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Chapter 126 Consequences of damaged recurrent branch of nerve, thumb reconstruction(2/3)

I don't even know the relationship between the two.

The relationship between the two is rarely recorded in books. They are all valuable experiences summed up by doctors in practice.

Zhou Can just clicked it, and Doctor Shan knew the reason.

She obviously understands the connection between nerves and blood supply.

This also shows how important it is to have a director-level teacher.

You can avoid many detours.

"You can ask Dr. Zhou for help!"

She should have taken this opportunity to teach the greasy male doctor a lesson for his previous arrogance and bureaucratic attitude towards Zhou Can.

The greasy male doctor looked at Zhou Can with an embarrassed look.

It would be somewhat embarrassing to ask a senior resident doctor to ask a regular trainee for advice.

What's more, not long ago he pretended to be a boss in front of Zhou Can.

How embarrassing it is to ask others for advice now!

If you don't ask for advice, it will only become more embarrassing.

Everyone knew what was going on and would definitely laugh at him secretly.

"Doctor Zhou, can you give me some advice?"

The greasy man had no choice but to shamelessly open his mouth to Zhou Can.

"Nerve damage may affect blood circulation. Your teacher didn't teach you?" Zhou Can asked back.

"Ahem... maybe I taught you before, maybe I forgot."

The teacher who is a greasy male doctor is at the attending level.

If the teacher doesn't like his behavior, he may just go through the motions.

Therefore, if there is a difference in level, you still have to find the reason within yourself.

Arrogance, rudeness, incompetence, and bureaucracy are all personality defects that may displease superior doctors.

"Doctor He, please remember to follow up with the patient in this bed. After he completes the examination, he can show me the results or see Director Shen. It has been more than a day since his severed finger was replanted, so it must not be delayed."

Dr. Shan handed the matter over to Dr. He for follow-up.

She took a few people to continue the ward rounds.

There are more than 100 beds to be inspected, and even if each bed takes an average of one minute, it will take nearly two hours.

Therefore, ward rounds basically focus on key patients.

The patients who have just undergone surgery may be life-threatening, and the director's focus needs to be carefully examined to understand the patient's condition. The remaining ordinary patients can only be left to the resident doctors, trainees, and interns to check slowly.

.

About half an hour later, they checked all the open beds in this group.

Doctor Shan took them into the two wards of this group and continued his rounds.

Patients who need to be admitted to the ward generally require special care or have higher requirements for the environment.

Nurses and doctors are also very attentive to the patients in the ward.

Everyone is afraid that something will happen.

Zhou Can saw the male patient transferred from bed 120 at a glance.

"Dr. Zhou, hello!"

When the male patient saw Zhou Can, he immediately greeted him warmly.

If Zhou Can hadn't been scolded by his superior doctor in the past two days, he would have reflected his problem.

It's hard to say whether his leg can be saved.

The male patient didn't say anything, but he kept this gratitude in his heart.

Seeing Zhou Can at this moment, he was very excited and happy.

"Hello! Are you coming here?"

Zhou Can smiled and walked up to talk.

The male patient's wife also knew good and bad and knew that the young doctor was a benefactor. She handed Zhou Can a bottle of eight-treasure porridge that was intended for the patient's breakfast.

"I have to thank you last time. We country people don't have much good stuff. I'll treat you to a bottle of porridge. Don't be offended."

"Thank you, but our hospital has regulations and cannot accept any gifts from patients and their families. I'd better keep this bottle of porridge for my uncle to drink!"

Zhou Can felt particularly gratified and happy.

Every time a patient's disease is cured or the patient's life is saved, they will be grateful from the bottom of their hearts.

For example, Mr. Cui, Mr. Wu's children, or the simple middle-aged couple in front of him. The grateful behavior of these people made Zhou Can feel very happy.

"Is your leg feeling better now?"

"After another surgery, I feel much better. My legs are no longer swollen and painful."

The middle-aged uncle said with a smile.

It seemed that the middle-aged man was in much better spirits than that day.

Zhou Can took advantage of the opportunity to lift the quilt and look at the middle-aged uncle's feet.

The edema has disappeared and the subcutaneous purpura has disappeared. The skin color of the feet looks pretty good. However, the skin of the feet is still a little wrinkled. This is normal.

It is necessary to wait until the patient is able to walk before doing some rehabilitation exercises for this foot.

It will naturally return to normal by then.

"After his first operation, a blood clot formed in his blood vessel, which may be related to the damage to that blood vessel. Later, Director Shen cut off a section of his vein and replaced it, and this was able to completely solve the problem."

Doctor Shan explained later.

Maybe she also wanted to tell Zhou Can that the reason for the thrombosis was not that she failed to suture properly, but that the patient's blood vessels were damaged.

In fact, in the final analysis, I still lack experience and lack of skills.

If it had been Dr. Xu who performed the vascular anastomosis during this operation, this would definitely not have happened.

Soon, they checked all the beds in the two wards.

The patients living here all have problems of one kind or another and require careful care or intensive monitoring. And many of them have undergone major surgeries.

For example, Zhou Can was lucky enough to see the sternotomy patient that Director Shen presided over yesterday in the inpatient ward.

The ultimate goal of this surgery is usually to remove the glaucoma tumor.

It is a major thoracotomy surgery.

The level is at least level three, and the risk factor is extremely high.

Orthopedics sometimes cannot complete such an operation alone and need to work with doctors from cardiothoracic surgery.

If our hospital has a subdivided scapular gland surgery department, it is also possible to directly invite doctors from this department to perform joint operations.

Today, when medicine is becoming more and more subdivided, if you can achieve the ultimate in a certain subdivision, then you will be truly awesome.

When mentioning this, I have to mention the spirit of Japanese craftsmanship.

Their craftsman spirit of pursuing only one thing throughout their lives is actually worth learning from us.

Even when making a piece of sushi, some people do it to the extreme.

Who would have thought that someone could become a master with such a simple thing as making sushi. And after continuous improvement in making sushi, it has been divided into several schools.

Belongs to another subdivision.

With subtle awareness.

It can be imagined that there is a reason why Japan has been able to achieve results in many fields.

"Let's go to the operating room! You three newcomers need to understand all the surgical patients in this group after get off work every day. The patient information and surgical arrangements can be viewed through the intranet. In addition, you are also required to understand the new income of this group. Surgical patients, as well as patients who have not been discharged from the hospital after surgery, should be informed in a timely manner.”

Doctor Shan taught the three people how to log into the intranet.

First, you need to verify your login identity. After receiving the verification request, the hospital information center will contact the department where the trainee is located. After obtaining permission from the department director, the corresponding viewing permissions will be released.

This is actually quite convenient.

Zhou Can went up to check and found that the surgical patients in this group were classified into three categories: before surgery, about to have surgery, and after surgery.

For patients who are about to undergo surgery, when they will be operated on, in which operating room, and who will perform the surgery, it is clearly written down.

The emergency department does not have this condition.

Basically, patients are treated as they come. If surgery cannot be performed on the same day, the emergency department must be transferred to a specialist.

It is now past eight o'clock in the morning, and there will definitely be no time left for them to check the patient information of this group.

Doctor Shan took them directly into the operating room.
To be continued...
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