Back in 2002 as a doctor
Page 416
After smoking a lighter all night, Zhang You didn't make up his mind.
Originally, I thought that becoming the director of the department was the end point. I just need to lie down and earn money. Surgery and other things are trivial matters.
But I never expected that someone like Zhou Congwen would appear unreasonably by my side, smashing my life into pieces like a wild boar...
New Year's Day passed just like that, and when Zhang You returned to work after the New Year's Day holiday, he suddenly saw an extra bed in the corridor of the department.
The bed was empty, there was no sign of the patient, and the quilt was neatly folded.
What is this for?
Zhang You frowned.Could it be that there was a large-scale accident last night, and more than a dozen serious diseases came in one breath?
It's impossible, if that's the case, the hospital attaches great importance to it, and I, the director of cardiothoracic surgery, will definitely be picked up in the middle of the night.
And in that case the patient should lie down anyway.
Now the bed is empty and there is no one at all.
"What's going on?" Zhang You frowned and asked the night shift nurse.
"Professor Zhou said that they will admit [-] patients today, and told the head nurse that they need to prepare extra beds in advance."
"..." Zhang You concluded.
twenty? !
I was taken advantage of by Zhou Congwen, and I borrowed two beds and never returned them, which was fine, but Zhou Congwen had such a big appetite that he took up the extra beds in advance.
Twenty, can he eat it?
Although he was roaring in his heart, Zhang You knew the correct answer——Zhou Congwen could eat it.
Patients after thoracoscopic surgery have minimal trauma, and the closed thoracic drainage can be removed the next day, and they can be discharged soon.
Coupled with the fact that Zhou Congwen is young and energetic, Zhang You highly doubts that he can perform 48-hour surgeries at a time, let alone about ten thoracoscopic surgeries a day.
Precisely because the surgical trauma is small and the doctor consumes less energy, Zhou Congwen has always been energetic, "too boring" and even cut off his own cardiothoracic surgery.
Zhang You wanted to scold the street, but he didn't dare.
"Ring Ling Ling ~"
The phone rang.
The nurse at the nurse station glanced at Zhang You and hurried to answer the phone.
"Hi, hello, Cardiothoracic Surgery."
"Consultation, okay, Director Zhang and I..."
"Ah? Seek a consultation with Professor Zhou at the Academician Workstation?"
After hearing what the nurse called, Zhang You suddenly experienced pain radiating from the chest area to the shoulder and back.
Bad news comes one after another, what can I do?Will you drop the medical records directly this morning?
Or fight with Zhou Congwen?
A similar thing happened back then. The party who lost the competition for the director couldn't hold back and chased after him with a kitchen knife.The director escaped by jumping out of the window, and was forced to do so in embarrassment.
But after that, the person who is the director will definitely not compete with force, and the loser will always be a loser the moment he announces the red-headed document.
But this rule does not apply to Zhou Congwen.
Whether it is technical strength, background, or even a competition of force, Zhang You knows that he will definitely lose.
He restrained his trembling, looked at the nurse at the nurse station, "Ask what kind of consultation it is."
"Hello, what kind of patient is it?"
"Oh, ok, I'm just asking. Tell Professor Zhou as soon as he gets to work."
After hanging up the phone, the nurse didn't understand, and said, "Director Zhang, the inpatients in the circulation department always say that they are patients who need to be bridged."
After Zhang You confirmed the thoughts in his heart, his vision blurred, and he almost passed out.
so fast?
Zhang Youlao burst into tears, trying not to lose his composure in front of the little nurse, and staggered towards the office.
Without the support of the upstream department, the general chest is still being oppressed by the thoracoscope, what fun is there for me to be the director.
God, strike Zhou Congwen with a thunderstorm, Zhang You shouted in his heart.
Just as he was thinking, Zhou Congwen walked in and greeted Zhang You with a smile.
"Director Zhang, happy Chinese New Year."
Although it's the Gregorian calendar year, it's still a New Year's Eve, but Zhang You didn't want to face the past year.
"Xiao Zhou, happy Chinese New Year." Zhang You greeted dumbly, "Are you going to admit so many patients today?"
"Well." Zhou Congwen said, "The chest tube of the wedge-cut patient will be removed within one day, and they will live in the corridor with an extra bed. If there is no problem, they will be discharged from the hospital on the third day after the operation. Don't worry, Director Zhang."
Who is so worried about you!
Zhang You scolded viciously in his heart, but he was very clear about what Zhou Congwen said - after the small nodule wedge resection, the patient had to pull out the chest bottle in 1 day, and was discharged from the hospital 2-3 days after the operation!
How can it be so fast!
The bed turnover rate is 4.3 days, he still thinks it is not enough?
"Xiao Zhou, patients should be carefully checked before surgery, and they must not be hasty." Zhang You kindly "advised" in a very embarrassing manner.
"Oh, all the examinations of this group of patients will be done in the outpatient clinic at the beginning. Patients who are screened for surgery will go to the relevant department for adjustment. I know it."
Zhang You has nothing to say.
Outpatient examination, the average hospital stay is about 3 days.
Originally, the bed turnover rate of 4.3 days was already a shocking figure, but Zhou Congwen thought it was not enough and continued to compress it.
Zhang You calculated in his heart, and he burst into tears.
"By the way, Director Zhang." Zhou Congwen was about to change his clothes when he suddenly paused, "Director Teng has a patient with three diseased branches waiting for a bridge. I saw the radiography film and it is still suitable for a bridge. I will accept it today." gone."
"..." Zhang You was very uncomfortable with Zhou Congwen's blatantly aggressive approach.
"If you don't come to our department, you will go to the ICU after the operation. It is estimated that you will be able to leave the field in 2 days and go directly to Director Teng." Zhou Congwen smiled slightly, "Don't worry, I won't cause you any trouble."
Zhang You knew that Zhou Congwen was notifying him, not discussing with him.
what's next?What should I do.
Zhang You became more and more confused. At the morning meeting of shift handover, he stared at the ground restlessly with his big teeth bared. His face was swarthy, just like a patient with liver disease.
Recently, it is true that he is too angry and has a big temper, but he has no way to vent it. Zhang You can only look at the ground silently.
I want to chat with Zhou Congwen, but Zhang You still doesn't know what to say.
He could only sit depressed in the director's office in a daze, thinking about Zhou Congwen blankly.
I really valued him enough. When I first emerged, I didn't hesitate to go to a poor director of a grassroots hospital and join forces to suppress young doctors who might pose a threat to me.
It's a pity that no matter how much effort he put in, Zhou Congwen didn't feel it, and he was born in the posture of a fierce dragon crossing the river, shining brightly.
Zhang You is very confused, and has no idea where the road ahead is.
It's already 2003, Zhang You didn't expect that there would be no new atmosphere in the new year, instead it would make him depressed and troubled.
But every time he thinks of Zhou Congwen, Zhang You really can't bear the slightest thought of resistance.
Not to mention the annual meeting of cardiothoracic surgery, Dr. Miyamoto from Shun Tendo Hospital was regarded as a student at the annual meeting of Circulatory Internal Medicine. Can such a person be offended by oneself?
Chapter 0712
Zhou Congwen and Zhang You are just the opposite, a new year with a new atmosphere.
In the "narrow" time gap between the annual meeting and New Year's Day, Zhou Congwen opened up the situation smoothly, and the speed even exceeded his prediction.
Everything was going in a good direction, and the volume of surgeries was gushing out like a volcanic eruption. Zhou Congwen estimated that if he kept going at this speed, he would be able to complete the tasks assigned by his boss in one to one and a half years.
As for the long-term main task of the little guy in the system, Zhou Congwen couldn't see the content of the task, but it probably wouldn't be too high.
With the increase in the number of patients, Zhou Congwen's main job besides performing surgery is to prevent medical accidents.
If he made a mistake in his busy schedule, and there was an incident where there was no distinction between right and left, the boss would probably be so angry that he would jump around and scold him in the imperial capital.
The newly launched work of the academician workstation will also suffer a great blow.
Zhou Congwen was extremely cautious about this.
A group of patients had their operations completed, and the patients with small nodule wedge resection lived in extra beds in the corridor. The patients reviewed their chest X-rays early the next morning, and the closed chest drainage tubes were removed one after another.
Although similar operations have become day surgery in the previous life, but now it is just 2003, and I have to "take care" of the stubborn thoughts in the minds of other doctors.
After all, doctors in this era are used to keeping closed thoracic drainage for at least 3 days after surgery. Even Chen Houkun has undergone thoracoscopic surgery for half a year, and has not completely reversed his inherent thinking.
This matter is not urgent, and Zhou Congwen doesn't want to be too fast. The new team has just been established and needs to be adjusted.
The team still needs to adjust, and many things are not as fast as possible.
Stability is the most important thing.
Xiao Kai and Peng Yiming accepted patients, and many patients and their family members were waiting for calls in small hotels outside the hospital.
After a batch of patients' operations were completed, the time was estimated, and the next batch of patients was prepared to be hospitalized. Zhou Congwen's team began to operate, and entered a high-speed state without knowing it.
After several batches of patients underwent surgery, Zhou Congwen continued to improve some small defects of the medical team in detail to avoid accidents.
On Tengfei's side, after Zhou Congwen completed a heart bypass, she squatted in the ICU and took care of the patients herself.
After all, it was the first real cooperation. Although Tengfei thought that Zhou Congwen could do it, she had no idea.
Unlike patients transferred to cardiac surgery, Teng Fei can do nothing.
The beds in Zhou Congwen's hands are limited, and he cannot occupy Zhang You's beds at will, so similar patients go directly to the Circulatory Department when they are moved out of the intensive care unit after surgery.
Teng Fei was still a little uneasy about this.
However, the patient recovered very quickly, which exceeded Teng Fei's expectations.
The first patient was extubated eight hours after the operation, and he sat on the hospital bed on the first day after the operation and read the newspaper brought to him by the nurse, which made Tengfei very pleased.
Zhou Congwen's level is really high, and Tengfei is very satisfied.
But out of a safe mentality, Teng Fei still kept the patient in the intensive care unit for three days for observation, and then transferred back to the Department of Circulatory Medicine.
The patient refused the wheelchair when he went back, and walked back. It is estimated that he will be discharged from the hospital in about a week depending on the condition.
With this speed of recovery, Teng Fei was overjoyed.
I don't have to look at Zhang You's big teeth anymore, and I don't have to listen to Zhang You's yin and yang self intentionally or unintentionally. Is there any better news than this?
The work of the academician workstation was running at such a high speed. Zhang You saw everything in his eyes, but he couldn't do anything.
Formal beds in the department can be divided, but extra beds cannot.
Even if the chief director is facing a powerful professor leading a group, he can't be restricted on the extra bed, let alone the academician workstation that is faintly detached.
After observing for a period of time, Zhang You had an "illusion" that the building was about to collapse.
Under the leadership of Zhou Congwen, the academician workstation and Chen Houkun's thoracoscopy team cooperated perfectly, and they have been integrated into a team, each performing its duties and in an orderly manner.
The volume of less than fifty operations a week also surprised Zhang You inexplicably.
They occupy 1/4 of the beds in the department, but they have achieved the operation volume of the entire department in previous years, and Zhang You still can't make the operation as simple as before.
There are indeed many patients with wedge resection, but there are also many patients with esophageal cancer, sleeve resection, and double sleeve resection.
Zhou Congwen didn't even give Zhang You a year, and he had already pushed Zhang You to the edge of a cliff less than a month after he came to the Second Hospital of Medical University.
Can't go on like this anymore, Zhang You thought about it, he clearly realized that his current state is boiling a frog in warm water.
It's fine if it's just warm water, the key is that the pot of warm water boils extremely fast, and it's impossible to wait until I retire.
Determined, Zhang You went to "visit" Zhou Congwen on an outpatient day.
The outpatient work of the academician workstation is quite special. It is not Zhou Congwen who goes out to the clinic, but Xiao Kai takes the mascot Peng Yiming to the outpatient clinic. Zhou Congwen only has this day that is relatively free.
"Dong dong dong~" Zhang You came to the door of the academician workstation, raised his hand and knocked on the door gently.
He made up his mind that Zhou Congwen would give him a way to survive even if he was sloppy today.
Although it's embarrassing for a senior director, it's impossible not to do it.
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