My medical skills add experience

Chapter 571 Tactile feedback of special constitution, major reform in the hospital
All previous interviews have been completed.

Although it has not been widely publicized, it has already begun to test the water in some channels such as self-media and tabloids.Large hospitals are generally more cautious in publicity.

Tuya Hospital has always attached great importance to publicity work in recent years.

Also accumulated a wealth of publicity experience.

When promoting the typical cases and important achievements of the hospital, it is seldom a "blockbuster" like the Third Hospital.More is to use a little heat up, multi-channel efforts, and finally spread the influence, but it will not be too eye-catching.

There are many advantages to doing this.

The first is stability.Suddenly jumping into the trending search, the attention is too high in a short period of time, it is easy to explode.

Because some competitors or patients who are dissatisfied with the treatment in the hospital will often post some bad remarks about the hospital at this time.Negative news that is usually difficult to rush to, with the help of popularity, it is extremely easy to squeeze into the hot search.

This will have a great negative impact on the hospital.

Even if it is safe and sound, there are no moths, and the heat rises and falls quickly.

After ten days and a half months, the influence will fade away.

It's not as good as this kind of moistening and silent propaganda method, which heats up a little bit and is remembered by ordinary people through different channels.The publicity effect is even better.

Tuya Hospital has started to publicize Zhang Qilian's case this time. If Zhang Qilian dies within a few days after the operation, Tuya Hospital will slap itself in the face.It is also very possible that the third hospital will launch a massive counterattack.

Therefore, hospital leaders attach great importance to this matter.

In the operating room, Zhou Can, Director Xueyan and others are performing heart surgery on Zhang Qilian.

Although adequate preparations have been made before the operation, dangers still occur frequently after the operation begins.

When the chest was opened, director Xueyan accidentally cut an artery, which immediately bled profusely.Because the blood vessels are large, electrocoagulation will definitely not work.The method of vascular anastomosis is used for repair, but because of the severe arterial sclerosis of the patient, there are serious difficulties in anastomosis.

In an emergency, Zhou Can quickly took over.

Although his anastomosis, suturing, and ligation all reached level six, not to mention blood vessel anastomosis, even nerve anastomosis can be done boldly.As a result, it took a lot of effort to anastomose this blood vessel.

Fortunately, it was successfully anastomosed by him in the end.

Otherwise, the surgery may have to be stopped at the very beginning.

"Sister Yan, continue to operate on you!"

After Zhou Can successfully wiped her butt clean, he made way for her.A person's energy is limited, he is going to scramble to the side first, to preserve as much physical strength and energy as possible.Because the crucial part of the surgery has not yet come.

The removal of necrotic myocardium and the repair of the heart must be a tough battle.

They have even greeted the medical and equipment department of the hospital, ready to take an artificial heart for transplantation at any time.Relevant doctors in the surgical department, as well as surgeons and nurses in the Department of Cardiothoracic Surgery, have all been prepared.

It would be best if he didn't need to replace his heart, if there was really no other way, he could only fight with his back.

Anyway, it's right to prepare for the worst.

"I...was obviously struggling to open the patient's chest just now. His blood vessels were severely atherosclerotic. During the dissection, the feedback from the scalpel was very poor, and it was difficult to distinguish. If you are more confident, you should do the surgery as much as possible. It's safer."

She looked embarrassed.

This patient has a special constitution, and the touch of the scalpel during dissection is completely different from that of ordinary patients.

Director Xueyan's surgical ability has not yet reached a very mature level, and she is still working hard to grow and improve.When encountering a patient with this special constitution, she was indeed a little weak.

Breaking a blood vessel just now gave her a lot of fright.

Fortunately, it was just a not particularly thick artery.

If the aorta is broken, it may be catastrophic.

If she hadn't been forced to, she wouldn't have said such weak words in front of so many doctors and nurses.

After all, she is the director of the department, so she must pay attention to maintaining her dignity.

"Okay, let me try! But my level may not be as good as yours. If I want to say that I am sure, I am really not sure."

Zhou Can had no choice but to bite the bullet.

When cutting the knife, he purposely touches the walls of the arteries with the blade to feel their tactile feedback.

Very dull, like defeated leather.

Worried about breaking the artery, he didn't dare to use too much force when he felt the touch of the scalpel on the wall of the blood vessel.That is, with a slight degree of contact, this tactile sensation will definitely be distorted.

Time passed by every minute and every second, and he was always trying to find the most realistic knife feedback.

No urging.

Zhou Can has cooperated with the doctors and nurses of the whole team many times, and everyone knows his style of work very well.

Do not fight uncertain battles.

If you don't move, you will die, and if you move like a thunderbolt.

After more than ten minutes, he seems to have accumulated a lot of experience, and he has a relatively clear tactile feedback on the patient's blood vessel feedback.For more than ten minutes, he has been trying various things with a scalpel.

Not only the arteries, but also the exploration of the veins are also going on.

Breaking the aorta is fatal, but breaking a vein is just as serious.

"This patient's arterial vascular disease is more serious than imagined, and it has almost progressed to the terminal capillaries."

After Zhou Can had an in-depth understanding of the patient's blood vessel condition, he could only use shocking four words to describe it.

No instrumental inspection can compare to this kind of practical operation.

What is the condition of the patient's blood vessels can only be clearly detected after dissection.

Next, Zhou Can officially continued to open the chest for the patient.

I saw that every stroke of his knife was as stable as Mount Tai, with a degree of severity and ease of retraction.

[Incision experience +1, bonus experience +100...]

His cutting experience value is soaring all the way.

An additional reward of 100, 100 times can fill up [-] million experience points, and this medical skill can be promoted to level seven by then.

Incision is different from the literal narrow understanding, it is actually equivalent to dissection.

It is not simply a narrow sense of cutting human tissue.

Rather, it involves complex anatomical medicine.

Of course, it is simply impossible for one operation to earn [-] large experience rewards.

Don't say [-] times, even earning [-] times is very difficult.

It's just that this operation has brought him great benefits, and it can be regarded as the accumulation of special operation experience.At the same time, dripping water forms a river, and gathering sand forms a tower. As long as you continue to accumulate and perform one or two such difficult operations from time to time, you will not worry about not being able to improve the level of incision.

……

After more than six hours, Zhou Can was almost so tired that his body fell apart.

The operation started at ten minutes past eleven in the morning and ended at 05:30 in the afternoon.During the entire operation, Zhou Can did not drink a drop of water or eat lunch, just to save the patient's life and complete the operation successfully.

Originally, according to his scheduled plan, he only needed to complete the core part of the operation.

Unexpectedly, because the patient's arteriosclerosis was too severe, the touch of the scalpel was distorted.Director Xueyan and others couldn't do some important operations at all, and the entire burden was almost entirely on him alone.

Fortunately, he was very young, with plenty of physical strength and energy, so he just gritted his teeth and persisted.

The operation went fairly smoothly, at least until the end of the operation, and there were no major problems.

As for the postoperative recovery of patients, this is still unknown.

"Everyone has worked hard and didn't have lunch. If you don't mind, let's have a quick meal in the lounge! I've ordered someone to order the meal, and it was delivered not long ago. It should still be hot."

Director Xueyan said to all the medical staff.

This operation was extremely difficult, and the hospital leaders have been paying attention to the progress of the operation, calling the nurses in the operating room from time to time to understand the situation.

Now that the operation has been successfully completed, it is estimated that several hospital leaders can also breathe a sigh of relief.

Cardiothoracic surgery and cardiovascular department are the important departments of the hospital.

In fact, all large hospitals are similar, and there are always only a few departments that generate the most income.Departments of cardiology, cardiology, neurosurgery, neurosurgery, orthopedics, these departments will always generate revenue at the top.

Now there is a new department emerging, that is the oncology department.

However, due to various reasons, the rate of doctor-patient disputes in the oncology department has remained high.It is often criticized for making black money.

The decision-makers of Tuya Hospital are very smart, and they must make money, but they can't smash the hospital's century-old signboard just to make money in the tumor field.Therefore, the current oncology business is mainly concentrated in the Second Affiliated Hospital.

It is equivalent to some listed companies. In order to reduce risks, they have created some subsidiaries to test the waters of some new businesses or divert business.

This is the same reason that all eggs cannot be put in one basket.

After dinner, director Xueyan said to Zhou Can, "Zhou Can, come with me to the office of the vice president of business."

"Row!"

Zhou Can knew in his heart that this was the end of the operation, so he took him to report to the hospital leader.

I have been so busy recently that I haven't been to Vice President Ye's office for a long time.

If there is nothing to do, generally no doctor is willing to go to the vice president.

Official authority is unpredictable.

Many doctors prefer to concentrate on their work rather than sycophants.

The two came to Vice President Ye's office. Unexpectedly, Vice President Bai who was in charge of administrative work was also here.

Judging from the smiles on the faces of the two vice presidents, they should be in a good mood.

"Please sit down, both of you! You have made great contributions to the hospital today. It is not easy for the patient with myocardial infarction to have a successful operation."

Vice President Ye smiled and made tea for the two of them himself.

Both Director Xueyan and Zhou Can are not good at dealing with leaders, they are the kind of honest people who won't come to trouble.

Both of them rely on technology and ability to eat.

Sitting in Vice President Ye's spacious office, the two seemed somewhat restrained.

"Director Xue, is the postoperative recovery of that patient guaranteed?"

"Uh... It's not easy to draw conclusions at the moment. Heart failure after surgery is certain. If there is no major infection, life should be guaranteed."

Director Xueyan's answer is more conservative.

To be honest, it is already very good to be able to perform the operation successfully, and it is almost impossible to ask the patient to return to a normal level.

"Well! As long as life is guaranteed, this is the greatest success. The hospital has done some publicity on this case two days ago. Judging from the data fed back by the publicity department, the publicity effect is beginning to show. If there is an internal death, our hospital will be in a particularly passive position."

Vice President Ye made a deal to Xueyan and Zhou Can.

The subconscious meaning is almost to tell the two that this patient must not die easily.

At the height of Vice President De Ye, he actually doesn't care much about the patient's life itself.More concerned about the interests and gains and losses of the hospital.

"Xiao Zhou, I heard that you were the frontrunner in this operation, but you put in a lot of effort! The young man has drive and energy, and he did a good job!"

After learning about the patient's situation, Vice President Ye began to praise Zhou Can.

It seems that Director Xueyan did not hide his credit.

"I just do some hard work. The main thing is Director Xue's good guidance, coupled with the full support and cooperation of all surgeons, nurses, and anesthesiologists. This is the key to the success of the operation."

Zhou Can is very modest and doesn't want to monopolize the credit at all.

Instead, it was handed over to all the medical staff involved in the operation.

This kind of humility is very useful for the cohesion of people's hearts.His support rate in many departments has always been high, and he is very popular with everyone, which has a lot to do with his lack of greed for fame.

"Hehe, you are quite right. The success of an operation depends on the cooperation of the entire team, or even multiple departments and teams. Your ideological level is very high, and your temperament is also very good. Unfortunately, your qualifications are a little poor, otherwise It can go even faster."

Vice President Ye had something to say.

What does rise faster mean?
So far, Zhou Can has not held any leadership position!

Even the middle-level positions in some departments have not been held.

"There are no outsiders here, and it's okay to reveal some things to you two. Director Xue has made achievements in leading the cardiothoracic surgery department in recent years, which is obvious to all. Right now, our hospital is undergoing drastic reforms, not only limited to the system reform of clinical departments, but also There will be reforms at the leadership level of the hospital. As long as Director Xue continues to work hard and there are no major problems, he should be able to win the vice president candidate qualification in the near future."

Perhaps seeing Zhou Can's doubts, Vice President Ye unexpectedly broke out an extremely exciting news.

Vice President Bai, on the other hand, sipped his tea leisurely and contentedly, without interjecting.

Xueyan is currently only the head of a surgical department, and it is really shocking that she can directly compete for the candidate of the vice president.

If Vice President Ye hadn't said these words, Zhou Can and Xueyan would never have believed it was true.

Because according to the past practice, she needs to work silently for more than five years as the director of the Cardiac Surgery Department before she is eligible to compete for the deputy director of the Department of Surgery.Then stay for another three to five years to compete for the director candidate.

If you miss it once, you have to wait another three to five years.

This is why many vice presidents are at least 50 years old when they are elected.

Women suffer even more because the retirement age is five years earlier than men.

In fact, everyone started working at about the same age.The man becomes the deputy dean at the age of 50. If he is lucky, he can compete for the dean again at the age of 55.

The requirements for women to be elected as vice presidents are generally limited to 48 years old, which is enough to get rid of many people.

Later, it was even more difficult for Jin Zheng to be the dean.

This is also one of the reasons why the deans of many hospitals are basically men, and women can only be promoted to vice presidents at most.

Not qualified enough to be elected.

The qualifications are enough, but the age limit has crossed the line again.

"This, is this true?"

Director Xueyan asked in a voice.

"It's true, you can start making preparations for this right now. Dean Bai and I, as well as other vice presidents, will basically retire soon. At that time, the vice president of the hospital will carry out reforms, and your The chances are great."

Vice President Ye said seriously.

(End of this chapter)