Chapter 420 Strolling around the Emergency Department
10 a.m., Shonan University Hospital.
Surgical emergency clinic in emergency department.
Although Zhou Cheng has now been discharged from the post of chief trauma resident, he is still the 'chief resident' of the Department of Orthopedics.
He is rushing here. He is currently stationed in the emergency department. There is no office, no ward, and only a phone number.
It can be said that he is the hub and bridge between the emergency department and the general hospitalization. If he does not want to undergo emergency surgery, he can be directly assigned to other general hospitalizations.
Zhou Cheng is taking Wang Huan to see them. The interns in Wang Huan's batch, such as Peng Lingli and others, cannot be managed by Zhou Cheng, so Huang Zong can only manage them.
In the emergency room, a patient with drooped shoulders!
At this moment, I heard that Zhou Cheng had to wait for the test results before his shoulder joint dislocation could be treated.
His expression immediately became a little stiff, and then he became anxious and stamped his feet: "Doctor, what should I do now?"
"There are still so many days until the inspection appointment."
"You have to help me, it hurts so much that I can't go to work."
"Doctor, can you help me think of a solution? You are from the hospital and you must have many acquaintances. I beg you."
He looked at Zhou Cheng and Liu Xiaohe with eyes full of helplessness and nervousness.
Liu Xiaohe is a doctor in the emergency department of the general surgery department and is about to be promoted to associate professor.
Liu Xiaohe turned his head slightly and ignored the patient's intention.
Favors have to be repaid, brother, you said you can just look for me? Can the patient in front of me allow you to jump in line?
If you want to find someone, you have to ask a brother to work overtime. Do you think he just jumped in the queue casually?
Zhou Cheng could only smile bitterly and said: "Where can we find a relationship for you?"
"You also said that it takes so long to make an appointment, so the patients in line in front of you are also slowly waiting to make an appointment."
"Are you the only one who is anxious and not others?"
"This?" The patient was in a dilemma, but Zhou Cheng's explanation made sense: "Doctor, I'm really in a hurry. Are you going to just ignore it now? I'm calling the emergency room."
"You can't do this? Where can I find a doctor like this?" The middle-aged man was at a loss.
Zhou Cheng sighed: "You have an emergency number, but it is not a special emergency. There is nothing I can do."
Zhou Cheng actually wants to say that the real emergencies are all in the emergency room, and yours can only be considered a sub-emergency, but this will aggravate medical disputes.
Moreover, there are countless emergency rooms like this at Shonan University Hospital.
Of course, Lu Cheng also knew that he must be in a hurry, so he suggested: "You will definitely not be able to jump in line! But there is a way, but you can give it a try."
"Just pick a time when you are about to get off work and go to the door of the MRI room you made an appointment to guard!"
"Wait until the doctor inside is about to go out. Take the examination form you ordered and go to the doctor inside to beg for mercy."
"Let's see if he is willing to work an extra shift for you. Just say that you are actually getting an emergency MRI. The receptionist who made the appointment made a mistake. The doctor from the emergency department called you to ask. I'm waiting for treatment here."
"If you're lucky, the doctor will usually work overtime to do it for you."
"If he is anxious to get off work, there is really nothing we can do. We can't force others to work overtime to do things for us."
Doctors ask their colleagues to do the examination themselves, and usually ask them to work overtime during their breaks. They will not choose to jump in the queue when the MRI appointment is full of patients.
Unless it is a patient who is about to die, that is an absolute priority and no one can withstand it.
Although it is just a matter of phone calls, there are so many patients coming to the outpatient clinic every day!
It is impossible for anyone to make phone calls for everyone. When you ask someone for help, you owe a favor, and you have to pay it yourself in the end.
Money debt is a matter of numbers.
The debt of gratitude is the hardest to repay.
Who doesn’t feel helpless when he comes to the hospital to see a doctor?
Even the doctors who come to work here, who is not busy?
Although there are many doctors at Shonan University Hospital, the number of patients is larger.
If it weren’t for too many patients and too many patients queuing up for examination, the ratio between the number of doctors and the number of patients would be completely unequal!
Medical resources are really limited.
How can there be a queue?
Only when supply exceeds demand do you need to queue up and wait. Hospitals are not supermarkets. Once you come, you take what you want and leave.
In the eyes of doctors, everyone is the same patient, and there is nothing that can be done about it.
"this?"
"Can it be faster? Can you make a phone call for me? I beg you." The man still looked at Zhou Cheng eagerly and kept bending down.
Said: "If I don't go to work early this month, the construction site will definitely deduct my salary."
Zhou Cheng's expression froze at that time, he shook his head and said apologetically: "Sorry, I can't help you with this."
"Dr. Zhou, I know you are a good person, please help me and help me find a solution." He still persisted, hoping that Zhou Cheng could give him a call.
Zhou Cheng looked out the door and saw another patient coming in, and said decisively: "I'm very sorry, I really can't help you. All the patients in the queue in front of me came here one by one."
"No one can join the queue."
"I've given you a suggestion."
"Sorry, I have another patient coming." With that, Zhou Chenggong answered the phone.
Hearing this, the patient's expression completely changed: "Why can't you jump in the queue? It's because you are unwilling to help!"
"Are you still a doctor? It's just a matter of making a phone call, and you don't want to."
Then he picked up the examination sheet angrily and walked out, muttering: "No wonder some people say doctors are cruel now."
"If your own relatives came, would you be willing to ask them to wait like this? Aren't you also looking for connections?"
"Jumping in line?"
"The word medical ethics has probably been forgotten for a long time."
"The disease is not treated, and tests are carried out day after day. I don't know anything except money."
"Obviously it's just a matter of prescribing medicine and doing it, but you have to pay a large amount of money."
He cursed and walked out...
At the door, he deliberately shouted loudly and said with a painful expression on his face: "The people here are hard-hearted. Don't go in, he doesn't care about people."
"I don't care about you even if you die."
This scene left Wang Huan stunned!
There is absolutely no way to connect the honest and honest migrant worker before with the scolding middle-aged man now.
Zhou Cheng and Liu Xiaohe are used to it! The patients and family members Zhou Cheng met in the Eighth Hospital before were so many things to do.
Moreover, they claimed that the Eighth Hospital was a bullshit hospital and clamored to come to Shonan University Affiliated Hospital.
But even here, there are such patients.
A group of people who were about to come in heard the migrant worker cursing and walked out!
The expression is also quite difficult to look at!
Standing at the door of the consulting room, they looked at each other, hesitant to walk in.
This is a family of three, and the injured is a middle-aged, slightly fat man in his fifties or sixties!
Accompanying him were his wife and a girl in her twenties, and the middle-aged man was pushed on the bed.
At this time, the girl's eyes were red, and she kept holding the middle-aged man's hand. She kept saying, "I'm sorry, I'm sorry."
Liu Xiaohe opened his mouth and said with a smile: "Have you finished the inspection? Why don't you dare to come in?"
After hearing what Liu Xiaohe said, the middle-aged man called his wife and daughter to push him in.
He raised his head and said, "No, Professor Liu, we are just sorting out the information at the door."
"Wouldn't it be convenient for you to see more carefully later?" This patient, who was still a delicate person, made an excuse like this.
"The Affiliated Hospital of Shonan University is a well-known hospital and one of the best hospitals in Hunan Province. How can I not dare to enter?"
While talking, his wife handed over the medical records, examination sheets, etc.!
He said: "Professor doctors, my husband's film has not been received yet, and the results of the blood test have not come out yet."
"What do you think we should do now? My husband is in a lot of pain now. Is there any way to solve it?" She was at a loss, with tears in her eyes.
The girl didn't speak, she just looked at Liu Xiaohe nervously!
Guilt was still written on his face, and there were obviously tears on his face that had not been completely wiped off.
"We can see the film in the system, but the results of the blood draw will have to wait slowly. It will take about an hour."
As Liu Xiaohe spoke, he entered the Chinese spelling of the patient's name again.
After searching his X-ray examination results, he explained to Zhou Cheng: "The injured person fell down the stairs. It is not yet certain whether it was a sprain or a fall!"
"The right hip joint is very painful and swollen very seriously. There is no skin trauma. Fracture cannot be ruled out for the time being."
Zhou Cheng frowned: "How did you fall?"
The girl was about to cry and wanted to speak!
His father quickly grabbed it and said, "I accidentally rolled down the stairs. There were about seven or eight small steps."
Zhou Cheng glanced at Wang Huan, and Wang Huan took the initiative to push the middle-aged man to the physical examination bed next to the emergency room and stood side by side.
She told him to lie down carefully and closed the bed curtain without asking anyone to accompany him.
There is a saying here that when female doctors and male doctors conduct separate physical examinations, there is no clear requirement that they need to be accompanied by someone to monitor them.
However, when male doctors and female patients are alone together, a nurse or family member must be present!
This is sexist to a certain extent!
Wang Huan plans to study for a master's degree from Zhou Cheng, and now he is studying with the teacher.
Wang Huan has long known how powerful Teacher Zhou Cheng is, so he is very active...
Zhou Cheng and Liu Xiaohe reviewed the film!
Liu Xiaohe was actually just a spectator. Although he was about to be promoted to professor, the distance between orthopedics and general surgery was a bit far.
But after just one look, Zhou Cheng frowned, then pointed to a place and said in a low voice: "The trabeculae here are out of shape, it seems a little abnormal."
"Has your husband been injured before?" Zhou Cheng asked his wife.
His wife quickly replied: "He usually works in an office and doesn't exercise much. Occasionally he might have sprained when walking, but he can still walk."
"As for other external injuries, there don't seem to be any. I was really not careful this time."
"Yes, yes, yes, I forgot to mention that I had a fracture when I was a child. I was only five or six years old at the time. It has been decades. I have never told my wife about it."
"Doctor, you are so amazing, you can see it all?" The patient said to Zhou Cheng outside through the bed curtain.
When Liu Xiaohe heard this, he immediately turned his head and looked at Zhou Cheng, with a little astonishment on his expression!
Said: "Xiao Zhou? Can the fractures from decades ago be seen through the film?"
"You can probably still see some of it."
"After trauma, the trabecular bone structure will be disordered. It is not as smooth as the trabecular bone structure of normal bone. You have to read the film carefully to see it."
"Brother Liu, this is not a clever thing." Zhou Cheng did not pretend to be sophisticated.
He had seen this kind of patient before in No. 8 Hospital, a patient suffering from traumatic arthritis.
"I have a history of trauma, so I'm relieved!"
"Otherwise, if the trabecular bone structure is disordered, I have to consider other factors. This time, from the X-ray examination results, it is just hip joint dislocation." Zhou Cheng said casually.
Then he stood up and said to his wife: "Your husband's current diagnosis is initially determined to be posterior dislocation of the hip joint! He will definitely go to the operating room for manual reduction surgery, you guys."
Zhou Cheng was interrupted before he finished speaking!
"Dad!" Upon hearing Zhou Cheng's words, his daughter immediately burst into fear.
Then his nose and tears slowly flowed down, his mouth became a little ugly, and he shouted hoarsely to the middle-aged man behind the bed curtain: "Dad, I'm sorry, Dad, I'm sorry."
"I will never dare to be disobedient again. I will never run around again. I didn't mean to push you on purpose. Dad."
"Dad, I'm sorry."
"I was wrong." She snuggled next to her mother, her eyes red.
When her mother heard this, she immediately hugged her tightly, patted her shoulder and said, "Okay, okay, your parents know you didn't mean it. Be obedient from now on."
"It's okay, it's okay, it's okay."
Then he said to Zhou Cheng and others with some embarrassment: "Sorry, I made you laugh."
Zhou Cheng and Liu Xiaohe are both doctors and not police officers. Naturally, they will not investigate whether their family relationships are harmonious or how they were injured.
Parents in the world are all ordinary and love their children.
Zhou Cheng said: "It doesn't matter. No matter how you are injured or what the reason is, the truth now is that you are injured and you need to receive treatment."
"We respect the objective facts. It's not a serious injury. Going into the operating room is just a manual reset, not that kind of surgery. You don't need to be so nervous."
"Wang Huan, have the results of the physical examination come out? Just mention the key points." Zhou Cheng was sure and asked Wang Huan from a distance.
"The right lower limb is shortened, the hip joint of the right lower limb is adducted, flexion deformity, limited movement, obvious tenderness and throbbing pain, and longitudinal percussion pain. You can feel the emptiness in the hip joint." Wang Huan said very professionally.
Hearing this, Zhou Cheng nodded and shook his head: "Can you feel the emptiness in your hip joint?"
The shoulder joint can feel empty. Where are you touching the hip joint? You are not endorsing me.
"Teacher, yes, you can feel that the greater tubercle of the femur moves upward. When the greater tubercle moves inwards, the plane is higher than the acetabulum positioning line, so the hip joint must be empty." Wang Huan was not afraid at all and still persisted.
Views.
Zhou Cheng heard this and stopped insisting. In fact, the current surgical theory does not support this statement. However, Wang Huan was not wrong. This may be because Wang Huan heard other professors during his internship or internship.
, have such an understanding.
We can discuss it at that time.
Zhou Chengcheng said to the patient: "It's nothing serious. Doctor Xie will talk to you about the corresponding risks of manual reduction and the purpose of manual reduction later."
"You should consider it carefully to see if you need manual therapy. I will arrange an operating room for you here."
"In addition, I have a minor surgery to be performed in the operating room, so I have to catch up and do the surgery first."
"But it won't take too much time. You have done all the preparations before the operation, and I will almost step down."
Zhou Cheng has a task in the operating room, but he must explain it clearly to the patient's family to avoid any misunderstandings!
For example, he just leaves the patient here and doesn't care, etc. It's not worth it to report you when the time comes.
"Doctor, please excuse me. Thank you very much."
"As long as my husband's condition is not delayed, you can go about your business." The patient's wife was also quite considerate!
But he still said one more thing, not to delay his husband's treatment.
And his daughter also opened her mother's arms, bit her lip, and said seriously to Zhou Cheng: "Doctor Zhou, you must cure my father, please."
"I don't want my father to suffer from any disease because of me."
Zhou Cheng heard this and smiled at her.
From the previous conversation, one could naturally tell that this girl was quite rebellious and wanted to run out or something else, but her father caught up with her and pushed her father down instead, causing him to be injured.
Although she made mistakes, there is nothing better than knowing her mistakes and being able to correct them!
Everyone makes mistakes sometimes, but being able to grow is a good thing.
"Don't worry, I will definitely try my best. Don't worry, if you have any problems later, go find that sister." Zhou Cheng didn't finish his words.
Then he turned around and walked out and told Wang Huan: "Wang Huan, follow Teacher Liu to print out the template for the pre-operative conversation, and then write down all the risks. Write it yourself, remember to write it all!"
"It's about resetting the conventional risks. If you are now a mature graduate student, you must learn to understand and understand the relevant risks yourself."
"This is also a kind of learning. You have to think about it slowly."
Writing a consent form for surgery is also a way of understanding the surgery. Whether you can understand the risks of surgery is also a test of a person's level.
It doesn't matter if you don't understand. You can learn it, read it slowly, look up information, or even copy it, but you have to do it.
If you don’t even want to do it, then gods can’t teach you.
Zhou Cheng has been through this before!
In fact, writing the consent form for surgery was to let Wang Huan know clearly what contraindications for surgery were and what accompanying injuries might occur. This was similar to how Luo Yun taught him before to learn the contraindications for surgery first.
The growth of a doctor, regardless of whether he has high talent or low talent!
The rhythm is step by step, this is how it should be done.
Wang Huan nodded quickly and said: "Oh, okay, teacher, I will do a good job and check it for you when the time comes."
Zhou Cheng smiled casually: "This is not an exam. No one is checking you. You have to slowly get rid of the idea of taking exams and taking exams."
"The people who really check your level are every patient you meet, every physical examination you do, every operation you do. If you do it carefully, you will naturally and slowly develop self-confidence in your heart."
"You should get used to the days when no one will be your full-time nanny or your teacher." After Zhou Cheng finished speaking, he walked out coolly.
He has to learn to let go and leave some things to junior doctors!
This is why he should imitate his superiors and teachers and become a superior and teacher.
Zhou Cheng's pace at the moment is quite leisurely. This is the pace of growth, and so is his mentality.