My Medical Skills Give Me Experiences

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From her description, it can be inferred that this ordinary-looking woman with a thick frame should live with her grandmother.

If there were other relatives in the family, it would be impossible for her to come to Tuya alone for medical treatment with her broken arm.

"Are you registered?"

Zhou Can sympathized with the woman.

In hospitals, we can often see vulnerable groups at the bottom of society.

Most doctors and nurses will give these people some care within their ability.

"Already registered, waiting to be called! I don't know why I fainted!"

While speaking, she tried to sit up.

"Don't move, just don't move! The ribs are broken. If you move around, it will easily puncture the heart and lungs and other important organs, and it will also easily lead to aggravated fractures." Zhou Can quickly pressed her shoulder.

He motioned her to lie down first.

As for the reason why she fainted, it was because of her injuries, her vital energy was severely damaged, and she hadn't eaten for a long time, and she had symptoms such as hypoglycemia, which made her faint.

"Where did the rib hurt? Does it hurt now?"

"This location. It was hit by a wild boar."

She raised her left hand with difficulty and pointed to the upper abdomen on the left side.

After Zhou Can heard this, he had a bottom line in his heart.

"How long have you been injured?"

"I was injured yesterday morning. After I escaped home, I first went to the clinic in the town. They saw that I was seriously injured, and immediately suggested that I go to a big hospital for treatment. So I drove for nearly a day and rushed to Tuya Hospital. treat."

The injury time is relatively short.

If the time is more than half a month, the broken bone will grow callus, which is extremely unfavorable to the operation.

Basically, many doctors are reluctant to perform surgery if the fracture lasts for more than a month.

The operation is difficult and the effect is poor.

She was so seriously injured that she came to the provincial capital by car alone.

Looking at her attire, the possibility of taking a taxi is almost zero. If you take a long-distance bus, the possibility of crowding the bus is the highest.

I really admire her perseverance.

If it were a more delicate woman, one arm would be broken, and two ribs might be broken. I'm afraid he would have been lying on the ground and humming.

"I want to sit up, I should be fine!"

She stretched her waist again.

Zhou Can had to carefully lift her up from the ground, and then sat on the chair.

At this time, the nurse came over to buy food.

"I bought fast food, 15 yuan!"

She returned the rest of the money to Zhou Can.

"Thanks for your hard work!"

Zhou Can took the fast food and opened it.

Look at the nurse.

"Her arm is broken. It should be very inconvenient to eat. Could you please feed her?"

The nurse frowned slightly, with a look of embarrassment on her face.

Feeding patients is really not a nurse's job. Nurses like that kind of food are carefully fed to patients, which basically only appear in TV dramas.

In reality, it is good for nurses to be able to talk to patients and their families gently.

In many cases, nurses are actually very fierce, and their ability to hate people is also extremely strong.

Especially outpatient nurses, there are very few honest ones to deceive.

"Sorry, I have something to do over there!"

The female nurse found an excuse and left.

Zhou Can had no choice but to feed the female patient himself.

"I can eat it myself."

She holds the talon in her left hand.

Zhou Can helped her carry the lunch box as close to her mouth as possible.

Probably really hungry.

The woman quickly ate up a box of meals.

Zhou Can ran to pour her a glass of water.

After eating the food, she was significantly better.

"Show me your registration form."

Seeing that she was not accompanied by family members, Zhou Can decided to help this poor woman.

Anyway, he has nothing to do now.

Might as well do something nice.

"The attending doctor is actually Dr. Chi."

Zhou Can touched his nose.

Outpatient department and inpatient department are two concepts.

Many people think that every doctor has the opportunity to attend consultations, which is a big mistake.

Not to mention a big hospital like Tuya, even a slightly stronger hospital has extremely high requirements for outpatient doctors.

Doctors in Tuya, who want to apply for outpatient consultation qualifications, basically start as attending at the minimum.

If you are a deputy director or above, the probability of passing will be higher.

As for inpatient consultations, it is very rare. Only a very small number of particularly enchanting people, either with high academic achievements or strong surgical ability, were reported to the hospital after being evaluated by the directors of the department.

It is not guaranteed to pass, but it can only be said that there is a chance to obtain the consent of the hospital to open a personal clinic number.

From this point of view, the growth path of a doctor is really a long way.

And the income gap is staggeringly large.

In the same hospital, the weak chief physician may have an annual income of only about 150,000. Great, can get more than 600,000.

The salary of doctors in Tuya Hospital mainly includes several aspects, such as rank salary, quarterly bonus, holiday subsidy, year-end performance, medical research award, and workload. These are normal and visible income.

Add up seven, seven, eighty-eight, and there are many doctors with more than one million before tax.

Basically, they are the bosses at the level of deputy directors and directors.

Zhou Can now only has a pitifully small basic salary and a little overtime pay.

After he has obtained the certificate of completion of the training program, the certificate of physician practice, and is hired by the hospital as a resident physician, he will be eligible to receive some income such as bonuses and performance.

"You sit here and wait for a while, I'll help you and ask if I can check you first."

Zhou Can asked the woman to sit here and wait.

She was injured so badly, and she was not familiar with the diagnosis and treatment process, it would be considered a high incense if she could get the film before tomorrow.

Helping her out is a good deed.

Zhou Can took her registration form and medical records and went straight to the 2014 outpatient room.

The door is closed.

There are patients who are being diagnosed inside, and more than a dozen patients are standing outside the door.

It is estimated that the numbers of these people are relatively high.

Zhou Can waited until the patients inside were finished, and rushed in.

The other patients saw that he was a doctor in a white coat, so they didn't have any objections.

"Doctor Chi, excuse me."

Zhou Can was ready to be rejected.

After all, he is now being suppressed by Director Xie, and other doctors are likely to show a cold face. It's too late to hide from him, let alone help.

"It's Doctor Zhou! What's the matter, tell me!"

Doctor Chi's attitude towards him has not changed much.

This made Zhou Can feel a little more fond of him.

In fact, the two usually only get to know each other in the operating room or during case discussions.

"This patient fainted outside just now. She has fractured arms and ribs. She is a female patient in the mountains and has no family members. Can you let her join the team and give priority to diagnosis?"

When Zhou Can said these words, he was actually quite disturbed.

Asking for help is like swallowing a three-foot sword.

He can't protect himself now, and he is still here to ask for a chance to take special care of the patient, so Dr. Chi doesn't have to buy it.

"Call her in, don't wait for the number to be called, you can call her in now."

After hearing this, Doctor Chi readily agreed.

This made Zhou Can very grateful.

"Hurry up! When you go to the outpatient clinic, there are actually many learning opportunities, such as the manipulation recovery room."

At this moment, apart from Zhou Can and Dr. Chi, there was a patient and two family members in the room.

Doctor Chi said some things in a more cryptic way.

But he must have known what happened to Zhou Can.

"I'm not familiar with the doctor in the manipulation reduction room!"

It's not that Zhou Can didn't think of this way.

He just took this opportunity to practice his bone-setting skills.

But the world is so cold, why should the doctor in the manual restoration room give him a chance to learn?

"You'll understand when you go. Dr. Fu Zhi'an is working today. He used to be Director Shen's student. He is half of the doctors in our group."

When Dr. Chi said this, he blinked at Zhou Can.

That expression is very mysterious.

Zhou Can was not stupid, and immediately grasped a lot of meaning from his words.

Director Xie asked the departments below to cooperate in suppressing Zhou Can, to suppress this monster and prevent him from rising. But people are all emotional and have a conscience.

On the surface, he acted according to Director Xie's wishes, within a reasonable range, opened some small conveniences for Zhou Can, and formed a good relationship, which is actually very good.

It can not only make one's conscience very comfortable, but also get Zhou Can's return when he is in trouble or needs help in the future.

The main reason for them to take this small risk is that Zhou Can's potential is extremely astonishing.

Potential is invisible and intangible, but it is a powerful weapon in interpersonal relationships.

It's like your neighbor is an orphan, only eight years old, whose parents died in an accident. This child is very sensible, and his academic performance is the first in the school every time. Would you like to help this child?

The answer is yes.

On the contrary, this child is not sensible and is a devil in chaos. He makes troubles every day, steals chickens and dogs, and his grades are so bad that they step on the lake.

You are absolutely avoiding it.

During the two months of regular training in orthopedic surgery, Zhou Can has shown amazing potential, and he is also impeccable in his conduct.

Director Shen likes him, and Doctor Shan and Doctor Chi also like this Gui Peisheng.

The other attending doctors in the same group should have no reason to hate him.

Doctors in the manual reduction room should specialize in bones and joints. That's why Dr. Chi said that Dr. Fu Zhian was only half of the doctors in this group.

Zhou Can took the woman to Dr. Chi's outpatient room.

After Dr. Chi performed a simple physical examination on her, he issued an application for examination. Blood routine and X-ray films are the most basic routine examinations.

Some hospitals may have income-generating tasks, or check indicators.

The doctor will prescribe more tests.

Regardless of whether you are seriously ill or minor, follow the routine inspection routine.

The patient is not a fool. Although he belongs to a vulnerable group, he may avoid this hospital next time.

Excessive medical treatment is a common phenomenon all over the world.

Patients in developed countries who do not have medical insurance are basically afraid to go to the hospital when they get sick.

One cure can make a person bankrupt.

This is really no exaggeration.

The consumption concept in foreign countries is different from that in China. They like to consume in advance. Ordinary families basically have no savings. A slightly more serious disease can make them bankrupt.

Of course, the medical insurance system in developed countries is relatively sound.

The reimbursement rate is quite high.

This is why people in developed countries are particularly afraid of unemployment.

Because of unemployment, it means that the next month may be cut off, and all kinds of insurance will be cut off.

This is a very scary thing.

Zhou Can led the female patient to pay the examination fee first, and then took her to get blood tests and line up for X-ray examinations.

He is just a regular trainee now, and it is not easy for him to say hello and beg for mercy for her in the outpatient room.

It is unrealistic to go to the medical technology department where the related households are piled up to say hello and ask for special care.

Wait honestly.

"Miss Wei, are you and your grandma the only ones at home?"

Zhou Can chatted with her.

"Well! My parents divorced when I was very young. When I was five years old, my father accidentally fell off the cliff one day when I was cutting firewood on the mountain. Because the family was poor and had no money for medical treatment, the second child he brought home The sky is dead. It was my grandma who brought me up."

No wonder she has a deep affection for grandma.

The hemp rope is only broken at the fine point, and bad luck is only for the poor.

The female patient, named Wei Fang, lost the love and care of her parents since she was a child.

"What do you usually make money at home? Digging wild mushrooms and medicinal herbs?"

"Um!"

She doesn't seem to like talking much.

It could also have something to do with her broken ribs.

Generally speaking, when a rib is fractured or injured, coughing or talking will affect the injury and cause pain.

But until now, I haven't heard her snort or cry out in pain.

It feels like her right arm fracture should be quite serious.

The condition of the ribs cannot be known until the results of the X-ray film come out.

"I can't make much money digging wild solitary and medicinal herbs, right?"

Zhou Can asked again.

"If you're lucky, you can earn two to three thousand yuan a year."

She shyly reported a shockingly low income figure.

On average, the monthly income is less than 300 yuan.

It's a matter of luck.

Otherwise, the income will only be lower.

"Haven't you ever thought of working in the city? Even if you work in a factory, you will have at least three or four thousand yuan a month."

"My grandma is getting old and needs someone to take care of her. I'm going to work outside, so I don't feel at ease."

Zhou Can also guessed the reason she gave.

Many people in the mountains are very simple.

They take family affection very seriously.

Especially the kindness of parenting is seen higher than the sky and deeper than the sea.

Wei Fang was almost brought up by her grandma, and the two depended on each other for life. She had the deepest affection for her grandma than anyone else.

It is understandable to be reluctant to leave grandma and go to work in the city.

"Now that you are so seriously injured, it will take at least two or three months to recover. What are you going to do during this time?"

"I... I don't know either. I'll have an operation in the hospital first and stay for a while. When my injury is a little more stable, I'll go home to recuperate." She thought for a while before answering.

Zhou Can nodded and said nothing more.

Nearly an hour later, her test results came out.

Four ribs were broken, two of which were completely severed. This is a very scary injury.

According to Zhou Can's professional medical knowledge, not only will she need to be hospitalized, she may also need a thoracotomy. Connect the broken ribs and make an internal fixation.

If no surgery is performed, the severed ribs can easily puncture the internal organs.

Even just touching the lungs can cause her severe symptoms such as severe coughing, lung inflammation, and fluid accumulation.

In addition, if the completely severed ribs are not connected by surgery, malunion will occur.

The impact on the rest of her life will have a huge impact.

Look at the X-ray of the right hand again.

Broken arm bone, also very serious.

The fracture line is obvious, and this also requires surgery.

Just putting plaster and external fixation, the treatment effect will be very poor.

There is also the possibility of disability in the right hand.

"Doctor Zhou, is my illness serious?"

Women are not stupid.

When Zhou Can took her ID card and helped her print out the X-rays from the self-service machine, she saw Zhou Can's face became very serious.

"Your injury is very serious. Four ribs are broken, two are even more severed, and the ulna and radius of the right arm are all fractured. Doctor Chi will tell you the specific treatment plan. Although the result is a bit bad, can you It is very lucky to save a life under the attack of that big wild boar."

Zhou Can can only comfort her like this.

The mountain people have a saying since ancient times that there are one pig, two bears and three tigers.

The combat effectiveness of adult wild boars is terrifying.

Long fangs, like two daggers. With a flick of its long mouth, it can throw a person more than ten meters away.

A head-on collision can break a tree as thick as a bowl.

Zhou Can led her to Chi Yihe's outpatient room, and then left.

That's basically all there is to help her.

He subconsciously walked towards the manipulation recovery room.

I thought it would be great if I could get a learning opportunity in the manipulation reduction room, as Dr. Chi said.

The manual reduction room is located in the orthopedic surgery waiting room.

Surrounded by a dozen sparse patients and their family members.

The sound of a child yelling and crying came from the reset room.

Anesthesia is not used during manual reduction, and the pain during the reduction process is often unbearable for many patients.

Zhou Can squeezed in and saw that he was an eleven or twelve-year-old boy, plump and about 1.6 meters tall.

These days, children's nutrition is generally very good, and their physical development is also early.

A female nurse, the boy's mother, a young male doctor, and UU Reading www.uukanshu.com could not hold him down.

There is also a middle-aged male doctor with gray temples, probably in his forties.

I am performing manual reset of the boy's shoulder joint.

For many boys, the dislocation of the shoulder joint once or twice is a pity for the naughty childhood.

Zhou Can felt that this was a good opportunity.

Quickly stepped forward to help hold down the boy.

He is a practicing family boy, and the combined strength of a female nurse and a boy's mother is not as great as him.

The young male doctor was also far behind him.

With his strong intervention, the crying and struggling boy was immediately immobilized.

The middle-aged male doctor, who was resetting the manipulation but was unable to operate because of the violent struggle of the boy, turned his head to look at Zhou Can.

"It's quite powerful! Finally, hold down this little calf!"

A middle-aged male doctor should know who he is.

Smiled at him and praised him.

"Excuse me, are you Dr. Fu?" Zhou Can asked taking advantage of the situation.

"Well, I'm Fu Zhi'an! Basically, I sit in the manipulative restoration room."

The middle-aged male doctor nodded slightly.

The tone, attitude, are still friendly.

"I'm Zhou Can, who has just been transferred to the outpatient clinic for regular training. I will ask Dr. Fu to take care of me in the future."

Zhou Can gave full play to his thick-skinned skills.

If you have an opportunity, you should take the initiative to fight for it.

"No problem! You can come here to help whenever you have time. There are often some underage patients who don't cooperate with the treatment, so you need a strong assistant like you to help immobilize the patients."

Doctor Fu readily agreed.

Didn't even hesitate.

Sure enough, as Doctor Chi said, as long as Zhou Can came over, he would take care of Zhou Can.