medical simulator
Page 614
Dean Chu spoke for the first time: "Professor Liu, what is your opinion? Are you willing to be responsible for the disease of diabetic foot in the burn surgery department?"
"Dean Chu, it should be our burn department that treats ulcers, and then the orthopedics department completes the final operation of amputation. This is the formal process? Why can't you make sense and make no sense?" Professor Liu's combat effectiveness is amazing. The elders began to yell.
"Then your department doesn't want this kind of disease, right? Give it to the orthopedics department?" Dean Chu doesn't have the time to argue here, and it would be embarrassing to say it.
"Of course our department wants it!" Professor Liu insisted.
"If so, what should we do if our orthopedics department receives such a consultation call in the future, or an application for a consultation transfer from your department?" Lei Zhong asked back.
"You just say what I said, diabetic foot, we are in charge of the burn department to the end, you let him come to me!" Professor Liu said loudly.
Lei Zhong immediately turned off the recording of the mobile phone: "Dean Chu, it's okay, as long as you have Professor Liu's words, it's fine. In the future, no one in our orthopedics department will say any opinions. Diabetic foot, our department will never touch it. Already!"
The recording stopped here.
Then, when Zhou Chengcai had almost finished listening, Ding Changle on the other side withdrew the recording.
Then he sent a short recording to Zhou Cheng.
"You can just send this message in the past, and the above one, just take it as a gossip." Ding Changle estimated the time, withdrew the message, and reminded Zhou Cheng again.
"Okay, Professor Ding!" Zhou Cheng was also very helpless.
There was also a quarrel, and it was Director Lei Zhong who quarreled with the professor of the burn department himself.
Zhou Cheng had joined the chief inpatient of the burn department before, and now the other party just passed, and greeted politely: "Mr. Zhou, how are you?"
"Hello, Mr. Xing." Zhou Cheng also greeted. The chief resident of the burn department is called Xing Fang, and his name is unidentifiable.
"Mr. Xing, it's like this. Your guest has applied for two consultations today, both of which are for transferring departments. I'm the new hospital chief, so I called the professor of our department."
"Our professor said that diabetic foot does not belong to our trauma surgery department, so the transfer of this department cannot be transferred."
"Boss Xing, you also know that we are always in the hospital and do things for the professor." Zhou Cheng was knocking on the sidelines, to see if Xing Fang knew about the quarrel between Lei Zhong and Professor Liu.
"I understand, I understand, Mr. Zhou. It's all the opinions and requirements of the superiors, and we are all migrant workers."
"Don't make it difficult to beat a worker, Brother Zhou, we will help you in the future and do the work well. We don't care about the friendship between the professors above, we are still brothers and sisters!" Xing Fang's words revealed her gender, and also It's not easy to know Zhou Cheng.
She knew very well that Professor Liu regretted it a long time ago. The amputation rate in burn surgery is too high. The hospital is now calculating the proportion of terminal operations. Professor Liu wants to get rid of this disease.
Just to see what the orthopedic department's opinions are. It just so happens that the trauma surgery department has just changed to a general inpatient.
Professor Liu just took a step back, turned the patient with diabetic foot over, and left it to the orthopedics department, not wanting to cause trouble again.
Now, all the departments in the hospital know that the orthopedics department doesn’t care about diabetic foot, all diabetic foot patients go to the burn department. There are a bunch of patients who press the bed, and the patients with real burns can’t live in. There are only two ways in the department, one is to separate departments, The other is to streamline the types of diseases.
But neither of the two paths is so easy.
Zhou Cheng hurriedly said: "Sister Fang must say something nice for me when the time comes, this consultation opinion is written remotely after I called, and Professor Ding Changle specially asked for my work number! Please don't take it personally, the teacher of the burn department?"
Zhou Cheng also lied without blushing, and there is no need to say some things very bluntly.
"I understand everything!" Xing Fang yelled at him on the way to the consultation while replying the letter.
……
Wang Huan had a consultation with Zhou Cheng today, he was full of gossip, shivering, and his thin body seemed even thinner.
"Let's go, let's go to the consultation again, and then we have to look at the hospital's medical records. I will teach you how to review them. Your brother Du Yanjun will do a preliminary review, and we will do the final review together."
"By the way, Xiaohuan, you should have no problem writing medical records, right?" Wang Huan's theoretical knowledge is excellent, and the basic rules of writing medical records can definitely be relatively perfect.
Wang Huan nodded embarrassedly.
Immediately afterwards, Zhou Chengcheng came to general surgery again...
And just before Zhou Cheng left, the 'unaware' doctor on duty had already called the superior physician, and even sent the consultation opinion to the superior as if he were complaining.
He also said: "Brother Ping, isn't the boss of the orthopedics department too stupid? How dare you write such a consultation opinion?"
Brother Ping, who thought the other party would be furious, sent a sentence: "Okay, got it."
Brother Ping also called the professor in his group again: "Professor Liu, I didn't take advantage of the loophole. The new chief hospitalist was too cautious. He called his superiors, and the consultation opinion was still the same."
"Have you invited Huang Zong to dinner?" Professor Liu's voice was pertinent.
"Professor Liu, this has to be reasonable. My own sister paid for it, let alone the meal. Before Huang Zong left, he made a special point of it, and didn't explain it."
"This Zhou Cheng, I heard that he is a cautious person. Before starting the general hospitalization, he put all the diseases in the department in the past six months."
"Okay, there's nothing I can do. I can only go to Dean Lei's place in person. Those who should be let out must be let out!" Professor Liu said with a sigh.
Chapter 384 Heart and Distribution!
"Dean Lei, I am Liu Xiuquan!" Liu Xiuquan did not find Lei Zhong in the dean's office, but he found Lei Zhong in the director's office of the third ward of orthopedics.
Lei Zhongren may not know everyone, but people of the same generation or the younger generation have more or less contact with Liu Xiuquan at work, so he has an impression of Liu Xiuquan: "Professor Liu, come in and sit."
At the same time, he stood up and poured tea for Liu Xiuquan.
The signboard of the Affiliated Hospital of Shonan University is not the dean and vice-president, nor the personnel department or any functional department, but many professors in the department, which is different from prefecture-level city hospitals.
In the Affiliated Hospital of Shonan University, all the administrative departments can easily find replacements, but the professors of these specialties may not be. Liu Xiuquan is a candidate for the next director of the Burn Surgery Department, and he has a good relationship with Lei Zhong.
"Don't be so troublesome, Dean Lei." Liu Xiuquan came to ask for something.
But seeing that Lei Zhong was still walking, Liu Xiuquan quickly stood up and said, "Dean Lei, I'll just come by myself, and taste the treasure hidden by the dean."
The teas collected by different directors in the hospital are different, and they are all treasures.
"It's just ordinary camellia, which may disappoint Professor Liu." Lei Zhong didn't hesitate, and gave Liu Xiuquan the disposable cup filled with tea.
Then he touched his belly and asked, "Professor Liu, it's almost time for dinner. Let's go out for dinner together?"
"No, no, Dean Lei, I'm just here to discuss something with you, and I'll leave after I'm finished." Liu Xiuquan came here to beg for help with a shit bowl, so how dare he get paid.
Lei Zhong was transparent: "Professor Liu came here for the new reporting system for the end-stage treatment rate of the disease?"
"Professor Liu, this document was unanimously discussed by the leaders of the school, and it is not aimed at specialties. It is the current situation, as you know, it is not easy for everyone!"
In the face of myrrh, equipment shortages, etc., the proportion of end-stage treatment methods for each disease is increasing, so the Health Commission and the country need to collect the corresponding proportion and specific reasons.
For example, the amputation of diabetic foot is the end-stage treatment.
It's also like, the return of death from common diseases...
When you encounter difficulties, you must find a way to solve them, instead of blindly evading and prevaricating, you have to go through the data, collect the difficulties, and then find a solution.
Liu Xiuquan nodded. In the current situation, it is impossible to have personal grievances mixed up. At this time, whoever engages in this kind of trick will die.
Liu Xiuquan hurried back and sat down, and expressed his difficulties: "Dean Lei, this is actually the case. As you know, the beds in our department are too tight, and there are many burn patients who really need treatment. He was transferred to another department for hospitalization."
"Either go to the ICU, or go to other places. To a certain extent, this is a waste of medical resources of other departments. You also know that in the current situation, each department is under great pressure."
"So, Dean Lei, I want to discuss it with you."
Before Liu Xiuquan finished speaking, Lei Zhong took over the words first: "So Professor Liu is here on behalf of Director Liu. I hope our orthopedics department will take over the diabetic foot again, right?"
"To alleviate the pressure of the current mix of diseases in the burn department?"
Lei Zhong had no expression on his face, no emotional fluctuations, and he could not hear happiness or anger.
Liu Xiuquan swallowed her saliva, thought for a while and said, "Professor Lei, I know that Director Liu of our department had some misunderstandings with the Department of Orthopedics."
"But specialist treatment is not a national policy. We still have to respond." Naturally, Liu Xiuquan couldn't mention that the burn department would keep diabetic foot diseases in the department.
The application rate of end-stage treatment methods in burn surgery will exceed the standard, and then will be interviewed by many leaders of the hospital.
Can this talk in depth?
"Okay, Professor Liu, I also know that it's rare for you to say such a thing. But I agreed on behalf of the hospital, and I will go to talk with the orthopedic staff in person, and I will try my best to relieve the pressure of the burn surgery department." Lei Zhong did not talk to Liu Xiuquan. What nonsense.
Liu Xiuquan was stunned, and looked at Lei Zhong in astonishment: "Dean Lei, do you agree?"
Lei Zhong nodded: "Well, yes, this is a normal request and the transfer of the disease, and I naturally agree. I will go to Professor Ding and tell him that this matter must be resolved."
"Professor Liu didn't come here to complain to me, and then he didn't have this idea and thought?" Lei Zhong asked back.
"No, no, thank you Dean Lei, thank you Dean Lei!" Liu Xiuquan, who thought it would be a waste of time, did not expect that today's trip would be so easy.
Lei Zhong said: "This is what I should do. Our hospital still needs to be harmonious and help each other in order to do things well and do our job well."
Back then, the quarrel with Professor Liu at the old dean was for the benefit of the department.
The burn department can't take over the disease of diabetic foot, and all amputee patients will be sent to the orthopedics department. The orthopedics department will clean up the burn department like a garbage dump, throwing over the incurable patients.
It is equivalent to the fact that most patients have been in the burn department.
But now that Lei Zhong has reached the position of dean, he should also make overall considerations. If he continues to hold on to the previous things, then the hospital team will not be able to lead well.
"Yes, yes, Dean Lei, thank you for your kind words with Professor Ding. We should streamline the types of diseases and treat them in specialized departments!" Liu Xiuquan smiled flatteringly.
"..."
As soon as Zhou Cheng took Wang Huan to the penultimate patient for consultation, he received a call from Cai Dongfan, asking him to rush back to the department, where an urgent internal meeting was held.
"Master, I have the last consultation patient left here, and I'm just outside, can I come back after watching it?"
"It's estimated that it will take about twelve minutes to arrive in the department. Is it possible?" Zhou Cheng made his own plea.
If it's urgent, even if he goes outside for consultation, he has to go back.
"Okay, let me tell Director Lei." Cai Dongfan said.
"Is Dean Lei also in the department?" Zhou Cheng asked.
After joining the job, although Zhou Cheng did not have direct contact with Dean Lei, Cai Dongfan told him that Lei Zhong got angry in a functional department like the Personnel Department because of him, Zhou Cheng, and even fired someone!
"Well, come here as soon as you finish. I guess there is something urgent. Professor Ding and Professor Wang are also on their way." Cai Dongfan confessed.
Zhou Cheng quickly hung up the phone, and then came to the last consultation patient.
It was just the pain caused by the muscle strain. The consultation opinion stated that two kinds of painkillers were prescribed, and after the pain was relieved, Zhou Chengcheng rushed to the department.
After asking the doctor on duty, I found out that not only Cai Dongfan and Guang Yanhu were in the department, but everyone in Professor Ding and Professor Wang Yunfa's team was also in the department.
All the superiors except graduate students and interns gathered in the doctor's office, and the door was closed tightly.
"Xiaohuan, you should get off work today, and I will treat you to dinner next time. There is a meeting today." Zhou Cheng said.
"Master, should I order you a takeaway?" Wang Huan already felt sorry for the teacher.
"No, thank you, you can go back quickly."
Zhou Cheng smiled, took off his gloves, and after washing his hands, he opened the door of the office and walked in.
Inside, Lei Zhong, Ding Changle, Wang Yunfa and others were discussing something.
Zhou Cheng silently found a seat and sat down, not knowing what was going on.
After listening for three or four minutes, I realized that Lei Zhong came here specially to find a professor to take over the work of diabetic foot disease.
Ding Changle said firmly: "Director Lei, when our orthopedics department was still routinely receiving such diseases, the burn department insisted on rushing over. Now that the hospital has issued relevant documents, she wants to return them."
"Isn't the hospital for the burn department and Professor Liu?"
"The old dean has personally testified."
Ding Changle has the most right to speak. He used to be the professor who took over the most diabetic feet in the department. He even got the nickname of Washing Foot Ding. He originally planned to separate out a foot and ankle surgery department.
As a result, such an incident occurred in the middle, Ding Changle's nearly ten years of painstaking efforts were wasted, and the burn department snatched the disease, and did not contact him again. It has been seven or eight years, and Ding Changle has long since stopped touching this disease.
If you want to return it at this time, who can pick it up?
Professor Wang Yunfa is now specialized in a relatively single type of disease, and Cai Dongfan is currently unable to be proficient in even the common diseases in the department, all relying on Associate Professor Guangyan Hu to continue.
Wang Yunfa also said: "Director Lei, this is the situation. Why don't you ask the first ward of the Orthopedics Department to see if there are any professors willing to take over?"
The Affiliated Hospital of Shonan University is under the responsibility of professors. As long as the professors are brave enough, basically all operations and diseases can be performed, as long as they can be taken.
Wang Yunfa has completely avoided diabetic foot disease now. This disease is tiring and smelly, and it has no economic benefits.Wang Yunfa would not do such a thankless thing.
Lei Zhong looked directly at the silent Cai Dongfan: "Professor Cai, are you willing to take over such a disease?"
"Professor Ding said that he is currently in charge of complex infections, multiple infections, and cross-infections, while Professor Wang is in charge of multiple fractures and complex fractures."
"Professor Cai doesn't have any special business right now, why not?"
Before Lei Zhong finished speaking, Guangyanhu raised his hand: "Mr. Lei, let me interrupt. Professor Cai is currently shifting to diseases such as muscle, tendon repair, and muscle atrophy, and he can't tell the difference." yes?"
Guang Yanhu didn't dare to call Director Lei directly. Lei Zhong is from the previous generation, so it's more kind to call the teacher.
Cai Dongfan still didn’t speak. Whether he would answer it now mainly depends on Guang Yanhu’s opinion. All the diseases in the Affiliated Hospital of Shonan University are new to him, and they are too different from the Eighth Hospital.
It is easy to choke if you say what kind of disease you want to eat alone.
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