Chapter 571: Tactile feedback of special physique, major reforms in the hospital
The preliminary interviews have been completed.
Although there has been no major publicity, some self-media, tabloids and other channels have begun to test the waters. Large hospitals are generally more cautious in promoting.
Tuya Hospital has always attached great importance to publicity work over the years.
We have also accumulated rich experience in publicity.
When promoting typical cases and important achievements of a hospital, it is rare to do it in a "stunning" way like the Third Hospital. More often, it is to use a gradual approach, exerting efforts through multiple channels, and ultimately spreading the influence, but not to the point of being too eye-catching.
There are many benefits to doing this.
First of all, be prudent. If something suddenly becomes a hot topic and receives too much attention in a short period of time, it is easy to explode.
Because some competitors or patients who are dissatisfied with the treatment in the hospital often take advantage of this opportunity to make some negative . Negative news that is usually difficult to make the headlines can easily become a hot topic with the help of the heat.
This will have a huge negative impact on the hospital.
Even if everything is safe and sound and nothing unexpected happens, the heat rises quickly and falls quickly.
After ten days or half a month, the influence will fade away.
It is better to use this kind of propaganda method that moistens things silently, gradually increase the popularity, and be remembered by the people through different channels. The propaganda effect is more ideal.
Tuya Hospital has already started to publicize Zhang Qilian's case. If Zhang Qilian dies a few days after the operation, Tuya Hospital will be slapping itself in the face. It is also very likely that the Third Hospital will launch a Jedi counterattack.
Therefore, the hospital leaders attached great importance to this matter.
In the operating room, Zhou Can, Director Xueyan and others were performing heart surgery on Zhang Qilian.
Although sufficient preparations had been made before the operation, dangerous situations still occurred frequently after the operation began.
During the thoracotomy, Director Xueyan accidentally cut an artery, causing bleeding immediately. Because the blood vessel was large, electrocoagulation was not effective in stopping the bleeding. The patient was repaired by vascular anastomosis, but because the patient's arteries were severely sclerotic, anastomosis was difficult.
In an emergency, Zhou Can quickly took over.
Although his anastomosis, suturing and ligation skills had all reached level six, and he could boldly perform nerve anastomosis, let alone vascular anastomosis, he still had a hard time anastomosing this blood vessel.
Fortunately, he succeeded in matching it in the end.
Otherwise, the operation might have to be stopped right after it begins.
"Sister Yan, you can continue the operation!"
After Zhou Can successfully wiped her butt, he gave up his position. A person's energy is limited, so he planned to scout the side first, trying to preserve his strength and energy as much as possible. Because the key part of the operation has not yet arrived.
Clearing necrotic myocardium and repairing the heart is definitely a tough battle.
They had even contacted the hospital's medical device department, ready to take out an artificial heart for transplantation at any time. The doctors in the relevant surgical department, as well as the surgeons and nurses in the cardiothoracic surgery department, were all ready.
It would be best if we don't have to replace the heart, but if there is no other way, we can only fight with our backs against the wall.
Anyway, just prepare for the worst.
"I... felt obviously exhausted when I was opening the patient's chest just now. His blood vessels are severely atherosclerotic, and the feedback from the scalpel during the dissection was very poor and difficult to distinguish. If you have a better grasp of it, it would be safer for you to perform the surgery as much as possible."
She looked a little embarrassed.
This patient had a special physique, and the touch of the scalpel during dissection was completely different from that of ordinary patients.
Director Xueyan's surgical skills have not yet reached a very mature level, and she is still working hard to grow and improve. When she encounters a patient with this special physique, she is indeed a little helpless.
She was even more frightened by the fact that a blood vessel had been ruptured just now.
Fortunately, it was just an artery that was not particularly thick.
If the aorta is ruptured, the consequences would be catastrophic.
If she hadn't been forced to do so, she would never have said such a weak word in front of so many doctors and nurses.
After all, she is the head of the department, so she must pay attention to maintaining her dignity.
"Okay, I'll give it a try! But my level may not be as good as yours. If I'm to say I'm sure, I'm really not sure."
Zhou Can had no choice but to go ahead.
When cutting, he deliberately touched the walls of the arteries with the blade to feel their tactile feedback.
Very dull, like rotten leather.
Fearing that he might rupture the artery, he did not dare to use too . In other words, it was just a slight contact, and the feeling would definitely be distorted.
As time passed, he was trying to find the most realistic knife feel.
No one urged.
Zhou Can has worked with the entire team of doctors and nurses many times, and everyone is very familiar with his style of doing things.
Don't fight a battle you are not sure of victory.
If you don't move, it's fine. If you move, it's like thunder and lightning.
After more than ten minutes, he seemed to have accumulated a lot of experience and had a clearer sense of the patient's blood vessels. During these ten minutes, he had been trying various things with the scalpel.
Not only the arteries, but also the veins are being explored.
A rupture of the aorta can be fatal, and if a vein is ruptured, the consequences can be equally serious.
"This patient's arterial vascular disease is more severe than expected, and has progressed almost to the terminal capillaries."
After Zhou Can had a deep understanding of the patient's vascular condition, he could only describe it as shocking.
No instrument examination can compare to this practical surgery.
The exact condition of the patient's blood vessels can only be clearly explored after dissection.
Next, Zhou Can began to formally open the chest for the patient.
Every time he slashed with the sword, it was as steady as a rock, with just the right amount of strength and control, and he was able to control it with ease.
[Incision experience +1, bonus experience +100...]
His cutting experience points are soaring.
The extra reward is 100 each time, and if you do it 10,000 times, you can accumulate 1 million experience points, and this medical skill can then be promoted to level seven.
Incision is different from the narrow meaning of the word, it is actually equivalent to dissection.
It is not as narrow as simply cutting open human tissue.
Rather, it involves complex anatomical medicine.
Of course, it is impossible to earn a large amount of experience points reward by performing one operation 10,000 times.
Let alone ten thousand times, it would be difficult to make money even a hundred times.
However, this operation brought him great benefits, and it was an accumulation of special surgical experience. At the same time, as drops of water make a river, and sand gathers into a tower, as long as he keeps accumulating, and performs one or two such high-difficulty operations from time to time, he will not worry about not being able to improve his incision skills.
…
After more than six hours, Zhou Can was almost exhausted.
The operation started at 11:10 a.m. and ended at 5:30 p.m. During the entire operation, Zhou Can did not drink a drop of water or eat lunch, just to save the patient's life and make the operation a success.
According to his original plan, he only needed to complete the most core part of the operation.
Unexpectedly, the patient's arterial sclerosis was too severe, causing the scalpel's touch to be distorted. Director Xueyan and others were unable to perform some important parts of the operation, and the entire burden fell almost entirely on him.
Fortunately, he was very young and had plenty of physical strength and energy, so he gritted his teeth and persevered.
The operation went relatively smoothly, at least until the end of the operation, there were no major problems.
As for how the patient will recover after the operation, it is still unknown.
"Everyone has worked so hard and hasn't had lunch yet. If you don't mind, let's have a quick meal in the lounge! I've already asked someone to order food. It was just delivered a while ago, so it should still be hot."
Director Xueyan said to all the medical staff.
This operation was extremely difficult. The hospital leaders kept a close eye on its progress and called the nurses in the operating room from time to time to inquire about the situation.
Now that the operation has been successfully completed, I guess the hospital leaders can breathe a sigh of relief.
Cardiothoracic surgery and cardiovascular department are both important departments of the hospital.
In fact, all large hospitals are similar. There are only a few departments that generate the most revenue. Cardiology, cardiovascular medicine, neurosurgery, neurology, and orthopedics are always the top departments in terms of revenue.
Now there is a new department emerging, that is, oncology department.
However, due to various reasons, the rate of medical disputes in oncology departments has remained high. They are often criticized for making money in an unscrupulous way.
The decision-makers at Tuya Hospital are very smart. They want to make money, but they cannot destroy the hospital's century-old reputation just to make money in the field of oncology. Therefore, the oncology business is currently mainly concentrated in the Second Affiliated Hospital.
This is equivalent to some listed companies setting up subsidiaries to test new businesses or divert businesses in order to reduce risks.
This is the same principle as not putting all your eggs in one basket.
After dinner, Director Xueyan said to Zhou Can, "Zhou Can, come with me to the office of the Vice President of Business Affairs."
"OK!"
Zhou Can knew in his heart that the operation was completed, so he took him to report to the hospital leaders.
I've been extremely busy lately and haven't been to Vice President Ye's office for a long time.
If there is nothing to do, generally no doctor is willing to go to the vice president.
The power of officials is unpredictable.
Many doctors prefer to focus on their work rather than flatter others.
The two came to Vice President Ye's office. Unexpectedly, Vice President Bai, who was in charge of administrative work, was also there.
Judging from the smiles on the faces of the two vice presidents, they should be in a good mood.
"Please take a seat, both of you! You have done a great service to the hospital today. It was not easy for the operation on that patient with myocardial infarction to be successful."
Vice President Ye smiled and personally made tea for the two of them.
Director Xueyan and Zhou Can are not good at dealing with superiors. They are the kind of honest people who don't know how to deal with things.
Both of them make a living by relying on their skills and abilities.
Sitting in Vice President Ye's spacious office, the two seemed somewhat restrained.
"Director Xue, is the patient's recovery guaranteed?"
"Well... it's hard to draw a conclusion at the moment. It's certain that he will have heart failure after the operation. If there's no major infection, his life should be safe."
Director Xueyan's answer was more conservative.
To be honest, it is already very good if the operation can be successful. It is almost impossible to require the patient to recover to normal level.
"Well! As long as the patient's life is protected, this is the greatest success. The hospital did some publicity for this case a few days ago. Judging from the data fed back by the publicity department, the publicity effect is beginning to show. If the patient dies within a short period of time after the operation, our hospital will be in a particularly passive situation."
Vice President Ye has made everything clear to Xueyan and Zhou Can.
The subliminal meaning is to tell the two people that this patient must not die easily.
At the level of Vice President Deye, he is not that concerned about the patient's life itself, but more concerned about the interests and gains and losses of the hospital.
"Xiao Zhou, I heard that you fought bravely in this operation and put in a lot of effort! You are a driven and motivated young man, and you did a great job!"
After learning about the patient's condition, Vice President Ye began to praise Zhou Can.
It seems that Director Xueyan did not hide his contribution.
"I just did some hard work. The key to the success of the operation was the guidance of Director Xue, as well as the full support and cooperation of the surgeons, nurses, and anesthesiologists."
Zhou Can is very modest and never tries to take all the credit.
Instead, he distributed it to all the medical staff involved in the operation.
This kind of modesty is very useful for rallying people's hearts. His approval rating in many departments has remained high and he is very popular among people, which is also largely related to his lack of greed for fame.
"Haha, you are right. The success of an operation depends on the entire team, or even the collaboration of multiple departments and teams. Your thinking is very high and your character is very good. It's a pity that your qualifications are a little lacking, otherwise you can be promoted faster."
Vice President Ye's words had hidden meaning.
What does it mean to rise faster?
So far, Zhou Can has not held any leadership position!
Even some middle-level positions in departments are not held.
"There are no outsiders here, so it's okay to reveal some things to you two. Director Xue has led the cardiothoracic surgery department to achieve great results in recent years, which are obvious to all. Right now, our hospital is undergoing drastic reforms, not only limited to institutional reforms in clinical departments, but also reforms at the hospital leadership level. As long as Director Xue continues to work hard and doesn't encounter any major problems, he should be able to qualify as a candidate for vice president in the near future."
Perhaps seeing Zhou Can's confusion, Vice President Ye actually broke out a piece of extremely exciting news.
Vice President Bai was sipping his tea leisurely and did not interrupt.
Xueyan is currently only the director of a surgical department, but she can directly compete for the position of vice president. It is really shocking.
If these words had not been said by Vice President Ye, Zhou Can and Xueyan would never have believed it was true .
Because according to past practice, she needs to work quietly as the director of cardiac surgery for more than five years before she is eligible to compete for the deputy director of general surgery. Then she needs to wait another three to five years before competing for the director.
Any miss will require another three to five years.
This is also why many vice presidents are at least fifty years old when they are elected.
Women are at a greater disadvantage because their retirement age is five years earlier than men.
In fact, everyone started working at about the same age. Men became vice presidents at the age of fifty, and if they were lucky, they could compete for the president's position again at the age of fifty-five.
The requirements for women to be elected as vice presidents are generally limited to being under 48 years old, which is enough to block many people.
Later, Jin Zheng became the dean, which was even more difficult.
This is also one of the reasons why the directors of many hospitals are basically men, and women can only be promoted to vice-director at most.
Without sufficient qualifications, there is no way to be elected.
I have enough experience, but I have exceeded the age limit.
“Is this true?”
Director Xueyan asked in a lost voice.
"It's true. You can start preparing for this now. Dean Bai, I, and other vice presidents will basically retire soon. When the time comes, the vice president of the hospital will carry out reforms, and you have a great chance."
Vice President Ye said seriously.
