My medical skills can add experience points Chapter 391 is also a little famous in pediatrics, talking skills
Back in the emergency department, Zhou Can calmed down and continued to devote himself to the operation.
At present, the most important thing for him is to do well in each operation, build up the operation team as soon as possible, and expand the basic plate.
The emergency department now has no special features and no areas of expertise. It is simply acting as an outpatient and emergency platform with the help of the signboard of Tuya Hospital.
Those who can’t get a specialist account, don’t know what department to apply for, feel that their condition is very serious and urgent, and there are all kinds of real acute and severe patients and injury numbers, all of them are all registered in the emergency department.
Their purpose is only one, and that is to see a doctor as soon as possible.
Regardless of the astonishingly large number of outpatient and emergency visits in the emergency department every day, almost none of these patients came specifically for the signboard of the emergency department.
Those powerful specialist departments are much different.
They have well-known experts, famous chief physicians, and department reputation. Even if they are listed separately from the Tuya system, these departments can also bring their own traffic and reputation.
The emergency department now has nothing to ask for, and even survival is a problem.
Therefore, it is imperative to do each surgery well to accumulate word of mouth and expand the basic market through quick surgery.
Survive first, then develop, and finally strive for strength.
…
After the last operation, Zhou Can asked Dr. Xu for instructions when he was off work, "Teacher, tomorrow is Wednesday, and I need to go to the Pediatric Department for an outpatient consultation. What do you think about the operating room?"
I have been 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.
Many people now know that there is a young Dr. Zhou in the Pediatrics Department of Tuya Hospital. The consultation fee is cheap and he can treat all kinds of difficult and miscellaneous diseases.
It was decided by the hospital for him to go to the pediatrics department for consultation.
It is beneficial to Tuya, pediatrics, and Zhou Can himself. It is a good thing for the three parties to win. It cannot be easily canceled.
Even if Zhou Can wants to pick someone up, neither the hospital nor the pediatrics department will agree.
"You can't delay the outpatient visit to the pediatrics department, you can go directly." Dr. Xu readily agreed to the matter.
"Thank you, teacher!"
Zhou Can thought that Dr. Xu would not agree.
"Don't rush to be happy. You come back from the outpatient clinic and continue to work the night shift in the operating room. There is an important operation, and I will save it for you to do it." Dr. Xu's words made Zhou Can's face turn bitter.
That means he has to work sixteen hours every Wednesday.
"Okay!" He gritted his molars and agreed.
Doctor Xu looked at Qiao Yu and Luo Shishen.
"The two of you will adjust your working hours tomorrow with Zhou Can, and you will work on the evening shift."
"no problem!"
Luo Shigen looked very happy.
Working in the evening shift means that the time during the day can be freely controlled. A young intern like him, who doesn't go to work during the day, can definitely go out and have a blast.
Qiao Yu also had no objections.
There is not much difference between the day shift and the evening shift.
In fact, many hospitals have shifts A and B, not three shifts, but two shifts.
This means that one shift needs to work twelve hours. It is common for doctors and nurses to work overtime.
After get off work, Zhou Can received information about the child with leukemia from Mu Li on his mobile phone.
After reading the information, Zhou Can sat in the office in silence for a long time, frowning slightly.
The child was just over seven years old. His father died in a mine accident, and his mother accidentally fell into the mixing tank while working in a paper mill because of excessive grief.
Only the elderly grandpa, grandma, and this seven-year-old grandson are left at home.
Misfortune only seeks out the poor.
God's cruelty to this family is still going on, and the child always has nosebleeds for no reason. Leukemia was recently diagnosed.
In medicine, 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 bone marrow hematopoietic failure.
Leukemia is a blood disease that can cause systemic bleeding, thrombocytopenia, and the function of platelets will also be affected.
Overall, both types of leukemia are serious illnesses, but aplastic anemia is often overlooked.
If the disease is not treated in time, it is easy to cause various discomforts due to anemia.
Judging from the current examination data, this poor little boy suffered from aplastic anemia.
The cause of the disease is not yet clear, mainly manifested as bone marrow hematopoietic dysfunction, pancytopenia, anemia, bleeding and infection.
The specific treatment method needs to be formulated according to the patient's condition, blood picture, and bone marrow picture.
It can be divided into severe aplastic anemia and non-severe aplastic anemia.
The conditions and standards of county-level hospitals are limited, and the inspection data is still not perfect after all.
Zhou Can felt that it was necessary for the child to go to a large hospital like Tuya for further examinations to clarify the type of disease and then formulate a corresponding treatment plan.
Tuya will also provide some public welfare treatment assistance every year.
It's just incomparable with the complete public welfare of the Cross Society.
"Reporter Mu, is it convenient to take the child to Tuya Hospital for a check-up tomorrow? I will be in the Pediatric Clinic tomorrow, so I can take the child directly to my account."
Zhou Can sent her a message back.
"ok!"
She returned a look.
Reporters have to rush to write press releases and interviews every day, and some have to appear on camera to report, and a beautiful female reporter like her will be dragged out by the leaders of the station to accompany her for drinks from time to time. She is very busy all day and night.
She must be very busy at the moment.
After Zhou Can made an agreement with her, he directly called Tang Fei, the director of the Pediatric Department.
The child's help should not be short-term, but long-term, until it reaches adulthood. In life, school and other problems, they need long-term help.
If the child's treatment can win the hospital's public welfare support, Zhou Can can use the donation funds originally intended for the child's treatment to solve the child's living difficulties and future education expenses.
"Hi Director Tang!"
"Is Doctor Zhou okay?"
"A female reporter came to me and asked for help for a seven-year-old boy who lost his parents. This little boy must have aplastic anemia..."
Zhou Can didn't hide anything, and told what happened.
"What do you need me to do for you?"
Director Tang Fei asked directly.
As the head of the Department of Pediatrics, she is in charge of multiple sub-departments, and she has seen many poor patients.
After hearing the boy's life experience, she seemed calmer.
"I would like to ask you to help this little boy apply for the hospital's public welfare treatment. At that time, the female reporter can also launch a fundraising campaign to solve part of the treatment expenses. The hospital's public welfare team will bear part of it. I personally contribute to solve the little boy's future life. schooling issues."
When Zhou Can encountered this kind of thing, he could only help as much as he could.
If he has to bear all the burden alone, he can bear it, but it is not conducive to helping more needy people.
Doing public welfare is a matter in itself. If you don't pay attention to the strategy, you can only help a very small number of people. It is even possible to be insulted and accused by others, and it is not good to do well.
"Send me that child's information first, and if it meets the requirements, I will declare it."
Tang Fei initially agreed to help with this.
Zhou Can was very happy.
This thing is basically done.
To Zhou Can, it was just a small matter, but to that little boy, it was a ray of sunshine in the dark. His life and destiny will be completely changed.
…
The next day, Zhou Can went to the pediatric outpatient clinic.
"Good morning, Doctor Zhou!"
"It would be great if Dr. Zhou could come to work in our pediatrics department every day! There are often patients who ask for your number!"
"Doctor Zhou is very handsome today!"
These pediatric doctors and nurses greeted him warmly.
There are mostly female doctors in pediatrics, and some intern female doctors, or unmarried Gui Peisheng and residents, are particularly interested in potential stocks like Zhou Can.
Every time we met, it was very warm.
When I came to outpatient room No. 17, the guiding nurse outside was still Zhou Yanqing.
The relationship with Zhou Can is quite good.
"Doctor Zhou, these are all patients who are on your account. I'm busy today!"
Zhou Yanqing had already put together the patient's medical records, and laid them down thickly. At least more than thirty books.
"It's my honor that patients and their families can trust me. It's okay, you can call the number one by one later. As usual, you should observe the patients waiting for treatment more. If you encounter urgent and severe diseases, try to give them priority for treatment. "
Zhou Can explained to her.
"no problem!"
She has cooperated with Zhou Can many times, and she has long understood Zhou Can's work style.
Before Zhou Can sat down, the family members of the first patient followed in with their two or three-year-old child in their arms.
"Doctor Zhou, I heard from my cousin that your medical skills are superb, so I came here to get your number."
The woman is a thirty-six-seven-year-old woman.
His tongue rolled a little while he spoke, and anxiety was written all over his face.
The little girl in her arms was full of pain.
"Sit down first, don't worry."
Zhou Can has already noticed that the child's face is pale. First take the stethoscope and listen to the child's heartbeat, then move the probe of the stethoscope down and place it on the child's abdomen.
"Does she have a stomachache?"
"Yes, yes, you really have real skills. My daughter has been complaining of stomach pains for the past few days. She rolled on the bed in pain last night. It was really scary."
The middle-aged woman looked at Zhou Can with admiration and respect.
Zhou Can didn't ask about the condition, and knew directly that the child had a stomachache. In her opinion, it was a miracle.
"You should come to the hospital for medical treatment earlier. The child has abdominal pain. If the abdominal pain is only for a short time, and the pain is relieved after defecation or rest for a while, then there is no big problem. But you see that your daughter is pale from the pain, and her forehead is full of sweat. This shows that she is in extreme pain now. I will prescribe three tests for you first, and you take her to do them quickly. After the tests, you don’t need to queue up, just come here to find me with the results.”
After Zhou Can finished the physical examination for the little girl, he didn't ask any questions, but urged the parents to take the child for the examination quickly.
After sitting in the clinic for a long time, his experience is no longer comparable to that of a novice.
Nowadays, many children can roughly deduce the symptoms and the cause of the disease as long as they enter his clinic and take a look, without even asking.
The checks that should be done must be done, this is a necessary procedure.
It can avoid misdiagnosis and missed diagnosis, and it is also the basis for prescribing medicine or formulating a surgical plan.
Diagnosing and treating patients is not about prescribing whatever medicine the doctor wants. As for surgery, it is more stringent. It needs to be evaluated by multiple parties and can only be done if it meets the surgical indicators.
If you guessed right, this little girl is likely to have acute enteritis.
When I pressed her stomach just now, it was very deflated, indicating that she hadn't eaten for a day or two. The parents' heart is really big, it is so serious, it should have been taken to the hospital to see a doctor.
Zhou Can would not naively think that the patient waited for two days just to get his account.
As long as the patient is in an emergency, in order to get a doctor or expert, deliberately waiting for two or three days does not exist. Let alone waiting for two or three days, it is impossible to make them wait for half a day.
As long as an emergency occurs, most patients or their family members will rush to the hospital as if they are on fire.
At this time, all they think about is saving lives, and they don't care which doctor sees them at all.
As long as you can see a doctor right away.
The first patient just went out and the second patient came in.
It was a five or six-year-old boy with a thick head and a thick head, but at the moment his face was blurred from crying.
"You broke your right hand, right?"
After Zhou Can stared at the little boy for a second, he asked the nervous family members.
The child's parents were in a hurry.
"Yes, yes, my son climbed on the roof of the car to play, but rolled down. He couldn't lift his right hand on the spot." The child's mother cried.
"Don't worry too much, children's bones are strong, and generally there will be no major problems."
Zhou Can walked up to the little boy and squatted down.
"Little friend, uncle will check it for you. If the place you touch hurts, you can nod or tell me."
The main thing is to check the head and back.
Compared with injuries to hands and feet, injuries to the head and back require more vigilance.
Fortunately, the fat layer of this bear boy is very thick, and there are no obvious scars on important parts. There is an abrasion on the forehead on the right side, which seems to be bleeding, but it is not a big problem.
"Let's take a picture first. After a preliminary examination, I guess the right shoulder joint may be dislocated."
Zhou Can did not rashly give the child bone-setting manipulation.
After the checklist was issued, the child's parents took the child for the checkup.
Zhou Can stared at the child's mother's buttocks until she left the outpatient room.
…
Zhou Can's daily outpatient clinic is basically like this.
Compared with ordinary pediatric outpatient doctors, he sometimes does some simple treatment for patients in the outpatient room~www.mtlnovel.com~ What he does most is bone setting.
Not long after, the little boy who had broken his right arm came back from his examination.
Just take an x-ray, it doesn't take too long.
"Look, the child's shoulder joints have come out of the joint capsule. This is considered a serious fall, and the child must not be allowed to play on the roof of the car in the future. Fortunately, he did not fall to the head, otherwise the consequences would be disastrous."
Zhou Can said seriously to his family members.
"Doctor, what about my son's right hand? Does he need to be hospitalized for surgery?"
The child's mother was twenty-seven or eighteen years old, well dressed and had a good temperament, but whenever she mentioned her son's injury, she would cry. It is conceivable that the little boy must be very spoiled at home.
Today, many families have only one child.
Hold it in your mouth for fear of melting, hold it in your hand for fear of falling, who loves it like a sweetheart.
Seeing that the child is a little sick, I am very anxious.
"Surgery is very harmful to the child, and it will delay his study, and it will leave ugly scars. I will try it. It would be best if I can help him put his broken right arm back."
Zhou Can actually has more than 90% certainty in his heart.
But we must pay attention to leaving room for speaking, and we must not speak too rigidly. In case the connection fails, or is not connected properly, the child's parents will scold him lightly. Some irritable parents even hit people with their hands.
Zhou Can's communication skills with his family members became more refined after he spent a long time in the clinic.
First, he made the condition more serious, and then when he gave the treatment plan, he should highlight the benefits and advantages of the plan he had in mind. In this way, the family members can be guided to choose their own treatment plan.
Otherwise, some family members always think that the most expensive is the best.