Chapter 513: The Second Level of Pathology, a Call from a Traitor
Zhou Can is very kind to these patients and their families, but never gets too close to them.
Because he has suffered many losses.
Some patients were very enthusiastic about him on the surface, but secretly they might be recording or even having someone secretly recording video not far away. Other patients, after getting close to him, would immediately make some excessive demands as long as Zhou Can responded a little.
Gradually, Zhou Can summed up a set of methods for dealing with patients and their families.
You can't be too close to them, but you can't be too indifferent to them.
It's just right now, neither too hot nor too cold.
Zhou Can did not check all the beds, but only those for key patients, because his time was limited.
In fact, all inpatients here have medical staff making daily rounds.
The three-level responsibility system has been strictly implemented in Tuya Hospital.
When he checked Ward 4011, he was stunned.
A familiar middle-aged man was lying on the first bed as soon as I entered the door.
"Hey, Mr. Chen was transferred out of the ICU today!"
The patient was none other than Chen Zhongzhi, who had undergone surgery personally by Zhou Can.
Five days had passed, and he had unexpectedly been transferred from the ICU to the general ward today. This also meant that Chen Zhongzhi's health had recovered very well and had reached the safety standard for admission to a general ward.
"Haha, that's because of your excellent medical skills! All my examinations have reached very good standards. Also, my surgical wound has almost healed in just five days."
As he spoke, Chen Zhongzhi even lifted up his clothes and uncovered the gauze on the wound for Zhou Can to check.
"The recovery is indeed good. But you still can't be careless, especially don't do anything that requires too much force. In addition, considering the aesthetics, we used absorbable cosmetic sutures for you, so you don't have to remove them."
After examining the patient's surgical wound, Zhou Can didn't feel anything was unexpected.
Since his suturing, incision and debridement skills were promoted to level six, basically any surgery he performed would heal the wound within three to four days .
Elderly or weak patients will heal more slowly.
It may take about four or five days.
For young and middle-aged people with good physical conditions, three days is enough. For children, two days may be enough to see obvious healing effects.
It has to be said that there are indeed differences in the surgical skills of surgeons.
A good doctor will make the wound heal faster and less likely to get infected. A poor doctor will make the wound look like a dog bite, uneven, slow to heal, and prone to various infections, itching, and swelling.
"Zhong Zhi, is this the doctor Zhou Can you mentioned?"
Sitting next to the bed was a very elegant middle-aged woman, who looked to be around fifty years old. She was wearing a black suit, a white shirt, wavy hair, and gold-framed glasses. She looked quite serious.
Zhou Can felt an invisible pressure from this woman.
The pressure from this aura is hard to describe.
Zhou Can had only experienced this in some officials and hospital leaders.
This is the power of an official.
When he entered the ward just now, Zhou Can's attention was always focused on Chen Zhongzhi, and he didn't notice this woman at all.
"Yes, he is Dr. Zhou."
Chen Zhongzhi introduced it to Zhou Can.
"This is my mother. She came here specially to visit me today."
The woman stood up and extended her hand to Zhou Can.
"Dr. Zhou, thank you for saving my son. If something had really happened to him that night, I would have…" As she spoke, her voice choked up and she couldn't continue.
"I just did what I had to do. His condition was indeed very dangerous that night. It took a lot of effort from many doctors and nurses in the cardiothoracic surgery department to stabilize his condition. Now everything is over. His aortic dissection has been repaired with a vascular stent, so he should not be in danger anymore."
Zhou Can could only comfort the family members.
It is estimated that the patient called his mother that night and asked her to come and sign.
As a result, an argument broke out and the patient was so angry that he threw the phone. What was even more frightening was that the emotional excitement caused a rapid rise in blood pressure, which eventually led to aortic dissection. Fortunately, the patient was lucky and the rupture was not particularly serious.
Otherwise, the person would have died long ago.
"Thank you for saving my son's life and for designing a new surgical plan for him. My name is Yang Ying. I am an incompetent mother who did not care enough for Zhong Zhi. This separation from him made me realize many truths of life and learn to cherish the bond between mother and son. If it weren't for you, I might have lived in pain and guilt for the rest of my life."
The woman's gratitude to Zhou Can was beyond words and was deeply engraved in her heart.
"As you said, now everything is over. I believe every day in the future will be filled with happiness. When Dr. Zhou comes to Shanghai, you must give me a chance to repay you by visiting my home."
She was conservative in her way of expressing her gratitude.
Some family members or patients, in order to express their gratitude to Zhou Can for saving their lives, would take the initiative to ask for their phone numbers or even add him as a WeChat friend.
He also told Zhou Can what his job was and that he could contact him anytime if he needed anything in the future.
Chen Zhongzhi's mother seemed very reserved and only said that Zhou Can should have the opportunity to visit her home.
"Okay, when I go to the Magic City, I will definitely visit your house!"
Zhou Can nodded in agreement.
He didn't take it too seriously and just thought it was a courtesy.
Family members would often send him such invitations, and more often they would directly ask Zhou Can to have a meal, but Zhou Can would usually decline.
I really couldn't refuse, and they were too enthusiastic, so I had no choice but to go.
At the dinner, the two sides will further strengthen their relationship and then become acquaintances.
You can also call them 'friends'.
However, Zhou Can usually doesn't take this type of "friend" seriously. Only people like Mr. Cui and his wife, and Mr. Li Lao and his wife can be called true friends.
When there is a problem, Zhou Can will directly ask them for help.
Zhou Can just regarded this kind of ordinary network of contacts as a good relationship, nothing more.
"This is my home address and contact information. If it's convenient for Dr. Zhou, you can also leave a private number for me so that I can save it."
She took out a notepad from her bag, wrote down her address, phone number, and name, and handed it to Zhou Can.
At this time, Zhou Can had already felt the sincerity of Ms. Yang Ying.
He took it with both hands and put it in his pocket.
He left his personal mobile phone number.
In fact, for someone like Yang Ying, who might hold a high official position, to be willing to reveal his home address to Zhou Can and invite him to his home was in itself a sign of great sincerity.
Almost all officials of higher status will not easily reveal their home addresses to others.
Why?
Because there are too many people asking them to do things.
Revealing your home address means giving others the opportunity to come to your door and give you gifts.
Even corrupt officials, unless they are stupid enough, will not allow people to bring gifts to their door. To accept gifts blatantly is simply courting death.
Therefore, Ms. Yang Ying was willing to write her home address to Zhou Can, which showed that she sincerely wanted to further deepen her relationship with him.
Come often in the future.
"Come, let me check you out."
Zhou Can performed some examinations on Yang Zhongzhi, including auscultating heart and lung sounds, measuring the strength of the pulse, testing Chen Zhongzhi's leg motor function, etc. The results satisfied him, and the patient was in good condition.
Now I just have to wait for further recovery before I can be discharged from the hospital and go home to recuperate.
Until he left, Ms. Yang Ying was still full of enthusiasm and kindness towards him, without any official airs at all.
This undoubtedly increased Zhou Can's favorability towards this family member.
But Yang Zhongzhi's family seems to be very special. Not only does he take his mother's surname, but his parents also seem to be at odds. Under normal circumstances, if their son undergoes such a major operation, no matter how busy they are at work, they will rush over to visit their son.
But Chen Zhongzhi's parents came to visit separately.
Zhou Can never cares about other people's family affairs.
After checking the ward, there are still a large number of difficult patients and surgical plans waiting for his consultation.
Now, pathological diagnosis has been promoted to level six, and it has become significantly easier to diagnose many difficult cases.
In some difficult cases, even Director Xueyan and other joint consultations were unable to determine the cause.
After reading it once, Zhou Can was able to quickly deduce the specific pathological mechanism.
Finally, the lesion is located.
However, he also experienced the "loneliness at the top" that he had never experienced before. In theory, the level of pathological diagnosis has made a big step forward, which is a good thing.
During the diagnosis process, he found that his medical knowledge was very insufficient.
Even in the field of cardiothoracic surgery, in which he is very proficient, he can clearly feel that in many sub-fields, medical knowledge is clearly insufficient.
For example, when it comes to cardiac surgery, he believes there are very few things he cannot perform.
When he diagnoses patients now, he finds that the mitral valve, tricuspid valve, diaphragm, muscle cords, nerve electrical signals, etc. have become more complex. There are too many things he doesn't understand.
He has performed many tricuspid valve surgeries and is familiar with the medical principles involved.
But in actual diagnosis and treatment, yesterday, he found that the patient's tricuspid valve insufficiency was only a symptom. The real pathology had another cause. Moreover, he was confident that this patient could be cured through surgery. As for the deeper pathology, he could not find it.
In other words, the patient was cured through surgery, but the real cause of the disease was unknown.
All we know is that it is tricuspid valve insufficiency, but we don't know what causes the insufficiency.
Can't find it either.
I have had new experiences like this more than once.
But more and more.
In the past, when pathology diagnosis was only at level five, his mentality was that there would be no difficult cases that he could not handle in seconds.
My current mentality is that I don’t know this and I don’t understand that, as if I have become an elementary school student going to school for the first time.
The ocean of medical knowledge is too vast.
He deeply felt that he could never learn everything in his lifetime, and he also had more respect for medicine, just like respecting life.
To summarize it using the Buddhist practice realm, he may now be in the second realm where he sees mountains as not mountains and water as not water.
The current level of pathological diagnosis is to seek and trace the root cause of the disease.
This phenomenon is definitely a good thing, indicating that he is making progress.
However, it also caused him considerable trouble and dealt a certain blow to his self-confidence.
If you have a chance, maybe you can talk to Dr. Xu and ask them if they have the same feeling.
…
The cardiothoracic surgery department has been on a rapid rise, and its performance has long surpassed the peak period when Director Hu Kan was alive.
Today, Tuya's cardiothoracic surgery department has become a monument, not just a golden sign.
After Zhou Can performed an innovative surgery on Yang Zhongzhi, which was a great success, he has started writing a paper in this field with the help of Director Xueyan. The hospital has also stepped up its packaging for him.
The results of the postgraduate entrance examination have not come out yet. We have to wait until the end of February, around March.
As long as Zhou Can can get through the first round of exams, he will basically be in.
The retest will be relatively simpler.
Under normal circumstances, the passing rate of the re-examination is about 1:1.5. In some places, the admission rate is higher, reaching about 1:1.2.
That is to say, on average, two out of three people will be admitted after passing the re-examination and interview.
During the interview phase, Zhou Can was selected internally.
At the re-examination stage, if the hospital thinks that he may be eliminated in the re-examination, they may also provide him with the qualification of exemption from examination. This is equivalent to the meaning of recommendation, but the operation will be a little more complicated.
As Zhou Can's fame spread, more and more doctors from other hospitals came to seek his advice.
Zhou Can was very troubled by this.
Because his schedule was very tight, some experts from other hospitals came to him sincerely to ask for advice on surgical techniques or to discuss medical issues, but some people came purely to take advantage of his popularity and gain gilding themselves.
He came over to communicate with Zhou Can for two or three days, and the total number of sentences they spoke did not exceed ten. Then he ran back and directly put up the banner of in-depth learning and communication with Dr. Zhou Can, a famous cardiothoracic surgeon and top surgical expert at Tuya Hospital.
Make this a boastful highlight on your resume and promote it.
There are many patients who are unaware of the truth and, after believing the other party's bragging, choose to have such fame-seeking doctors perform surgery and treat their illnesses.
If the disease is cured, everything will be easy.
If the disease is not cured, the patient will only blame Zhou Can for his poor skills, which will damage Zhou Can's reputation.
After discovering two such incidents, Zhou Can became particularly cautious when communicating with other doctors. In addition, the hospital's legal department is also actively helping him defend his rights.
That day, Zhou Can went to work in the emergency department as usual.
When the rounds were almost over, the cell phone rang.
I've received a lot of calls from him recently, and I don't want to answer some of them.
Especially some unfamiliar numbers.
When he took out his cell phone, his expression changed a little. It was the former deputy director Lu of the cardiothoracic surgery department who called.
This person was originally a doctor under Director Xueyan, equivalent to her right-hand man.
Later, he was poached by the Third Hospital with a high salary.
I heard that the price offered by the Third Hospital was very high. It was even much higher than the price offered to poach Deputy Director He. And it was Deputy Director Zhang of the Third Hospital who poached the person personally.
Because of this incident, Deputy Director He was very angry and refused to go to the Third Hospital again no matter what.
"Hello, Director Lu!"
Zhou Can answered the phone.
To be honest, he looked down on these traitors from Tuya Hospital in his heart.
These people chose to betray Tuya Hospital and helped the Third Hospital to attack the cardiothoracic surgery department of Tuya Hospital. They have no professional ethics at all.
A gentleman loves money, but he gets it in a proper way.
There is nothing wrong with them wanting to make more money so that their families and themselves can live a better and more comfortable life.
However, he did not remember the slightest kindness from his old boss and instead stabbed him in the back. This behavior is no different from that of a villain or an ungrateful person.
I don’t know why Deputy Director Lu suddenly called me?
