely speechless about this.
I had long discovered that this female family member was difficult to deal with, but I didn't expect her to be so hard to deal with.
"If you don't agree to these tests, I can't take the responsibility if something goes wrong. Why don't you find another doctor?"
Zhou Can was depressed to death.
It would normally take at most ten minutes to see a patient who had fallen, but this female family member was very cunning. She asked all kinds of questions, refused to cooperate, and raised all kinds of doubts. It has already taken almost half an hour.
I really don't have the time to waste with her.
Specialists can limit the number of patients they see, to only fifteen or twenty patients a day.
Zhou Can is a well-known "traffic king".
In a day, I see at least 100 outpatients. Sometimes, it's close to 200.
"What's your attitude? You think you have some ability, so you force patients and their families to agree to all kinds of unnecessary tests. You are greedy, and you don't even think it's ugly. If you cancel your number, I won't let you make the 12 yuan."
The female family member was so angry that she turned hostile and slammed the table and yelled.
This woman is so scary.
I don't know which man is so lucky to marry such a fierce woman.
"Okay, okay, I'll cancel your account!"
If we can't afford to offend, can't we just hide away?
When you meet this kind of rubbish, there is no way to reason with her. Just stay away from her.
Zhou Can directly helped her cancel her account.
In fact, after a consultation lasting nearly half an hour, charging 12 yuan for the consultation was not excessive at all. The necessary initial examinations had been done, and the electronic medical records had been prepared. These were all the doctor's time and energy.
Zhou Can’s level is no worse than that of an ordinary chief physician. He only charges a registration fee of twelve yuan, which is already very cost-effective for patients.
Besides, the woman herself did not agree to undergo those examinations, which was tantamount to refusing medical treatment.
Now she wants Zhou Can to refund her registration fee. There is no point in arguing with such a person.
I decisively canceled her appointment and let her go to harm other doctors.
"I don't think any doctor in our hospital can treat your son's illness. I heard that the Provincial Children's Hospital is very professional. You can try there. Maybe they can even waive the registration fee for you."
Zhou Can was worried that this difficult female family member would continue to bully other pediatricians in the hospital.
Why not learn from the crosstalk performers at Jinpen Foot Bathing City instead of causing trouble for other people.
"Humph, I will definitely not come to this kind of money-sucking rubbish hospital again."
The female family member snorted angrily and left with the child.
Poor child, one arm is broken, and he is still being taken around by his mother. Moreover, the words and deeds of parents are very easy for children to imitate. If her child learns to be unreasonable and act like a spoiled child like his mother in the future, he will be tortured for the rest of his life.
After seeing off this extremely difficult female family member, Zhou Can continued to see patients.
Not long after, Zhou Can received a text message reminding him that someone had complained about him.
Tuya is quite strict in terms of service attitude. After being complained by a patient, you need to log in to the intranet in time and write a complaint. Otherwise, you will be deducted points and fined.
Those who are complained by different patients or their families multiple times will face more severe penalties.
It is possible that the person will be criticized or even suspended from work.
The appeal period is 24 hours. If you ignore it, it will be deemed as giving up the appeal.
Zhou Can definitely didn't have time to answer it now, so he just left it alone.
A reserve-level famous doctor like him is paid much better than ordinary medical staff. If he is out of service for more than 24 hours, the medical department will call him to inquire about the situation and will not deduct points from him.
So, he doesn't care much about patients' complaints.
During the consultation process, you may encounter all kinds of patients and their families. Doctors are not waiters, and it is impossible to satisfy patients and their families 100%. You can only do your best to cure the patient's illness.
Or if there are any deficiencies, improve them.
Patients came into the clinic one after another, and he kept seeing patients at a high speed. When encountering some familiar diseases, he only needed to ask a few questions casually, and he could guess the condition almost accurately without even asking the family members to tell him.
The treatment of this type of patient is naturally quick.
It only takes one or two minutes to see a patient, and that’s no exaggeration.
When you encounter a difficult patient, it’s hard to say.
Around half past nine, the first young woman who had come to see him came back with her child.
After looking at the blood test results, Zhou Can's face became extremely solemn.
This child most likely actually has neonatal sepsis.
There is a gold standard for diagnosing this disease, which is blood culture.
But it usually takes two days, or 48 hours, for blood culture results to come out. The child's condition is already very bad, and if it is delayed for another two days, Zhou Can dare not imagine the terrible consequences.
In the results of routine blood tests, the number of band cells was much greater than 0.16.
After the newborn develops sepsis, there is another more terrible thing, that is, purulent meningitis. Although the child's body temperature is temporarily normal, his mental state is very poor, and his eyes lack agility.
The blood-brain barrier of newborns is not fully developed, so they are very likely to develop meningitis after sepsis occurs.
If this disease is not treated and intervened in time, even if the child is cured, he or she may easily become mentally retarded or disabled.
"Doctor Zhou, is my child's illness serious?"
The woman noticed all the changes in Zhou Can's expression, and she already had a bad feeling.
"I'm afraid your child needs to be hospitalized immediately. His condition is very serious. Based on the blood test results and his symptoms, I highly suspect neonatal sepsis. There is a gold standard for diagnosis of this disease, but it takes two days to get the results. The child can't wait that long and must be treated immediately. I will report the situation to my superiors first. Don't worry too much. As long as he is treated in time, there will generally be no big problems."
At this time, Zhou Can must tell the patient's family the truth.
At the same time, he reported the situation directly to the department director Tang Fei.
The young woman was wiping her tears with a tissue while making a phone call to someone.
She did not avoid Zhou Can, but made the call in the outpatient department in front of Zhou Can.
"Didn't I tell you not to call me if you have nothing to do?"
"The child is seriously ill. He is being treated at Tuya Hospital. The doctor told me that it is likely neonatal sepsis and needs to be hospitalized... What should I do? Can you come over?"
"I can't come over now... Let me transfer you 100,000 yuan. You can take your child to the hospital first, follow the doctor's instructions, and get good treatment. I'll come to see you in the evening."
"But……"
The woman was only about 22 or 23 years old, very young. She panicked when she encountered such a thing.
Before she could say anything else, the man on the other end of the phone interrupted her, "Okay, okay, that's it for now." Then he hung up the phone.
Judging from the voice, the man on the other end of the phone must be a middle-aged or elderly man.
The voice was steady, with an invisible majesty, and sounded a little old.
Zhou Can has been practicing pediatrics for nearly two years, and he is no longer surprised to see some big men keeping mistresses and even giving birth to children with them.
So his expression was always serious as he worked on the computer, completing medical records, ordering new examinations, and arranging hospital admissions.
The woman wiped away her tears, took the prescription Zhou Can had written, and silently walked out of the clinic with the child in her arms.
She must be in a very bad mood at the moment.
More than 40 minutes later, the inpatient department told Zhou Can that the child had been admitted. There were no beds available, so a temporary bed was arranged.
The child's subsequent treatment will be taken care of by the resident doctors and nurses in the inpatient department.
If they can't figure it out, they may call Zhou Can for advice when writing medical prescriptions.
From this point of view, the status of outpatient doctors is actually much higher than that of ordinary resident doctors.
In terms of rank, outpatient physicians start at least as deputy directors, and many of them are very experienced doctors. In the inpatient department, the real main force of work is interns and residents.
Trainees have a lot of work to do, and sometimes when there is a shortage of staff, trainees will be used as attending physicians.
It is not uncommon for departments to arrange trainees to supervise interns and regular trainees.
When Zhou Can was about to leave the clinic at noon, he was stopped by Director Zhuang who was waiting outside.
"Doctor Zhou, the patient I mentioned this morning has been transferred here. Let's go to the cardiothoracic surgery department to help take a look."
"good!"
Zhou Can did not refuse.
Some favors cannot be erased.
People asked him to help, which showed that they respected him and recognized his abilities.
The fact that the transfer to another hospital was completed in just one morning, and that Tuya Cardiothoracic Surgery agreed to accept the child, is enough to show that the family members are quite powerful.
Next to Director Zhuang stood a man in his fifties, with an aloof temperament and elegant clothes. He looked like a person with a very high quality of life.
This person was trying hard to smile and looking at Zhou Can.
In this situation, we must not turn a blind eye to others.
"Who is this?"
Zhou Can could only ask Director Zhuang.
"He is the patient's grandfather."
The man waited until Director Zhuang finished his introduction, then smiled and extended his hand to Zhou Can. "Doctor Zhou, I have heard of your name for a long time! Director Zhuang highly respects your medical skills. Meeting you is worse than hearing about you. I didn't expect you to be so young. My name is Chen Shaoqiang, and I am honored to meet such a young and excellent doctor like you."
This person is quite talkative and speaks very tactfully.
Zhou Can was deeply impressed by the invisible aura and personal charm he exuded.
When shaking hands with the other party, his wrists are strong and his eyes are calm and friendly.
There is also a hint of comfortable enthusiasm.
In short, Zhou Can felt very comfortable.
"Thank you for the compliment! Nice to meet you!"
Zhou Can tries to speak as little as possible to people he meets for the first time, especially those who have some energy.
Dr. Xu's tragic experience had some impact on Zhou Can.
Make him highly wary of powerful people.
