My Medical Skills Give Me Experiences
Chapter 362: The dog is not too poor, and the crisis of cardiothoracic surgery is coming
He went straight to the emergency department. At this time, because it was only after seven o'clock in the morning, Ye Tingting was changing shifts.
Seeing Zhou Can coming, she greeted with a happy smile, "Good morning, Doctor Zhou!"
"Morning sister Ting! How is my uncle?" He and Ye Tingting were old acquaintances. Now, more than two years later, Ye Tingting is already an old comrade among the nurses in charge.
Time did not dilute the friendship between the two.
Every time Zhou Can came to the emergency department, as long as Ye Tingting was in the department, he would take the initiative to chat with him warmly.
There is no need for Zhou Can to ask for anything, she will take the initiative to help every time.
"The patient's condition is not very good. Two ventricular tachycardias occurred last night. Director Han rescued the patient several times to stabilize the patient's condition." When Ye Tingting talked about the emergency last night, she was still worried.
Ventricular tachycardia, there will be amaurosis, dizziness, palpitation, chest tightness and other symptoms.
Often accompanied by malignant arrhythmia.
It must be corrected in time to prevent recurrence, otherwise it is easy to develop further and eventually cause ventricular fibrillation.
"Thank you for your hard work!"
Zhou Can said gratefully.
"You're all my own, don't be too polite! You have less than a year left in your regular training, right? Will you go back to the emergency department by then?"
Ye Tingting looked at him expectantly.
"Why don't I come back?"
Zhou Can asked her back.
"It's not that you don't know the situation of the emergency department. Compared with those important departments, it's not even a star. With your current fame and strength, all the important departments are scrambling to recruit you. Everyone must be thinking about their own future! You can develop better in other departments, and it is the choice of most people not to go back to the emergency department."
Ye Tingting's analysis also makes sense.
When adults make choices, they always put interests first. It is about the future, so be even more cautious.
Zhou Can had just entered the emergency department, so there was nothing he could do.
To put it bluntly, it was picked by others.
It's not bad for a department director to take him in.
Today, through his own efforts, Zhou Can has broken out of the cocoon and turned into a butterfly, which is no longer what it used to be. His options are also much bigger.
You don't have to stay in the weak department of the emergency department anymore.
"Unfortunately, I happen to be not among the vast majority of people, and I belong to a small group of heterogeneous people. So, Sister Ting, let's wait and fight side by side together!" Zhou Can's eyes were firm, and he thought of returning to the emergency department after finishing his studies. Never wavered.
"But…"
Ye Tingting felt that he didn't need to be emotional, but should put his future first.
Although she is very happy to become a colleague in the same department with Zhou Can and fight side by side. And with Zhou Can's strength, returning to the emergency department will definitely become the backbone of the department soon.
She has a good friendship with Zhou Can, and Zhou Can will definitely take care of her when the time comes.
"Dogs don't think their families are poor, and their sons don't think their mothers are ugly! This is my truest thought. The emergency department is weak, so let's work together to make it stronger. Those weighty departments have passed through a generation, or several generations. efforts, and eventually become stronger and stronger."
Zhou Can has long had the idea of leading the emergency department to become stronger.
Just wait until the internal medicine rotation is over, and he will return.
"What are you talking about?" Han Changqing walked over. It is estimated that I am about to leave work, and I am going to enter the emergency room to check on the patients in charge, and then do the handover work.
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"Hello, Director Han! I heard that you were the one who treated my uncle last night. Thank you for your hard work!" Zhou Can thanked him with a smile.
"It should! Besides, Dr. Zhou is my own person. I should take care of your relatives with all my heart and responsibility. What you said just now is that a dog does not dislike a poor family. It is simply too handsome."
The relationship between Director Han and Zhou Can is actually not that close.
Most people who practice internal medicine are proud of themselves.
Director Han is a relatively lonely person, and has almost no personal relationship with Zhou Can. At this moment, perhaps because he was moved by Zhou Can's words, he looked at Zhou Can very kindly.
"Haha, I just made an inappropriate analogy!"
Zhou Can explained with some embarrassment.
"I think this metaphor is full of warmth! I have to go in to check on the patient's condition, excuse me!"
Han Changqing entered the emergency room.
"I have to go to work too, let's talk next time!" Ye Tingting waved at him.
Zhou Can didn't see his cousin, so he had to call him later to ask about the bed situation.
Generally, new inpatient beds are vacated, and most of them are concentrated before ten o'clock in the morning.
Because the cost list of the pricing room is usually delivered to the inpatient department the next morning. We all know that the hospital is not a charitable organization, and we cannot leave the hospital without paying off the expenses.
Whether the uncle's inpatient beds can be put in place can basically be seen around ten o'clock.
New inpatient beds may sometimes come out in the afternoon.
The most common is that the patient is temporarily transferred to another department or hospital, or more extreme, the patient dies.
"Ah Chan, Ah Chan..."
My cousin came over with breakfast.
It turned out that I went to buy breakfast, no wonder I didn't see anyone.
"Brother Hai, I found out about Uncle's situation just now, and I'm not optimistic. If there is still no inpatient bed in the Department of Cardiovascular Medicine before eleven o'clock in the morning, you can call me. I will try to find a solution then."
The emergency department has certain privileges for referring patients to specialists.
Sometimes, a specialist does not necessarily buy it.
Therefore, this matter can only wait patiently until eleven o'clock in the morning to see the result. If the Department of Cardiovascular Medicine doesn't buy it, Zhou Can will find Director Tan's relationship later.
He will not be an idiot like his cousin Chen Shangfu, who abuses his connections in order to show off his connections.
A real big boss can solve things with money and never use connections.
Good steel is usually chosen for use on the blade.
Because favors need to be repaid. Usually, if you abuse your connections for trivial matters, it will not only make people look down upon you, but at critical moments, there may be an embarrassing situation where no connections are available.
After explaining to his cousin, he rushed to work in the endocrinology department without mentioning it.
This time, he directly asked for five days off, which is really not the privilege of ordinary Gui Peisheng. Zhou Can has always been self-aware, so he should work hard after returning to his post.
One morning, he passed in a busy way.
At around ten o'clock, my cousin called and told him that my uncle had successfully obtained an inpatient bed in the Department of Cardiovascular Medicine, and he had been transferred to a specialist for further treatment.
After hearing this, Zhou Can was relieved a lot.
It's a pity that I haven't mixed in cardiovascular medicine, and I don't have many acquaintances. Otherwise, saying hello will allow uncle to receive better treatment.
…
When he got off work, he took out his phone and looked at it. Su Qianqian sent him a text message back.
The message came back after three o'clock in the afternoon, because I was too busy at work and didn't have time to check my phone.
"Honey, I'm afraid you're going to be disappointed again tonight! I need a live broadcast for the next week, a big concert, and four commercial shoots..."
She is the pillar of Jinyu Interactive, and now she is popular in half the sky, and her work is extremely busy.
Zhou Can was depressed for a while, he missed such a good opportunity last night.
There is no way but to wait for the next time.
Fortunately, she has let go of this. As long as she finishes her busy period, the two of them will have a chance to live together.
"Don't tire yourself out, pay extra attention to safety these days!"
Zhou Can sent her a message back.
In the past few days, it should be the most rampant moment for the capital tycoon Hu Haikun. Li Luo bowed his back and Zhou Can was facing elimination. Hu Haikun must be full of ambition. Although Zhou Can has confidence in the situation, he must be careful.
Things like turning in the gutter often happen, and he doesn't want to be a tragic protagonist.
He hurried to the hospital cafeteria for dinner, then came to the cardiothoracic surgery department.
Director Hu Kan has already called and made an appointment with him, asking him to go to the cardiothoracic surgery department to learn steady knife technique and cardiothoracic surgery knowledge.
People are like iron, and food is like steel. If you don't eat a meal, you will be hungry.
Definitely have to eat.
Working on an empty stomach can only happen when you have to do it yourself.
While sitting in the cafeteria eating, Zhou Can faintly heard many people whispering about cardiothoracic surgery. It is said that the Provincial People's Hospital and the Third Hospital are working together in the field of cardiothoracic surgery.
The Provincial People's Hospital hired a heavyweight cardiothoracic surgery doctor from the Northwest with a high salary, and he directly brought the key members of the surgical team to the Provincial People's Hospital to work.
Including medical assistants, surgical nurses, anesthesiologists.
I heard that the Provincial People's Hospital completed three difficult heart surgeries in less than a week, and became famous in the first battle. Now newspapers and news have begun to report.
The Third Hospital has a surgical team trained locally, which has successfully overcome many surgical problems in cardiovascular diseases, and even published related papers that were directly published in top journals such as The Lancet and SCI.
Where there are people, there will be rivers and lakes, and where there are markets, there will be competition.
The competition in the medical industry is a cruel war that can't be seen, but exists all the time.
Survival of the fittest is an eternal law of nature.
Director Hu Kan, the No. 1 cardiothoracic surgeon in Tuya Hospital, fell down. Although the news was blocked, the fire could not be covered by paper. It was easy for other hospitals to snoop on relevant news.
Now, the Provincial People's Hospital and the Third City Hospital are working hard in cardiothoracic surgery at the same time. It is definitely not accidental.
It will not be a coincidence.
I believe there will be other hospitals that will hold up the butcher's knife and feast on it, and they will never be polite.
Zhou Can couldn't help feeling worried about the cardiothoracic surgery department of Tuya Hospital.
Now, the cardiothoracic surgery department is in short supply, and the situation is very dangerous.
At around 6:20, he rushed to the cardiothoracic surgery room.
"Doctor Zhou is here! Director Hu is waiting for you!"
The nurse at the nurse's desk greeted him with a smile.
"Where is Director Hu?"
"It seems to be in the small conference room. There are three operations that need to be performed at night. Director Hu and the others should be discussing the operation steps."
Cardiothoracic surgery is generally performed at night unless it is an emergency operation. Or some extremely difficult large-scale surgeries take ten or twenty hours to perform, and if there is no other way, they can only last until night.
Normally, surgery is performed during the day.
Now, Director Hu has reserved three surgeries to be performed at night. Others don't know the meaning behind it, but Zhou Can understands it. This was a special arrangement made by Director Hu to take care of him.
Knowing that Zhou Can will come today, and that Zhou Can needs to work in the Department of Endocrinology during the day, he deliberately left the operation until night.
It is to give Zhou Can the opportunity to learn.
Zhou Can walked quickly to the small conference room, but the door was not closed.
Director Hu and others are having dinner inside.
It's called bento.
Dongdongdong!
He knocked on the door, Director Hu raised his head, and when he saw Zhou Can coming, he smiled happily.
"Xiao Zhou, have you eaten yet?"
"Thank you teacher, I just ate."
"There are three surgeries to be performed tonight, please take a look at the patient's profile first."
"OK!"
Zhou Can was not restrained, and directly picked up the patient's examination report and medical records to check.
The three surgeries were major surgeries of grade 3 or 4. Even if everything went well, they would have to work until midnight.
The most difficult of these should be the operation of a critically ill patient with a cardiac function level IV.
Atrial plication and tricuspid valve replacement are required, which are extremely difficult heart surgeries.
To be honest, there is no director Hu Kan in the Department of Cardiothoracic Surgery. It is somewhat difficult to perform such a difficult major operation.
The main reason is the lack of cardiothoracic surgeons who can play the leading role.
"Xiao Zhou, today these three operations are all reserved for the night. You have to thank Director Xue, Director Le and others. Everyone takes special care of you. The first two of these three operations are almost all for you. Tailor-made. It is an operation that you are capable of performing, but you have not mastered it. The last ventricular plication is extremely difficult and can greatly increase your surgical knowledge. You should be able to learn a lot when you are the second assistant thing."
For such a high-tech surgery, Director Hu Kan can give Zhou Can a chance as a second assistant, which is considered special care.
In this kind of difficult and major surgery, the lineup of the surgical team is often particularly gorgeous.
The second assistant is often the deputy chief physician.
As for the first assistant, it must be the chief physician, and a chief physician with rich surgical experience is needed.
"Thank you everyone! In order to train me, let everyone work overtime together for surgery. I will never forget this affection." After hearing this, Zhou Can solemnly stood up~ www.wuxiaspot.com~ and bowed to everyone.
"You are welcome, Doctor Zhou. It is very beneficial for our cardiothoracic surgery department to train you. When we encounter difficult major operations, we may need you to help out! Therefore, we are mutually beneficial!"
Director Le expressed his kindness to him.
"Director Le is right. What our cardiothoracic surgery department lacks the most is top surgical talents. With your growth rate, as long as you work harder, it is entirely possible to take over the chief position of Director Hu."
Director Xueyan also placed high hopes on him.
"The cardiothoracic surgery department of our hospital is already on the verge of collapse and is in danger. Xiao Zhou, we all hope that you can grow up in the shortest possible time. You are not required to join the cardiothoracic surgery department, as long as you can help me at critical moments. Complete one or two difficult surgeries, shock Xiao Xiao, and maintain the reputation of Tuya Hospital, that's all!"
Director Hu Kan also looked worried.
As the head of Tuya's cardiothoracic surgery department and the number one surgeon, he must have a longer-term vision than others. He could feel threats from all directions more clearly.
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