Chapter 94 So this is where the problem lies! (Third update, please subscribe!)
"Oh, okay, come right away." Cai Dongfan responded immediately.
Just now, I was only thinking about what happened to offend Ding Changle, and I forgot about the agreement with Yan Haihan.
After Professor Ding left, he would go to the class handover room so that Yan Haihan could finish the class handover.
Otherwise, Yan Haihan would have to keep talking at length, and it seems like there wouldn't be much to say.
Without asking where he offended Ding Changle, Cai Dongfan could only push the matter back a little, and it was more important to do serious things first.
Moreover, because he had been frightened by Ding Changle just now, he had forgotten to send him off. How to explain this matter to Yan Haihan when the time came also gave Cai Dongfan a headache.
Luo Yun did not doubt that he was there, so he waited at the door for Cai Dongfan to come out.
When the two walked into the shift room, Yan Haihan deliberately said in a high voice: "Director Cai, it is very important to hand over the shift early. You can't be absent for too long without any reason. I have said a lot, you are a
I didn't hear a word."
"We won't allow a similar situation to happen next time." Yan Haihan, as the director, did a good job of covering up.
Cai Dongfan nodded and apologized: "I'm sorry, Director Yan, I just made an emergency call and wasted everyone's time. I'll pay attention to it in the future."
He didn't reflect deeply on how he got along with Yan Haihan in the department.
Yan Haihan then looked at the time and said: "It's getting late, so I won't be verbose. I just hope everyone remembers that there is no trivial matter in clinical practice! Everyone should hurry up and do ward rounds and perform surgeries.
go."
Hu Ming was waiting for Yan Haihan's words. He immediately stood up and ran out of the shift room in a hurry. He divided his troops into two groups. He led people directly out of the operating room, leaving two people to check the ward and deal with the patients.
Today is his surgery day. He has been under anesthesia for probably twenty minutes since the first surgery. They are still being dragged by Yan Haihan to listen to a long speech, which is really painful.
But there was no way. Yan Haihan was the administrative director. He had to convey the contents of the weekly regular meetings and various meetings of the hospital. Hu Ming couldn't say anything wrong with Yan Haihan.
…
Yan Haihan also took Dong Qiansheng and others to check the ward with his hands behind his back, without asking much about what Cai Dongfan and Ding Changle had talked about.
You definitely need to ask, but you have to wait until the room inspection is completed before asking.
Luo Yun stood up and prepared to lead people out, but looked back and saw that Cai Dongfan was a little absent-minded, so he asked one more question: "Director Cai, should I take Yan Jun and the others for ward rounds today? Aren't you going to have a look?"
Cai Dongfan immediately turned his head, then stood up, woke up from his daze, and immediately said: "Let's go see the patient together."
Of course, clinical things still have to be done, and they have to be done well. Moreover, Cai Dongfan has to hurry up and use the extra time to pursue today's affairs.
If he didn't figure it out, Cai Dongfan probably wouldn't be able to sleep well for a long time.
It is not a good thing to be worried about by a professor at Shonan University Affiliated Hospital, and if this professor is also the leader of the subject, it will make Cai Dongfan even more anxious.
Leading the rounds, Zhou Cheng immediately came to the right side of bed 25 and began to report the medical history: "Teacher Cai, Teacher Luo, this patient is..."
Strict ward rounds, the responsibility of the bedside doctor is to report the patient's medical history and treatments performed during each ward round, as well as the current examination results.
Because senior doctors do not need to remember patients, this is what the bedside doctor needs to do.
The superior doctor has rich experience and can accurately grasp the condition and follow-up treatment through the information mastered and reported by the supervising doctor.
But Cai Dongfan didn't want to waste time today. He waved his hand and said, "I know this patient. Take out the post-reduction film and let's take another look."
The patient's family members quickly took out the films.
Lu Cheng and Du Yanjun quickly divided their work to find the plain films before and after the restoration, and then handed them to Luo Yun and Cai Dongfan one by one.
After Cai Dongfan took the film, he shook it in his hand.
Then when I looked at it like this, my little eyes blinked.
This TN thing, could it be that I had a few chats with Professor Ding Changle just now, except that my mentality was a little bit broken.
It makes your eyes look a little blurry?
What about the fracture line?
He immediately repeated Yang Yifeng's actions and opened his pupils wider. This would increase the amount of light absorbed by the pupils and allow him to see more clearly.
Luo Yun had impressions and memories of the films before reset, so he only glanced at them a few times and then turned his head to look at the films after reset in Cai Dongfan's hand.
At that time, his whole body twitched and his head shook slightly.
This review film?
Is there something wrong?
The C-arm fluoroscopy during the operation is just a small X-ray, which can probably only see part of the fracture. Naturally, it is not comparable to the large, professional X-ray camera used in the radiology department.
After the entire plane from the tibial plateau to the ankle joint is swept out, it looks quite beautiful.
If the patient's family hadn't taken out the pre-reduction and post-reduction films at the same time, Luo Yun's cursory scan would probably not have thought the patient had a fracture.
About forty seconds later.
Cai Dongfan nodded, finally feeling relieved.
Although C-arm fluoroscopy was performed during the operation to check the reduction, Zhou Cheng was still so old after all, let alone had much clinical experience. Such review plain films made him more reassured.
The reset technique performed by Zhou Cheng far exceeded his expectations.
So he said to the patients and family members who were looking at him eagerly: "Don't worry, this technique is very good at resetting."
Then he took the radiograph from Luo Yun's hand before the reduction and said: "Look, the fracture line here is very obvious and there are misalignments. But after the reduction, these conditions have been corrected. In such a situation, you only need to pay attention to avoid bone and tendon damage."
Compartment syndrome and thrombosis are very worth looking forward to.”
"Don't worry. Surgery is not a good thing. It's good to be able to achieve therapeutic effects without surgery."
The patient's family members nodded quickly. Although Yang Yifeng said it was good yesterday, he was still young after all, so he was still not as reassuring as Director Cai Dongfan saying that the treatment was good.
He immediately stretched out his hand and said: "Thank you, Director Cai, thank you, Director Cai. Thank you to all your doctors."
"It all depends on you. You are all good doctors and consider our patients very much."
"You can cure the disease without surgery and save us money. Medical ethics are noble!" She couldn't help but give Cai Dongfan a thumbs up.
Cai Dongfan shook his head. The patient's praise made his mood slightly better.
He smiled and said, "Whether medical ethics is noble or not depends not on whether you can save money!"
"You have to choose the appropriate treatment method according to different situations."
The patient's wife immediately responded: "I know, I know, it's just like adding salt to cooking. If you add too much, it will be salty. If you add too little, it will be bland and it won't taste good."
"Dr. Cai, you are the most suitable."
Cai Dongfan: "..."
He blinked, looked at the patient's wife, and smiled awkwardly.
It seems that this analogy is more understandable than what he wants to say, and it is very consistent with what he wants to express.
Do even patients understand this now?
"Doctor Yang said the same thing yesterday." The patient's wife felt relieved.
The patient also smiled, put his hands under the back of his head, and said, "Dr. Cai, thank you. Yesterday, people in the next few wards were envious of me, saying that I could do it without surgery and without leaving any scars."
"They all want to transfer to you for treatment. They all think your medical skills are superb."
Upon hearing this, Cai Dongfan immediately changed his face and said, "How can that be done? Our department is strictly divided into groups. The patients next door are the patients of Director Yan's group. Director Yan is the ward director and his medical skills are higher than mine."
"If they still come to you to talk about this issue, just tell them like this."
Although I don’t think so, I still have to explain it to the patient.
Patients who have been admitted to Yan Haihan's group must not be touched. This is a taboo topic, and Cai Dongfan does not even dare to think about it.
Then he immediately walked to the next bed.
26 beds, it has been several days since the operation.
Before Zhou Cheng reported the case, the patient took the initiative and joked: "Director Cai, it's a pity that I have to have an operation for this fracture. Otherwise, I actually wouldn't want to have an operation."
"I was in so much pain that night after the surgery that the anesthesia pump didn't even work."
"But this big brother doesn't have such an experience. It's quite good." His tone was rather regretful and fearful.
Cai Dongfan could only explain: "It's all the same. If you have surgery, you can get out of bed and move quickly. And different fracture locations and different fracture types must have different treatment methods.
"
"The hospital is not an assembly line operation in a factory..."
"Haha, I naturally know this. Thank you, Dr. Cai. I believe the choice you made for me is definitely the best. It is also the most suitable for me." The patient gave Cai Dongfan two thumbs up.
"Yes." Bed 27, the old woman with a femoral intertrochanteric fracture, also opened the curtain and said:
"Dr. Cai is a very good doctor. I had an operation the day before yesterday. I only had pain for a while the night before yesterday. It was much better yesterday. Today I feel almost nothing."
"In ancient times, this must have been a miracle doctor." Patients must communicate with each other in the ward.
Although Cai Dongfan only made the best conservative treatment choice for 25 beds, this shows Cai Dongfan's character.
It also established the impression in the minds of patients that he has noble medical ethics and knows how to consider patients.
Naturally, everyone feels that Cai Dongfan is better.
Cai Dongfan suddenly felt much better at this moment.
The flattery from the patient sounds much more comfortable than the flattery from the colleague.
Cai Dongfan smiled naively and said: "Ao'an, your words are a bit exaggerated. How am I a miracle doctor?"
"Just an ordinary little doctor."
The patient in bed 26 said: "Look, Dr. Cai is humble. Great people are humble..."
While Cai Dongfan was chatting, he chatted with Bed 26 for a while.
He carefully explained the matters he needed to pay attention to and the method of functional exercise after surgery, and told him that he should not bear weight on the affected limb for the time being.
When you are in a good mood, you will naturally talk and explain more.
In this way, Cai Dongfan instantly established a careful and considerate image in his mind.
When the patient in bed 26 was waiting for Cai Dongfan to leave, he also said: "Dr. Cai, I don't know how to thank you, so I bought some cut fruits and a little care. After you finish checking the room later, I will ask you
My wife will send it to you..."
"No, no, you can keep it for yourself."
Cai Dongfan was very embarrassed. In fact, Zhou Cheng also put in a lot of effort to treat this patient.
He had a fracture of the tibial plateau. If it weren't for Zhou Cheng, he might have suffered another fracture...
If it had really happened, it would not be the scene like this.
After politely declining with a smile, he came to Lao Aosu's room with 27 beds.
There is no need to talk about the medical history, we have already talked about it before.
Moreover, my companion, Lao Si, had already sorted out the pre-operative and post-operative films, handed them to Cai Dongfan and Luo Yun, and at the same time fumbled around in the bedside table for a while.
He took out a rolled red triangular flag with golden threads and said, "Dr. Cai, beds 26 and 25 bought you fruits together. I didn't get a share, so I just customized a banner for you.
"
"I can't eat it, and I can't share it with too many people."
"But it's also my heart."
Cai Dongfan hurriedly said: "Hey, Lao Si Si, why do you want to go out to order banners? This will be a waste of money."
As he spoke, he bowed and took it with both hands very naturally.
Gold cups and silver cups are not as good as the reputation of patients, and the banners sent by patients are the greatest affirmation of the doctor in addition to the patient's own good quality of life!
"Dr. Cai, you deserve this. You are a kind person, with a kind heart, and your medical skills are superb!" He counted the benefits one by one.
Cai Dongfan quickly turned around and handed the banner to Du Yanjun, who immediately took it knowingly.
This is something Cai Dongfan values very much.
The banner is not hung in the department as a facade, but a token of gratitude left by the patient. Every banner is a joy, which is one of the glory of the doctor.
Du Yanjun carefully rolled it up and prepared to send it to Cai Dongfan's office later.
Immediately afterwards, Cai Dongfan began to watch the post-operative review films.
However, as soon as Cai Dongfan's eyes came into contact with the plain film of the postoperative review, his expression immediately changed.
His eyelids trembled, his lips trembled, and he murmured in a low voice: "Impossible?"
"How can this be?"
"So that's it, that's it." Cai Dongfan said something incomprehensible as if he was in a daze.
I saw Cai Dongfan's expression was wrong.
Luo Yun quickly put down the pre-operative film in his hand, and then looked towards Cai Dongfan——
Everything is fine. Why does Director Cai seem to be stimulated by such a beautiful post-PTFN review film?
The look on Cai Dongfan's face scared the patient.
The old woman was struggling to hold herself up with one hand, while his wife held her hand tightly and looked at Cai Dongfan nervously with both eyes.
Somewhat tremblingly, he asked: "Director Cai? Yes?"
"Is there a problem?"
Cai Dongfan was so excited that he didn't reply for the first time, but turned to look at Zhou Cheng.
It turns out that the problem lies here...
I finally finished coding the third chapter, and the third update is here.