Chapter 553 The Terrible Second-Rate Hospital Series, the Dark Horse among Second-Rate Hospitals
After treatment, the baby whose life was almost taken away by a plaster recovered.
Children recover quickly. After removing the plaster, they promptly cleaned the suppurated necrotic tissue, reduced inflammation, and kept the wound dry. In less than five days, they were almost fully recovered.
That experience also left a deep impression on Zhou Can.
From then on, in his medical practice, whenever he encountered babies who were crying incessantly and whose illness was unknown, he would be extra careful.
Because there must be a reason why the child cries.
Sometimes, parents are careless and their children accidentally swallow some small metals, or there is a problem with an organ in the body, or they fall and hit their head and cause intracranial hemorrhage, etc. These all require doctors to be more careful.
If you are a little careless, you may miss the best time for treatment.
After dinner, on the way back to the emergency department's operating room, Jiang Wei came up to me.
"Boss Zhou, are you free tonight?"
"What's up?"
"Another private job, the consultation fee is very considerable. If the operation fails, the surgeon will receive a bonus of 1,000 yuan. If the operation is successful, the surgeon will receive a bonus of 3,000 yuan."
The consultation fee of three thousand is already quite considerable.
Normally, for those below the level of chief physician, even if they are very capable, the consultation fee is only around one thousand at most.
Anyone who can give fifteen hundred is already considered a very generous boss.
There is another big problem with going out for surgery, and that is the risk of surgery.
If the operation fails, the visiting doctor can usually only get the travel expenses. Some doctors are even embarrassed to charge the travel expenses.
The idea of not accepting rewards without merit has long been deeply rooted in our country.
No matter whether they are corrupt officials, social hooligans, or other people, there are still a few who take money but do not do their job.
"You seem to be quite diligent in taking on private jobs!"
Zhou Can is not short of money, and he is also very busy.
Not to mention three thousand for the appearance fee, even if he was given five thousand, he would not want to give this consultation.
"We have to find a way to make money and live! Who doesn't want to live a better life?"
Jiang Wei is very direct.
There is no avoiding the question of wanting to make more money.
"Thank you for thinking of me every time you get a private job, but I 'm really busy and I'm afraid I don't have time to see you. Why don't you contact another doctor?"
Zhou Can declined her invitation.
"How can I find a better surgeon than you? Just help me!"
She pleaded with Zhou Can in a gentle voice.
"It's not that I don't want to help, I just really don't have the time."
Zhou Can remained unmoved.
"I know you usually have to work overtime in the cardiothoracic surgery department. In the morning, you said that you could finally get off work early tonight. Can you help me this time? If the patient can't be operated on in time, he will definitely die."
She almost grabbed Zhou Can's arm and begged.
In terms of physical contact, she has always been very dignified and never behaved frivolously.
"I just said something casually this morning, and you assigned me a task at noon? Based on this, you should take private jobs more frequently than I thought!"
There was a hint of dissatisfaction in Zhou Can's words.
"To survive! Look, this is the chat record between me and my old classmate. Just now when we were having dinner, she asked me for help. She knows that I am following you now, and she knows that you are a very good surgeon, so she asked me for help."
She showed Zhou Can the chat records.
It really was the chat record just now, and it was indeed her classmate.
The other party also mentioned that the patient's condition was critical and the operation was very difficult. Their hospital did not have the ability to perform the operation, so they had to ask experts from other hospitals for help.
There are no more than ten experts in the city who can perform this type of surgery, and basically they either don't take private work or are busy.
Jiang Wei's old classmate also couldn't find a suitable doctor, so he thought of asking her for help.
"Ask your classmate to send the patient's information to me. If it's within my capabilities, I can make the diagnosis. But don't try to hit on me next time. I don't take private jobs. I won't take them."
After all, Zhou Can still has compassion for the patients.
Generally, few hospitals are willing to accept patients who have problems after this type of surgery.
Because if you clean up other people's butts well, you won't get any reward. If you don't clean up well, you will fall into it too.
So no one is willing to accept patients whose operations have failed.
Usually, only the first visiting hospital can follow up.
If you have a good relationship with the leader or chief physician of a department in a large hospital, you can also say hello and seek help.
"Thank you, boss! Ha, it finally worked!"
Jiang Wei seemed very happy.
In front of Zhou Can, he replied to the old classmate's voice message.
When the other party learned that Zhou Can agreed, he was also very happy and quickly sent the patient's information.
"Boss, I forwarded this to you via WeChat."
Jiang Wei raised her cell phone.
Zhou Can took a look at the patient's general condition. The patient was only 33 years old, male, and had severe vomiting due to alcoholism, and then had chest pain and difficulty breathing. He was taken to the nearest First Hospital by ambulance for treatment. After receiving the patient, the First Hospital conducted an examination and found that the patient's right lung breath sound disappeared, and the chest X-ray showed the presence of hydropneumothorax on the right side.
This is a clear case of spontaneous esophageal rupture.
The hospital then urgently arranged surgery for the patient to repair the ruptured esophagus.
During the operation, it was found that the patient's esophageal tear was as long as 6 cm.
The surgeon sutured the patient's mucosal layer and muscle layer, and then sutured the pleura. The operation went smoothly and no accidents occurred.
However, on the fifth day after the operation, the patient's body temperature suddenly rose to over 39 degrees, and the fluid drained from the chest cavity increased and became very turbid.
After consultation among the doctors at the First Hospital, it was highly suspected that the patient had esophageal fistula.
So the patient was given methylene blue orally, and blue pleural fluid was found to be flowing out, which basically confirmed that it was esophageal fistula.
Esophageal repair surgery, especially when the tear is large, is very likely to cause postoperative esophageal fistula.
It’s not necessarily that the doctor’s surgical skills are low.
The First Hospital is one of the oldest hospitals in the city and its strength is not weak. In the early days, the First Hospital's status in the province was even like the current Tuya and Provincial People's Hospitals, and it was a leader.
It made rapid progress and opened from the First Hospital to the Sixth Hospital.
At present, the Sixth Hospital and the Second Hospital have disappeared in the tide of the times. Only the First Hospital, the Third Hospital, the Fourth Hospital, and the Fifth Hospital are still holding on.
The strongest one is the Fifth Hospital.
Like Tuya and Xinxiang Maternity and Child Hospitals, it has carried out bold reforms in the last wave of development and its strength has been greatly improved.
In contrast, the First Hospital, the Third Hospital, and the Fourth Hospital have rigid systems and inflexible internal management.
The hospital's leadership lacked great vision and was only concerned with their own petty profits. They frantically placed their relatives in the hospital to give them stable jobs. Later on, no one even knew how many relatives were drawing a salary without doing anything.
The hospital pays little attention to its clinical medical and nursing personnel.
This is also a common problem shared by every company with an aging system.
The more people with connections and the more leading cadres there are, the fewer people will work. Moreover, those leading cadres who do not work will strictly control clinical medical staff in order to assert their authority or to gain more benefits.
I wish I could control them like my own slaves.
All hospitals of this type have several obvious characteristics: the number of logistics, administrative and idle staff is much greater . One doctor may have to support two logistics and administrative staff.
And each of them can ride on the doctor's head and pee and poop.
If you are a little disobedient, you will be suppressed and made to suffer in various ways even after you leave your post.
Needless to say, in such a bad working environment, any doctors and nurses with some ability would flee as far as possible and would soon resign and change jobs.
Those who stayed were doctors and nurses who were smooth and good at flattery.
Most of these people spend their energy and time trying to please their bosses and get along with others, but they hardly improve their professional level.
If these old hands only account for a small portion of the clinical department staff, perhaps there will be no impact.
But when a department is almost entirely filled with such old hands, the problem becomes serious.
When new talents come in, they will be "beaten" and suppressed. They will either go along with the crowd and be assimilated by these people, or be squeezed out. New talents without talents will have a chance to stay as long as they learn to flatter these people.
As a result, the hospital was basically abandoned.
It is said that when the Second Hospital and the Sixth Hospital closed down, the competent authorities wanted to arrange jobs for the employees of these hospitals and arranged them to work in other hospitals. As a result, Tuya, Provincial People's Hospital, Provincial Children's Hospital... any hospital with a little ambition tried every means to keep these people out.
To this end, a recruitment blacklist was established and is kept by the directors of major hospitals.
The doctors and nurses in these two hospitals are basically unscrupulous all their lives.
At least in this province it is almost useless.
All the better hospitals, without exception, closed their doors to these people.
Then something thought-provoking yet very interesting happened.
After the Second Hospital closed down, the doctors and nurses of this hospital often worked closely with a private hospital, so they all tried to rush into this private hospital.
At that time, the director of this private hospital thought that he could do a great job by recruiting a large number of clinical medical staff at once.
As a result, in just nine months, this private hospital was brought down by the group of old hands that poured in.
On the day of bankruptcy, the director of this private hospital was said to be crying in his office. The family business built by several generations of ancestors was destroyed by him.
It was after this incident that the medical staff of the Second Hospital and the Sixth Hospital became blacklisted for the rest of their lives.
No hospital was willing to accept him anymore.
I heard that even the medical staff who had entered other hospitals through various connections were cleared out.
A man's reputation is like the shadow of a tree.
These two hospitals are notorious and everyone is really afraid of following the same fate as the private hospital.
A single bad apple can spoil the whole barrel.
Even today, medical staff from this faction, from the First Hospital to the Fifth Hospital, are still discriminated against.
The Fifth Hospital was able to catch up because its previous president worked hard and carried out a radical talent reform. I heard that at the worst time, at least three groups of medical staff from the hospital petitioned the hospital every day.
Under tremendous pressure and after more than ten years of hard work, the Fifth Hospital finally achieved a major talent replacement.
Its appearance is also brand new, and it is full of new vitality.
Later, the director was diagnosed with three types of cancer at the age of 48. They were lung cancer, liver cancer, and colon cancer. It was extremely terrifying to find so many cancers in one person at the same time.
It can also be seen how much effort this young dean put in to help the Fifth Hospital save itself, and how much pressure he endured that ordinary people could hardly imagine.
The new dean who replaced him was a very young woman.
I heard that he was an outstanding international student who had studied abroad for seven years and had experience in foreign hospital management. After taking over, the Fifth Hospital continued to deepen reforms and implemented many new development strategies.
Its progress over the past three years has been even faster than Tuya's.
Some people regard it as a dark horse, believing that if it continues to develop at its current momentum, it may become one of the top three hospitals in the province within ten years.
The First Hospital has a strong foundation and a very solid relationship with the competent authorities, so its strength should not be underestimated.
Rumor has it that this hospital is the easiest to get a job in.
The welfare benefits are well-known to be good.
For nurses like those at Tuya Hospital, being able to have one day off a week is considered very good. In fact, it is normal for clinical nurses at Tuya to work night shifts.
But the nurses at the First Hospital can have one day off after working two days.
The opportunity to work night shifts is once a week at most.
In addition, the temptation of having a great chance to be included in the regular staff is also very great. Although equal pay for equal work is being promoted now, even if everyone gets the same salary, there is a huge gap in welfare benefits between contract workers and regular employees.
And the salary after retirement is so heartbreaking that it makes people feel unable to breathe.
The retirement salary of contract workers is the insurance they buy, which is usually 2,000 to 3,000 yuan a month. For regular workers, the retirement salary is no less than 80% of their pre-retirement salary.
This one point alone is enough to make many people prefer to stick to their job even if there is no major development.
I don’t want to be rich, but at least I can be stable!
Precisely because of this huge advantage, there are quite a lot of senior experts in the First Hospital.
There are many strong doctors among them.
After reading the information of the patient who developed esophageal fistula after surgery, Zhou Can began to seriously think about the real reason for the postoperative esophageal fistula.
First of all, we cannot rule out the possibility that the doctor’s surgical skills are poor, causing problems for the patient after the operation.
Secondly, considering that the patient had a spontaneous esophageal tear and the tear was so long, it shows that the esophagus has poor toughness.
Of course, the esophagus isn’t very resilient.
But it has good elasticity.
The esophageal muscle layer is divided into two layers, the inner circular and the outer longitudinal, about 2 mm thick, with elastic fibers sandwiched between the two layers. The muscle layer of the upper esophagus is striated muscle, and there is a lack of longitudinal muscle fibers behind it. The circular muscles at both ends of the esophagus are more developed, similar to sphincters.
Theoretically, it can pass food that is three times thicker than its diameter.
And even this is far from its limit.
Under normal circumstances, it is almost impossible to rupture the esophagus by eating.
