Chapter 554: The Quiet Rise of the Emergency Department, Choosing One Person to Love and Live With
The patient tore a 6-cm hole in his esophagus while vomiting, which is quite terrifying.
If a normal vomiting attack could damage the esophagus like this, most people in the world would have died, and humans would not have been able to reproduce to such an astonishing number.
This suggests that the patient's esophagus may have had problems before the tear.
For example, the esophagus may become hard or brittle, which is possible.
It is related to the patient's long-term alcoholism.
When alcohol enters the body, it not only causes damage to the liver and kidneys, but also to multiple tissues and organs in the digestive tract. Drinking once or twice is not a big deal.
But if you drink it for more than ten years, the damage caused over time will be a bit scary.
After each injury to the body, it may take two to three days, or even longer, to recover. But before the body recovers, new injuries caused by drinking occur again.
If this continues to accumulate little by little, your body will eventually have big problems.
This is why almost all doctors advise their patients to quit smoking and drinking.
Following this line of thought, Zhou Can boldly speculated that the patient's postoperative esophageal fistula was most likely not caused by the doctor's poor surgical skills, but rather by problems with the esophagus itself.
Of course, this has something to do with the level of the doctor.
If the doctor's level is high enough, some adjustments can still be made according to the patient's esophageal condition.
For example, if the esophagus is found to be very brittle and has poor toughness during the suturing process, the tension of the esophagus at work can be considered during the suturing process. Another consideration is whether the wound heals slowly after suturing.
With these considerations in mind, some precautions can be taken during the suturing process.
This will make esophageal fistula less likely to occur.
At least let Zhou Can perform the operation. With his current surgical skills, he is fully capable of avoiding the formation of esophageal fistula.
"Boss, is it okay for you to perform this operation?"
Jiang Wei saw that Zhou Can had finished reading the patient's information and asked at the right time.
"No one can guarantee it, but if the other party is trustworthy, you can give it a try."
Zhou Can's answer was considered very conservative.
After reading it, he was actually more than 90% sure.
Anastomosis, repair and suturing are all his strengths.
Some fistulas are difficult to find.
However, it is relatively easy to find the opening of this type of esophageal fistula. The operation took a short time for the patient to complete, just five days. With Zhou Can's surgical skills, he was fully confident that the problem could be solved through endoscopic surgery.
"Then I'll give my old classmate a definite reply now!"
Jiang Wei replied to the voice message right in front of Zhou Can.
"Old classmate, our boss has agreed to take this private job. However, any surgery has risks, and we can't guarantee that the surgery will be successful. If there is no problem, I will ask the boss about the preparations before the surgery, and you can start preparing, and then we can go over and perform the surgery directly."
It can be heard that Jiang Wei was on Zhou Can's side during the conversation.
Although Zhou Can didn't say it, he was very satisfied in his heart.
"Okay, okay, okay! Thank you, Weiwei. Please thank Dr. Zhou for me. This bad patient has finally been solved. I can now report to the hospital leaders. I'll treat you to a meal another day!"
Jiang Wei’s old classmate is a girl.
Judging from his voice, he shouldn't be particularly old, probably under 30 years old at most.
The bad patients needed to be handled by her, and according to Zhou Can's speculation, this woman was probably an administrative post in the hospital, such as the deputy director of the medical department, or the director of the gastrointestinal surgery department.
Leaders get paid more than ordinary employees, and they hold great power and a high status.
However, when problems arise in a department, it is often the leaders who step in first to put out the fire.
Power and responsibility are one and the same.
…
This matter was settled.
Needless to say, Zhou Can went to the emergency department's operating room and started his busy afternoon work.
After his hard work, the emergency department is now much different than it was two years ago. The total number of inpatient beds in the emergency department has increased to 60. This number of beds is only the official beds approved by the higher authorities.
In fact, when there are too many patients, the number of surgical beds can be increased to about 70, and the total number of internal medicine beds can be increased to 50.
This is equivalent to a total of 120 beds.
You should know that one of the important criteria for a Grade 3A hospital is that the number of inpatient beds exceeds 500.
Two years ago, the emergency department had only a few inpatient beds in the ICU, and not even a single ordinary bed. In less than two years, the number of ordinary beds has grown to 120, which is an incredible speed of progress.
At the same time, the number of doctors and nurses in the emergency department has increased significantly.
Compared with the past when they could only pick up "bad employees" eliminated from other departments, the emergency department is now much more confident. Because it has good revenue and its strength has expanded rapidly, it can ensure that the treatment of doctors and nurses reaches a relatively high level.
In addition, you can ask the hospital for more staffing quotas, associate professor and full professor quotas, and year-end bonus ratios.
You know, the emergency department in the past had nothing. There was really nothing except working day and night.
Some outstanding talents avoided this department.
Even if they are recruited, they will leave soon.
It's impossible to keep people.
Now, Director Lou is always confident when recruiting, and even has the capital to select outstanding talents.
When he encounters some talents who have jumped ship before but have not been doing well in other departments and want to jump back, if they are really excellent, Director Lou will agree to give them a chance.
If the level was average, hehe, now it would be Director Lou's turn to be proud of himself.
It's true that if you don't accompany me when I'm down, who will you be when I'm back on track?
Now, each clinical department of Tuya Hospital is recruiting new people, and the emergency department has even unknowingly left behind some departments with poor performance or bleak future.
In addition to significant improvements in the talent pool, the hardware facilities of the emergency department are also changing with each passing day, and there has been a preliminary improvement in the quality of the equipment.
We already have a Class 100 operating room and a traditional operating room, and a Class 10,000 operating room is under construction, which is expected to be put into use by the end of this month.
The operating room is fully equipped.
In particular, the Class 100 operating room where Zhou Can works is equipped with almost all surgical equipment except for some extremely expensive special equipment.
Most of them are imported.
There is no way around this as domestic products are still lagging behind in the production of these advanced medical devices and instruments.
For example, a very common microscope endoscope produced by Olympus can be magnified at several thousand times, and the clarity is guaranteed. Domestic products, let alone microscope endoscopes, even ordinary microscope equipment cannot reach the level of Japan.
The number of emergency operating rooms has increased to three, with complete hardware facilities that are not inferior to ordinary specialist departments.
This is just the tip of the iceberg of its rapid development.
For example, the establishment of the endoscopic operating room has enabled the emergency department to have the ability to perform endoscopic surgery.
The only thing missing is a doctor with high surgical skills.
Currently, the absolute number one expert in endoscopic surgery in the emergency department is not Dr. Xu, but Zhou Can.
It’s just that Dr. Xu’s endoscopic surgery skills are also quite good.
Another thing is the construction of ICU. In the past, the success rate of rescuing critically ill patients was only fair. Now, after attracting many top talents with doctoral degrees or above, coupled with the continuous renewal and improvement of ICU equipment, the technology is also constantly improving with the progress of the times.
The success rate of rescuing critical and emergency patients is already quite astonishing.
This is inseparable from Director Lou’s hard work and wise leadership, and more importantly, Zhou Can’s various helps.
Zhou Can has a deep connection with Tuya's critical care medicine department, and he used this convenience to get a lot of support in talent training. That is, after recruiting people from the emergency department, they are sent to the critical care medicine department for training for a period of time, and then come back to work.
If Zhou Can had not acted as a matchmaker and made various efforts, would the Department of Critical Care Medicine have been able to fully help the ICU of the Emergency Department?
Unless it's crazy, that's about it.
There is a competitive relationship between the two.
The more powerful the ICU in the emergency department is, the fewer patients will be admitted to the critical care unit.
In order to facilitate this matter, Zhou Can had a long conversation with Director Liu . Only after Zhou Can made certain promises did Director Liu finally agree.
Facts have proved that Zhou Can's vision is extremely advanced.
After the ICU of the emergency department became stronger, the number of patients in the critical care unit did not decrease, but increased a lot.
Why?
Because the cardiothoracic surgery department has now become one of the strongest cardiothoracic surgery departments in the country.
Although this first one is quite watery, it is enough as long as patients and ordinary people accept it.
Cardiothoracic surgery is the department most likely to have critically ill patients.
As its reputation grew, the number of patients admitted skyrocketed, and the number of patients sent to the intensive care unit also increased.
In addition, the improvement in the ICU rescue success rate in the emergency department has also attracted more critically ill patients to come here.
The emergency department is the face of a hospital.
The higher its success rate in rescuing critically ill patients, the greater the hospital's reputation will be.
In addition to the emergency ICU, the level of the emergency room has also been improved. This is because the success rate of rescue in the emergency room is actually closely related to the ICU and the emergency operating room.
The level of ICU and emergency operating room has been improved, and even if we lie down in the emergency room, we can also improve accordingly.
The only shortcoming of the emergency department at present is probably the internal medicine department.
There is no way around this. We lack top internal medicine experts, and our level cannot be improved by simply recruiting a few doctoral or master's students.
Although Zhou Can has a good personal relationship with Director Tan of the Internal Medicine Department, it is a pipe dream to ask the Internal Medicine Department to help the Emergency Department train key internal medicine talents. No fool would give the meat in his bowl to others to eat.
In general, emergency medicine is still making rapid progress.
It just can't compare to surgery.
Because there is a monster named Zhou Can in the Department of Surgery.
There is one more thing worth mentioning.
Zhou Can has now consciously reduced the number of level one and level two surgeries and continuously increased the number of level three surgeries.
Because his surgical skills, except for orthopedic surgery, have all been upgraded to level 6 or above. It would not make much sense to perform level 1 or 2 surgeries.
Only by constantly challenging the more difficult level three and four surgeries can we continue to maintain a rapid improvement in our medical skills experience points.
Other new doctors started their training with level one surgery under the guidance of Dr. Xu and others.
This is how every surgeon grows up.
This is also a healthy model for the emergency department operating room, where newcomers perform level one surgeries, more experienced senior residents perform level two surgeries, and attending physicians begin to participate in level three surgeries and preside over level two surgeries.
This is the only way to ensure a virtuous cycle of talent cultivation.
At present, there is still a taboo in the emergency department's operating room, that is, only level three surgeries can be performed.
It is not possible to perform level 4 surgery at the moment.
Because there are no chief-level surgeons.
If a chief surgeon is a specialist, he can only perform level 4 surgery in the field he specializes in. There are actually strict restrictions on the surgical qualification requirements.
Being a general surgeon at the director level, that is something I cannot even imagine.
I'm afraid it's hard to find such a chief physician in the world.
Perhaps in the near future, Zhou Can can achieve it.
It's just a possibility.
You know, Zhou Can has the help of the medical experience system, so he can use one or two years to complete the journey that other doctors take ten or even twenty years to complete. Even he is only a possibility, and other doctors, no matter how amazing they are, can only delve deeply into one or two fields in their lifetime.
This is determined by energy, time and life span.
Many surgeons are at least 24 years old when they graduate and start working, and many are already 27 years old.
Expert chief physicians are allowed to work until retirement age 65.
The number of years that can be truly used for work in a lifetime is only about 30 years. As people age, their learning ability, memory, and physical fitness will deteriorate.
Therefore, you are destined to only be able to delve deeply into one or two medical fields in your lifetime.
…
At about 6:40 in the afternoon, Zhou Can dragged his exhausted body out of the operating room.
Five level 2 surgeries and three level 3 surgeries were completed this afternoon.
The results are quite encouraging.
There were eight operations in total, all of which were completed successfully.
While he was tired, he also felt very rewarding. The sense of accomplishment gained from treating patients is the strongest among clinical surgeons.
After walking out of the operating room, Su Qianqian was sitting not far away waiting for him with a thermos bucket as usual.
What does it mean to be a good wife and mother?
Su Qianqian is definitely the epitome of these four words.
"Sister-in-law, you're bringing food to Dr. Zhou again! It's really enviable to see how loving you two are!" Jiang Wei walked forward and greeted them with a smile.
"I'm afraid he'll starve! Men don't take care of their bodies when they work. I can only try my best to take care of him." Su Qianqian said, looking at Zhou Can subconsciously.
Her eyes were full of affection.
Everywhere I look, I see my beloved lover.
Even though the two of them have lived together for such a long time, they never get tired of each other.
Instead, it made the two of them closer and closer, inseparable.
Zhou Can is a sentimental person, and influenced by his father, he is quite loyal to his feelings. After going through some things with Su Qianqian, especially Su Qianqian's kidney disease almost made him lose her forever, Zhou Can cherished this fate even more.
Since then, in his clinical work, he has become accustomed to life and death, and his understanding of life has become deeper.
The scenes of patients parting with their lovers, or the deep affection of their spouses who give everything and stay by their bedside to take care of them when they are bedridden, all made him see the most beautiful side of love.
Since I have chosen Su Qianqian, I will naturally not let her down.
"Doctor Zhou always praises my sister-in-law's cooking skills! I have to shamelessly visit your house one day and try my sister-in-law's cooking skills so that I will not regret my life." Jiang Wei is always very enthusiastic every time she sees Su Qianqian.
Praise her consciously.
This time, he even took the opportunity to request to visit Zhou Can's home.
Although it was just a joke, I expected that someone as friendly as Su Qianqian would not refuse.
