Back in 2002 as a doctor

Otherwise, Lu Tiancheng and Dr. Lu wouldn't have been thinking about extra-surgery operations, we can't do that. "

"The quality of personnel is inherently poor. After I became the chief director, the first surgery I let go was patent ductus arteriosus."

"This is the simplest operation, ligation, suturing, as long as it is stable. After that, I want to perform coronary artery bypass surgery, and guess what happened."

"The doctors below are worried about accidents, and no one wants to take care of them?" Zhou Congwen was taken aback, and said a very strange reason.

"Yeah." Xiao Kai nodded.

Shen Lang stared at Xiao Kai with wide eyes, as if he had seen a ghost, he couldn't believe such a thing at all.

"Why do you look at me like that." Xiao Kai smiled helplessly, "When the fuck is learning surgery, one is more stupid than the other, but when playing smart, one is smarter than the other."

"What did they do?" Shen Lang stared blankly, he really couldn't understand what Xiao Kai said.

The little doctor had his own disadvantages, and was completely suppressed by the big director. If he wanted to learn how Sun Houzi jumped out of Wuzhishan, he had to have Zhou Congwen's ability.

Ordinary little doctors paired with a big director like Xiao Kai, can't they be trained to be submissive?Unexpectedly, Dean Xiao also had headaches.

Shen Lang pricked up his ears, quite interested in what Xiao Kai said.

"Let's give an example." Xiao Kai said, smoking a cigarette, "I went out to the clinic one day and admitted a patient who was going to be a bridge. No one wanted to take care of it, so it depends on who is 'unlucky' and who is on duty."

"I'm still afraid that the patient will run away..."

Having said that, Xiao Kai looked at Zhou Congwen and laughed a little embarrassedly.

Zhou Congwen said, "Not necessarily now, I heard that a faster train line will be built, and it will be really difficult for primary hospitals to admit patients by then."

Hearing what Zhou Congwen said, Xiao Kai didn't doubt it. He had long been used to Zhou Congwen's insight into all clinical behaviors.

As long as the condition is a little serious, it is definitely not enough to see a doctor in the local area. The start is in the provincial capital. Now patients and their families have many more choices for medical treatment channels, which has begun to take shape.

Xiao Kai didn't hesitate, and continued, "I was afraid that the patient would run away, so I sent him directly to the ward, and watched the doctor on duty take the patient in before going home."

"But the next morning, I went to the hospital and found that the patient had gone through the automatic discharge procedure last night." Xiao Kai recalled the events back then, still a little angry.

"!!!"

This time even Zhou Congwen was shocked.

Can the doctors under Xiao Kai be so troublesome?

For the patients brought in by the director, he dared to go through automatic discharge in the middle of the night. Zhou Congwen didn't even want to think about the difficulty of this matter and how many small shoes he would have to wear afterwards.

As for what, just a bridge.

Cough cough, the bypass operation is actually quite big, but the people under Xiao Kai are too capable of tossing around.

"Professor Zhou, Shen Lang, don't you believe it?" Xiao Kai shook his head.

"Well." Zhou Congwen said, "President Xiao has a lot of talents under his staff, not only a mascot doctor like Peng Yiming, but also..."

Even Zhou Congwen didn't know how to describe similar doctors.

"How should I put it, this person is indeed a talent." Xiao Kai sighed, "I suppressed the anger in my heart and asked what was going on."

"The doctor on duty said that when he asked about the medical history last night and was preparing to write the medical record, the patient's family members asked about the operation. A nurse testified that it was indeed the patient's family members who asked about it."

Zhou Congwen smiled, Shen Lang looked confused, not knowing what Xiao Kai meant.

"Later, the patient's family members asked if they could go into the operating room and watch while the operation was being performed, or they would not be at ease. The doctor on duty refused on the spot. In the end, they had no choice but to apply for automatic discharge."

"Ah? There are also family members of this kind of patients? They really think they won't vomit after reading it? I heard that at least half of the men who accompany their wives to give birth have psychological shadows that affect the relationship between husband and wife." Shen Lang said in surprise.

"Hehe, Shen Lang, you are simply too simple." Zhou Congwen laughed.

"how?"

"There is a nurse testifying, and Dean Xiao stated the conditions in advance." Zhou Congwen said, "When you talk about the illness with the patient's family, will you take the nurse by the side?"

"Uh..." Shen Lang concluded.

"If I'm not mistaken, this doctor has a heart."

"Yes, I also thought about it." Xiao Kai said, "But I asked the nurse, and the nurse was very honest and said that it was indeed the patient's family who asked to go to the operating room for surgery."

Zhou Congwen shrugged.

"I have nothing to say." Xiao Kai said, "This is the largest hospital in our Baishui City. The other two brother hospitals can only do lung lobes occasionally. The chest department basically has no patients and mainly treats pneumothorax. .

The director of one of the hospitals was from us, and in the end, guess what he did? "

"do not know."

"Specially cut out the prostate." Xiao Kai sighed, "It's far away, it's far away, it's very difficult for me to do bypass surgery, and it's the same for other hospitals who want to cut the lung lobes."

In Xiao Kai's simple description, the strict hierarchy of the hospital has been outlined.

This is not artificially stipulated, but the level in the hearts of the patients' family members.

There is basically no chest department in second-rate hospitals at the prefectural level. Baishui Central Hospital can only do lung surgery, and heart surgery must be done in the provincial capital.As for the difficulty, it must be the capital of the emperor.

However, most patients cannot afford to go to the imperial capital or the magic capital, and the provincial capital is the end point.

Chapter 1194

"What did he say?" Shen Lang still didn't understand.

"Hehe, I guess he is at least an attending physician, and he is also an attending physician with relatively old qualifications." Zhou Congwen said.

Xiao Kai put his palms together and smiled, "Indeed, Professor Zhou really has a deep understanding of clinical practice."

"how do you know."

Shen Lang seemed to have a hundred thousand whys, and asked another question.

"That's right." Zhou Congwen patiently explained, "Generally speaking, the first 2-3 years of clinical practice are rather ignorant. Doctors with 5 years of experience have a bit of communication talent, so they are qualified clinicians."

Zhou Congwen was talking about clinicians, not surgeons. Communication skills and treatment skills are two different things.

Some people are born with clumsy hands, but they can spit out lotus flowers, so the operation is average or even poor, but they can understand the patient and the patient's family.

This is also a skill.

"When doctors chat with patients' families, they mainly instill the risks of bypass surgery intentionally or unintentionally. In essence, this is correct. If there is no risk in instillation, it is a big mistake."

"Yes, and then?" Shen Lang continued to ask.

"The patient's family members must have doubts in their hearts. According to the general process, it is difficult to trust Dean Xiao and Baishui Central Hospital. Otherwise..." Zhou Congwen said, glanced at Xiao Kai, and smiled slightly. The head of the hospital personally sent the patient's family members to go through the hospitalization procedures."

Xiao Kai nodded, Professor Zhou Congwen Zhou guessed right.

"Since the patient's family members have doubts, they will ask Director Xiao about his level and how many cases he has performed before. At this time, the doctor in charge of communication will tell the truth. At that time, it is estimated that you performed no more than 20 operations."

"Forty or fifty." Xiao Kai said.

"Even if there are forty or fifty, it depends on how it is said. If I want to push patients, I will say that we have done more than a dozen cases in the past year, and then tell the family members of the patients that they have limited experience. I am also very embarrassed. But I can't tell you.

It's all about micro-expressions, and it's actually not difficult. "

Zhou Congwen said with a smile.

Xiao Kai sighed, Zhou Congwen seemed to have seen it with his own eyes, how could he be so familiar with the tricks of these little doctors.

"The patient's family members will be a little anxious...Let's put it this way, the patient's family members don't have much confidence in the first place, and they are probably reluctant to go through the hospitalization procedures because of what Dean Xiao said is certain.

The doctor on duty keeps guiding in another direction, so the patient's family members will become more and more anxious. "

"Even when the patient's family members said that they were going to the operating room to see the operation, it was the doctor who guided them."

Shen Lang was dumbfounded.

"President Xiao, you really have a lot of talents under your command, and this kind of communication skills are amazing!" Zhou Congwen praised.

"How about I arrange for him to come to study some time?" Xiao Kai joked.

"Forget it, I don't have time to support such an old man. You don't even want to take in a bridge, and you have to push patients outside every day when you come to our place?" Zhou Congwen laughed, "Dean Xiao, it's really difficult for you to start some business ah."

"Who says it's not, it's not like your side." Xiao Kai said, "I noticed one thing recently, as long as he has time, Dr. Lu will spend time in the operating room, mainly looking at cardiac surgery."

Zhou Congwen nodded, indicating that he knew.

"Why did you go to Senior Brother Lu, Dean Xiao, how is the doctor you mentioned now?" Shen Lang did not forget his "original intention" and continued to ask.

"That's it, eat and die every day." Xiao Kai said.

"Dean Xiao still has people he can't handle." Zhou Congwen teased.

"If I can't bring it up, even if I am a big director, if I want to carry out cardiac surgery in Baishui City, it is tantamount to dreaming.

It's not that there are no patients, but that there are not many, and the doctors under him are worried about the risks.Moreover, bypass surgery does not make much money, and the risk is very high, so no one is willing to take care of it. "

As he said that, Xiao Kai looked at Shen Lang, "Shen Lang, you should listen to Professor Zhou and go to the operating room if you have time."

"Well, I see." Shen Lang naturally understood what Zhou Congwen meant.

Now I get a lot of money from Xiao Kai every month, which I never dared to dream of before.Shen Lang reckoned that Wang Chengfa couldn't earn so much in a month when he was in the Third Hospital.

Should be obedient or obedient, Zhou Congwen did not let himself kill and set fire.

"Professor Zhou, I have something to report to you." Xiao Kai said seriously after finishing his cigarette.

"how."

"Dr. Lu's level has improved rapidly recently."

"Ah."

Today Zhou Congwen heard Xiao Kai mention Lu Tiancheng for the third time, and knew that something must be wrong with Xiao Kai.

"His mood has not been very high. I talked to Dr. Lu. It is said that he had a very unpleasant fight with the old local director when he came."

"I have met Director Zhu Junzhu twice, and I can tell at first glance that he is a very domineering person. It is difficult to work under him."

Xiao Kai said another good word for Lu Tiancheng.

Zhou Congwen said with a smile, "Dean Xiao, what exactly are you going to say?"

"It's nothing, let me report to you about the situation of the doctor below." Xiao Kai said, "I feel that you want to treat Dr. Lu as a medical doctor, but he also has his own concerns. director."

"Well, there's no rush." ​​Zhou Congwen said, "In a few days, I'll set up two sets of sleeve surgery with him to see how the progress is. The surgery must be fought for by oneself. If he is willing, the last one can be completed independently. , at least do it in a decent manner, then there will be a next time."

"Dong Dong Dong~"

There was a knock on the door.

"Enter."

The office door was pushed open, and Lu Tiancheng stood at the door with a troubled expression on his face.

"Tian Cheng, come in, what are you doing standing at the door." Zhou Congwen said with a smile.

Lu Tiancheng is cautious in handling things, and Xiao Kai is willing to do this kind of favor. In fact, he can just talk to himself directly.

"Professor Zhou." Lu Tiancheng took a step in, still embarrassed, as if he was constipated.

"What's the matter?" Zhou Congwen wondered.

"I'm a little busy..."

Lu Tiancheng said hesitantly.

"Troubleshooting? That's what it should be." Zhou Congwen smiled, "I was going to put aside the sleeve surgery. It's actually not that difficult to do the sleeve surgery under the laparoscope. After mastering the skills, it's actually quite simple."

Lu Tiancheng was startled, and then a happy expression appeared on his face.

Xiao Kai frowned, "Doctor Lu, that's not what you're talking about."

He keenly discovered that what Lu Tiancheng and Zhou Congwen said was not the same thing at all.

"Ah!" Lu Tiancheng woke up from the surprise, scratched his head and said, "It's a consultation in the office, Mr. Chai's diagnosis... I think there is something wrong, but..."

Lu Tiancheng said hesitantly.

"Oh, see a doctor." Zhou Congwen was relieved, "What's going on, let me briefly talk about it."

"The patient was diagnosed with pneumonia for 3 months, and he took antibiotics intermittently, but he has not recovered. The film is a bit weird, with large areas of pneumonia, but there are circles of images around the edges."

Chapter 1195 Wheat Circle Sign

Circle after circle of images, Zhou Congwen pondered, then nodded, probably knowing what kind of patient Lu Tiancheng had encountered.

In terms of clinical experience, Zhou Congwen can be said to have enriched his grandmother's house.