Chapter 575: The Third Hospital's Resurrection, the New Official's First Action
"Boss, you've been promoted, so you wouldn't be so stingy as to treat us to a meal, right?" Ma Xiaolan has a relatively close relationship with Zhou Can now, and she is not afraid of Zhou Can.
Occasionally, I dare to joke with Zhou Can in my spare time.
"I've been a bit busy these past two days. There's a difficult case in the pediatric department that hasn't been solved yet, and the cardiothoracic surgery department has major surgeries every day. When I'm done with these two days, and I don't have to work overtime after get off work, I'll treat everyone to a big dinner to celebrate. My promotion is inseparable from your support and hard work."
Zhou Can was very grateful to his two doctors and three nurses.
Especially Qiao Yu, who has been working hard and silently serving as his instrument nurse in the past few years.
If we were to rank the 'founding fathers' of the country, she would be the first.
At the beginning, Zhou Can returned to the emergency department with nothing. He took her and intern Luo Shishen to perform surgeries crazily, and then slowly opened up the situation.
This is like starting a business from scratch. Once the company becomes bigger, you don’t need to worry about anything.
The best memories are often the period when we first start our business, when various conditions are insufficient and we need to work extra hard.
On the third day, Dr. Fu Chachun returned to work.
I work the night shift.
The emergency operating room operates in three shifts, with the day shift being the best and busiest. The night shift is the second best, and not as busy, but the work and rest schedule is reversed, and the biological clock is disrupted, so everyone is particularly resistant to it.
Fu Chachun was very smart. After such a big incident, he lost all face. It would be more beneficial for him to return to the emergency department after a day's rest and work the night shift to observe the situation.
Because there are the fewest medical staff at night.
When Zhou Can came to work in the department, he heard Qiao Yu and others talking about how Fu Chachun had treated all the nurses to milk tea.
I didn’t expect that this old man Fu Chachun had some tricks up his sleeve.
It seems that this time he has been beaten by society, and he has learned a lot. He has put away his sense of superiority and dares not show off his seniority.
In any department, veteran comrades are often the most difficult to deal with.
Because they think they are very senior, they often don't listen to orders. It is especially difficult for leaders younger than them to command them.
Zhou Can didn't care much about Fu Chachun treating all the nurses to milk tea in order to repair his relationship with them.
His work is too busy. Every day he has a lot of things to do, endless knowledge to learn, and endless surgical skills to practice.
It is worth mentioning that, except for the steady knife technique and the quick knife technique, he basically no longer practices other surgical skills at home. Instead, he continuously improves them while performing surgery on patients.
At present, except for a few medical skills in orthopedics, other surgical skills have all been promoted to level six. It is no longer necessary to practice suturing with pig skin or practicing vascular anastomosis on mice.
Not only is it inefficient, it is also not very helpful in improving technology.
What can truly improve medical skills are those difficult cases and high-difficulty major operations.
Every major surgery has its complexities.
Even if it is the same heart tricuspid valve regurgitation repair surgery, each patient's condition may be different.
As we all know, the main cause of tricuspid regurgitation is right ventricular enlargement or lesions in the tricuspid valve itself.
The tricuspid valve is a valve located between the right atrium and the right ventricle. It is more like a door that can open and close automatically. Under normal circumstances, blood can only enter but not leave. If the right ventricle is enlarged, this door will not close tightly, resulting in blood reflux.
This is probably the pathological mechanism.
However, there are many causes of tricuspid regurgitation, such as increased right ventricular contraction pressure. If persists, it will cause the right ventricular myocardium to become hypertrophic and the right ventricle to expand.
Alternatively, increased pulmonary artery pressure can also cause right ventricular enlargement.
So, even for tricuspid regurgitation surgery, each one can be different.
If you just replace the tricuspid valve for each patient in a rigid way, the treatment method is the same for each patient, and the end result is that the effect is good when the operation is just completed, but after a period of time, the tricuspid valve will start to reflux again.
Every time Zhou Can performs a major operation, he gains new insights and makes progress.
This is the correct way to quickly improve your medical skills.
…
Time flies so fast that half a year has passed in the blink of an eye.
A lot has happened in the past six months.
Zhou Can successfully became a teaching assistant at Tuya Medical College. Being able to become a teaching assistant with a bachelor's degree makes him an outlier in the current extremely competitive environment.
Many young postgraduate students want to be teaching assistants and are still lining up.
In addition, the re-examination and interview for the postgraduate entrance examination were both successful.
Now he has started postgraduate studies in the field of orthopedics.
At first, he thought that studying orthopedics was a bit off the main direction of his career. But after studying with his mentor for a while, he was convinced that it was a good choice.
He benefited greatly from in-depth study of orthopedic knowledge, especially research on bone trauma and bone joints.
Before he started studying orthopedics, he thought it was just that.
Some people even think that orthopedic surgery is just a physical job. It does require technical skills, but not as high as other surgical procedures.
It's nothing more than putting on some plaster, drilling a row of holes in the bone, and putting in a steel plate or something.
Or nail two rivets into a certain part of the bone to fix the broken bone.
After studying with his mentor, he discovered that orthopedic knowledge was much more advanced than he had imagined.
For example, the source of blood in the human body does not come from the heart, but from the bone marrow.
There are also the body's totipotent cells, which also come from the bone marrow.
Bones not only provide support for the human body, but also have multiple meanings. After hundreds of years of evolution, each bone has its specific function.
This postgraduate study also made him finally understand why major hospitals attach great importance to academic qualifications and almost exclusively consider academic qualifications when recruiting.
There is indeed a considerable gap between the knowledge levels of undergraduates and postgraduates.
He now has the status of teaching assistant, deputy team leader of the emergency operating room, and holds a postgraduate degree, which makes him much more senior than before.
The weight and status are incomparable.
Vice President Bai and Vice President Ye agreed to help him enter the Quality Control Department, and there was already some progress.
If nothing unexpected happens, he should be able to get what he wants soon.
Unconsciously, he gradually became like those famous doctors, with a lot of titles and positions.
Of course, he is just starting out and there is still a lot of room for improvement.
It definitely requires redoubled efforts.
There is a huge gap between them and real famous doctors.
At present, he is not a truly famous doctor. He has only been included in the reserve team of famous doctors.
Now I am entering the ranks of quasi-famous doctors.
There is another thing worth mentioning. Zhang Qilian from the Third Hospital. After two operations, his life was successfully saved. However, the serious sequelae left behind made it impossible for him to work and live like a normal person.
The domestic medical level is limited, and there is currently no good way to solve these sequelae.
The only solution is a heart transplant.
However, his systemic arterial vascular disease was too severe, and just one heart surgery was already difficult and involved many risks. The chance of dying on the operating table during a heart transplant was very high.
No hospital dares to take this risk.
Not long after Zhang Qilian was discharged from the hospital, he was forced to retire early due to illness.
The Third Hospital was a mess he had made, on the verge of bankruptcy. He was relieved to choose to retire due to illness at this time, but it was hard for his successor.
The person who took over the position of dean was none other than Zhang Mingxing, who had been taking care of Zhang Qilian and visiting him in the hospital ward every day during his hospitalization.
He was already the vice president and Zhang Qilian's most trusted right-hand man, so it was reasonable for him to take over Zhang Qilian's position as president. Due to historical reasons, the management mechanism and appointment mechanism of hospital leaders of the first series of hospitals are more rigid than those of other large hospitals.
When the dean retires normally, he or she has the right to recommend the next successor.
Moreover, superiors will generally carefully consider the successor recommended by the previous dean.
Because the person who is most familiar with the situation in every hospital is definitely the director.
Retirement due to illness is also considered normal retirement.
If someone is investigated for corruption or bribery, this is not within the scope of normal retirement. In this case, the previous dean will lose the right to recommend.
At this time, either there will be an internal election or an airdrop.
After Zhang Mingxing took over the Third Hospital, he actually merged it with the First Hospital and was willing to become a campus of the First Hospital.
When the news first came out, no one could believe it.
Later, when the official announcement came out, everyone believed it was true.
Zhou Can actually admired Zhang Mingxing's courage and strategy.
The Third Hospital was already on the verge of bankruptcy. After Zhang Mingxing took over, no matter how hard he tried, it would be difficult to revive it. And he would not be given much time.
In this case, choosing to be "eaten up" by the First Hospital is a very wise move.
With the financial support from the First Hospital, the construction of the new surgical complex can continue, and the wages owed to employees of the Third Hospital can also be paid.
Soon after Zhang Mingxing took office, the hospital staff received their long-overdue wages, and they were naturally happy. The support for Zhang Mingxing increased immediately.
There is no one who does not praise his wisdom.
After bringing the Third Hospital back to life in this unique way, Zhang Mingxing continued to deepen the development policy of "import".
The first thing he did was not to send a plane ticket to the Japanese cardiac surgeon, but to give him a raise.
Don't think that Zhang Mingxing doesn't know that this Japanese cardiac surgeon is only a mediocre expert.
His mind is as clear as a mirror.
The reason why they still choose to do so is to strengthen the "import" policy. If they want to introduce truly high-level foreign talents, they have to use this Japanese cardiac surgery expert as a publicity stunt.
When other Japanese medical experts saw this, they were shocked. Even that half-baked fake expert could get such a high salary and such good treatment. If those of them with real skills went there, wouldn’t they be treated even better?
This is exactly what makes Zhang Mingxing so smart.
In terms of methods and pattern, he is obviously more than twice as capable as his predecessor Zhang Qilian.
This is a very interesting phenomenon. Often, some people who seem to be only able to flatter others, especially those who can rely on this ability to reach high positions, are often not without real ability, but have cleverly chosen to hide their abilities.
Only in this way can the leadership's greatness be highlighted.
For example, Heshen, a famous corrupt official in history, was considered by the public to be a man of little ability who could only flatter.
In fact, his abilities are much greater than those of honest officials.
Did a lot for the Qing Dynasty.
The Third Hospital continues to develop by introducing foreign experts and importing advanced medical equipment, which should not be underestimated. It is hard to say how it will develop into.
Wait a year or two and you'll see some results.
Just like the Xinxiang Women's and Children's Hospital back then, it was also rebuilt after being destroyed. Now it has a strong momentum of development and is catching up with the pace of the top hospitals in the province such as Tuya and Provincial People's Hospital.
Let’s talk about the emergency department where Zhou Can works.
Its expansion is still proceeding rapidly.
Zhou Can also officially became a semi-leader in the emergency department from an ordinary soldier. He is now invited to participate in some important department leadership meetings.
So far, there are only two leaders in the emergency operating room, namely Dr. Xu and Zhou Can.
The master and apprentice are in charge of almost all matters, big and small, in the emergency operating room.
After Zhou Can got the position of deputy team leader, he had the power to manage other people in the operating room, including attending physician Fu Chachun, Dr. Cui, Tang Wangnian and others. He also managed the operating room nurses.
However, he inherited Dr. Xu's management style.
Normally, he doesn't intervene much. He only intervenes when other doctors encounter patients with difficult surgeries, or when there are safety risks, or when they are negligent in their work.
The main task is to lead the department's surgeons and nurses to continuously improve their professional level and provide better services to patients.
Recently, Zhou Can overheard patients , saying that if they had known that Tuya's treatment skills were not as good as the legend, they would have been better off having surgery in a local hospital.
The speaker may not mean it, but the listener may take it seriously.
This accidental complaint immediately made Zhou Can highly alert.
Perhaps the quality of the emergency department's operating room really needs to be paid attention to.
Because of Zhou Can's personal development needs, he gradually stopped performing ordinary first and second level surgeries and assigned them to other people, which led to a problem. The emergency department's surgical team was mixed, with different levels of skill and work attitudes. The quality of the surgeries performed by these people was different.
At first I didn't feel any changes.
After eight or nine months, problems gradually emerged.
The number of surgeries in the emergency department has not declined as it handles the largest volume of traffic at Tuya Hospital.
Compared with any other department's outpatient department, the number of patients in the emergency department is always the largest.
Moreover, patients who go to the emergency room often have acute symptoms.
Such patients are more likely to require surgery.
The doctors in the emergency department will definitely try to retain some of the patients and assign them to their own departments.
This is related to the revenue generation of the entire department, and more importantly, the income of every doctor and nurse in the emergency room. There is no need for the department leader to teach, everyone knows what to do.
Therefore, we cannot just look at the number of surgeries on the surface, but we need to see whether the number of "repeat customers" has seriously decreased?
