Chapter 529: Some patients cannot be wheeled away. Treat chest pain by treating foot pain?
The hardest thing for a person to achieve is to have peace of mind throughout his life.
Director Xueyan and Zhou Can have no obligation to help these job-hoppers, but they certainly cannot be happy watching these people fall into irretrievable destruction.
Both men belonged to the social elite and had a certain empathy for the victims.
What's more, these victims are former colleagues and "comrades-in-arms" with whom they have worked together many times.
"You mean to give them a hand?"
Xueyan stared into Zhou Can's eyes and asked.
"We have to help them for both emotional and profit reasons. If the Department of Cardiothoracic Surgery wants to become a world-class department, there is still a long way to go. It is very important to find a way to unite all the forces that can be united. Since ancient times, there has been a saying that benevolence and righteousness will gain the world. Helping them is both benevolent and righteous, and this can help you become a better department leader."
Zhou Can also comprehended these more profound philosophical principles bit by bit.
Leading a surgical team in the emergency department has greatly improved his leadership skills.
In addition, the fact that he took the lead in requiring the hospital to improve the personal safety of clinical medical staff also gave Zhou Can a lot of inspiration. It can even be called a kind of enlightenment in life.
After listening to this, Xueyan fell silent again.
She is trying to think about the pros and cons.
As the director of the Department of Cardiothoracic Surgery, she must be responsible for the future of the department and must take into account the development, safety, and unity of the entire department.
After seven or eight minutes of contemplation, neither of them spoke.
Zhou Can picked up the examination report of the difficult case and looked at it carefully. He was unwilling to waste any available time.
This patient is a 47-year-old male who was diagnosed with lung cancer. Since the tumor is very close to the inferior pulmonary vein, if you want to treat this tumor, you must first free the inferior pulmonary vein to ensure its safety. However, because the length of this freed blood vessel is very short, it is difficult to safely treat this blood vessel outside the pericardium.
The operation is extremely difficult.
According to traditional surgical thinking, it is almost impossible to complete it successfully.
The local city-level tertiary hospital was not able to perform this operation, so the patient was turned away. It is not known whether the doctor of the hospital watched Zhou Can's live broadcast of the operation that night and directly told the patient that Tuya has a high level of surgical skills in the field of cardiothoracic surgery and asked the patient to come to Tuya Hospital for treatment.
Finally, the patient went to Tuya Hospital with great difficulty, holding on to his last hope.
Zhou Can studied the patient's information over and over again, his brows furrowed.
The difficulty of this patient's surgery is more than what we see.
Based on his experience, he suspected that the patient's inferior pulmonary vein might have other surgical difficulties. However, modern general examination methods could not detect some physiological structures that might have variations in advance.
It can only be detected after surgical dissection.
Because the lesion is located in the chest cavity, a thoracotomy is required for surgical exploration .
It is impossible to open the chest to explore the patient's physiological structure, and then sew it back together after finding that it is a bit difficult. This practice is neither ethical nor in line with medical standards.
The most commonly used method is to rely on the surgeon's surgical experience and high-level surgical skills, to adapt to circumstances, to climb mountains when encountering them, and to cross rivers when encountering them.
"The Department of Cardiothoracic Surgery can accept the twenty or so job-hoppers, but their job arrangements may be different from before." Director Xueyan pondered for a long time and finally thought it through.
She followed Zhou Can's advice and gave these people a way out.
"Sister Yan, is it because these people's former positions have been replaced by others that you can't restore them to their original positions?" Zhou Can asked.
"That's one aspect. According to the hospital's procedures, some administrative leadership positions need to go through multiple levels of assessment, including their loyalty to the hospital. Since they have betrayed the hospital, they naturally cannot be entrusted with important administrative positions. At least they don't meet this condition now."
It's a bit like a political review.
Because leadership positions represent the granting of power.
If the wrong people are used, it can easily cause heavy losses to the hospital.
The promotion and use of hospital leaders are often very cautious. For example, Tuya’s former security chief almost forced the entire hospital’s clinical staff to revolt.
Even if he is the director of a sub-department, he still has enormous power.
To a large extent, it can directly determine the development and style of that sub-department.
"I think they should be able to accept this fact. If they do something wrong, they must be punished. We have done our best to get them back to work and get them out of trouble. If someone is still not satisfied and greedily wants to get the same leadership treatment as before, then I suggest that you just give up on accepting such people and let them fend for themselves."
Zhou Can is well aware of the ugliness of human nature.
It is possible that such greedy and ungrateful people really exist.
If the punishment is not severe, it is not enough to establish authority.
When it is necessary to use force, we will show no mercy and punish with thundering force.
The two of them had reached a basic consensus on this matter. To open the door to those people, the premise was that they should be content and not be indecisive after returning, but turn over a new leaf and cherish this hard-earned opportunity.
"It's not enough for me to nod my head in agreement. I still have to consult the hospital leaders and get their approval. Then, I hope you can contact them first."
Director Xueyan was unwilling to show up in person, and she had her own considerations.
With her personally coming forward, it is easy to encourage this trend of job-hopping. Let the medical staff in the department have no fear and change jobs when they find a suitable next job. After all, if things don't work out, they can always come back.
If Zhou Can came forward, things would be very different.
This is basically telling those people that the reason you can return to Tuya Hospital is entirely because Zhou Can, out of our old friendship, worked hard to help you get it.
It can not only make these people respect him, but also allow Zhou Can to earn a huge favor.
Other colleagues will label Zhou Can as a benevolent and righteous person, which will be very beneficial for his promotion to important leadership positions in the future.
"I can help out, no problem at all. I'm planning to report an important matter to the hospital leaders, so I can tell them about the tragic experiences of those job-hoppers. When the time comes, you can come forward to report your application, and there will be much less resistance."
Zhou Can readily agreed.
"Okay, that's settled."
She was visibly more relaxed.
Making the decision to accept these former colleagues back to avoid another suicide by jumping off a building was like letting go of some of the burden in her heart.
In Zhou Can's words, she can find peace of mind by doing this.
"This patient's surgery is very difficult. I have asked two hospitals and both said they couldn't do it. After careful research, I also think it is too difficult and the risk is very high. What do you think?"
Xueyan saw Zhou Can studying the patient's information and asked directly.
There are quite a few difficult cases that need to be handled, and we must hurry.
"You can try. Any surgery has risks. This surgery is a bit difficult, but as long as we can adapt to the situation during the operation and deal with it according to the patient's actual situation, I think we are fully capable of removing the lung tumor. If we reject him again, the patient will probably be completely desperate and give up seeking medical treatment and go home to slowly wait for the end of his life."
Zhou Can is well aware of some of the patients' inner thoughts.
Because they don't understand medicine, when they get cancer, they are already very hopeless.
The local municipal hospital cannot cure it, and now the provincial hospital still cannot cure it. Most older patients will choose to accept their fate at this time.
I don’t want to waste my family’s money anymore, so I might as well eat and drink well at home and wait for death in peace.
As a doctor, Zhou Can is kind-hearted, so when he encounters such patients, he seldom turns them away.
Even if he cannot solve the problem himself, he will find a way to invite experts from other departments to consult and perform joint surgery.
"Then I will arrange surgery for him. I have basically completed all the necessary tests. The patient's condition is progressing very quickly. Can I schedule the surgery tomorrow?"
After she took the patient's information, she wrote the words "Arrange Surgery" in the upper right corner.
"No problem. I should still come around 7pm tomorrow."
Zhou Can understood what she meant and asked him when it would be convenient for him to arrange surgery for the patient, which meant that he should be the surgeon.
With Zhou Can's rapid improvement in surgical skills, his surgical skills have almost surpassed Director Xueyan in all aspects, and he has become an absolute leader in cardiothoracic surgery.
When encountering cases with extremely high surgical difficulty, Zhou Can is usually the one who performs the operation.
The arrangement of a major operation often requires preparations to be made two or three days before the operation, such as preoperative evaluation, consultation with anesthesiologists, conversations with family members, and notification of the patient to fast or drink water.
If it is the head or perineum, or even the thighs, the skin needs to be cleaned.
This is basically done by nurses or interns in charge of the patients.
Some patients have abundant chest hair, and their chest hair must be shaved clean during thoracotomy.
Especially in middle-aged male patients, body hair is often at its peak.
"There are eleven difficult cases to be solved. Look at this one."
She handed over the information of a new patient.
Zhou Can went to the Provincial People's Hospital to visit Deputy Director Lu yesterday and did not come to the cardiothoracic surgery department to help, so there is a backlog of difficult cases.
One thing that must be emphasized is that the strength of cardiothoracic surgery is still quite strong.
Even though more than 20 highly skilled medical staff were poached by the Third Hospital, there were still many backbones. The skills of Director Xueyan and others were also constantly improving, and many difficult cases could be solved without Zhou Can's involvement.
Zhou Can is very good at diagnosis and surgery, but he is not omnipotent.
There are some difficult cases that he cannot solve, but other chief physicians can.
Overall, he is the most outstanding one in cardiothoracic surgery.
"Pain in the lower limbs and gangrene?"
Zhou Can hasn't treated a gangrene patient for some time.
I didn't expect to encounter another case now.
A case that Director Xueyan and others find difficult to diagnose and treat must be very complicated.
The patient is relatively old, already 65 years old.
The most common cause of foot gangrene in elderly patients is diabetes.
Many elderly patients with diabetes do not go to the hospital for check-ups, and even if they have been diagnosed, they only take medicine intermittently because they are worried about spending too much money. As long as their condition improves a little after taking the medicine, they will secretly stop taking it.
"Our entire department has discussed this case, and even invited doctors from the general surgery and endocrinology departments for consultation, but the cause is still a bit confusing. You are best at diagnosing difficult cases of this type, so please help. This patient is a veteran cadre, and when he was admitted to the hospital, several important superiors had already greeted Dean Zhu. Dean Zhu also gave instructions, asking us to go all out in the cardiothoracic surgery department, and to mobilize the strength of any department in the hospital when necessary."
Veteran cadres are doctors' favorites.
Many expensive drugs and various treatment methods that ordinary patients cannot use can be used on old cadres. When treating old cadres, you can let go and strive for the best treatment effect.
This is a .
In addition, veteran cadres are the gods of wealth and can contribute greatly to the revenue of the department. Also, in the process of helping them treat their illnesses, they can get to know each other and perhaps expand their personal network.
In short, there are many benefits to treating veteran cadres.
However, the threshold for treating them is also very high. Usually, only the top medical staff in the department are involved.
If you mess it up, it'll be troublesome.
If an accident happens, the whole hospital may be in trouble.
Even though he is retired, his energy cannot be underestimated.
Some veteran cadres have enormous influence. During their hospitalization, all the visitors are important figures.
After checking some of the patient's biochemical test reports, Zhou Can was surprised and said, "There is no history of diabetes. No wonder you said this patient's condition is difficult!"
"The patient's living conditions are excellent, and the quality of medical care is even better. He attaches great importance to health care. The pain in his lower limbs is an old problem with a long history. He has been hospitalized for treatment several times, but the problem has not been completely cured."
Xueyan said beside her.
Come to think of it, their retirement benefits must be pretty good, and they live such a good life with basically no worries. So they must take good care of their health and strive to enjoy a few more years of happiness.
Zhou Can continued to review the patient's medical records and examination reports.
The patient complained of numbness, coldness and pain in the right lower limb.
This disease has lasted for nearly twenty years.
The pain in his lower limbs was caused by excessive walking. Twenty years ago, he was just an ordinary clerk. In order to climb up the ladder, he served a big boss. He was the most diligent person in the whole department.
I accompanied the senior leader to do research in the countryside and ran all kinds of errands. I was so tired that I almost collapsed at the end of the day.
Since then, I have experienced pain and numbness in my right leg.
But after going home and resting, it can be relieved.
I specifically consulted a Chinese doctor, who prescribed some medicine. After boiling it into a decoction, I soaked my feet in it while it was hot.
It is equivalent to a medicinal bath.
Because I was working hard for my career, I didn't have time to go to hospital for treatment. The pain was unbearable, but I gritted my teeth and endured it.
In addition, the level of medical technology more than 20 years ago was far less advanced than it is today. After two examinations at the hospital, the specific cause of the disease could not be found.
Basically, they just prescribe some painkillers and blood-activating drugs as a hasty treatment.
His efforts paid off, and he was soon recognized by senior leaders and started to be promoted five years later. From then on, his career was smooth, and he rose rapidly to a high position.
My career has made great progress, my living conditions have improved, and I no longer have to run errands tens of thousands of steps every day for work.
But his right leg became injured as a result.
The pain is often unbearable, and after multiple hospitalizations, the results are not ideal.
I heard that Tuya Hospital has a high level of treatment, so I came here for treatment. I first went to the basic surgery department of general surgery. In addition to the pain in my right lower limb, my toes had turned black and gangrenous.
I visited two hospitals, and both said that there was a possibility that my lower limbs could not be saved.
This means amputation is possible.
This scared the old cadre a lot.
