Chapter 121: Desperate Opponents, Doctor Shan, Let Me Give It a Try
I wonder how the patient from yesterday was handled?
They didn't even return to their original bed. Instinctively, it seems the situation might be quite serious.
"Today, three of you were originally scheduled to go to another operating room to assist. They need teaching for two major surgeries, so I'm taking you for the day. My name is Shan. I am currently capable of independently leading Level 2 Orthopedic surgeries and have participated in multiple Level 3 surgeries, completing the high-difficulty portions."
Competent doctors seem to all share a common skill.
That is 'bragging'.
These days, you've got to brag. Only when patients hear about how impressive you are, how many complicated surgeries you've done, will they trust you. They'll let you operate confidently.
"The principle I adhere to is the capable lead and the mediocre step down. If you have the ability, you can always strive for training opportunities. Perform well, and I'll give you high marks. I'll say the ugly part upfront: do what you're capable of. If you're not fit, don't rush to practice on patients. If you perform too poorly, I won't give you another chance."
Doctor Shan first explained the rules of competition to the six individuals.
It sounded fair and just.
"Next, please look at the X-rays of our first patient today. I'll give you five minutes to observe, and then you can give your diagnosis and treatment plan. Learning to read X-rays is the first thing you need to do. Answers can be snatched quickly."
As she finished speaking, the assistant switched on the light box for viewing X-rays.
A light screen appeared on the wall.
It displayed four X-ray images.
It seemed to be the right foot skeleton.
Taken from multiple angles.
The patient's big toe phalanx was clearly deformed.
While Zhou Can admired the advanced hardware of the orthopedic surgery room, he also carefully observed the patient's foot X-rays.
The big toe phalanx was severely deformed internally, likely congenital or caused by some specific factors after birth.
There were no signs of a healing fracture line.
It could almost be confirmed as a congenital deformity.
Therefore, the treatment required might not be here.
Zhou Can continued to observe closely.
At this point, some had already started to answer eagerly.
"These four X-ray images should be of the patient's right foot. You can clearly see that the phalanx of the big toe has a severe deformity. This affects the patient's walking, and I think surgery could correct it."
The person was excited as they snatched the chance to answer.
Thinking they had taken the lead.
However, after they spoke, Doctor Shan showed no sign of response.
Yesterday, Zhou Can received a lot of guidance from Doctor Hee, and his ability to read X-rays had improved greatly.
He noticed a minor fracture in the first cuneiform of the patient's right foot, close to the navicular bone.
"It should be..."
"I think..."
Zhou Can and another resident doctor spoke at the same time.
In the end, Zhou Can generously gestured "You go ahead and answer!" to which the resident doctor did not hold back.
After all, it concerns staying in the Orthopedics residency for the next three months; it has a significant impact on future career development.
"I think it's a mild fracture of the right foot's first cuneiform! No surgery is needed, just a plaster cast for about 42 days of rest."
Minimal fractures have the full capability to heal independently.
The younger the patient, the shorter the healing time.
Children's bones heal the fastest, and the stability after healing is also high. The elderly heal the slowest.
Judging from the images, these are the foot bones of an adult.
A 42-day rest with a plaster cast is a very reasonable treatment suggestion.
"Zhou Can, now you can speak."
Doctor Shan surprisingly remembered his name.
And was fair to him, with no suppression.
This was a bit unexpected for Zhou Can.
Many women are petty. He didn't mean to offend her so much yesterday, but she didn't hold it against him.
"The previous opinions and treatment suggestions are the same as his, plus an added note: the big toe bone is congenitally deformed, the patient has already reached adulthood, and the willingness for treatment is probably low. Plus, while walking, the patient has likely adapted to this deformity. I don't recommend surgical correction."
The advice given by Zhou Can was obviously more thoughtful than that of the former gentleman.
And more comprehensive, more in-depth.
"Okay, both of your answers are correct. Zhou Can's answer is a bit more comprehensive, and he has considered the patient's point of view in the treatment plan, which is very good."
Doctor Shan probably did not want to compliment him.
But his exemplary performance made it unavoidable.
"Who here knows how to apply a plaster cast?"
"I do!"
"I do!"
All six people knew.
Applying a cast is relatively simple and easy to learn; even if they hadn't learned it before entering Orthopedics, having spent a day in the Orthopedic ward yesterday, they certainly would have learned.
However, with only one day's time, they only learned the most basic methods.
They could only perform simple operations.
"You were the first to answer correctly; you go do it! Dr. Hee, you take him, make sure to check thoroughly."
Doctor Shan told one of the assistant doctors.
Dr. Hee, Zhou Can knew him.
He was the doctor who taught the eighteen of them to fill in registration forms in the office yesterday.
"Let's move on to the second patient's data!"
As Doctor Shan's voice fell, the resident who had seized the task of applying the cast froze with the smile on his face.
He'd certainly miss out on a lot of opportunities while out casting the patient.
Indeed, as Doctor Shan said, everyone's opportunities are equal.
Two new images appeared on the light screen.