Chapter 580 Take full responsibility, lift it high and put it down gently?
"No problem, I can confirm the list of judges on the spot !" Dr. Xu seemed more anxious than anyone else.
Ever since the accident, he has been working in the emergency department's operating room.
I have deep feelings for the emergency department operating room and have indeed put in a lot of effort.
After accepting Zhou Can as his apprentice, he watched the emergency department's operating room expand little by little, and it finally developed to its current level. He absolutely did not want to see any mistakes in the operating room.
The cardiothoracic surgery department was so powerful back then, but it collapsed so suddenly, which left a deep impression on him.
So he has always had a strong sense of crisis.
After listening to Zhou Can's report today, he was already scared to death in a cold sweat.
We attach great importance to this matter.
"Haha, Lao Xu is still so efficient and resolute in doing things!"
Director Lou was obviously very satisfied with Dr. Xu's attitude.
"I'm so anxious! The emergency department's operating room is like my child. Watching it grow step by step, I am happier than anyone else. But now I suddenly find that it is sick, and I can't wait to solve the problem! The judges will choose three people, me, Xiao Zhou, and Cui Min. Xiao Zhou and Cui Min are both very capable in surgery, fair, and dignified. I trust both of them."
Dr. Xu drew up a list of three judges on the spot.
This time, the judges will be selected without considering their seniority, but will be considered based on two indicators: professional level and moral character.
"Why not choose one or two veteran comrades? For example, Fu Chachun."
Director Lou asked.
"It's not that I don't respect the old comrades. If we want to change the atmosphere in the emergency department's operating room, we must use people like Xiao Zhou who are capable and dare to act. Otherwise, if we choose people like Fu Chachun, who will be muddle-headed and play it safe when serving as judges, then the purpose of this scoring mechanism will be lost. It will become a formality, not only will it be ineffective, but it may also encourage the unhealthy trend of fraud."
Dr. Xu's low-key efforts over the past few years have not been in vain.
He has a very clear understanding of some possible malpractices in management.
If a seasoned judge like Fu Chachun is chosen as the judge, even if a doctor's surgery is not performed well, he can still pass or even get a high score as long as he secretly gives Fu Chachun some gifts and builds a good relationship with him.
So Dr. Xu firmly opposed it.
"Lao Xu, I'll leave this to you. Please work out a complete plan and submit it to me. I'll back you up when the time comes. Surgery is the core business that the emergency department has worked so hard to develop. It is the reputation of the emergency department and the main root that enables the emergency department to grow and develop. If anyone disregards the reputation and image of the operating room for a little personal gain, I will ask him to resign. It's hard to find a two-legged frog, but it's easy to find a lot of two-legged surgeons."
Director Lou made his final statement.
As the highest leader of the emergency department, what I have to do is to support those who get things done and provide them with the authority and legitimacy to do their work.
The hospital is a unit and also a small kingdom.
The emergency department is equivalent to a state. The operating room is half of the state and is also its most important foundation.
Destroying word of mouth is equivalent to destroying this foundation.
No wonder Director Lou made such a murderous threat, saying that anyone who disobeyed his orders would be fired.
…
After coming out of Director Lou's office, Dr. Xu still had a frown on his face, probably still thinking about tidying up the operating room.
As the person in charge, Dr. Xu was under tremendous pressure as there were such serious problems with the quality of the operation.
"Teacher, you finalized the list of judges on the spot. Are you planning to implement the surgery scoring system right away?"
"Yes! Thanks to your timely discovery, if you had waited until the disease had become stubborn, it would have been a disaster. After reading the follow-up forms you provided, it is urgent to improve the quality of surgery. Xiao Zhou, you should pay more attention in the future and report any problems to me or Director Lou in time. The emergency department's operating room must not be allowed to collapse!"
Dr. Xu is already in his fifties, and when faced with such a major crisis, he admitted his old age for the first time.
For the first time, I realized that I should slowly transfer the heavy burden to Zhou Can's shoulders.
"Today is the first day of the scoring system, and I will be the one doing the scoring myself. From now on, you and Dr. Cui will take turns scoring. Send me the scoring report for the day's surgeries after get off work."
A total of three judges are selected, but not all three judges score the operation at the same time.
Instead, Dr. Zhou Can and Dr. Cui took turns to score each operation and then submit it to Dr. Xu for review to ensure fairness and accuracy.
"By the way, what is the cause of the numbness in the toes of the patient in bed 1? Have you found out?"
"We have only done a physical examination so far, and we can basically conclude that the nerve is severed or compressed. About one-third of the way from the base of the third toe, the patient's sense of touch is significantly weakened, and the flexion function is gone."
Zhou Can's current medical skills have not yet reached the pinnacle.
We can only roughly predict where the problem lies.
Almost all doctors have this practice, first perform the most intuitive physical examination on the patient, such as palpation and visual examination, and then make a prediction, which is also called the initial diagnosis.
For highly skilled
"We have to find out the root cause of the problem first. You are responsible for this matter. There are two points that you should pay special attention to. First, you should prevent the patient and his family from believing that this is a medical accident. Give them as much knowledge about surgical risks as possible and tell them that some surgical risks are difficult to avoid. Second, you should pay attention to protecting the interests of the doctor involved and our hospital. Even if Fu Chachun really made a mistake during the operation, you must not discredit him."
Dr. Xu takes a firm stance when dealing with such matters.
The interests of both parties must be guaranteed.
This is the premise.
"I see!"
Zhou Can nodded heavily.
Even if the patient had surgery at another hospital, and the surgery was obviously poorly done, he would never criticize other doctors. When patients and their families asked whether the previous doctor had not done the surgery well, Zhou Can's answer was often vague.
This is also the most basic quality of a doctor.
Those who like to speak ill of other doctors in front of other patients and their families and belittle their colleagues are most likely double scum.
Poor character and poor technical skills.
Zhou Can is naturally not that kind of person.
Even the most advanced MRI cannot detect if a nerve is severed. Electromyographic signal detection is also only effective for open nerves. It can detect whether the nerve signal disappears or decays after reaching a muscle, but it cannot detect whether the nerve is severed.
The best way is to perform dissection, relying on the doctor's experience, eyes and hands to find the nerves and make a confirmed diagnosis.
Out of caution, Zhou Can still performed an electromyography signal test on the patient.
The results were basically consistent with those when he performed manual examination on the patient.
The electromyographic signal is almost interrupted at that position.
It has been basically confirmed that the patient's third toe nerve has been severed.
After reaching the diagnosis, Zhou Can still did not rush to arrange a second operation for the patient. Instead, he found Fu Chachun who was seeing patients at the time to learn more about the operation.
Dr. Fu was the operator and had the best understanding of the situation at that time.
"Dr. Fu is busy!"
Zhou Can greeted with a smile.
"Um!"
Doctor Fu just hummed through his nose. Zhou Can had taken his position as the deputy team leader of the operating room, and he was already very dissatisfied.
Zhou Can kept going after the patient in bed 1 and even went into Director Lou's office with Dr. Xu this morning, which made Dr. Fu even more furious.
It’s good enough to be able to take care of Zhou Can now.
"Would you mind going to the back to chat for a while?"
"There are so many patients waiting in line, there is no room!"
Dr. Fu refused coldly.
"Then let me make it clear here. When the patient in bed 1 was undergoing surgery, did you see the patient's third toe nerve in his left foot?"
Zhou Can suppressed his anger and asked patiently.
The biggest headache for any unit is these stubborn and paranoid old comrades. Some old comrades are very aware of the times and cooperate with the work of the young leaders of the department. Some old comrades are arrogant and do not like the young cadres.
I always feel that this little kid is taking care of me and has no idea how high the heavens are or how deep the earth is.
"Didn't I tell you all this? Don't ask me about this again. If you are not satisfied with me, you can go directly to Director Lou and Doctor Xu to complain about me." Fu Chachun watched Zhou Can drag Doctor Xu into Director Lou's office, and he must have gone there to complain.
Now he came to him in a humbly manner to inquire about the patient's surgical situation.
He thought to himself that going and complaining would probably be fruitless.
As a result, Dr. Fu became more confident.
"We are all colleagues in the same department. I believe that our goal is the same, which is to restore the patient's health. The patient's left third toe has lost its flexion function and is numb. This is actually a serious problem and is no longer a small matter. The department leader has given me full authority to handle this matter. I hope to solve the problem as much as possible without harming the interests of both parties. Please cooperate."
Zhou Can remained patient and tried his best to persuade Fu Chachun ideologically.
"Xiao Ding, call the next patient!"
Fu Chachun looked cold and ignored Zhou Can.
Seeing that the old comrade was adamant, Zhou Can stopped being polite and just stood there and called Director Lou.
At this moment, Dr. Xu is performing surgery on a patient in the operating room, so it would be more appropriate to ask Director Lou to resolve the issue.
Because in terms of level, Dr. Xu is just an attending physician.
A plucked phoenix is no better than a chicken.
Dr. Xu was actually quite miserable after his misfortune. Many people no longer took him seriously.
"Xiao Zhou, what's the matter?"
"Director Lou, there is something I need to report to you..."
Zhou Can recounted the story of Fu Chachun's non-cooperation.
Director Lou's breathing became noticeably heavier, which showed that he was very angry.
"You ask Fu Chachun to cooperate with you and just say what I said."
Director Lou said on the phone, suppressing his anger.
"Doctor Fu, you heard the call. Director Lou asked you to cooperate with me to solve the patient's problem."
Zhou Can was almost depressed.
You are clearly helping Fu Chachun to clean up his mess, but now you are begging for help, but Fu Chachun is acting so arrogantly.
I don’t know where the confidence comes from.
Do you really think the emergency department can't do without him?
Director Lou said not long ago that anyone who doesn't work hard will be fired.
It may be a little difficult for a department director to deal with a director-level physician, but it is definitely a matter of a few words to deal with an attending physician of average level.
"How to solve it? Tell the patient that something went wrong during the operation. Xiao Zhou, don't be too immoral. Be careful not to give birth to a son with an extra anus."
Fu Chachun scolded Zhou Can with a thick neck.
The nurses, doctors, patients and family members nearby were all listening.
For the first time, Zhou Can had the idea of dealing with this rich old man.
How come this old man is so stupid?
Last time in the conference room, he also attacked Zhou Can with the airs of a senior veteran, but Zhou Can didn't even make a move. It was just his three nurses who took action and beat Fu Chachun so hard that he almost cried for his mother.
It has only been half a year, and Fu Chachun must have forgotten the pain now that the wound has healed.
Once again, he started to commit suicide.
Zhou Can could feel the strange looks from everyone. If he couldn't fight back and give Fu Chachun a good beating this time, the news that he was scolded by Fu Chachun in the department would spread like wildfire.
By then, it will be more than just the dignity that will be damaged.
Just as Zhou Can was about to lose his temper, a short and sturdy figure rushed over like a rolling knife.
Very fierce.
After looking carefully, I found that it was Director Lou who rushed towards me from the office with a dark face.
"Fu Chachun, you don't have to see patients anymore. I will arrange for other doctors to take over. Come with me to the office right now."
Director Lou had a gloomy face, and he had never looked as scary as he did at that moment.
"Xiao Zhou, you come to the office with me too."
When he spoke to Zhou Can, his voice was noticeably softer.
Even a fool could tell that this was a sign of a plan to take down Dr. Fu.
After all, he was the department director. Although he was very angry, he still controlled his anger and did not say much in front of the patient and his family.
This is a very rational and correct approach.
There are many things that cannot be said in front of family members and patients, otherwise they can be easily misinterpreted after being spread, causing extremely bad effects.
The two followed Director Lou to the office.
Fu Chachun looked unconvinced, while Zhou Can looked indifferent.
Now that Director Lou has stepped forward, there is no need for him to go against Fu Chachun anymore.
"Sit down, both of you!"
Director Lou asked the two to sit down and made tea himself.
"Lao Fu, you have been working in the emergency department for some years, right?"
He did not get furious as imagined, but chatted with Fu Chachun in a gentle tone.
The more this happened, the more uneasy Fu Chachun felt.
Because he knows Director Lou too well.
Director Lou has an impatient personality and treats people frankly and honestly. If a doctor or nurse in the department makes a mistake, it is actually a good thing if Director Lou gets angry and scolds them.
After the scolding, basically nothing happens.
But if Director Lou was obviously very angry, he would not lose his temper, but instead spoke in this gentle tone.
In all likelihood, they're going to take action against this person.
The lightest punishment is deduction of bonuses or demotion of power.
"I joined the emergency department when you were still the deputy director. I remember that in the second year, you were promoted to department director."
Fu Chachun subconsciously closed his legs.
His hands were also placed on his knees nervously.
"Yes, time flies. Eleven years have passed in the blink of an eye. I just became the director of the department, and Dr. Xu Chen had not come to the emergency department at that time. I still remember that you were busy seeing patients and performing surgeries in the operating room. It was you old comrades in the emergency department who helped the department get through the most difficult days."
Director Lou seems to have a bad temper, but he values old friendships very much.
When Dr. Lu committed a crime, Director Lou also gave Dr. Lu a chance.
This time, when we mention Dr. Fu’s past contributions, this may also be the meaning.
I also said it on purpose for Zhou Can to hear.
Fu Chachun just insulted Zhou Can in public, which was extremely bad behavior. Zhou Can must understand why Fu Chachun was not fired directly.
