【My medical skills can add experience points】【】
Zhou Can checked the child while dealing with this woman who was good at pretending to be pitiful.
After consultation, the nine-year-old boy accidentally fell down while riding a bicycle, which caused a severe injury to his left arm and was unable to lift it up.
"Little friend, where do you feel pain now?"
During the consultation process, Zhou Can found that the boy's mother had been answering the questions on his behalf. Out of caution, he decided to ask the boy.
Under normal circumstances, children do not lie.
"I just feel pain here, but as long as I don't move now, it doesn't seem to hurt that much. Also, it's a little stuffy, like I'm about to vomit."
The boy replied timidly.
When Zhou Can heard this, he immediately became vigilant.
If only the left arm is injured, even if there is a severe fracture, generally there will be no vomiting or chest tightness.
Of course, it is not ruled out that after the fall, the pain will cause gastrointestinal spasm and vomiting. This phenomenon exists, but rarely.
"Did you hurt your head when you fell?"
"I felt like I hit the back of my head on concrete."
The boy is very honest and says what he has.
"You dead boy, you don't need to tell all the little scratches. Which child didn't fall?" After listening to the boy's mother, she gave him a stare and told him not to talk too much.
Zhou Can understands what the family members think, and they are worried that the doctor will prescribe a lot of examinations and over-treat.
Many family members with financial constraints will only treat the most obvious injured parts in order to save money.
For example, if there are multiple falls all over the body, accompanied by fractures, you may only agree to let the doctor treat the fractures.
"Sister, it's a good thing that your child can honestly tell about multiple injuries. Our hospital must be responsible for every patient, and we must detect and control some potential safety hazards as early as possible."
While helping the boy to speak, Zhou Can stood up and walked behind the boy to check the back of his head.
The hair is quite long and quite thick.
After some inspection, no obvious hematoma was found.
"First go for an x-ray of the left arm to see if there is a fracture. Also, the child reacted with vomiting and shortness of breath. I will order a brain CT for him to rule out intracranial hemorrhage. A routine blood test must also be done."
Zhou Can issued three inspection applications in one breath.
Originally, I wanted to have another chest CT scan, but the complexion of the female family member was already very ugly, so the chest CT scan was not done for the time being.
When dealing with family members, doctors sometimes have to fight wits and courage, and pay attention to step by step.
Although Zhou Can is not afraid of complaints from family members, it is best to avoid them.
"Doctor Zhou, do you think it is possible not to check the head? My child just broke his left hand, so there is no need to check the head. And the blood test, what is the use of this check? If you want to make more money, you will deliberately prescribe a bunch of checkups, regardless of whether you are sick or not, the checkup fee alone will cost hundreds or thousands of yuan."
The female family members looked like I know how to do it, don't try to cheat me of money.
For such patients, doctors often have a headache.
"It doesn't cost a lot of money to have a CT scan, but after this scan, you can find out whether your son has an intracranial injury to the greatest extent. Intracranial hemorrhage is very dangerous..."
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【My medical skills can add experience points】【】
Before Zhou Can finished explaining, the female family member waved impatiently and interrupted, "Okay, okay, don't scare me. I understand how your doctors manipulate family members. Seriously. I only agree to do the examination of the left hand, and I don’t do anything else. Originally, the examination of the left hand can be omitted, and you can just connect the arm to my son and it’s over.”
The female family members already felt very dissatisfied with Zhou Can.
Regarding this, Zhou Can was extremely speechless.
I have long found that this female family member is difficult to deal with, but I didn't expect it to be so difficult to deal with.
"If you don't agree to do these tests, if something goes wrong, I can't bear the responsibility. Why don't you find another doctor and have a look again!"
Zhou Can died of depression.
It took about ten minutes at most to see a patient with this kind of fall. This female family member is very tricky. Asking questions, all kinds of non-cooperation, all kinds of doubts, now it has taken almost half an hour.
I really don't have the time to spend with her.
Experts can limit the number of patients to only 15 or 20 patients a day.
Zhou Can is the famous "traffic king".
After sitting in the clinic for a day, at least one hundred outpatients have to be seen. Most of the time, even close to two hundred people.
"What's your attitude? Don't you just think you have some skills and deliberately force patients and family members to agree to your various unnecessary examinations? It's not too ugly to eat. If you cancel my account, I won't give you the twelve yuan. You earn."
The female family member was so angry that she turned her face and slapped the table and yelled.
This woman is horrible.
I don't know which man is so lucky to marry such a shrew.
"All right, all right, I'll refund your account!"
Can't afford to provoke, can't we still hide?
When encountering such a garbage person, there is no way to reason with her. Just stay away from her.
Zhou Can canceled her account directly.
Originally, the consultation took nearly half an hour, and the fee of twelve yuan was not excessive at all. The initial examination that should be done has been done, and the electronic medical record has also been written. These are all the time cost of the doctor, and they have to spend energy.
Zhou Can's level is no worse than that of ordinary chief physicians, and he only charges a registration fee of 12 yuan, which is already very cost-effective for patients.
Besides, this woman herself did not agree to do those tests, which is equivalent to refusing a diagnosis.
Now asking Zhou Can to refund her registration fee has no reason to talk to this kind of person.
Decisively cancel her account and let her harm other doctors.
"I guess there is no doctor in our hospital who can see your son's illness. I heard that the Provincial Children's Hospital is very professional. You can try it there. Maybe even the registration fee will be waived for you."
Zhou Can was worried that this difficult female family member would continue to bully other pediatricians in the hospital.
Simply learn from the cross talk actors in Jinpen Washing Foot City, and you go to harm other families.
"Hmph, I'm sure I won't come to this kind of money-losing garbage hospital."
The female family member snorted angrily and took the child away.
Poor her child, with a broken arm, was being taken around by his mother. And the words and deeds of parents are very easy to be imitated by children. If her children learn to be unreasonable like their mother in the future, and behave in all kinds of ways, they will be tortured for a lifetime.
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【My medical skills can add experience points】【】
After sending away this extremely difficult female family member, Zhou Can continued to sit in the clinic.
Not long after, Zhou Can received a text message reminding him that he was complained.
Tuya is quite strict in terms of service attitude. After being complained by a patient, it is necessary to log in to the intranet in time and write a complaint. Otherwise, points will be deducted and fined.
Those who have been complained by different patients or family members many times will face more severe punishment.
Notification of criticism and suspension are possible.
Zhou Can definitely doesn'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 doctors and nurses. After 24 hours, the medical department will call to inquire about the situation, and will not randomly deduct points for him.
Therefore, he does not pay much attention to the complaints of patients.
During the consultation process, all kinds of patients and family members may encounter. Doctors are not waiters, and it is impossible to satisfy patients and family members 100%. I can only do my best to cure the patient's disease.
[The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]
Or if there are any deficiencies, improve them.
One patient after another entered the consultation room, and he maintained a high-speed reception state. When encountering some familiar diseases, he often only needs to ask a few casual questions, and he can make a good guess without even asking his family members to tell him about the disease.
The treatment of this type of patients is naturally very fast.
It's really not a bragging to complete a patient's consultation in a minute or two.
When it comes to difficult patients, it's hard to say.
Around half past nine, the first young woman who came to see him came back with her baby in her arms.
After seeing the blood routine results, Zhou Can's face became extremely solemn.
This child is very likely to have neonatal sepsis.
The gold standard for diagnosing this disease is blood culture.
But blood culture results usually take two days, or 48 hours. The current situation of the child is already very bad, if it drags on for another two days, Zhou Can can't imagine the terrible consequences.
In the results of blood routine examination, the number of rod cells was much greater than 0.16.
After neonatal 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 are lacking in agility.
The development of the brain-blood barrier of newborns is not perfect, and meningitis is very prone to occur after sepsis.
If this disease is not treated and intervened in time, even if the child is cured, it is easy to become a mentally retarded child or a disabled child.
"Doctor Zhou, is my child's illness serious?"
The woman saw all the changes in Zhou Can's expression, and she already had some bad premonitions.
"I'm afraid your child needs to be hospitalized immediately. The condition is very serious. Now based on the results of the blood test and his symptoms, I highly suspect it is neonatal sepsis. There is a gold standard for diagnosis of this disease, but it takes two days to get the results. Child You can’t wait that long, so you have to get treatment right away. I’ll report the situation to my superiors first, so don’t worry too much, as long as you get treated in time, you won’t have any major problems.”
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【My medical skills can add experience points】【】
At this time, Zhou Can must tell the patient's family the real situation.
At the same time, he directly reported the situation to Tang Fei, the director of the department.
The young woman wiped her tears with a tissue and called someone.
She didn't avoid Zhou Can, so she made a phone call in the outpatient room in front of Zhou Can.
"Didn't you say it's okay not to call me?"
"The child is seriously ill. He is being treated at Tuya Hospital. The doctor told me that it is likely to be neonatal sepsis and needs hospital treatment... What should I do? Can you come here?"
"I can't come here now... In this way, I will transfer you 100,000 yuan. You take the child to the hospital first, follow the doctor's arrangement, and treat it well. I will come to see you at night."
"But…"
The woman was only twenty-two or three years old, very young, and she panicked when encountering such a thing.
I wanted to say something more, but the man on the other end of the phone interrupted directly, "Okay, okay, let's do this first." After speaking, he hung up the phone.
Judging by the voice, the man on the other end of the phone must be a middle-aged man.
The voice was very calm, with an invisible majesty, a little old.
Zhou Can has been in the pediatrics department for nearly two years, and he has long been familiar with some things about elders and juniors, and even giving birth to children.
So his expression was always serious, and he operated on the computer, perfected the medical records, opened new examinations, and admitted to the hospital.
The woman wiped away her tears, and walked out of the outpatient room holding the child silently with the list that Zhou Can had prepared.
She must be in a bad mood at the moment.
More than forty minutes later, the inpatient department told Zhou Can that the child had been admitted to the hospital. There are no beds, and temporary beds are made.
The child's subsequent treatment will be under the responsibility of the resident doctor and the nurses of the inpatient department.
If they can't figure it out, they may call Zhou Can for advice when prescribing a doctor's order.
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 out as deputy directors at least, and many of them are very senior doctors. In the inpatient department, the real main force of work is interns and trainees.
There is also a lot of work for the trainees. Sometimes when there is a shortage of people, the trainees will be used as attendings.
It is not uncommon for departments to arrange advanced students to bring interns and trainees.
After arriving at the outpatient clinic at noon, Zhou Can was stopped by Director Zhuang who was guarding outside as soon as he left the clinic.
"Doctor Zhou, the child mentioned in the morning has been transferred, let's go to the cardiothoracic surgery department for help."
"good!"
Zhou Can did not refuse.
Some feelings cannot be wiped away.
People asked him to help in the past, this is to look up to him, and it is also a recognition of his ability~ www.mtlnovel.com~ I was able to complete the transfer in just one morning, and got Tuya Cardiothoracic Surgery to agree to accept this patient This is enough to show that the energy of the family members is quite large.
Standing next to Director Zhuang was a man in his fifties with aloof demeanor and well-dressed clothes. At first glance, it is a person with a very high quality of life.
This person has been trying to squeeze out a smile, watching Zhou Can.
In this case, it is certainly not possible to turn a blind eye to others.
"Who is this?"
Zhou Can could only ask Director Zhuang.
"He is the grandfather of the patient."
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【My medical skills can add experience points】【】
The man waited for Director Zhuang to finish his introduction, with a smile on his face, he took the initiative to reach out to Zhou Can, "Doctor Zhou, I have admired your name for a long time! Director Zhuang highly respects your medical skills. It is better to meet you than to be famous. So young. My name is Chen Shaoqiang, and it is a great honor to know such a young and excellent doctor as you."
This person is quite talkative, and his speech is also very measured.
Zhou Can was deeply impressed by the invisible aura exuded and the charisma of his personality.
When shaking hands with the other party, the other party's wrist is strong and powerful, and the eyes are peaceful and friendly.
There was another tinge of comforting enthusiasm.
In short, Zhou Can felt very comfortable.
"You have won the prize! Nice to meet you!"
Zhou Can talks as little as possible to this kind of people who meet for the first time, especially those who have a little energy.
Dr. Xu's tragic experience has somewhat affected Zhou Can.
Keep him on high alert for powerful people.