Chapter 421: Successfully Controlled
At this time, Deputy Director He must have received the news and rushed over from the duty room.
Even the buttons on his work clothes were crooked.
If I guessed correctly, Deputy Director He should be sleeping in the duty room. After all, he is old, and it is already midnight, and he can't stand it any longer.
Zhou Can and Director Xueyan were in the ward for a short time, only about five or six minutes at most.
The fact that Deputy Director He was woken up so quickly and rushed to the ward quickly shows that he has considerable influence in the department.
You have to know that it is late at night, and the number of doctors and nurses on night shift in the entire department is less than one-third of the number they have during the day.
Nurses are divided into early night shift and late night shift.
Small night shifts are from 5pm to 1am, and large night shifts are from 1am to 8am the next day.
It was almost time for the nurses to change shifts, but the nurses on the night shift would not arrive so soon. Therefore, the only person who tipped off Deputy Director He was probably the nurses on the night shift, except for the doctor on duty.
There is no need to investigate who reported the letter to Deputy Director He.
It doesn't mean much in itself.
Based on this small detail alone, Zhou Can deduced that Deputy Director He's influence in the department was quite astonishing.
Ginger is spicier when it’s older.
Although Director Xueyan successfully won the position of department director by relying on Director Hu Kan's last words, it was not stable, and Deputy Director He was always eyeing her.
I'm afraid I have to find a way to help her with this matter.
Otherwise, if Deputy Director He were really replaced as the director of this department, it would definitely not be a good thing for cardiothoracic surgery.
No matter what Zhou Can wants to do in the future with the help of cardiothoracic surgery, it will never be as easy as it is now.
"Director Xue, the patient's drainage volume seems to have increased again. What do you think should be done?"
After saying hello to Xueyan and Zhou Can, Deputy Director He was ready to throw the bag directly to Director Xueyan.
"Come on, let's go out and talk!"
Zhou Can suggested.
Although Deputy Director He was somewhat dissatisfied with Zhou Can's behavior of usurping the throne and "rebellion against superiors", he did not say much. Only a trace of anger flashed through his eyes, showing his dissatisfaction.
After leaving the ward, the three did not stand in the corridor outside the ward to discuss, but went to the office.
"Director Xue, you are Director Hu Kan's disciple. You are extremely skilled and experienced in thoracic and cardiac surgery. I'll leave that patient to you, okay? If there is a difficult lobectomy in the future, I will take the time to actively participate no matter how busy I am."
Deputy Director He wants to reach an exchange of interests with Director Xueyan.
The patient was transferred to Director Xueyan, with the condition that he would take the initiative to help if a lobectomy was needed in the future.
All I can say is that he thinks too highly of his surgical skills.
His thoracic surgery skills and experience are not bad, but they are definitely not top-notch. Among senior chief thoracic surgeons, he is at best a mid-to-low level.
Zhou Can has seen Deputy Director He perform surgery. Apart from his slow speed, he also lacks flexibility, is sloppy in surgery, and has weak advanced surgical skills. These are his shortcomings.
"Director He, the hospital has multiple considerations for implementing the first visit system. You are the first doctor who visited the patient and also his surgeon. You are most familiar with the patient's condition and understand his illness best. Therefore, it is most appropriate for you to be responsible for the patient until the end."
Director Xueyan’s answer made Zhou Can feel extremely comfortable.
It's like having a glass of iced tea on a June day.
What he was most worried about was that Director Xueyan would soften her heart and agree to the other party.
Fortunately, she has really matured and has acquired the ruthlessness and tactfulness of a mature department director.
Deputy Director He was stunned when his conditions were rejected.
Then he added, "If there are any difficult thoracic surgeries in the future, I will be there whenever you call me and will never shirk my responsibilities. Is that okay?"
This is clearly an attempt to increase the leverage and negotiate terms with Director Xueyan.
"It's a good thing that Director He has a positive attitude towards work. But..." She deliberately dragged out the words. "My surgical team is very good and has the confidence to challenge any thoracic surgery. Director He just needs to do what he can. If you encounter a surgery you are capable of, you should take it. If you are not capable of it, it doesn't matter. Just push it off when necessary."
Different times, different circumstances.
With Zhou Can's full help today, Director Xueyan has successfully completed the difficult lower lobectomy surgery, which has given her unprecedented confidence.
No longer have to be strangled by Deputy Director He.
If you encounter difficult thoracic surgeries in the future, you can consult Zhou Can.
"This...this..." Deputy Director He was dumbfounded.
I was rejected twice in a row, and Director Xueyan's attitude became tougher and tougher, and she was very .
He couldn't help but wonder inwardly, how could this woman Xueyan suddenly become so confident in just a few hours?
Deputy Director He couldn't help but look at Zhou Can.
Could it be related to this kid?
"Or, let's talk about the patient's condition first!" Zhou Can said with a playful look on his face.
"Please tell me what you think!"
For this patient, Deputy Director He slept directly in the hospital's duty room, for fear that if the patient died, he would be held accountable for dereliction of duty and serious misconduct.
I am already old, in my fifties, and I will retire after working for a few more years.
If he is held accountable and punished by the competent authorities because of this case, his reputation will be ruined and his ending will certainly not be good.
At the very least, he has lost the qualification to continue competing for the position of department director.
Even the position of deputy director of the department had to be handed over to someone else.
"I just looked at the nursing records and the patient's medical history. Starting from the time he returned to the ward after surgery, the drainage volume yesterday was close to 700 ml. Today's drainage volume is still increasing, and the conservative estimate is at least 900 ml. Do you know what this rapid upward trend means?"
Zhou Can's expression turned serious.
“Please give me some advice!”
Deputy Director He was being controlled by him and was constantly kept in suspense, which made him angry.
However, Zhou Can's diagnostic skills were well-known to be so strong that even when Director Hu was alive, he often praised Zhou Can for his ability to solve difficult problems at critical moments.
Therefore, no matter how dissatisfied Deputy Director He was, he had to listen to Zhou Can's diagnosis.
"This means the patient suffered a massive postoperative hemorrhage!"
Zhou Can's tone became more serious.
It was like a huge hammer hitting Deputy Director He's heart.
"Then... can you tell where the bleeding is?"
Deputy Director He's face turned noticeably paler, and a hint of panic and fear flashed in his eyes.
Postoperative bleeding, postpartum hemorrhage...these are all terrible signs of death.
Something is about to happen.
Deputy Director He couldn't help but be nervous.
"The operation was quite extensive, so it's hard to say where the bleeding occurred. But if I were the one doing it, I would definitely be able to figure it out. Director He, please recall carefully which wounds were not properly treated during the operation. I would also like to remind you that in the patient's current condition, do not think of using coagulation drugs to control bleeding. As long as the patient has hypercoagulability, he will die."
Zhou Can studied with Director Hu Kan for such a long time.
Director Hu passed on almost all of his steady knife skills and cardiothoracic surgery skills to him and Xueyan.
The patient now has serious postoperative complications. Deputy Director He has rich experience in diagnosis and treatment as well as surgery, but he is of no use.
Firstly, he couldn't apply various medical knowledge as flexibly as Zhou Can, and secondly, his diagnostic ability has always been a weakness.
Last but not least, he had long been in the habit of being sloppy during surgery.
He couldn't find out what hidden dangers were left during the operation.
Sometimes, maybe he himself doesn't care.
"Doctor Zhou, I know you have inherited the true teachings of Director Hu, and your diagnostic skills are extremely high. You must help me with this patient and help me find the cause of the bleeding. After the matter is resolved, I will treat you to a meal. Next time you need my help, I will tell you."
Deputy Director He was indeed quite frightened by him.
The patient died of massive bleeding after the operation, and he, the surgeon in charge, was greatly affected.
These days, few family members are vegetarians.
As long as the patient died in the hospital or died shortly after surgery, the family would make a fuss no matter what. If the patient really died of postoperative bleeding due to Deputy Director He's carelessness and inadequate handling during the operation, when the family requested an autopsy, Deputy Director He would be in a very passive position.
In this situation, it was really nothing for him to lower his head and ask Zhou Can for help.
The fact that Zhou Can was able to tell that the patient was bleeding heavily after the operation indicated that there might be some clues.
"As for helping, I have one thing to do."
Zhou Can's eyes flashed.
"Please tell me!"
Deputy Director He's face was a little stiff. This kid surnamed Zhou really didn't show any courtesy to him.
Now that he needs help, he has to 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. On the contrary, it will be beneficial to you." Zhou Can said lightly.
"What is it?"
Deputy Director He is cautious by nature and would never dare to agree rashly.
After all, he is a well-known figure. It would be embarrassing if he agreed and then went back on his word.
Anyone who has a certain status attaches great importance to his credit.
If an adult is over 30 and still has no credibility, talks nonsense all the time, and forgets what he promised today tomorrow, 10 out of 10 such people will have a very bad life in society and end up being a pitiful creature.
Because if you don't keep your word, you won't have any real friends . Relatives will stay away from such people.
No one is willing to cooperate with such a person, let alone lend money to him. Leaders will also be extremely distrustful of such a person and will never put him in an important position.
Ultimately, such people are destined to live at the bottom of society.
"I want you to put aside all your prejudices and sincerely obey Director Xue's leadership from now on, and work together to build up the cardiothoracic surgery department."
Zhou Can said seriously.
Director Hu had told him before he died that there was a lot of internal strife within the cardiothoracic surgery department, not to mention the external pressure.
If the internal strife cannot be stopped in time, cardiothoracic surgery is likely to be torn apart, or gradually decline, and eventually a large number of talents will be lost, and it will become a third-rate department.
Therefore, Zhou Can must find a way to stop the infighting.
The source of the conflict lies with Deputy Director He. He is not convinced that Director Xueyan is the department director, so he engages in factionalism.
From time to time, I would put on a sly look and set traps for Director Xueyan.
These behaviors are actually very bad, but the hospital is a unit. Even if Deputy Director He is so bad that pus flows from the soles of his feet and sores appear on his head, as long as he does not violate the hospital regulations, no one can do anything to him.
In this regard, we can refer to those people who have a position in public hospitals, but because they offended their leaders, their future is bleak and they have completely failed.
Even the dean has a headache when faced with such people.
But there is nothing we can do.
Director Xueyan didn't expect Zhou Can to ask Director He to submit to her directly under such circumstances. And she even put it on the table and said it openly.
She was both moved and admired Zhou Can's courage.
If it were her, she would never dare to put such a thing on the table.
Speaking out many things requires not only courage, but also the huge risk of falling out.
"Just to help find the cause of the patient's bleeding, you put forward such a big condition?" Deputy Director He's face showed obvious disdain. This kid surnamed Zhou is too naive, after all, he is young.
The two conditions were obviously unequal in weight, how could he agree to them?
Zhou Can nodded seriously.
"Not only will I help find the cause of the bleeding, I will also help treat the patient and make him/her safe. If the patient dies in the end, our gentleman's agreement will be invalidated. If the patient is discharged safely, you must put aside your prejudice and sincerely cooperate with Director Xue's work."
Zhou Can's expression remained serious.
He is not a rookie in the workplace. He dares to bring it up, so he naturally has his own considerations.
"What if I don't agree?"
Deputy Director He obviously still does not want to give up the fight for the position of department director because of this incident.
"You will definitely agree. The patient has already developed typical anemia, and you don't have much time left to save him. If the patient dies, you will definitely be sued. I have seen the family members who accompanied him, and they are not ordinary people. When the autopsy is performed, it is found that it was due to omissions in the operation that caused the patient to bleed heavily after the operation. You will not only ruin your reputation, but also your future and money. If things go wrong, your family will have to suffer as well."
Zhou Can gave him an in-depth analysis of the huge risks involved.
What clinicians fear most is medical accidents.
Being forced by family members to kneel in the hospital outpatient hall and burn paper money is considered the lightest punishment. Some doctors were even forced to commit suicide by jumping off a building.
Deputy Director He's forehead was already oozing with sweat, which was caused by fear.
Fear hides deep in everyone's heart, and everyone has times of fear.
"Doctor Zhou, can you be sure that the patient's bleeding must have been caused by my inadequate handling during the operation? I was following normal procedures . Surgery is inherently risky. Even if the patient really died, the family members signed the consent form. Let them make a fuss if they want."
Deputy Director He is obviously a weak person, and he is sticking his neck out and speaking harshly.
But I feel very empty inside.
"When family members sign, they choose to trust the hospital and the medical staff. But it does not mean that doctors can be careless during surgery and not take human life seriously."
Zhou Can broke through his last bit of fig leaf.
If it were any other time, Deputy Director He would have jumped up and down and scolded him.
At this moment, as if he had been hit hard, he didn't say a word, only his eyes were moving around.
The beads of sweat on my forehead grew bigger .
He kept raising his sleeves to wipe the sweat off his face.
Director Xueyan just stood by, looking at Zhou Can with a strange look, occasionally looking at Deputy Director He, but did not interrupt.
Seeing that Deputy Director He's psychological defenses began to collapse, Zhou Can continued to add fuel to the fire.
"Director He should be 56 this year, right? Excuse me, even if you were the director of the cardiothoracic surgery department, you would have been there for less than four years. And you took over a mess, and the pressure was enormous. How could it be as easy as being the deputy director now? In life, people fight for everything, but in the end they will lose everything. There is really no need for that."
It was a bit awkward for a young man like him to say such things to a middle-aged or elderly person.
But Deputy Director He listened to it.
"Okay, I promise."
After a lot of internal struggles and careful weighing of the pros and cons, Deputy Director He finally decided to agree.
"That's right! Why do you have to insist on becoming the department director? The current cardiothoracic surgery department is in a very bad situation due to internal and external troubles. Even if you take over, you will be asking for trouble."
Zhou Can breathed a sigh of relief when he saw that he had successfully dealt with Deputy Director He, a tough nut to crack.
"I have one more condition. You said two days ago that there was something wrong with my health. You have to tell me what the problem is." Deputy Director He said.
