My medical skills add experience

Chapter 575 The third hospital's resurrection, the new official's first fire
"Boss, you've been promoted, why don't you treat us to dinner so stingyly?" Ma Xiaolan has a relatively close relationship with Zhou Can now, and she is not afraid of Zhou Can.

Occasionally dare to joke with Zhou Can in his spare time.

"The past two days have been a bit busy. There is an intractable disease in the pediatrics department that has not been solved, and the cardiothoracic surgery department has major operations every day. After I have been busy for the past two days, I will not work overtime after work. I will invite everyone to have a meal Let’s celebrate with a big meal. My promotion would not be possible without your support and hard work.”

Zhou Can is very grateful to his two doctors and three nurses.

Especially Qiao Yu, who has been working hard these past few years, silently acting as his equipment nurse.

If you want to comment on 'Founding Fathers', she is the first.

At the very beginning, when Zhou Can returned to the emergency department, he was poor and poor.Taking her and intern doctor Luo Shishen to perform crazy surgeries together slowly opened up the situation.

This is like starting a business from scratch. After the company grows bigger, there is actually no need to worry about it.

The best memories are often the period when I first started my business, when various conditions were insufficient and extra effort was required.

On the third day, Dr. Fu Chachun came back to work.

It's night shift.

The emergency operating room works in three shifts, and the day shift is the best and the busiest.The night shift is the second, the night shift is not so busy, but the work and rest are reversed, the biological clock is disrupted, and everyone actually resists it in their hearts.

Fu Chachun is very smart, such a big incident happened just now, and he lost all face.Returning to the emergency department after a day's rest, it may be more beneficial to take the night shift first to observe the situation.

Because the number of medical staff is the least at night.

When Zhou Can came to work in the department, he heard Qiao Yu and the others discussing that it was Fu Chachun who invited all the nurses to drink milk tea.

This old man Fu Chachun didn't expect to have some tricks.

It seems that he has learned a lot from being beaten by society this time.Put away the sense of superiority in my heart, and dare not put on any old qualifications.

In any department, veteran comrades are often the most difficult to deal with.

Because they think they are very qualified, they often don't listen to orders.Especially for some leaders who are younger than them want to command them, it is very difficult.

Zhou Can didn't care much about Fu Chachun's invitation to all the nurses to drink milk tea and repair the relationship with them.

He is too busy with work, and every day he has a lot of things to do, knowledge to learn, and surgical skills to practice.

It is worth mentioning that, except for the steady knife technique and the quick knife technique, he no longer practices at home.Instead, it continues to improve directly when performing operations on patients.

At present, except for a few medical skills in orthopedic surgery, all other surgical skills have been promoted to the sixth level. It is completely unnecessary to practice suturing with pigskin, or to practice vascular anastomosis on mice.

Not to mention low efficiency, it has not helped much in improving technology.

It is those difficult cases and difficult major operations that can really improve the level of medical skills.

Every major surgery has its complications.

Even if it is also a tricuspid regurgitation repair operation, the situation of each patient may be different.

We all know that the main cause of tricuspid regurgitation is the enlargement of the right ventricle or the disease of the tricuspid valve itself.

The tricuspid valve is a valve located between the right atrium and right ventricle. It is more like a door that can open and close automatically.Under normal circumstances, blood can only enter but not exit.If the right ventricle is enlarged, this door will not close tightly, and blood will flow back.

The pathological mechanism is probably like this.

However, there are many reasons for tricuspid regurgitation, such as increased systolic pressure of the right ventricle. If this situation continues, the myocardium of the right ventricle will become hypertrophic and the right ventricle will expand.

Or increased pulmonary artery pressure can also lead to right ventricle enlargement.

Therefore, even for tricuspid regurgitation surgery, each one may be different.

If you just replace the tricuspid valve in a rigid way, every patient will be treated in the same way, and the final result is that the effect is not bad just after the operation.After a while, the tricuspid valve begins to regurgitate again.

Every time Zhou Can performs a major operation, he will have new gains and progress.

This is the correct way to quickly improve the level of medical skills.

……

Time flies very fast, half a year has passed in the blink of an eye.

A lot has happened in the past six months.

Zhou Can successfully became a teaching assistant at Tuya Medical College, and became a teaching assistant with a bachelor's degree. In the current extremely fierce competition, he is considered an outlier.

Many young graduate students who want to be teaching assistants are still queuing up.

In addition, the re-examination and interview of the postgraduate entrance examination were very successful.

Now he has started to study in the field of orthopedics.

At the beginning, he also felt that further studies in the field of orthopedics were a bit off the main direction of development.After really studying with the instructor for a while, just two words, really fragrant.

He has benefited greatly from the in-depth study of orthopedic knowledge, especially the research on bone trauma and bone joints.

Before studying, he thought that orthopedics was just like that.

They even think that orthopedic surgery is physical labor, and the technical content may be there, but it is far less advanced than other surgeries.

It's nothing more than playing plaster, drilling a row of holes in the bone, and putting a steel plate on it.

Or put two rivets in a certain part of the bone to fix the broken bone.

After studying with his tutor, he discovered that his knowledge of orthopedics is much more profound than he imagined.

For example, the source of human blood is not the heart, but the bone marrow.

There are also the totipotent cells of the human body, which also come from the bone marrow.

Bones not only support the human body, but also have multiple meanings.The human body has undergone hundreds of years of evolution, and each bone has its specific function.

This postgraduate study also made him finally understand why major hospitals attach great importance to academic qualifications, and almost only academic theory is used when recruiting.

There is indeed a considerable gap between the knowledge level of undergraduate and graduate students.

He now has the status of a teaching assistant, the status of the deputy head of the emergency operating room, and an on-the-job graduate degree. Compared with before, he is obviously much more advanced.

The weight and status are not the same.

Vice President Bai and Vice President Ye agreed to help him enter the quality control department, and they already had a plan.

If nothing else, he should get his wish soon.

Before he knew it, he gradually became like those famous doctors, with a lot of titles and positions.

Of course, he is still just getting started, and there is still a lot of room for improvement.

Definitely need to work harder.

There is a huge gap with real famous doctors.

At present, he is not really a famous doctor, he just entered the reserve team of famous doctors before.

Now entering the sequence of quasi-famous doctors.

Another thing worth mentioning is Zhang Qilian from the Third Hospital.After two surgeries, his life was successfully saved.However, the serious sequelae left behind made him unable to work and live like a normal person.

The domestic medical level is limited, and there is no good way to solve these sequelae.

The only solution is a heart transplant.

However, his systemic arterial vascular disease is too serious, and just one heart operation is already full of difficulties, and he has experienced many adventures.With a heart transplant, the probability of dying on the operating table is very high.

No hospital dared to take the risk.

Not long after Zhang Qilian was discharged from the hospital, he chose to be forced to retire early.The reason is illness.

The Third Hospital was turned into a mess by him, on the verge of bankruptcy.At this time, he chose to retire from illness. He felt relieved, but it was hard for the successor.

The person who took over the post of dean was none other than Zhang Mingxing who visited the hospital ward every day during Zhang Qilian's hospitalization.

He is already the vice president himself, and has always been Zhang Qilian's most trusted right-hand man. It is reasonable to be able to take over Zhang Qilian's position as the president.Due to historical reasons, the hospital in the first series, its management mechanism, and the appointment mechanism of hospital leaders are more rigid than other large hospitals.

When the dean retires normally, he has the right to recommend the next successor.

Moreover, superiors generally carefully consider the successor recommended by the previous dean.

Because the person who is most familiar with the situation in each hospital must be the dean.

Illness retirement also belongs to normal retirement.

Corruption and bribery were investigated, this is not within the scope of normal retirement.In this case, the previous dean also lost the right to recommend.

At this time, it will either be elected in the house or airborne.

After Zhang Mingxing took over the Third Hospital, he even directly merged with the First Hospital, willing to become a district of the First Hospital.

When the news first came out, everyone couldn't believe it.

After the official announcement came out, everyone believed it was true.

Zhou Can admires Zhang Mingxing's courage and strategy.

The Third Hospital was already on the verge of closing down at any time.After Zhang Mingxing took over, no matter how hard he tried, it would be difficult to bring him back to life.And it doesn't give him much time at all.

In this case, choosing to be 'eaten' by the First Hospital is a very clever approach.

With the financial support of First Hospital, the new surgical complex can continue.The staff wages owed by the Third Hospital can also be paid.

Not long after Zhang Mingxing took office, the hospital staff got their long-overdue wages, and they were naturally happy.The support for Zhang Mingxing rose immediately.

No one does not praise him for his wisdom.

After bringing the Third Hospital back to life in this unique way, Zhang Mingxing continued to deepen the development policy of 'import'.

The first thing I did was not to give the Japanese cardiologist a plane ticket, but to give him a salary increase instead.

Don't think that Zhang Mingxing doesn't know that this Japanese cardiologist is half-baked.

His heart is like a mirror.

Still choose to do so, the purpose is to strengthen the 'import' policy.If you want to introduce real high-level foreign talents, you have to use this Japanese heart surgery expert as a publicity.

Other medical experts in Japan looked at it, wow, even that half-level fake expert can get such a high salary, and the treatment is so good, so if they have real skills, wouldn’t the treatment be better?
This is where Zhang Xingxing excels.

Compared with methods and structure, he is obviously more than twice as smart as the previous Zhang Qilian.

This is a very interesting phenomenon, often some people who seem to be only flattering, especially those who can rely on this ability to occupy high positions, are often not because they have no real ability, but because they choose to hide their ability wisely .

Only in this way can the tallness of the leader be set off.

For example, He Kun, a well-known corrupt official in history, in the eyes of the public, this person has no skills and only flatters others.

In fact, their abilities are much greater than those of honest officials.

He did a lot for the Qing Dynasty.

The Third Hospital continues to develop on the road of introducing foreign experts and importing advanced medical equipment, which should not be underestimated.It's hard to say what exactly it will develop into.

Wait a year or two, and then you'll see some clues.

Just like the Xinxiang Women's and Children's Hospital back then, it was broken and then established.Now the development momentum is strong, and it is catching up with the top hospitals in the province such as Tuya and Provincial People's Hospital.

Let’s talk about the emergency department where Zhou Can works.

Its expansion is still going on apace.

Zhou Can also officially changed from an ordinary soldier to a half-leader in the emergency department.He is now invited to participate in some important department leadership meetings.

So far, there are only two leaders in the emergency operating room, Dr. Xu and Zhou Can.

The master and apprentice are in charge of almost all affairs in the emergency operating room.

After Zhou Can took the position of deputy team leader, he already had the power to control other people in the operating room.Including attending physicians Fu Chachun, Dr. Cui, Tang Wangnian and others.Operating room nurses are also in control.

But he inherited Dr. Koh's management style.

Normally, he doesn't mind much.Only when other doctors encounter patients with difficult operations, or there are safety hazards, dereliction of duty, etc., he will take care of them.

The main thing is to lead the surgeons and nurses in the department to continuously improve their professional level and provide patients with better services.

Recently, Zhou Can overheard complaints from patients and family members during ward rounds, saying that he had known that Tuya's treatment level was not as good as the rumors said, and he might as well have had surgery at a local hospital.

He does not mean that.

This occasional complaint immediately aroused Zhou Can's high vigilance.

Perhaps the quality of the operating room in the emergency department should be taken care of.

Because of Zhou Can's personal development needs, he gradually stopped performing ordinary first- and second-level surgeries, and distributed them to other people, which also caused a problem.There are good and bad surgical teams in the emergency department, with high and low levels, and different work attitudes.The quality of the surgeries performed by these people ranged from high to low.

At first, I didn't feel any change.

Eight or nine months passed, and problems gradually emerged.

The operation volume of the emergency department has not decreased, because it holds the largest flow of Tuya Hospital.

Compared with the outpatient department of any department, the number of patients in the emergency department is always the largest.

Moreover, patients who go to the emergency department often have acute symptoms.

Such patients are more likely to need surgery.

The doctors in the emergency department will definitely find a way to retain some patients and give them to their own departments to digest.

This is related to the income of the entire department, and it is even more related to the income of every doctor and nurse in the emergency department. There is no need for department leaders to teach, everyone knows what to do.

Therefore, we should not just look at the number of surgeries on the surface, but whether the number of 'repeat customers' has seriously decreased?
(End of this chapter)