Chapter 578 Less is more, investigate the cause
After Zhou Can and Fu Chachun had a falling out last time, the two of them basically only maintained superficial politeness.
There is a saying that goes, "It is easy to reconcile, but very difficult to go back to the way it was before."
The two did not have a deep friendship to begin with, and at the critical moment when Zhou Can was promoted to deputy team leader, Fu Chachun jumped out and stabbed him in the back. Since no one took Zhou Can seriously, he naturally would not have a saintly heart.
It would not be necessary to openly use the power of deputy team leader to retaliate against Fu Chachun .
He still has some breadth of mind and magnanimity.
It is equally impossible to ask him to clean up Fu Chachun's mess, take care of him in various ways, and repay evil with kindness.
To put it bluntly, it's all about business.
He remembered that Fu Chachun was working the day shift today and should have gone home by now.
Call the person directly.
The call was connected very quickly.
"Hello, Team Leader Zhou! What can I do for you?"
Fu Chachun asked politely.
Of course, this politeness is only superficial.
He said "Hello, Team Leader Zhou" instead of "Hello, Team Leader Zhou". This detail reflects that he did not have much respect for Deputy Team Leader Zhou Can.
Many old comrades are of this tone, clinging to their face and refusing to lower themselves.
"There is a patient here who underwent a syndactyly and toe-split surgery by you the day before yesterday. Now he has some problems, so I would like to ask you to come over!"
"What happened to the patient?"
"She has numbness in the third toe of her left foot and has almost lost all sensation to touch."
"It's not a big problem. Syndactyly surgery itself carries considerable risks, and it's common to injure nerves after surgery. As long as the patient's toes have good blood flow and the wound heals well, it can be considered a successful operation."
Fu Chachun said it lightly.
He didn't care at all about the numbness in one of the patient's toes.
During clinical surgery, if a patient experiences numbness in a finger or toe, few doctors are willing to treat it because it involves nerve problems.
Because this is a 'small problem' most patients can accept.
There's no need to create further complications.
Everyone is afraid of trouble and doesn't want to cause more trouble.
If you tell the patient that a nerve may have been damaged during surgery.
Whose responsibility is this?
"The patient told me that she had the surgery so that she could dance ballet better. Now after the surgery, there is a problem with the third toe, which will definitely affect the motor function of her left foot. Dr. Fu, do you think this is okay? Please come over and study the cause of the numbness of the patient's left third toe, and try to help her solve it if you can."
A doctor is like a parent.
Zhou Can was unwilling to deal with patients' problems in such an irresponsible manner.
"That's not necessary! Surgery is inherently risky. The family has signed a consent form and told the patient to try to exercise the third toe of his left foot more in the future to see if it can recover gradually. If it can't, there's nothing the doctor can do."
The solution proposed by Fu Chachun is more in line with the interests of the hospital and the surgeon himself.
This is how I usually solve similar situations.
"That's right! The family members signed before the operation. The possible risks of the operation have indeed been informed to the family members and the patient before the operation, and their consent has been obtained. If we don't handle it, the family members and the patient will have no choice but to accept it. But I think there are better ways to deal with it. At least it's worth trying."
Zhou Can could only try his best to persuade Fu Chachun to change his mind.
"Humph! If Team Leader Zhou wants to be the good guy, you can do it yourself. I won't accompany you. If you just want to retaliate against me, you can do as you please. I have only one attitude. No need to deal with it any further. If you are not convinced, you can go to the department leaders and the medical department leaders to see what they say."
Beep...
There was a busy tone on the phone; Fu Chachun had already hung up.
What a fuck.
Dr. Fu actually thought that he was seeking personal revenge. As far as I am concerned, Zhou Can never had such an idea.
"Doctor Zhou, the patient's surgical records have been retrieved from the operating room. Here they are!"
Jiang Shuangshuang's service is really thoughtful.
Not only did he retrieve the surgical records from the operating room, he also printed them out.
Surgical records are generally managed by the operating room and the medical department. It is not as easy as imagined to retrieve a patient's surgical records, and not just anyone can do it.
Zhou Can is the deputy team leader of the operating room and has a special status in the emergency department. Jiang Shuangshuang told the operating room that if Zhou Can wanted to retrieve the surgical records of a certain patient, it would basically be a matter of a word.
"Thank you! Go ahead and do your work."
Taking the newly printed surgical records, he carefully checked them one by one.
The surgical record is usually written by the surgeon himself and signed at the end, which has a certain legal effect. Relatively speaking, it is quite rigorous.
Sometimes, when the surgeon in charge is too busy, he will give it to the first assistant doctor to write.
There is a high chance that medical records and medical history notes will be written by interns or residents, but surgical records are often not written by interns.
If the surgical records are written in a standardized manner and are true and complete, professionals can directly restore the entire surgical process by reviewing the surgical records.
Zhou Can was not in a hurry to go to cardiothoracic surgery.
Instead, he took the surgical record and logged into his personal account in the emergency department to retrieve the patient's preoperative examination data, including the patient's preoperative photos of his toes.
After some research, I didn't find much.
Judging from the operation records and preoperative examinations, this was a very simple operation. There was no complicated operation such as reconstruction of toe bones and blood vessels.
How could it hurt the nerves if you just separate two toes in the middle?
Zhou Can couldn't help but recall the condition of the patient's postoperative wounds again.
Could it be that the nerve of the third toe of the left foot is distributed on the side of the adhesion with the fourth toe? And then during the separation process, the nerve was cut?
This possibility is more likely.
Of course, it is also possible that the skin of the wound was pulled too tight when it was sutured, compressing the nerve. There is also the possibility that the local hematoma after surgery compressed the nerve.
Before the operation, the patient had a clear sense of touch of the third toe of his left foot, but now it has become numb, which must have been caused by the operation.
After studying for a long time without any major progress, Zhou Can decided to check the situation during his rounds tomorrow morning.
Not to mention that I rushed to the cardiothoracic surgery department to help complete two major level 4 operations.
When he got home, it was already past eleven forty. After taking a shower, Su Qianqian was already wearing beautiful lace pajamas and urging him to go to bed early.
"I noticed that the quality of the surgeries in the emergency department seems to be problematic recently, so I asked the nurse to send me the surgical statistics for the past three months. You go to sleep first, I need to check it out in detail."
Zhou Can said apologetically.
His girlfriend specially took a shower and wore such beautiful pajamas. If he didn't understand her feelings, he would be a fool.
But there is no way. The work pressure is huge and I am afraid I am powerless today.
He sat on the sofa in the living room, opened his laptop, logged into his email and opened the email from Ye Tingting.
"The patient, Wang Jian, 17 years old, male, had a ureterostomy tube replacement surgery last Thursday. On the third day after the surgery, the patient called to report that he had hematuria. The surgeon was Tang Wangnian."
"The patient, Zhou Yongbo, 54 years old, male, had a facial bone sequestration surgery on September 8. One month after the surgery, he returned to the room and reported facial paralysis. The surgeon was Fu Chachun."
…
You won’t know until you see it. The follow-up survey form given by Ye Tingting is so shocking.
Patients are not satisfied with the efficacy after surgery, and various minor problems arise frequently.
Almost all the doctors in the department are involved.
Including the surgeries performed by Zhou Can himself and Dr. Xu, the follow-up satisfaction rate is not 100%.
It's just that relatively speaking it's much better than other doctors.
Zhou Can ranked first in the satisfaction rate of follow-up visits, and Dr. Xu was squeezed to second place, and the gap between Dr. Xu and Zhou Can was quite large. Dr. Cui ranked third.
The surgical satisfaction rate can also reflect the doctor's surgical level.
Only with high level, sufficient care and rich experience can the harm caused by surgery to patients be minimized and a large number of sequelae after surgery be avoided.
It seems that the emergency department's operating room still has a long way to go if it wants to become bigger and stronger!
There is still a long way to go.
Surgery, whether now or in the future, will become the core competitiveness of the emergency department.
If one wants to improve the quality of surgery, Zhou Can’s efforts alone are too weak.
Because if we really enforce the law, we will offend almost all the doctors in the operating room.
Even if some doctors who have a close relationship with Zhou Can do not hold a grudge against him, other doctors will definitely be dissatisfied.
Therefore, this matter needs to be discussed with the department leaders.
…
At around seven o'clock the next morning, Zhou Can came to the emergency ward for rounds.
The female patient in bed 1 of the emergency surgery department has recovered well in other aspects, the only problem is that the third toe of her left foot is numb and has very weak sense of touch.
"How's it going? Are you feeling better today?"
Zhou Can asked the patient with concern.
"It seems to be the same. I still feel numb and can't feel anything."
She looked quite worried.
"The nurse hasn't come to change the dressing this morning, has she?"
"No, I only come to change the medicine at around 8:30 every morning."
"Let me check it again for you."
Zhou Can put on thin disposable sterile gloves and gently spread apart the third and fourth toes of her left foot.
“Ah…it hurts, it hurts!”
She immediately cried out in pain.
"Honghong, bear with it. Doctor Zhou is examining you to help find your problem and treat it." The patient's mother comforted her daughter.
Although he said this to comfort her, his eyes were fixed on Zhou Can's movements, and he seemed to be more nervous than the patient himself.
Poor parents in the world.
A mother's love for her children is greater than the sky and deeper than the earth.
"Here, try to curl your toes."
During the examination yesterday, Zhou Can only used a cotton swab to do some simple touch tests.
After checking the operation records and preoperative examinations, I did not get an answer. So I had to intensify the examination today.
Every examination a doctor gives to a patient has a strong purpose.
It's definitely not like children playing house.
She bent the toes of her left foot as Zhou Can requested, and all five toes bent downwards together.
Due to the lack of special exercise in daily life, toes are often like pampered princesses, wearing socks and shoes and are heavily protected.
This also makes it far from being as flexible as fingers.
If you have studied ancient apes, you will find that their toes are about the same length as their fingers. After humans learned to use tools and developed to the Stone Age civilization stage, their feet gradually gained freedom.
The toes are also degenerating.
Therefore, toes are much shorter than fingers. In addition, after training, toes can actually grasp as flexibly as fingers and perform various difficult movements. Some disabled people who unfortunately lost their arms have fully proved this through their acquired efforts.
They can use their feet to dress, eat, write, etc.
In this case, his toes will be as flexible as his fingers.
Zhou Can used both hands to hold her other four toes, leaving only the third toe of her left foot.
"Try to bend again. Don't be afraid of the pain."
She tried to bend the third toe of her left foot, and Zhou Can could clearly feel the other four toes exerting force together. But he held her back.
He found that the patient's left third toe could not bend well.
"Okay! Try the fourth toe of your left foot!"
Next, Zhou Can performed bending tests on several other toes on her left foot one by one.
He felt particularly depressed. The flexion and extension of the third toe was obviously abnormal. If he could bend and straighten his third toe without any pain, the situation would be optimistic.
Now, even the ability to flex has been lost, and the damaged nerves include the motor nerves.
"I will press on your feet. Close your eyes. If you can feel it normally, don't speak. If you find that your perception becomes weaker or disappears, tell me immediately."
Zhou Can first pressed on the back of her foot, moving towards the third toe.
"Stop, stop, the touch is getting weaker, weaker."
She hurriedly called for a stop.
At this moment, Zhou Can pressed her third toe nearly one-third of the way from the root.
After conducting some more tests, he felt more confident.
"Thank you for your cooperation. I will continue to follow up or arrange for further examination."
After a detailed check, Zhou Can began to check other beds.
Whenever he encountered a problem, he would carefully record it in a notebook, including which bed, what surgery was performed, and what the problem was.
After checking the room, I came out just in time to see Fu Chachun coming to work.
The two of them met each other.
When Fu Chachun saw others, he always greeted them with a smile. However, when he saw Zhou Can, he glanced at him coldly, pretended not to see him, and went straight into the office.
He probably went to change clothes.
It seems that Zhou Can called him yesterday because the patient in bed 1 had numb toes, which made him very unhappy.
He must think that Zhou Can is deliberately making trouble for him.
Zhou Can didn't explain either. There was no need to explain.
As a leader, you will definitely encounter a lot of resistance if you want to accomplish something. As long as he is sincere for the development of the emergency department, I believe everyone will understand him in the future.
Look at the time, it’s almost eight o’clock.
He had to hurry to the operating room to work, but before that, he planned to talk to Director Lou and Doctor Xu and report the situation.
At this time, his cell phone rang.
I took out my cell phone and saw that it was a call from Vice President Bai.
Zhou Can would only take the initiative to send messages to the other party to express his best wishes during festivals. Vice President Bai almost never took the initiative to call him.
It must be something important.
