Chapter 131 Dimensionality reduction attack, female patient with fracture

Director Xie's idea was to prevent the emergency department from becoming too big from a strategic perspective. I guess no specialist department really wants to see the emergency department grow.
Because the emergency department is the preferred registration department for most patients.
If it becomes powerful, many cases can be directly digested, which is equivalent to snatching the diagnosis and treatment business of specialized departments in disguise.
Recruiting Zhou Can to the surgery department can not only prevent the emergency department from becoming too powerful, but also introduce a super genius to the surgery department.
Kill two birds with one stone and have many benefits.
That's why Director Xie was willing to humble himself and go to such great lengths to recruit him.
"I haven't considered this yet!"
Zhou Can politely declined Director Xie's invitation.
A good horse never turns back.
What's more, Director Xie's various qualities made Zhou Can extremely distrustful. It was even more impossible to entrust his future to such a person.
"What if I tell you that, based on your outstanding performance, you can be admitted to a promising top surgical department such as neurosurgery or cardiothoracic surgery?"
His eyes were fixed on Zhou Can.
I think the bait I threw out is enough to attract all the trainees.
The entry barriers for these two departments are extremely high.
Even if you have a postgraduate doctoral degree, you may not be able to get in.
"Thank you for your support and kindness. I still prefer working in the emergency department."
This time, Zhou Can’s refusal was quite clear.
Otherwise, if Director Xie still can't poach him even if he offers more tempting conditions, he will probably get angry and embarrassed.
"Are you sure you don't want to think about it anymore?"
Director Xie's tone turned slightly colder.
"I have thought it through very clearly."
Zhou Can once again firmly rejected Director Xie's recruitment.
"It's good to have talent. But without a good training environment, your ultimate achievement will not be very high. You must recognize your own disadvantages. With a low education level, it is almost impossible to have great development in the field of internal medicine. Surgery is your only development opportunity and path. If you are sure you want to stay in the emergency department, then I will instruct all the surgical departments to train you in the emergency department."
When Director Xie saw that he failed to recruit the person, he started to threaten him directly.
We are all civilized people and will not make open threats.
Instead, state the interests involved and force the other party to make a choice.
Just like some shameless male professors, who are quite old, if they like the body of a female student, they will not use violence to get it.
Instead, they deliberately fail the other party's paper, or force the other party to do some research on topics that have no future.
In disguise, it is forcing the other party to agree to some unreasonable demands.
Zhou Can also encountered this unspoken rule at this moment.
If he doesn't agree, he will be left out for the entire rest of his surgical residency training.
There is no need to doubt the ability of a great director.
As long as Director Xie says hello to the directors of the departments below, Zhou Can will fall into an ice cellar.
"I believe you can be the chief of surgery and you will not punish me, a junior intern, for such a small matter."
Zhou Can's expression changed slightly.
Flipping the table and cursing will definitely not work, that's tantamount to seeking death.
Unless he doesn't want to stay in Tuya anymore.
The only way is to hope that Director Xie will be proud of his status and will not attack him as a small-time trainee.
"Haha, your trick of flattering me won't work. Even if you report this matter to the dean, I will still say the same thing." Director Xie also knew that Zhou Can had some connection with Dean Zhu.
However, since he dared to threaten Zhou Can, he was not afraid of Zhou Can making trouble.
In such small matters, the boss can really be so willful.
Don't be naive and think about finding someone to reason with.
If we invite Dean Zhu over, he will most likely just criticize Zhou Can for his mistakes.
This phenomenon is not unique to hospitals; the same rule applies to other companies and organizations.
Leaders are leaders, and the grassroots are the grassroots.
It is a taboo for the lower class to challenge the leadership.
"Can't you just spare me, a minor trainee, by showing me some mercy?"
Zhou Can made his final effort.
Was it because I had confronted Director Xie in the emergency department last time? And Director Xie was holding a grudge against me?
Now taking the opportunity to suppress and retaliate?
This possibility is small, because if Director Xie really hated him so much, he would not have waited until now to make trouble.
On his first day in orthopedic surgery, he might have been suppressed by Director Xie.
"Let me give you an example. If a mosquito is flying around you, would you reach out and hit it?"
Director Xie did not give a direct answer.
Instead, he gave examples and asked questions, allowing Zhou Can to think for himself.
In this situation, nine out of ten people would kill the mosquito.
Zhou Can smiled bitterly to himself.
Director Xie compared this to a mosquito. Is it that annoying?
He thought for two seconds and answered politely, "It's not good to hit mosquitoes with your hands. It's easy to be infected with viruses and bacteria from them. I usually wave my hands to drive them away."
This answer is quite clever.
Crazy hint to Director Xie that the "mosquito" is poisonous, so don't hit it.
"Why did you reach out to chase it away?"
Director Xie continued to ask.
“I’m afraid of being bitten by them.”
Zhou Can had no choice but to answer.
"Since you are an intelligent person, why do you have to ask me again? Young man, the workplace is as deep as the sea. You will understand some truths sooner or later. Go and get busy. The door of surgery should always be open to you. When you figure it out, you can come to me again."
Having said this, Director Xie immediately ordered them to leave.
However, Zhou Can was still left with a way out.
Coming out of the director's office, Zhou Can felt a little heavy-hearted.
A tree that stands out in the forest will be destroyed by the wind.
He was really depressed because he was too outstanding and suffered such a misfortune.
Director Xie suppressed him because he was probably worried that he would learn too many skills in surgery and become a big shot in the emergency department in the future.
It has nothing to do with personal grudges.
It is the consideration and competition of major interests among departments.
For now we can only take one step at a time.

The next day, Zhou Can went to work in the hospital's orthopedic surgery department as usual.
Turn on the computer and prepare to review the surgical cases of this group.
"Login failed!"
A dialog box with four words popped up.
He thought he had entered the password and identity information incorrectly, so he tried again, but the same thing happened.
"Director Xie is so quick!"
Zhou Can immediately understood what was going on.
Unable to review the cases in this group, he could only check the surgical records and medical records he had written previously.
These are your own things and you can check them at any time.
No permissions required.
"Doctor Zhou is here quite early!"
Dr. He was supposed to be on night shift yesterday, with messy hair and dark circles under his eyes.
"morning!"
Zhou Can forced a smile.
Other doctors in the group arrived one after another, and Dr. Shan also came.
Their attitude towards Zhou Can remains the same as before, with no change.
This means that they are of low level and do not know what is happening.
After experiencing the fickleness among colleagues in the emergency department, Zhou Can didn't believe that these colleagues would stand firmly on his side and confront their superiors.
By then, everyone will avoid him as if he were a plague.
That's the reality.
"Hey, Doctor Zhou, why don't you check on this group of cases today?"
Doctor Shan has been working with him for more than two months and has already developed a certain degree of dependence on this capable assistant.
Take the thief from yesterday for example, only Zhou Can could discover the problem.
"My... login privileges should have been revoked."
Zhou Can said bitterly.
"Take it back? I don't think so. Your orthopedic surgery residency will end in sixteen days. I'll ask for you."
Dr. Shan found it unlikely.
I was ready to call the Information Department right away.
Then I looked at the time and it was only 7:35, so they must not have started work yet.
"Don't worry. I'll ask for you when the Information Management Department gets to work. Please use my computer to look at the cases that will be operated on today. There is a case that requires nerve separation before fractured bones are joined. When the time comes, the task of nerve separation will be left to you."
Ever since Zhou Can showed off his skill in separating blood vessels.
Whenever she encountered more difficult tissue separation and release work during surgery, she always gave it to Zhou Can.
Zhou Can has also always performed well and never made any mistakes.
This made Dr. Shan respect and trust him even more.
It was almost eight o'clock when Dr. Yang walked into the office.
"Doctor Shan, I have something to discuss with you. Your trainee student Zhou Can may need to be transferred to the outpatient department for training."
Doctor Yang said very tactfully.
Sure enough, what was supposed to come finally came.
Fortunately, Zhou Can has already learned most of the orthopedic surgical knowledge and the entire perioperative care of patients in the orthopedic surgery department.
I am far from being proficient, but the foundation has been laid.
"Why?"
Dr. Shan was extremely surprised by this result.
"This is an arrangement made by the department. Dr. Zhou will return to the emergency department in the future, so the direction of his regular training is mainly to prepare him to adapt to the work of the emergency department."
Doctor Yang has made it very clear.
They have no right to question the arrangements made by the department director and can only obey.
"Wait a moment, I'll call my teacher to report it."
Director Shan obviously didn't want Zhou Can to be transferred.
What can trainees learn in the outpatient clinic?
Zhou Can didn’t have a medical license, so he wasn’t even qualified to accompany patients in the clinic. He could only be a guide or run errands.
This arrangement is obviously aimed at Zhou Can.
The first thing Dr. Shan thought of was that someone was jealous of Zhou Can's ability and was deliberately making trouble.
Her teacher is no pushover either.
Even other chief physicians in the same department, including the director of orthopedics, had to give her teacher some face.
"Doctor Shan, it's useless to ask Director Shen about this. You should just obey the department's arrangements."
Doctor Yang's eyes flickered.
"What's the meaning?"
Doctor Shan is not simple, nor is she stupid . She knows a little about the inside stories and unspoken rules of the hospital.
"I'm afraid even Director You of our orthopedic surgery department may not be able to make the decision on this matter. You'd better not cause trouble for Director Shen."
He said in a very determined tone.
The doctors present understood a little bit at this time.
Considering that Zhou Can's login privileges were suddenly suspended, and now the higher-ups are going to transfer Zhou Can to the outpatient department, it seems that Zhou Can has offended a big shot.
In the entire surgical department, there are only a handful of people whose status is higher than that of Director You and Director Shen in the Department of Orthopedics.
The person Zhou Can must have offended was one of the big shots in the surgery department.
"Doctor Shan, thank you for your care and cultivation of me during this period. As time goes by, we will have the opportunity to meet again. I am sorry that I can no longer accompany you in the nerve separation surgery today."
After Zhou Can went back yesterday, he thought about it all night.
He had already thought about all the possible outcomes.
The current results are not too bad.
Doctor Shan was just an attending physician, and he didn't want her to be labeled badly by Director Xie because of this incident.
Her ability is limited and she cannot change any outcome.
"Dr. He, thank you for your help and guidance these days."
Before Zhou Can left, there were three people he should thank.
Dr. He Zhang from the inpatient department, Dr. Shan from the operating room, and Director Shen.
"Brother, all difficulties will pass, just hold on." Dr. He Zhang nodded to him.
He sympathized with Zhou Can's situation, but there was nothing he could do.
I won't wade into this muddy water.
"Doctor Shan, please say thank you to Director Shen on my behalf. I sincerely appreciate his guidance and care for me these days."
After saying that, Zhou Can glanced at the others.
He noticed that there was a hint of secret joy on the faces of the two interns and Dr. He.
When Zhou Can was here, he was too outstanding and overshadowed these three people. Now that he has been transferred away, the three people have a chance to come to the fore, so they are happy.
"Goodbye, colleagues!"
Zhou Can was not too angry about the three people's gloating.
If a man does not work for himself, he will be punished by heaven and earth.
I can understand their thoughts. But the iron must be hard to forge.
The talents recruited by Tuya Hospital are stronger than the previous generation. If they are not hardworking and excellent enough, there will be countless new talents pouring in after Zhou Can leaves.
"Doctor Yang, do you know who I should report to when I go to the clinic?"
Zhou Can looked at Dr. Yang.
"I'll take you there! You just need to arrive at the clinic before 8am every day and leave at 5:30pm. You don't need to report to anyone."
This arrangement is ridiculous.
This means that even the teacher who taught us is gone.
Let Zhou Can do odd jobs in the orthopedic surgery clinic.
It's almost like letting things take their own course.
"So what kind of work do I do in the clinic?"
Zhou Can asked as he followed Dr. Yang.
"Do things according to circumstances. For example, if a patient doesn't know how to get to the laboratory, you can show them the way. Or if a patient doesn't follow the rules while waiting for treatment, you can help maintain order..."
These tasks should be done by the guiding nurses and security guards.
It's a waste of talent to let a doctor do this.
Zhou Can was very angry.
But he didn't get angry with Dr. Yang, as this matter had nothing to do with Dr. Yang.
It was Director Xie who made the arrangement.
Soon, Zhou Can was taken to the corridor of the orthopedic surgery clinic. Dr. Yang greeted the doctor in charge and the head nurse and told them that there would be a special intern in the clinic from now on.
A new person came, and he was a doctor, and the news quickly spread throughout the outpatient clinic.
It’s mainly the nurses’ gossiping that’s really horrible.
Especially those guide nurses, many of them are recruited from society and cannot be considered formal nurses.
The work itself is relatively simple, which is to guide patients to see a doctor.
The quality of these people varies.
Gossip is the nature of most women.
They whispered to each other, and soon the news that Zhou Can was transferred to the outpatient department to do odd jobs spread to the ears of all the medical staff in the orthopedic surgery clinic.
When some nurses and doctors looked at Zhou Can, their eyes were as if they were looking at a rare species in a zoo.
Zhou Can was a little nervous at first.
After staying there for a while longer, he gradually adapted.
The main thing is that I have to wear a white coat and walk like a fool in the corridor and hall of the outpatient clinic, which is so uncomfortable.
Not only was he looked at as a rare animal by the nurses and doctors, but also the family members and patients seeking treatment, and even the scalpers who mixed in among them, all looked at him strangely.
Two full hours passed and Zhou Can was still wandering around.
No one cares about him.
Very free.
But no one assigned him any work.
Occasionally, patients would ask him for directions, or where to register or which department to see for their illness, and Zhou Can would patiently give them his instructions.
Orthopedic surgery is divided into traumatology, joint surgery, microsurgery, etc.
Different bone diseases require registration in different departments.
If you call the wrong number, the impact can actually be quite significant.
For example, even though it is a broken arm, the patient gets an appointment with a doctor in the joint department.
This doctor may be better at diagnosing and treating bone injuries in joints.
The treatment plans prescribed may vary greatly.
The effect might be better if traction was applied first and then surgery was performed. However, because he was not that professional, he directly prescribed surgery.
Of course, before the operation, it will be reviewed again by the surgeon in charge.
However, it is also possible that the surgery is performed directly without adequate supervision.
It is possible that there will be a certain degree of malformation after surgery, or that the arm function may not recover as expected.
Why are many special expert appointments so expensive?
That's because these experts, in addition to giving you a diagnosis and providing treatment plans, may also perform surgery on you personally.
Other doctors can perform some difficult operations, but not as well or as thoroughly.
Experts will do it for you and provide a perfect solution.
The registration fee of several hundred or thousands of yuan is well worth it.
Therefore, for minor illnesses and common diseases, you can just go to a regular doctor. Because no matter which doctor you go to, the treatment methods are similar.
If you have been treated in several hospitals for a disease and the results are still not satisfactory, then don't be stingy with the registration fee of several hundred yuan, and directly grab an appointment with a special expert who specializes in treating this disease.
Zhou Can is a doctor himself, and it is the patients' luck to have him guide them to register.
"Someone has fainted here... Doctor, doctor..."
Zhou Can looked in the direction of the voice and saw a poorly dressed woman fainted on the ground in the waiting area of ​​the outpatient hall.
He quickly ran over to check.
It was discovered that the woman's heartbeat and breathing were still there.
I felt a little relieved.
Only then did he have time to take a look at the woman.
He was about 30 years old, with a very thick frame, but he looked very thin. His face was yellow, and he was obviously malnourished.
There was a lot of cold sweat on her forehead, and her lips were pale and a little dry.
The clothes he was wearing looked like cheap street stall goods.
Many places have been washed white, and you may even see traces of stitching.
There was not a single piece of jewelry on her hands, neck, or ears.
Tuya Hospital has a wide variety of patients. Because of its reputation, patients from all over the province come to seek treatment. There are even patients from various provinces in China who come from thousands of miles away to seek treatment.
This woman should be from the countryside.
He was wearing sneakers with soles that were almost worn out.
What really moved Zhou Can was her twisted right hand. With the professional vision of a doctor, he could tell at a glance that the woman's right hand was severely fractured.
As to whether there are other injuries, it is hard to say.
"Are the family members here?"
After Zhou Can checked, she was not in danger of life.
Then he stood up and loudly asked where the family members were, so as to learn more about the woman's condition.
I didn't see anyone come forward.
"Are the lady's relatives here?"
Zhou Can raised his voice.
However, the outpatient hall is very noisy and the sound cannot be heard far away.
"She seems to have come alone."
A woman in her fifties said.
The right foot of this woman was wrapped in white gauze, and there was a crutch beside her. If I guessed correctly, her foot was in a cast, probably for treatment of a fracture.
The white gauze on top has turned black and yellow in some places, which means it has been there for a long time.
I might come for a follow-up check today.
The old lady is accompanied by two people, so she should sit here and wait.
So we know a little more about this woman who suddenly fell into a coma.
"Her arms seem to be broken. Is there no family member?"
Zhou Can feels that when one is sick, relatives should be the most reliable.
"I saw her come in to buy a medical record book, fill it out, and queue up for registration, all by herself. There should be no family members accompanying her ."
The aunt said with some sympathy.
Zhou Can had no choice but to wake the woman up and ask about the situation.
If it doesn't work, she might need to be sent to the emergency department.
There is a special mechanism to deal with cases where there are no family members accompanying them and they are in urgent need of rescue.
When a specialist performs surgery, they generally won’t agree to do it without the family’s signature.
However, in the emergency department, when the patient really needs emergency surgery to save his life, the family members do not need to sign. Instead, the patient reports to the medical department, and the department leader signs on his behalf, and then the surgery is performed directly.
If it happens outside working hours, you can report it directly to the vice president of the hospital who is in charge of this area, and then the department leader will sign the consent form for the surgery on your behalf.
"What's wrong with this woman?"
A nurse came over.
"She suddenly fainted."
While answering, Zhou Can began to pinch the woman's philtrum.
If the patient is only in a mild coma and his heartbeat and breathing are normal, this method is a relatively effective way to wake him up.
After a moment, she slowly opened her eyes.
"Girl, what's wrong with you?"
Zhou Can asked with concern.
"I, I feel dizzy. I haven't eaten anything since last night..." She sounded weak.
Not eating for a long time, coupled with injury, can easily lead to symptoms such as hypoglycemia.
Fainting from hunger is no joke.
But it can really happen.
Zhou Can looked at the female nurse and said, "Can you help me buy a lunch from the cafeteria? No spicy food like peppers or leeks. Her right hand must have been severely fractured."
Zhou Can took out a hundred-dollar bill.
Fortunately, he had cash on him. As mobile payment becomes more and more convenient, he has fewer and fewer opportunities to use cash.
In life, mobile payment is chosen most of the time.
The nurse looked at Zhou Can with some surprise, took the money, and went to buy food.
"Girl, are you the only one coming to the hospital?"
Zhou Can quickly asked the key point.
I was mainly afraid that she would faint again.
And now I don’t know if she has other fractures, so I don’t dare to help her up.
She could only lie on the ground.
"Um!"
She hummed softly.
Perhaps seeing Zhou Can paying for her meal made her feel more grateful and trustful towards him.
Without letting Zhou Can ask, she continued, "I was digging wild mushrooms and herbs in the mountains when I was suddenly attacked by a wild boar and my arm was broken. I think one or two ribs were also broken. My grandmother, who is over 80 years old, is the only one at home. After I was injured, I was afraid that my grandmother would worry, so I kept it a secret from her and just said that I was going out for a few days, and then I went to Tuya Hospital for treatment."
"I heard that the medical skills here are good, and my injury can heal faster."
Her experience is heartbreaking.
The filial piety shown by him made Zhou Can admire him even more.

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