【My medical skills can add experience points】【】
At this time, Deputy Director He should have gotten the news and rushed over from the duty room.
Even the buttons of the overalls were crooked.
If the guess is correct, Deputy Director He should be sleeping in the duty room. After all, he was getting older, and it was already twelve o'clock in the night, so he couldn't bear it anymore.
Zhou Can and Director Xueyan had not been in the ward for a long time, maybe five or six minutes at most.
Deputy Director He was woken up so quickly and rushed to the ward, which shows that Deputy Director He is quite powerful in the department.
You know, it's late at night, and the number of doctors and nurses on night shift in the entire department is less than one-third of the daytime.
Nurses are divided into small night shifts and large night shifts.
Xiao Ye goes to work from 5:00 pm to 1:00 am, and Big Night works from 1:00 am to 8:00 am the next day.
Now it is almost close to the handover time for the nurses on the night shift, but the nurses on the big night shift will not arrive so soon. Therefore, in addition to the doctor on duty, the only person who informed Deputy Director He was the nurse on the night shift.
There is no need to pursue whoever reported the letter to Deputy Director He.
It doesn't mean much by itself.
Based on this small detail, Zhou Can deduced that Deputy Director He's influence in the department was astonishing.
Ginger is old and spicy.
Although Director Xueyan relied on Director Hu Kan's last words, she successfully won the position of department director. But it's not stable, and Deputy Director He has been watching it all the time.
I'm afraid I have to find a way to help her with this matter.
Otherwise, if deputy director He is really replaced as the director of this department, it will definitely not be a good thing for the cardiothoracic surgery department.
It will never be as easy for Zhou Can to do anything with the help of cardiothoracic surgery in the future.
"Director Xue, the drainage volume of the patient seems to have increased again, what do you think should be done better?"
After Deputy Director He greeted Xueyan and Zhou Can, he was going to throw the burden directly to Director Xueyan.
"Go, let's go out and talk!"
Zhou Can suggested.
Although Deputy Director He was somewhat dissatisfied with Zhou Can's behavior of "offending the superior", he didn't say much. Only a trace of anger flashed deep in his eyes, showing his dissatisfaction.
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After leaving the ward, the three of them did not stand in the corridor outside the ward to discuss, but went to the office.
"Director Xue, you are an apprentice of Director Hu Kan. You have excellent surgical skills and rich experience in extra-thoracic and extra-cardiac fields. Can you handle that patient? There will be more difficult lobectomy in the future. No matter how busy I am, I will find time to actively participate.”
Deputy Director He wanted to reach an exchange of benefits with Director Xueyan.
The patient was transferred to Director Xueyan, on the condition that he would offer to help if there was a lobectomy in the future.
It can only be said that he thinks highly of his surgical skills.
His thoracic surgery skills and experience are not weak, but he is definitely not top-notch. Among the senior chief physicians of thoracic surgery, it is a middle-to-lower level if it is exhausted.
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【My medical skills can add experience points】【】
Zhou Can has seen Deputy Director He perform surgery. In addition to his slow speed, he lacks flexibility in surgery, sloppy surgery, and weak advanced surgical skills. These are his shortcomings.
"Director He, there are multiple considerations in implementing the first-visit system in the hospital. You are the first-visit doctor for that patient and also his chief surgeon. You are the most familiar with the patient's condition and understand the patient's condition best. Therefore, the patient is treated by It is most appropriate for you to be responsible until the end."
Director Xueyan's answer made Zhou Can feel extremely comfortable.
It's like drinking a cup of iced tea on Juneday.
What he was most worried about was that Director Xueyan softened her heart and agreed to the other party.
Fortunately, she has really matured, and already has the ruthlessness and tact that a mature department director should have.
Deputy Director He's conditions were rejected, and he couldn't help but froze.
Then he added, "In the future, if there are difficult thoracic surgeries, I will be there on call and I will never shirk them, is that okay?"
This is clearly increasing the bargaining chip and negotiating terms with Director Xueyan.
"It's a good thing that Director He's work attitude can become positive. But—" she deliberately prolonged her voice. "My surgical team is very good, and I already have the confidence to challenge any thoracic surgery. Director He only needs to do what he can. If you encounter a competent operation, you will accept it. If you are not competent, it doesn't matter, just push it. .”
This moment, that moment.
With the full help of Zhou Can, Director Xueyan has successfully completed the difficult lower lobectomy operation today, which also gave her unprecedented confidence.
No need to be stuck by Deputy Director He again.
If you encounter difficult thoracic surgery in the future, you can consult with Zhou Can.
"This... this..." Deputy Director He was dumbfounded.
He was rejected twice in a row, and director Xueyan's attitude became tougher and more confident each time.
He couldn't help wondering secretly, how could this **** Xueyan suddenly become so confident in just a few short hours?
Deputy Director He couldn't help looking at Zhou Can.
Is it related to this kid?
"How about, let's talk about the patient's condition first!" Zhou Can said playfully.
"If you have any insights, please tell me!"
For this patient, Deputy Director He slept directly in the duty room of the hospital. He was worried that if the patient died, he would be prosecuted for a crime of dereliction of duty and serious dereliction of duty.
I am very old, in my fifties, and I will retire in a few years.
If he was held accountable and punished by the competent authority because of this case, it would be too late, and the end would definitely not be much better.
At least he lost the qualification to continue to compete for the head of the department.
Even the position of deputy director of this department has to be handed over.
"Just now I looked at the nursing records and the patient's medical records. From the time I returned to the ward after the operation, the drainage volume was close to 700ml yesterday. Today's drainage volume is still increasing, and it is conservatively estimated to be at least 900ml. This rapid upward trend, you know what it means What are you wearing?"
Zhou Can's expression became serious.
"Please advise!"
Deputy Director He was manipulated by him and kept whetting his appetite, which made him feel angry.
However, Zhou Can's diagnostic skills are notoriously powerful. Even Director Hu often praised Zhou Can for solving difficult problems at critical moments when he was alive.
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【My medical skills can add experience points】【】
Therefore, no matter how dissatisfied Deputy Director He was, he had to listen to Zhou Can's diagnostic opinion.
"This means that the patient suffered from postoperative hemorrhage!"
Zhou Can's tone became more serious.
It was like a huge hammer hitting Deputy Director He's heart hard.
"Then... can you tell which part is bleeding?"
Deputy Director He's face turned paler obviously, and a trace of panic and fear flashed in his eyes.
Postoperative hemorrhage, postpartum hemorrhage...these are terrible precursors to death.
It's time for something to happen.
It's no wonder that Deputy Director He is not nervous.
"The scope of the operation is quite wide. It's really hard to say which part is bleeding. But if this operation is performed by me, it can definitely be calculated. Director He can carefully recall which wounds were not properly treated during the operation. One more reminder, the patient's current situation must not think about using coagulation drugs to control the bleeding, as long as the patient has hypercoagulation, he will die."
Zhou Can studied with Director Hu Kan for so long.
Director Hu passed on almost all of his knife skills and cardiothoracic surgery skills to him and Xueyan.
One is that he can't use all kinds of medical knowledge flexibly like Zhou Can, and second, his diagnostic ability has always been a weakness.
Last but not least, it has long been a habit for him to perform sloppy operations.
It was difficult for him to find out what hidden dangers were left in the operation.
Sometimes, he may not even care.
"Doctor Zhou, I know that you have obtained the true biography of Director Hu, and your diagnostic skills are extremely high. You must help me with this patient, first help find out the cause of the bleeding. After the matter is resolved, I will treat you to dinner. Next time you need my help, you can talk about it."
Deputy Director He was indeed frightened by him.
The patient died of massive postoperative hemorrhage, and he, the chief surgeon, was greatly affected.
These days, few family members are vegetarians.
As long as the patient dies in the hospital, or soon after the operation, the family members will make trouble if they don't care. If the patient died of hemorrhage after surgery because of Deputy Director He's sloppy operation and improper handling, then the family members will apply for an autopsy, and Deputy Director He will be in a very passive position.
Under such circumstances, it was really nothing for him to lower his head and ask Zhou Can for help.
Zhou Can was able to tell that the patient was bleeding heavily after surgery, indicating that there may have been some clues.
"If you want to help, I really have one thing."
Zhou Can's eyes flickered.
"Please tell me!"
Deputy Director He's face was a little stiff. This boy surnamed Zhou is really rude to him.
Now that he has something to ask for from others, he must be polite to Zhou Can.
"It's not a big deal. Director He can definitely do it, and it won't cause any loss to you, but it will be beneficial." Zhou Can said calmly.
"What the **** is going on?"
Deputy Director He was cautious by nature and never dared to agree hastily.
After all, he is a respectable person, and if he backs out after agreeing, it would be a bit of a loss.
Anyone with a certain status pays great attention to their own credit.
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【My medical skills can add experience points】【】
An adult, if he is over 30 years old and has no credit, will run the train with his mouth full, and what he promised today will be forgotten tomorrow. Ten out of ten people like this get messed up in society, and end up living as pitiful wretches.
Because without trustworthiness, first of all, there will be no real friends. Relatives will stay away from such people.
No one wants to cooperate with such a person, let alone lend money to such a person. Leaders will also have extreme distrust of such people, and it will never be possible to put such people in important positions.
In the end, this kind of person is destined to live at the bottom of the worst society.
"I want you to let go of all your prejudices, and sincerely obey the leadership of Director Xue from now on, and work together to build the cardiothoracic surgery well."
Zhou Can said solemnly.
Director Hu had explained to him before he died, and now the cardiothoracic surgery department is fighting fiercely. Not to mention external pressure.
If internal strife cannot be stopped in time, the Department of Cardiothoracic Surgery is likely to be torn apart, or gradually decline, and eventually a large number of talents will be lost, and it will be reduced to a third-rate department.
Therefore, Zhou Can must find a way to stop the internal strife.
The source of the contradiction lies in Deputy Director He. He is not convinced that Director Xueyan has become the department director, so he engages in hilltopism.
From time to time, he gave director Xueyan eye drops and dug holes.
These behaviors are actually very bad, but the hospital is a unit. Even if Deputy Director He is so bad that pus oozes from the soles of his feet and sores develop on the top of his head, as long as he doesn't violate the hospital's regulations, no one can do anything to him.
In this regard, we can refer to those people who have established staff in public hospitals, but because they offended the leaders, their future is bleak and they are completely ruined.
Facing this kind of person, even the dean has a headache.
But nothing can be done.
Director Xueyan did not expect that Zhou Can would directly ask Director He to submit to her under such circumstances. And it's still on the table.
She was both moved and admired by Zhou Can's courage.
If it were her, she would never dare to put such a thing on the table.
Many things have been pointed out that it takes more than courage. There is also the huge risk of tearing your face apart.
"You put forward such a big condition just to help find out the cause of the patient's bleeding?" Deputy Director He showed disdain clearly on his face. This kid surnamed Zhou is too naive, after all, he is young.
The weight of the two conditions is obviously not equal, how could he agree?
Zhou Can nodded solemnly.
"Not only will I help find the cause of the bleeding, but I will also help treat the patient together so that the patient can turn from danger to safety. If the patient dies in the end, our gentleman's agreement will be void. If the patient is discharged safely, you must let go of your prejudices and sincerely cooperate with Director Xue's work. "
Zhou Can's expression was always serious.
He is not a rookie in the workplace, so if he dares to raise it, he naturally has his own trade-offs.
"What if I don't agree?"
Deputy Director He obviously still didn't want to give up competing for the head of the department because of this matter.
"You will definitely agree. That patient has already shown a typical anemia appearance, and there is not much time left for your rescue. As long as this patient dies, you will definitely have to sue. I have seen the accompanying family members, it is not Ordinary family. When the time comes for an autopsy, it will be found that it was due to an omission in the operation, which was not in place, causing the patient to hemorrhage after the operation. You will not only ruin your reputation, but also your future and money. If you don’t do it, your family will have to suffer .”
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【My medical skills can add experience points】【】
Zhou Can gave him an in-depth analysis of the huge risks involved.
What clinicians fear most is medical malpractice.
It is considered light to be directly forced by family members to kneel and burn paper money in the outpatient hall of the hospital. Some doctors were even forced to commit suicide by jumping off the building.
Deputy Director He's forehead was already soaked with sweat, which was frightening.
Fear hides deep in everyone's heart, and everyone has times of fear.
"Doctor Zhou can be sure that the patient's bleeding must be caused by my inappropriate handling during the operation? I followed the normal procedure, and the operation was inherently risky. Even if the patient really died, the family members signed it. If you want to make trouble, let them Let's go make a fuss."
Deputy Director He is obviously a bit strong on the outside, but here he speaks hard.
But the heart is very empty.
"The family member's signature~www.mtlnovel.com~ is a choice to trust the hospital and the medical staff. But it does not mean that the doctor can be careless during the operation and not take human life seriously."
Zhou Can poked through his last fig leaf.
If it was normal, Deputy Director He would have jumped and scolded him long ago.
At this moment, as if he had been hit hard, he didn't make a sound. Only a pair of small eyes are wandering around.
The beads of sweat on his forehead got bigger.
He kept raising his sleeves to wipe his sweat.
Director Xueyan just stood by and looked at Zhou Can with a strange look. Occasionally look at Deputy Director He. But don't interrupt.
Seeing that Deputy Director He's psychological defense began to collapse, Zhou Can continued to heat up.
"Director He should be 56 this year, right? With all due respect, even if you become the director of the Department of Cardiothoracic Surgery, it will only be less than four years. What's more, what you took over is a mess, and the pressure is not normal. How can you be the deputy director now? Easy? People will fight and fight all their lives, and they will lose everything in the end, so there is really no need for that.”
It's really against the law for a young man to say such things to a middle-aged and elderly person.
However, Deputy Director He just listened to it.
"Okay, I promise."
After a battle between man and nature, Deputy Director He finally chose to agree after weighing the pros and cons in depth.
"That's right! Why do you have to be obsessed with being the head of the department? The current cardiothoracic surgery department is in a very bad situation, and even if you take over, you will be looking for guilt."
Seeing that Zhou Can used this matter to successfully control Deputy Director He's stinky and hard bone, he also breathed a sigh of relief.
"I have one more condition. You said two days ago that there is something wrong with my body, so you have to tell me what's wrong with me." Deputy Director He said.