My Medical Skills Give Me Experiences

"No problem, I can confirm the list of judges on the spot!" Dr. Xu was more anxious than anyone else.

Since his accident, he has been rooted in the operating room of the emergency department.

I have deep feelings for the operating room of the emergency department, and I have indeed put in a lot of effort.

After accepting Zhou Can as an apprentice, seeing the operating room of the emergency department expand a little bit, it finally developed to the present point. He would never want to see any mistakes in the operating room.

Back then, the cardiothoracic surgery department was so powerful that it would collapse as soon as it was said, which left a deep impression on him.

So his sense of crisis has always been strong.

After listening to Zhou Can's report today, he was already in a cold sweat.

Pay more attention to this matter.

"Haha, Old Xu is still so resolute in handling things!"

Director Lou was obviously very satisfied with Dr. Xu's attitude.

"I am so anxious! The operating room of the emergency department is like my child. I am more happy than anyone else when I see it grow up step by step. But now I suddenly find that it is sick, and I can't wait to solve the problem right away! The judges are currently selecting three people, me, Xiao Zhou, and Cui Ming. Both Xiao Zhou and Cui Ming have excellent surgical skills, are fair and dignified, and I can trust both of them."

Dr. Xu drew up three lists of judges on the spot.

This time, the selection of judges does not depend on seniority or age, but on professional level and morality.

"Don't you choose one or two old comrades? For example, Fu Chachun."

Director Lou asked.

"It's not that I don't respect the old comrades. If I want to change the atmosphere in the operating room of the emergency department, I must use someone like Xiao Zhou who is capable and courageous. Otherwise, I will choose someone like Fu Chachun to be a judge and have a good fight with each other. , then it will lose the function of this scoring mechanism. At that time, it will become a formalism, which will not only be ineffective, but may encourage the crooked trend of fraud.”

Dr. Xu's efforts to hide his strength and bide his time in the past few years are really not in vain.

He has a very clear prediction of some unhealthy tendencies that may arise in management.

If an old fritter like Fu Chachun is selected as the judge, even if a certain doctor's operation is not good, as long as he secretly gives Fu Chachun some gifts and establishes a good relationship, he can still pass the test and even get a high score.

So Dr. Xu firmly opposed it.

"Old Xu, I will leave this matter to you. After you formulate a complete plan and submit it to me, I will back you up at that time. The operation business is the core business that the emergency department has finally developed. The reputation of the emergency department is the main root of the growth and development of the emergency department. If anyone ignores the reputation and image of the operating room for a little self-interest, I will tell him to leave class. It is hard to find two-legged toads. Can recruit a lot."

Director Lou made the final statement.

As the biggest leader of the emergency department, what I have to do is to support these practical people and provide them with the power and legitimacy to do things.

A hospital is a unit as well as a small kingdom.

The emergency department is equivalent to a state, and the operating room is half of the state and the most important foundation.

Destroying word of mouth is tantamount to destroying this foundation.

It's no wonder that Director Lou would let out cruel words in a murderous manner, and let anyone who doesn't obey the order be dismissed from get out of class.

…

Coming out of Director Lou's office, Dr. Xu was still frowning, probably still thinking about cleaning up the operating room.

As the chief person in charge, Dr. Xu was under a lot of pressure when there was such a big problem with the quality of the operation.

"Teacher, you decided on the list of judges on the spot. Are you planning to implement the surgery scoring system immediately?"

"That's right! Thanks to your timely discovery of this matter, if you wait until you discover the chronic disease that has formed, it will be completely cold. After reading the return visit forms you provided, it is urgent to improve the quality of surgery. Xiao Zhou, in the future you Pay more attention, and report any problems to me or Director Lou in time. The operating room of the emergency department must not let it collapse!"

Dr. Xu is already in his fifties, and it was the first time he was old when faced with such a major crisis.

For the first time, I have the consciousness to slowly transfer the burden to Zhou Can's shoulders.

"Today is the first day of the implementation of the scoring system, and I will score it myself. From now on, you and Dr. Cui will take turns scoring, and send me the surgical scoring report for the day after get off work."

A total of three judges were selected, and not all three judged a surgery at the same time.

Instead, Zhou Can and Dr. Cui took turns to score each operation before submitting it to Dr. Xu for examination. to ensure fairness.

"By the way, what caused the toe numbness of the patient in the first bed, has it been found out?"

"For the time being, only a physical examination has been done. It can be basically concluded that the nerve is broken or compressed. About one-third of the base of the third toe, the patient's sense of touch is significantly weakened, and the flexion function disappears."

Zhou Can's current medical skills have not yet reached the peak level.

It can only roughly predict where the problem lies.

Almost all doctors have this practice, first perform the most intuitive physical examination such as palpation and visual inspection on the patient. Then make a prediction, also called the first diagnosis.

Doctors with high level can achieve at least 60% correct rate of initial diagnosis.

"You have to find a way to find out the root of the problem first, and you will be responsible for this matter. There are two points to pay special attention to. The first point is to prevent patients and their families from thinking that this is a medical accident. Publicize the risks of surgery to them as much as possible. Knowledge, tell them that some surgical risks are unavoidable. The second point is to protect the interests of the doctors involved and our hospital. Even if Fu Chachun really made a mistake during the operation, he must not be dismantled. "

Dr. Xu has 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.

Not to mention the doctor in this hospital, even if the patient had the surgery done in another hospital, and it was obvious that the surgery was done poorly, he would never tear down other doctors. When patients and family members asked whether the previous doctor's surgery was not done well, Zhou Can's answers were often vague.

This is also the minimum quality of a doctor.

Those who like to speak ill of other doctors and belittle their colleagues in front of other patients and their families are, in all likelihood, double scum.

Character scum, technical scum.

Zhou Can is naturally not this kind of person.

The nerve was severed, and even the most advanced MRI couldn't detect it. EMG signal detection is also only valid for connected nerves. It can detect whether the nerve signal disappears or attenuates after reaching this muscle, but it cannot detect whether the nerve has been cut.

The best way is to dissect, and use the doctor's experience, naked eyes, and touch to find out the nerves and make a diagnosis.

Out of caution, Zhou Can still performed an EMG signal examination on the patient.

It is basically consistent with the results of his hand diagnosis on patients.

The EMG signal was almost interrupted at that position.

It has basically been determined that the patient's third toe nerve was severed.

After the conclusion of the diagnosis, Zhou Can was still not in a hurry to arrange a second operation for the patient. Instead, he found Fu Chachun, who was undergoing a consultation, to learn more about the operation.

Dr. Fu was the operator of the surgery and knew the situation best at that time.

"Doctor Fu, you're busy!"

Zhou Can greeted with a smile.

"Um!"

Doctor Fu just hummed in his nostrils. Zhou Can robbed him of his position as deputy head of the operating room, and he already had a lot of opinions.

Zhou Can clung to 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 not bad to be able to talk to Zhou Can now.

"Is it convenient for you to have a chat later?"

"There are so many patients queuing up, there is no time!"

Doctor Fu coldly refused.

"Then I'll say it here. When the patient in bed 1 underwent surgery, did you see the nerve of the patient's left third toe?"

Zhou Can suppressed his anger and asked patiently.

In any unit, the biggest headaches are these stubborn and paranoid old comrades. Some old comrades are very knowledgeable about current affairs, and they are very cooperative with the work of the young leaders of the department. Some old comrades put on airs and find that young cadres are not pleasing to the eye.

I always feel that such a little baby is in charge of the old man, and I don't know the heights of the heavens and the earth.

"Didn't I tell you everything? Don't ask me about this again. If you are not satisfied with me, you can go directly to Director Lou and Dr. Xu to sue me." Fu Chachun looked at Zhou Can and pulled Dr. Xu into the room. If I went to Director Lou's office, I must have filed a criminal complaint.

Now he humbly came to him to inquire about the patient's operation.

He thought to himself, probably he ran to file a complaint to no avail.

As a result, Doctor Fu became more confident.

"We are all colleagues in the same department. I believe that you and I have the same purpose, which is to restore the patient's health. The patient's left third toe lost its flexion function and became numb. The problem is actually quite serious and will never be repeated. What a trivial matter. The head of the department gave me full authority to handle this matter, and I hope to solve the problem as much as possible without harming the interests of both parties. Please cooperate."

Zhou Can was still patient and worked hard to do ideological work for Fu Chachun.

"Xiao Ding, call the next one!"

Fu Chachun ignored Zhou Can with a cold face.

Seeing that this old comrade didn't want to get in, Zhou Can was no longer polite. Just stand there and call Director Lou.

At this moment, Dr. Xu is operating on a patient in the operating room, so it is more appropriate to ask Director Lou to come forward to solve the problem.

Because in terms of rank, Dr. Xu is only an attending physician.

A plucked phoenix is ​​not as good as a chicken.

After the disaster, Dr. Xu was actually quite miserable. Many people have long since ignored him.

"Xiao Zhou, what's the matter?"

"Director Lou, there is something I need to report to you..."

Zhou Can told about Fu Chachun's non-cooperation.

Director Lou's panting became obviously thicker, which showed that he was very angry.

"You asked Fu Chachun to cooperate with you, just say what I said."

Director Lou suppressed his anger on the phone and said.

"Doctor Fu, you heard the phone call. Director Lou asked you to cooperate with me to solve the patient's problem."

Zhou Can was almost depressed.

He was obviously helping Fu Chachun wipe his ass, but now he begged his grandpa to sue his grandma, but Fu Chachun was here to make a show.

I don't know where the confidence comes from.

Do you really think the emergency department can't do without him?

Director Lou just sent a message not long ago that anyone who doesn't do a good job will be dismissed from get out of class.

It may be a little difficult for the department director to deal with the director-level physicians, but it is definitely a matter of one sentence to deal with an average-level attending physician.

"How to solve it? Tell the patient, is there a problem with the doctor's operation? Xiao Zhou, it's best not to be too wicked, and be careful 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 all listened.

For the first time, Zhou Can had the idea of ​​cleaning up this rich old man.

Why is this old man so clueless?

The last time in the conference room, he also attacked Zhou Can with his airs of seniority, but Zhou Can didn't make a move at all, but the three nurses under him made a move, and cleaned up Fu Chachun so much that he almost called his mother.

】

It has only been half a year, and Fu Chachun is afraid that the scar has healed and he has forgotten the pain.

Started to die again.

Zhou Can could feel a pair of strange eyes. If he can't fight back this time, if he can't deal with Fu Chachun severely, the story of him being scolded by Fu Chachun in the department will go viral.

At that time, the damage will not only be majesty.

Just when Zhou Can was about to get angry, a short and sturdy figure rushed over like a rolling knife.

The momentum is fierce.

After taking a closer look, I realized that it was Director Lou who rushed over from the office with a dark face.

"Fu Chachun, you don't need to go to the clinic anymore, I will arrange another doctor to take over. You come to the office with me right now."

Director Lou had a gloomy face, he had never been so scary like this moment.

"Xiao Zhou, you also come to the office with me."

When he spoke to Zhou Can, his voice softened significantly.

Even an idiot can hear it, this is the rhythm of cleaning up Doctor Fu.

After all, it was the director of the department. Although he was very angry, he still controlled his anger and didn't say anything in front of the patient and his family.

This is a very rational and correct approach.

In front of family members and patients, there are many things that cannot be said. Otherwise, it is easy to be misinterpreted after dissemination, causing extremely bad influence.

The two followed Director Lou to the office.

Fu Chachun had an unconvinced expression. Zhou Can's expression was indifferent.

Now that Director Lou has come forward, there is no need for him to confront Fu Chachun again.

"Sit, both of you!"

Director Lou asked the two to sit down and made tea himself.

"Old Fu, have you been working in the emergency department for a long time?"

He didn't lose his temper as imagined, but chatted with Fu Chachun in a gentle tone.

The more this happened, the more disturbed Fu Chachun was.

Because he knows Director Lou too well.

Director Lou has an impatient personality and is straightforward and honest with others. The doctors or nurses in the department made mistakes, and it would be a good thing if Director Lou got angry and scolded him.

After scolding, basically nothing happened.

But if Director Lou is obviously angry, but instead of getting angry, he talks in such a gentle tone.

Nine times out of ten, it is the rhythm to take this person to the knife.

The lightest ones are substantive punishments such as deducting bonuses and lowering powers.

"When you were the deputy director of the emergency department, I entered the emergency department at UU Reading www.uukanshu.com. I remember that in the second year, you were promoted to the director of the department."

Fu Chachun subconsciously put his legs together.

His hands rested awkwardly on his knees.

"Yeah, time flies too fast. In the blink of an eye, eleven years have passed. I just became the director of the department. At that time, Dr. Xu Chen had not yet come to the emergency department. I still remember that you were busy with appointments, I have to go to the operating room for surgery again, but I am very busy. It is also the old comrades in the emergency department like you who helped the department through the most difficult days. "

Director Lou seems to have a big temper, but he is very attached to old feelings.

When Dr. Lu committed a crime, Director Lou also gave Dr. Lu a chance.

This time, mentioning Dr. Fu's past achievements should also have this meaning.

It was also intentionally told to Zhou Can.

Fu Chachun insulted Zhou Can in public just now, and his behavior was extremely bad. Zhou Can must understand why he didn't just fire Fu Chachun.