Chapter 419: Returning a favor, the pus can still be removed without the plaster
Among all the heavyweight doctors in orthopedics, Zhou Can has the closest relationship with Director Shen.
He is Director Shen's half-apprentice and is highly respected and loved by Director Shen.
The relationship between a master and a disciple sometimes comes with a bonus of intimacy, so even after many years, they can still be as close as before.
Zhou Can made the decision not to ask Director Shen for help this time after careful consideration. The current situation of cardiothoracic surgery made him realize that every generation has its own talents, and the old ones are replaced by the new ones.
Now that he has established good relationships with people like Shan Dan and Chi Hanqiu, when the older generation of directors like Director Shen retire in the future, his network of contacts in Tuya Hospital will still be as solid as a rock.
If Tuya Hospital is likened to a small world, each department is equivalent to an independent country.
Even great powers need the support of many allies.
The emergency department where Zhou Can works is extremely weak, equivalent to a weak country, so it needs allies even more.
Let's not talk about the distant past. For example, he is currently leading a team of surgeries in the emergency department. It has been almost two months, and the business of other surgical departments has definitely been affected. But this time, no one jumped out to oppose it. Why?
Looking back at when Zhou Can first started his training in the emergency department, his level was far worse than it is now.
Director Xie directly objected to the decision at the morning meeting of all doctors in the hospital, which forced Zhou Can to only participate in simple level 1 and 2 surgeries in the emergency department.
At that time, even if we performed a thousand surgeries a month, the total revenue was actually not that great.
The impact on other surgical departments was minimal.
Because Tuya Hospital is a large platform and has a good reputation, there is no shortage of patients.
Those specialized departments often even persuade patients who need first and second level surgeries to leave so that they can receive treatment nearby.
To put it bluntly, Zhou Can was just picking up some leftovers that they didn't want, but he still caused them to take action to suppress him.
He can now perform even level 3 surgeries, and he can perform two to three surgeries every day. Not to mention level 1 and level 2 surgeries, there has never been a day when he performs less than 20 surgeries.
Moreover, he not only performed surgeries, but also admitted post-operative patients to the hospital.
This is equivalent to establishing one's own territory and competing with specialized departments, which has already touched the bottom line of interests of specialized departments.
But even so, no one stood out to object.
Don't think that this is because Director Lou has a lot of face.
In the face of interests, Director Lou's reputation is only useful in the emergency department. Outside the department, it is nothing.
Why did the surgical department remain silent and no one openly opposed it?
Because of the two words "affection".
Although Zhou Can's current position is not high, he is just a resident doctor, but he has made a name for himself in many departments during his training. He has established good relationships with the directors, doctors, and nurses of those departments.
With this familiar relationship, when he returned to the emergency department to lead a team of surgeries, others would naturally no longer object.
Therefore, it is very important to maintain a good network of relationships.
This is related to whether he can successfully expand and strengthen Tuya Hospital in the future.
I dialed Chi Hanqiu's number and after a few rings, the call was connected.
"Hello, Doctor Zhou!"
Chi Hanqiu actually kept Zhou Can's number.
Sometimes, a person's outstanding potential can indeed bring huge benefits to the establishment and maintenance of personal connections.
Chi Hanqiu thought that Zhou Can would achieve great success in the future, and he might need Zhou Can's help in the future. Therefore, Zhou Can became a high-quality contact in his mind, and he kept Zhou Can's number.
"Haha, before I called, I was worried that Dr. Chi had forgotten me! I was very nervous, but now it seems that my worries were unnecessary. Thank you for keeping me in your memory."
Zhou Can responded with a happy smile.
"Although I have only been with Dr. Zhou for less than two months, I believe that our friendship will last forever, right?"
Chi Hanqiu is also a man who knows how to handle things.
Climbing up the pole, he immediately established friendship with Zhou Can.
This was exactly what Zhou Can wanted.
"That's very well said! As long as Dr. Chi doesn't abandon me, I will definitely always regard Dr. Chi as a mentor and helpful friend in my life. I was fortunate to meet and work with Dr. Chi in the Department of Orthopedics. I still feel warm and lucky when I think about it. The fate between people seems to be predestined. When the time comes, it will naturally give two people the opportunity to meet and get to know each other, and then slowly get to know each other."
Zhou Can really wasn't talking nonsense to him.
But he really recognized Chi Hanqiu as a person.
Dr. Chi is a man of superb medical skills and good character. He is a friend worth making friends with.
Now that the two of them can talk to each other, their relationship will naturally take a step further.
"The road ahead is long, and it is a blessing to have a good friend to walk hand in hand. You must have something to ask me, so tell me!"
Dr. Chi is much older than Zhou Can.
Now that they had become friends, he took the initiative to turn the conversation to business.
This is also because they are worried that Zhou Can is too shy to speak up.
"There is one thing I would like to ask you for help with. The patient in bed 57, Han Changqing, is the one with a broken right arm. Do you have any impression of him?"
Zhou Can asked.
"Yes, yes! This man is a doctor in your emergency department. He was beaten by his family. I sympathize with him. Do you have a good relationship with him?"
Chi Hanqiu asked back.
The subtext of this statement is already obvious.
If Zhou Can has a good relationship with Han Changqing, Chi Hanqiu can take care of him. Otherwise, it will basically be a matter of business.
Orthopedic surgeons, especially capable ones, will have the same tone even when meeting the directors of cardiac surgery or neurosurgery.
"I wouldn't say we have a very close personal relationship. My uncle was hospitalized in Tuya Hospital more than a year ago and received some care from him. I was in the emergency department and he also took care of me. I just went to the ward to see him and I wanted to help him if I could. Let's be frank. This time I just want to ask you to arrange an operation for him as soon as possible so that he can recover and be discharged from the hospital as soon as possible. I owe you this favor and I'll repay you when I have the chance. If not, I'll just put it on the account for now."
Zhou Can has always been open and honest in dealing with his friends.
Only with honesty can friendship last.
Otherwise, no one is stupid enough to tell a lie. After being found out, people will think that they are playing a trick on them. Naturally, they will look down on Zhou Can and gradually distance themselves from him.
"Haha, I didn't expect Dr. Zhou to be so grateful! No problem, I'll arrange it immediately tomorrow morning."
Chi Hanqiu agreed readily.
He admired Zhou Can's gratitude from the bottom of his heart.
Helping a grateful person is a very good deal.
…
After finishing this matter, Zhou Can first went to the cafeteria to quickly satisfy his hunger.
Then he went to the cardiothoracic surgery department to help Director Xueyan perform the operation.
He looked at the time and agreed to start the first operation at 7 o'clock. If the first operation went smoothly and there was still time, he would do the second one.
Basically, it's like working late into the night.
This shows that Director Xueyan's thoughts and ideas have changed. She really listened to Zhou Can's "three good strategies" and stopped being too eager for success and rushing to compete with other departments. Instead, she worked hard to perform every operation and serve every patient.
It is now 6:50 in the afternoon and he is ten minutes early.
I plan to check the information of the two surgical patients before participating in the operation. At least I can have a general idea.
Level 4 surgery is still a difficult challenge for him now.
Even though he was often assigned level 4 surgeries when Director Hu Kan was alive, that was because he had Director Hu Kan by his side to guide him step by step and to back him up.
Now that they don’t have this layer of protection, they have to rely on themselves for everything, and their situation is completely different.
If you encounter any problems during the operation, you need to find a way to solve it yourself.
Before Zhou Can arrived at the operating room, he met Director Le.
The situation in cardiothoracic surgery is unstable now, and Director Xueyan's approval rating is rapidly declining. Director Le is one of the few chief physicians who firmly supports Director Xueyan.
"Zhou Can!"
When he saw Zhou Can, Director Le seemed very happy and obviously a little excited.
"Director Xueyan asked me to come and participate in two level 4 major surgeries. Am I not late?"
Zhou Can responded with a smile.
"Not too late, not too late. The first lobectomy surgery is scheduled to start at 7 p.m., and there are still ten minutes to go! Seeing you here, I am very happy and at ease."
It was estimated that the failed cardiac surgery two days ago had caused Director Le to feel a little bit of fear in his heart.
Although the patient died on the operating table, Director Le and Director Xueyan do not need to bear legal responsibility, but the fact that they killed a patient will definitely cause a certain psychological trauma to the doctors involved.
When a patient goes to the hospital for surgery, he or she is entrusting his or her life and death to the doctor.
I believe that any doctor with a conscience will do everything possible to perform the operation well and allow the patient to return to the inpatient ward safely. After a period of care, the patient will leave the hospital in good health.
No one wants to have an accident.
"Don't flatter me. I just came here to join in the fun and learn from you guys." Zhou Can said modestly.
Director Le is far superior to him in both rank and seniority.
If he accepted all the flattery from Director Le, he would be a terrible person.
In front of superiors, any arrogant or conceited behavior will arouse disgust.
Even if people don't say it, they will definitely have a bad impression in their hearts.
Director Le turned his head and looked around. Seeing no one, he lowered his voice and whispered, "You don't know. We originally invited Director He to help with this lobectomy operation. But he simply turned it down. He just wanted to show off to Director Xue and make everyone in the department laugh at her. But if this operation fails again, Director Xue's status will definitely be seriously affected. Now in the department, the voices against her are gradually growing louder."
Director Le knew that Zhou Can had a close relationship with Director Xueyan.
In addition, he and Zhou Can also have a good relationship and regards Zhou Can as his own, so he would say such things.
"Where there are people, there are rivers and lakes, and there are intrigues. If they don't want to help, we should fight for our own reputation and try to make the operation a success. By then, some people will naturally know that without his plaster, you and Director Xue can also remove the pus."
After hearing this, Zhou Can had an extremely bad impression of Deputy Director He.
The best way to deal with such a villain is to quietly improve your strength, and then use your strength to slap the other person in the face.
By then, when Deputy Director He finds out that the department can still function without him, he will naturally behave himself.
After entering the operating room, the anesthesiologist was already working.
Normally, surgical nurses are the first people to enter the operating room. They have to adjust the temperature and lighting in the operating room to achieve the best operating environment.
If there is a problem with the equipment or the environment, the circulating nurse will report it to the surgeon immediately.
Then find a way to apply to the hospital to change the operating room.
The cardiothoracic surgery department has its own exclusive operating room, and the department decides on the scheduling of surgeries.
There are many benefits to this.
For example, the replacement of operating rooms will be more flexible and the procedures will be simpler.
In an emergency, the department director can solve the problem with just one word.
The anesthesiologist was not Director Feng, but another chief physician. After all, these were two major level 4 surgeries.
Anesthesiologists actually have a lot of say during surgery.
They can even veto an operation.
If the risk is deemed too great and uncontrollable after assessment, you can directly ask the surgeon to change the treatment plan and cancel the original surgical treatment plan.
In addition, the anesthesiologist has certain rights to make recommendations on how the operation should be performed.
When formulating the surgical plan, the anesthesiologist will participate in the discussion and give advice when necessary. For example, the surgeon thinks that a sternotomy incision is better, but the anesthesiologist thinks that an intercostal incision is safer, and then gives some reasons. In the end, the surgeon will most likely listen to the anesthesiologist's opinion.
If you don't listen, the anesthesiologist has the right to refuse to participate in the operation.
Then the only option is to change people or compromise.
In addition, circulating nurses also have certain powers and have a say in surgical discussions.
The circulating nurse was fully aware of the entire surgical process.
They will be prepared before the operation about what to do next .
The success of a major operation does not depend solely on the surgeon.
Instead, the entire surgical team works closely together, like a running machine, and each step must be seamlessly connected. Otherwise, something could go wrong.
Finally, I would like to say that the circulating nurse has a high status in the operating room, but her status is actually not as good as that of the medical assistant.
Even though they often scold Ichisuke, Nisuke and others like their grandsons.
Medical assistants often get scolded but still have to put on a smile and say nice things.
However, it is an indisputable fact that the status of circulating nurses is not as good as that of medical assistants.
The first and second assistants of the Level 4 major surgery are basically doctors at the attending level or above, and it is relatively rare for them to be scolded by the patrol. After all, their weight is there.
Just like the two major level 4 operations today, the first assistant is directly a director-level doctor.
The circulating nurse must be crazy to dare to scold a doctor of this level.
Zhou Can looked through the patient information of the two surgeries in detail. One was a thoracic surgery to remove a lung tumor. The part of the lung that needed to be removed was quite large, which also meant that the operation was risky, with high risks during and after the operation.
The second operation was an extracardiac surgery to repair the tricuspid valve, which was also a very difficult level 4 major operation.
There are two tough battles to be fought tonight. Besides being a little nervous, he is more expectant and a little excited.
It's like a peerless sword that has been covered in dust for a long time and has not drunk blood for a long time.
Men have an adventurous spirit in their bones. They like adventure, excitement and challenges.
Zhou Can is really tired of doing level 1 and 2 surgeries. His hands cramp every day, and he has the opportunity to do two or three level 3 surgeries every day.
The only thing is level 4 major surgery, and he will hardly have the opportunity to participate in it since he returned to the emergency department.
It would be nice to make a guest appearance in the cardiothoracic surgery department from time to time.
