It is not too difficult for an experienced doctor to determine through physical examination that a child's arm is dislocated.
However, after grasping the details of the patient's clothes being worn backwards, he deduced that the child's arm was pulled and dislocated when he was changing clothes...
The subsequent series of reasoning is a bit unbelievable!
Zhao Yuan smiled modestly and said, "Thank you, Director Qin! The situation was urgent just now and I did not follow the procedures. Please forgive me."
Qin Yang was slightly startled and quickly reacted.
Zhao Yuan's correct approach just now was to transfer the patient to an orthopedics department.
A disease like this involving bone dislocation is beyond the reach of a pediatrician.
However, even in orthopedics, if you are not an experienced doctor, you may be helpless, because children are too young and their bones are particularly fragile, which is different from adult orthopedics. If you don’t know the severity, your condition may be aggravated.
With the temper of that family just now, there would be no way to give up, the situation would get out of control, and disputes would easily arise.
Qin Yang originally planned to remind Zhao Yuan, but he did not expect him to take the initiative to mention the matter. He secretly thought that Zhao Yuan not only had outstanding medical skills, but also had first-rate emotional intelligence.
"It's okay." Qin Yang shook his head slightly, with a smile on his round face, "He actually knows how to set bones. Emergency surgery can't learn how to set bones in children."
Zhao Yuan could only open his eyes and tell lies, saying: "I asked an old military doctor for advice. In addition to doing a good job in surgery, he also has great experience in treating bone injuries."
Qin Yang praised: "Even if you have the guidance of a famous doctor, if you don't have talent, you can only learn superficially. What's more, in actual combat, you have to rely on yourself to adapt to many things on the spot. For example, X-rays cannot show radial head subluxation, which is a lot.
People will ignore it.”
Qin Yang is a person who cares about details very much. Zhao Yuan said with a smile, "I was lucky. I thought of a similar medical case at that time. The patient was also two or three years old. When he was walking in the square, a bicycle rushed out, and his grandmother pulled him
I hit the patient, and the child was dislocated. As a result, when I arrived at the hospital, I took an
Qin Yang smiled and said: "You have learned very solidly and have a rich reserve of knowledge. The most important thing is that you can use it flexibly, which is very rare."
Qin Yang was a little unhappy before because Zhao Yuan rarely performed examinations on patients. Most of them wrote prescriptions based on physical examinations, which seemed to be a big deal.
As a result, Qin Yang felt like he had been "slapped in the face"!
Zhao Yuan is not relying on arrogance, but he is confident and can make a correct diagnosis without relying on equipment at all.
Moreover, Zhao Yuan has also proven in actual combat that instruments and equipment will also have blind spots, and in many cases cannot be effective, and are not as reliable as the doctor's own judgment!
With Zhao Yuan's level, tsk tsk, the identity of an intern is too deceptive!
Another patient came in, but Zhao Yuan still did not let the patient check his blood picture, and gave the diagnosis result through physical examination.
Qin Yang didn't say anything anymore, she could see Zhao Yuan clearly.
I just promised myself to increase routine check-ups, that is, to deal with myself.
How to actually treat it, he will still follow his own habits.
Pediatric specialist clinics are on an appointment-only basis.
Qin Yang's expert account was fully booked yesterday.
At Qin Yang's speed, it would normally take until noon for all patients to be treated. Occasionally, some patients would have to go to the inpatient department with their examination reports in the afternoon to ask Qin Yang for the results.
Zhao Yuan was very efficient and cleared all the scheduled patients before eleven o'clock.
During this process, Qin Yang had no chance to intervene, and Zhao Yuan handled it independently.
Qin Yang also had a full understanding of Zhao Yuan's abilities. This young man was also a good player in the field of pediatrics.
No wonder "Xie Heilu" refused to let him go even if he was admitted to the hospital, and required Zhao Yuan to sign in at the emergency surgery three days a week...
Qin Yang found the director of pediatrics, Zheng Baohua, and described the situation this morning.
"Zhao Yuan is really good. Although he is very young, he has methods, skills and aura in dealing with patients!"
Zheng Baohua stared at Qin Yang for a while and joked: "I remember the last time you were so excited was when you got married..."
Qin Yang glared at Zheng Baohua, "Fuck you! I'm talking to you about business."
Zheng Baohua smiled bitterly, "I understand what you mean. Zhao Yuan will definitely not be able to stay. I don't know how many people want to poach him and have approached Dean Chang. He has been stereotyped as a good embryo for a surgeon. You ask him to transfer to pediatrics
,Aren’t you going to be scolded?”
Qin Yang sighed in frustration, "What's wrong with pediatrics? Our pediatric department at Tianhua Hospital ranks high in the country and has produced more academicians than other departments!"
Qin Yang’s doctoral supervisor is an academician.
Zheng Baohua didn't expect Qin Yang to appreciate Zhao Yuan so much, and even moved out as a tutor. He laughed dumbly, "The key is to see what Xiao Zhao thinks. Xiao Zhao prefers emergency surgery. It's useless for anyone to say it!"
Seeing Director Zheng dealing with him in various ways, Qin Yang was angry for no reason.
She truly admired this young man Zhao Yuan.
He has a sunny and handsome appearance, is calm and has superb medical skills. Being able to work with such a young man makes me feel motivated to get up every day.
…
There was no need for outpatient care in the afternoon. After walking around the ward with Qin Yang, Zhao Yuan's head hurt even more.
Although he doesn't like pediatrics, Zhao Yuan still works hard to persist. After all, it is part of a new life.
Pediatrics is a relatively unfamiliar field to me in my previous life. Through this method, I can re-understand this subject and lay a more solid foundation.
Although others think Zhao Yuan is a monster, Zhao Yuan has a clear understanding of his abilities.
The reason why he integrated into Tianhua Hospital so smoothly is because he had another life. His experience as a military doctor allowed him to re-enter the workplace with a much higher starting point than others.
However, if you don’t work hard to improve your abilities, your knowledge reserve will be exhausted sooner or later.
He often rests on his laurels. When all his laurels are used up, he is no longer so free and easy.
Of course, he is still very young. As long as he keeps learning and making progress, he can still be in a leading position compared with his peers.
Before being promoted to chief physician, he had enough time and opportunity to fill in the gaps in his knowledge and hone his core competitiveness.
After the ward rounds, Zhao Yuan found his mobile phone in the office and saw several calls from Xu Yuan, so he quickly called back.
"My grandpa went hiking a few days ago, and he caught wind and cold when he came back. His health is getting worse and worse. Just now, a traditional Chinese medicine expert from the Health Bureau came to check and said that my grandpa's pulse is house leakage pulse, and his condition is very serious..."
Zhao Yuan comforted him, "Don't worry, the situation may not be as serious as you think."
