From her description, it can be basically inferred that this woman with ordinary looks and a strong frame should depend on her grandmother for support.
If there were other relatives at home, she would not have come to Tuya alone for medical treatment with her broken arm.
"Have you registered?"
Zhou Can felt very sympathetic towards the woman.
In hospitals, we can often see vulnerable groups at the bottom of society.
Most doctors and nurses will provide some care to these people to the best of their ability.
"I've registered and am waiting for my number to be called! I don't know why I fainted!"
As she spoke, she tried to sit up.
"Don't move, don't move! Your ribs are fractured. Moving around can easily pierce important organs such as the heart and lungs, and can also easily worsen the fracture." Zhou Can quickly held her shoulders.
Motioned for her to lie down first.
As for the reason why she fainted, it was because she was injured and her vitality was severely damaged. In addition, she had not eaten for a long time and had symptoms such as hypoglycemia, which caused her to faint.
" Which rib is injured? Does it hurt now?"
"This is the 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 hearing this, Zhou Can felt relieved.
"How long have you been injured?"
"I was injured yesterday morning. After I fled home, I first went to the town clinic. When they saw that I was seriously injured, they immediately suggested that I go to a large hospital for treatment. So I took a car for nearly a day and rushed to Tuya Hospital for treatment."
The injury lasted relatively short period of time.
If the time exceeds half a month, callus will grow on the broken bone, which is extremely unfavorable for surgery.
Basically, many doctors are reluctant to perform surgery if the fracture has lasted 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.
Judging from her attire, the possibility of her taking a taxi is almost zero. The most likely option is to take a long-distance bus or a crowded public bus.
I really admire her perseverance.
If it was a more delicate woman, with a broken arm and perhaps two broken ribs, she would have been lying on the ground groaning.
"I want to sit up, it should be fine!"
She exerted force on her waist again.
Zhou Can had to carefully help her up from the ground and then sit her on the chair.
At this time, the nurse came over with some food.
"I bought some fast food for 15 bucks!"
She returned the remaining 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, so it must be very inconvenient for her to eat. Could you please feed her?"
The nurse frowned slightly, with a look of embarrassment on her face.
Feeding patients is not really a nurse's job. The kind of nurse holding food and carefully feeding patients basically only appears in TV dramas.
In reality, it is good enough if nurses can speak gently to patients and their families.
Many times, nurses are actually very fierce and are very good at confronting people.
Especially for outpatient nurses, there are very few who are honest and can be deceived.
"Sorry, I have something else to do!"
The nurse made an excuse and left.
Zhou Can had no choice but to feed the female patient himself.
"I can eat by myself."
She holds the chopsticks with her left hand.
Zhou Can helped her hold the lunch box, as close to her mouth as possible.
Maybe he was really hungry.
The woman quickly finished the box of food.
Zhou Can ran to pour her a glass of water.
After eating the food, she felt much better.
"Show me your registration form."
Seeing that she was not accompanied by any family members, Zhou Can decided to help this poor woman.
He has nothing to do now anyway.
Might as well do something good.
"The attending doctor turned out to be Dr. Chi."
Zhou Can touched his nose.
Outpatient department and inpatient department are two different concepts.
Many people think that as long as they are a doctor, they have the opportunity to see patients. That is totally wrong.
Not to mention a big hospital like Tuya, even slightly stronger hospitals have extremely high requirements for outpatient doctors.
Doctors in Tuya who want to apply for outpatient clinic qualifications basically have to start with the rank of attending physician.
For deputy director and above, the probability of passing will be higher.
As for residents sitting in for consultations, it is very rare. Only a very small number of exceptional ones, either with high academic achievements or strong surgical skills, are reported to the hospital after being evaluated by department heads.
It doesn't mean you will definitely get approved, but it can be said that there is a chance of getting the hospital's consent and opening a personal outpatient number.
From this point of view, the path of growth for a doctor is really a long one.
And the income gap is also shockingly large.
In the same hospital, a weak chief physician may only earn about 150,000 yuan a year, while a strong chief physician can earn more than 600,000 yuan.
The salaries of doctors at Tuya Hospital mainly include several aspects, including job grade salary, quarterly bonuses, holiday allowances, year-end performance, medical research awards, and workload. These are all normal income that can be seen.
All in all, there are many doctors who earn more than one million before tax.
They are basically bigwigs at the deputy director or director level.
Zhou Can now only receives a pitiful basic salary and a little overtime pay.
Once he obtains his certificate of completion of regular training, his medical license, and is hired as a resident physician by the hospital, he will be eligible to receive bonuses, performance-based income, and the like.
"Please sit here and wait for a while. I will go and ask for you if I can give you priority for examination."
Zhou Can asked the woman to sit here and wait.
Her injuries are so serious and she is not familiar with the diagnosis and treatment procedures. It would be a blessing if she could get the X-rays before tomorrow.
Help her and it will be considered as a good deed.
Zhou Can took her registration form and medical record and went straight to the outpatient department 2014.
The door is closed.
There were patients being diagnosed inside, and a dozen patients seeking medical treatment were standing outside the door.
It is estimated that these people’s numbers are relatively high.
Zhou Can waited until the patient inside finished his examination and came out, then rushed in.
The other patients didn't have any objections to him seeing that he was wearing a white coat and was a doctor.
"Doctor Chi, excuse me for interrupting you."
Zhou Can was prepared to be rejected.
After all, he was being suppressed by Director Xie, and other doctors were likely to show their cruel faces. It was too late to hide from him, let alone help him.
"It's Doctor Zhou! What's the matter? Tell me!"
Dr. Chi's attitude towards him did not change much.
This made Zhou Can feel a little more favorable towards him.
In fact, the two of them only got to know each other in the operating room or during case discussions.
"This patient just fainted outside. Her arms and ribs are broken. She is a female patient from the mountains, and she is not accompanied by her family. Can you let her jump the queue and get a priority diagnosis?"
When Zhou Can said these words, he was actually quite nervous.
Asking for help is like swallowing a three-foot sword.
He can't even protect himself now, but he's still asking for special care for the patient. Dr. Chi may not buy it.
"Call her in. You don't have to wait for her number to be called. You can ask her to come in now."
After hearing this, Dr. Chi agreed readily.
This made Zhou Can very grateful.
"Hurry up and go! When you are in the clinic, there are actually many learning opportunities, such as the manual reduction room."
At this moment, in addition to Zhou Can and Dr. Chi, there was also a patient and two family members in the room.
Dr. Chi spoke some things in a rather obscure way.
But he must have known what happened to Zhou Can.
"I'm not familiar with the doctor in the manual reduction room!"
Zhou Can had thought about this path before.
He took this opportunity to practice his bone-setting skills.
But the world is fickle and indifferent. Why should the doctors in the manual reduction room give him a chance to learn?
"You'll understand when you go there. The doctor on duty today is Dr. Fu Zhian, who used to be Director Shen's student. He is considered half a doctor in our group."
When Dr. Chi said this, he winked at Zhou Can.
That expression was very mysterious.
Zhou Can was not stupid either, and he immediately understood a lot of meaning from his words.
Director Xie asked the departments below to cooperate in suppressing Zhou Can, suppressing this evildoer, and preventing him from rising. But people are emotional and have conscience.
On the surface, we are doing things according to Director Xie's wishes. Within a reasonable range, we can give Zhou Can some small conveniences and establish a good relationship with him, which is actually a good thing.
Not only can it make your conscience feel good, but it will also allow you to get Zhou Can's reward when you are in trouble or need help in the future.
The main reason why they were willing to take this small risk was because Zhou Can had shown extremely amazing potential.
Potential is something that cannot be seen or touched, 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 always ranks first in the school in academic performance. Are you willing to help this child?
The answer is yes.
On the contrary, this child is ignorant and a troublemaker. He causes trouble every day, steals and cheats, and his grades are terrible.
You definitely avoid it.
During the more than two months of training in orthopedic surgery, Zhou Can showed extremely amazing potential and his character was impeccable.
Director Shen likes him, and Doctor Shan and Doctor Chi also like this intern.
There should be no reason for other attending physicians in the same group to hate him.
Doctors in the manual reduction room should specialize in bone and joints. That's why Dr. Chi said that Dr. Fu Zhian is only half a doctor in this group.
Zhou Can brought the woman to Dr. Chi's clinic.
After Dr. Chi gave her a simple physical examination, he wrote her an application for a checkup, including a blood test and X-rays, which were the most basic routine tests.
Some hospitals may have revenue-generating tasks or inspection indicators.
The doctor will prescribe more tests.
Even if you have a serious illness or a minor one, you should follow the routine examination routine.
Patients are not fools. Although they belong to a vulnerable group, they may avoid this hospital next time.
Over-medicalization is a common phenomenon throughout the world.
Patients in developed countries who do not have medical insurance basically dare not go to the hospital when they are sick.
Treating an illness can make a person bankrupt.
This is not an exaggeration.
The consumption concept of foreign countries is different from that of China. They like to consume in advance. Ordinary families basically have little savings. A slightly serious disease can make them bankrupt.
Of course, the medical insurance systems in developed countries are more sound.
The reimbursement rate is quite high.
This is also why people in developed countries are particularly afraid of losing their jobs.
Because unemployment means that you may have no food to eat next month and all kinds of insurance will also be cut off.
This is a very scary thing.
Zhou Can took the female patient to pay the examination fee first, and then took her to have blood drawn for tests and queue up for an X-ray examination.
He is just an intern now, and it is not easy for him to say hello and ask for favor for her in the outpatient department.
It is unrealistic to go to the medical and technical departments where people with connections hang out to say hello and ask for special care.
Just wait patiently.
"Miss Wei, are you and your grandmother the only ones at home?"
Zhou Can chatted with her.
"Yes! My parents divorced when I was very young. When I was five years old, my dad was chopping wood in the mountains and accidentally fell off a cliff. Because our family was poor and had no money to treat him, he died the next day after being carried home. My grandmother raised me single-handedly."
No wonder she has such deep feelings for her grandmother.
A hemp rope always breaks at the thinnest part, and misfortune always strikes upon the unfortunate.
The female patient's name is Wei Fang. She lost the love of her parents since she was young and is a child with a miserable life.
"How do you make money at home? Digging wild mushrooms and herbs?"
"Um!"
She doesn't seem to like talking much.
It may also have something to do with her broken ribs.
Generally speaking, if the ribs are fractured or injured, coughing or talking will affect the injury and cause pain.
But up to now, I haven't heard her make a sound or cry out in pain.
It seems that her right arm fracture must be quite serious.
The condition of the ribs can only be known after the X-ray results come out.
“Isn’t it possible to make much money digging wild mushrooms and herbs?”
Zhou Can asked again.
"If I'm lucky, I 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.
This also requires good luck.
Otherwise, the income will be even lower.
"Have you ever thought about working in a city? Even if you work in a factory, you can earn at least three to four thousand yuan a month."
"My grandma is old and needs someone to take care of her. I am worried about her working outside."
Zhou Can also guessed some of the reasons she gave.
Many people living in the mountains are very simple and honest.
They attach great importance to family ties.
Especially the grace of parents in raising us, which is higher than the sky and deeper than the sea.
Wei Fang was almost entirely raised by her grandmother, and the two depended on each other. Her feelings for her grandmother are deeper than anyone else's.
It is understandable that he is reluctant to leave his grandmother and go to the city to work.
"You are so seriously injured now. It will take at least two or three months for you to recover. What are you going to do during this time?"
"I...I don't know either. I will have the surgery in the hospital first and stay there for a while. When my injuries are a little more stable, I will 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 was a very scary injury.
According to Zhou Can's professional medical knowledge, she not only needs to be hospitalized, but also likely needs to undergo thoracotomy to connect the broken ribs and perform an internal fixation.
If surgery is not performed, the severed ribs can easily injure the internal organs.
Even if it only affects her lungs, it will cause her serious symptoms such as severe coughing, lung inflammation, and fluid accumulation.
In addition, if completely severed ribs are not reconnected surgically, they will heal abnormally.
It will have a huge impact on the rest of her life.
Look at the X-ray of the right hand again.
A broken arm bone is also serious.
The fracture line is obvious and surgery is also required.
The treatment effect will be very poor if only plaster and external fixation are used.
It may also cause disability of 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-ray from the self-service machine, she saw that Zhou Can's face became very solemn.
"Your injuries are very serious. Four ribs are broken, two of which are severed. The ulna and radius of your right arm are all fractured. Doctor Chi will tell you the specific treatment plan. Although this result is a bit bad, you are very lucky to be able to survive the attack of that big wild boar."
Zhou Can could only comfort her in this way.
Since ancient times, mountain people have had the saying of "one pig, two bears and three tigers".
The fighting power of an adult wild boar is terrifying.
Its long fangs are like two daggers. With a flick of its beak, it can throw a person more than ten meters away.
A head-on collision could break even a tree as thick as a bowl.
Zhou Can led her to Dr. Chi's outpatient clinic before leaving.
This is basically all I can do to help her.
He subconsciously walked towards the manipulation reset room.
I thought it would be great if I could get a learning opportunity in the manual reduction room as Dr. Chi said.
The manual reduction room is located in the orthopedic surgery waiting room.
There were about a dozen patients and their families gathered outside.
The sound of a child screaming and crying was heard in the reset room.
No anesthesia is used during manual reduction, and the pain during the reduction process is often unbearable for many patients.
Zhou Can squeezed in and saw a big boy of about eleven or twelve years old, chubby and about 1.6 meters tall.
These days, children are generally well-nourished and their bodies develop early.
A female nurse, the boy's mother, and a young male doctor, none of them could hold him down.
There was also a middle-aged male doctor with gray hair on his temples, probably in his forties.
The boy is being given a shoulder reduction manipulation.
For many boys, if they don’t dislocate their shoulder once or twice, they will feel guilty about their naughty childhood.
Zhou Can thought this was a good opportunity.
He quickly stepped forward and helped hold the boy down.
He is a martial artist. The combined strength of the female nurse and the boy's mother is not as great as his.
The young male doctor was also far inferior to him.
With his strong intervention, the crying and struggling boy was immediately pinned down.
The middle-aged male doctor, who was trying to reposition the bone but was unable to do so due to the boy's violent struggle, turned his head and looked at Zhou Can.
"You're really strong! I finally pinned down this little calf!"
The middle-aged male doctor should know who he is.
She smiled at him and praised him.
"Excuse me, are you Doctor Fu?" Zhou Can asked.
"Yes, I'm Fu Zhian! I'm basically the one who sits in the manual reduction room."
The middle-aged male doctor nodded slightly.
The tone and attitude are both quite friendly.
"I'm Zhou Can, who has just been transferred to the outpatient clinic for regular training. I hope Dr. Fu will take good care of me in the future."
Zhou Can fully demonstrate his shameless skills.
Opportunities should be actively sought .
"No problem! You can come here to help whenever you have time. There are often some underage patients who don't cooperate with treatment, so we need a strong assistant like you to help immobilize the patients."
Dr. Fu readily agreed.
Didn't even hesitate.
Just as Dr. Chi said, as long as Zhou Can came, he would be taken care of.