我妈手断了：对加拿大的医生护士无语了

清华医馆

您母亲的骨折应该是科雷氏骨折，是临床上最常见的腕部尺桡骨远端骨折，在我所在的国内医院，每天有五六个这种病人。在国内一般是先手法复位，拍片确认对位对线满意后给予石膏外固定，以后每周复查一次，因为前三周随时会移位，并且会因为过度肿胀影响血运，三周后骨折断端就粘住了，移位可能性就小了。三周时更换石膏，再固定三周即可拆除石膏。活动手指的功能锻炼自当天就要进行，一面利于改善血运，一面防止肌腱粘连。象您母亲这种骨折畸形愈合，现在是很难使用保守疗法复位的，要想解剖复位只有手术，但又不值得。目前只有加强功能锻炼，加强指关节的屈伸运动和前臂旋转运动，经常泡泡温水，药物不会改善。科雷氏骨折虽然是常见骨折，但是处理不当会留后遗症，如腱鞘炎、创伤性关节炎等。加拿大的处理方式与国内有出入，如伤后三周复查就不科学，一旦移位会失去再复位的机会。国内会更合理点。至于护士，这里的很多护士都是四五十岁才去考的，眼睛都老花了，精力也不行了，扎针机会又少，结果如何可想而知了。在这里我碰到过小孩子桡骨小头半脱位的病例（也叫牵拉肘），在国内我们一分钟就可以给患儿复位，而在这里医生则给予拍片，一则拍不出，是不会显影的，二则孩子吃射线。我不知为什么，几分钟搞定的，非要几个小时不可。

旅欧学者

祝楼主好运 同情中......

castl

唱个反调 ！:mad:
并不全是这样得。 像：sunnybrook、westpark、....等 ，就非常非常好 ！
不知为何，楼主运气差了点。

castl

I think this is common in north america.  I broke my arm in us, and the plaster they put on was so loose, that my arm got twisted.  So I kept on making appt with them, but every time they said it's healing well.  Then about two months later, I met a doctor from North Korea, he had to broke my arm again, and reconnected it, then re-plaster it.  I don't what would my arm be like today if I did not hit a North Korea doctor by chance.
But one thing in big difference, the staff in a us hospital are very very nice to you, both doctors and nurses.   And I could not speak English well at that time.  Really have no idea why some Canadian nurses act like that.  The author really should file a formal complain on this, especially on nurse's attitude,  as it is something regarding discrimination!
astalavista 发表于 2011-8-31 11:33 http://bbs.51.ca/images/common/back.gif

    That's right !  

半斤八两123

加拿大的大夫做的一些高难度手术比中国医生做的好，是不争事实。

但从加拿大的各行各业各个整体来看，工作的结果是不好的，质量不高，效率低下，可以用一个字概括－－乱。
乱表现在各个行业不专业，工作者的有时工作和言行没法让人理解，不过你在看看工作者他们的背景，可能也就不上火了。

在加拿大，你经常能听到很多歌颂“英雄”的“事迹”？他们的事迹的确是够英雄的，不是普通常人容易达到的，但仔细想一想，这些“英雄事迹”也够荒唐的。

1.一个53岁从东欧女移民，以前是会计师，进入了加拿大大学药学专业(相当中国的本科大学生)学习（肯定是努力了，肯定智商也不低。正常北美优秀高中毕业生能闯入大学药学专业学习都是很不容易的事情），毕业后就从事药剂师工作了。她并没有多年药和医学环境的熏陶，没有多年医药失败总结经验过程的积累，她每天给病人建议性的咨询也不可能是非常专业的；反过来说，如果她能从事会计师工作，她将是非常专业的。

2.意大利屠宰工作多年的移民，在工厂当机械维修技术员。

3.电脑IT工作多年的，很有名气的高手，在加拿大找不到相关工作，最后买了一辆小客车，做飞机场运客的工作。

4.中国多年的中学教师，在这里考取了电工证，当了个电工。

5.多年兽医工作的移民，经过努力，考取了会计师证书，当上了会计师。

6.一个多年在工厂工作的工程师，来加拿大后，经过努力，考取医学 ultrasound 证书，每天给病人查肝、胆、胰、脾，心脏内部结构...

7.8.9.


不光是移民在就业问题突出，当地人也有类似问题，电脑业兴旺时学校社会一下子办了那么的电脑programs，人们一下子拥进电脑行业，可是好境并不长，大量的人员被解雇了。后来，人们又开始往护士行业里拥，因为那里活累缺人手....再后来也往金融会计里拥
针灸按摩 发表于 2011-9-1 08:16

这位仁兄说对了，在这里不管你的专业知识高低，英语过关，蒙过去了，大功告成。忠告各位网友自求多福，谁也别说风凉话，等你有一天碰上了，你就知道痛。

salzhang

webnomad: I did not reply to you since arguing is a worthless matter. It is interesting that a couple of days after I posted the msg I revisit the forum finding someone standing up against what you said and your anger still lingering. You said I was judging and insulting other people using english in the forum, I say I was not. What are the criteria? Everyone has his or her own truth in his or her mind, and more often than not the truth is multiple, which means you simply cannot convince your debater. That said, the guy who said it was easier to type in English is more persuasive. I am hoping that it is not insulting you if I want to close off the meanless polemic. By the way, I am sorry for distracting from the topic at issue that is involving some many poeple.

eastking

:sad::sad:

discuz

回复 113# astalavista

Not sure where your irresponsible judgement is coming from?

My anger came from salzhang's verbal abuse, if you look into the message he posted, he basically insulted every single person here in this forum who is using English. its none of his business and his rights to judge who can do what?  I stand up for helping him try not to against law. it wasn't a joke, my warning could turns out to the reality one day if you guys keep doing it.

中华联邦共和国

Some people are talking about English here.  I would like to say your English is really amazing!  Graceful and respectful!  I hope some people could learn something from your paragraph.

By the way, are you a English teacher?
astalavista 发表于 2011-9-2 07:47

Thanks for your comment. No I'm not a teacher. But I do like to share 'my' website with you:

www.dilbert.com

This will help to learn the subtlety of English language as well as office politics.

中华联邦共和国

我为什么 没有和她争持， 是因为，我的职责也只是汇报我所见，只于怎么处理是她的事情。因为我当时的position 是 PSW, 而不是护士学生。 当时，如果我在那里实习的话，那我就会坚持我自己的观点和做法， 并会汇报 to clinical instructor 和 charge nurse . 但是， 我是PSW。确实没有权力，叫护士怎么做。我只是凭借自己的责任心和知识， 认为 护士做得不对，然而push  她。
ruth1 发表于 2011-9-2 00:34

Cool. Just wanted to remind you, it looks like you have everything under control.

astalavista

Hi Ruth1, I would expect you are a young student not having too much work experience here. From what I understand from the story you told, you were absolutely right, but you didn't execute it tactfully enough. By saying 'She's teaching me how to work', this nursing was obviously complaining you being too ruthless in a sarcastic way. You shouldn't ignore it when you hear her. Instead you should confront her but also trying to be reasonable. Keep in mind, having good rapport with colleague is very important so that you won't be alienated by them. Many Chinese immigrants feel alienated in work place because of language and culture barriers. Try to over come it and your work will be more pleasant.
Dilbert 发表于 2011-9-1 15:23

Some people are talking about English here.  I would like to say your English is really amazing!  Graceful and respectful!  I hope some people could learn something from your paragraph.

By the way, are you a English teacher?

astalavista

回复  salzhang

@salzhang
Behavior yourself properly in the public forum man...

You make people sick jerk! you know that? you are insulting every single one here who is using english in this form, how dare you are, what the hell who you are and how can you do that, verbal abuse is against law here in Canada, consult your lawyer to get a yes/no answer.  let me tell you something jerk, here is Canada, you may swallow whatever you spit and pay the bad habit with your life when people get mad and take it serious to against you.

Take it easy man, English is the first official language here in Canada, practice it and use it wherever people needs. its their rights to do so, you could obvious ignore if you dont like it, or correct your fellow's English to help them if you think you are good and capable at that.

As  a human being, you should learn how to respect every single individual even include kids as well. otherwise, hard to believe you may survive here in Canada. I don't want to see you get punished because of your bad habit.

finally, you should focus on the topic of this post too to show your respect.

stop doing it!
webnomad 发表于 2011-9-1 10:26

Wow! why are you full of anger and hate? I did not see Salzhang do anything wrong. Maybe you need to see a psychologist.  And the languages you used make you sound like a street guy.   Maybe you should stop doing it.

astalavista

Looks like you do need another country to immigrant.   Wish you can find some places that you be satisfied and someone that you feel should appreciate.  

Good luck!
zhen2005 发表于 2011-9-1 10:51

Thank you for your concern. But Actually, I enjoy my life in Canada. Just feel a little bit disgusting for your silly tone and "beautiful" English.  Keep on practicing!  you got a guy to help, right?

ruth1

Hi Ruth1, I would expect you are a young student not having too much work experience here. From what I understand from the story you told, you were absolutely right, but you didn't execute it tactfully enough. By saying 'She's teaching me how to work', this nursing was obviously complaining you being too ruthless in a sarcastic way. You shouldn't ignore it when you hear her. Instead you should confront her but also trying to be reasonable. Keep in mind, having good rapport with colleague is very important so that you won't be alienated by them. Many Chinese immigrants feel alienated in work place because of language and culture barriers. Try to over come it and your work will be more pleasant.
Dilbert 发表于 2011-9-1 15:23 http://bbs.51.ca/images/common/back.gif

我为什么 没有和她争持， 是因为，我的职责也只是汇报我所见，只于怎么处理是她的事情。因为我当时的position 是 PSW, 而不是护士学生。 当时，如果我在那里实习的话，那我就会坚持我自己的观点和做法， 并会汇报 to clinical instructor 和 charge nurse . 但是， 我是PSW。确实没有权力，叫护士怎么做。我只是凭借自己的责任心和知识， 认为 护士做得不对，然而push  她。

ruth1

Hi Ruth1, I would expect you are a young student not having too much work experience here. From what I understand from the story you told, you were absolutely right, but you didn't execute it tactfully enough. By saying 'She's teaching me how to work', this nursing was obviously complaining you being too ruthless in a sarcastic way. You shouldn't ignore it when you hear her. Instead you should confront her but also trying to be reasonable. Keep in mind, having good rapport with colleague is very important so that you won't be alienated by them. Many Chinese immigrants feel alienated in work place because of language and culture barriers. Try to over come it and your work will be more pleasant.
Dilbert 发表于 2011-9-1 15:23 http://bbs.51.ca/images/common/back.gif

我为什么 没有和她争持， 是因为我觉得没这个必要。 首先，

咖啡飘香

回复  zhen2005


    你凭什么判断加拿大的护士就比国内的护士有爱心？凭什么说这里的护士技术含量更高？就是因为你在这里做了个护士，就反过来贬低国内的护士同胞。这么说你到了加拿大就有了爱心了吗?
menghuinanshan 发表于 2011-8-31 22:57

我告诉你为什麽：关于爱心，在国内的护士不会亲自服侍病人大小便，在国内家属所干的一切，加拿大护士会全都为你做到，也就是说护士代替了家属尽了爱心，所以我这样说。关于技术含量，加拿大医疗系统要求护士要具备critical thinking and assessment skill,国内护士只是执行医嘱而已。以上只是举出两点小例子，这是护理体制不同导致的，丝毫没有贬低什么人的含义。还有，俗语说江山易改，本性难移，在国内有爱心的人，在任何地方都会彰显爱心。反倒是您的这种不动脑子，乱发言的行为，需要改改。