Since 1981 Health School

Which department will the newly appointed Dean Chen visit first? This is a topic of common concern to all the staff of the People's Hospital.

The first inspection point of the new dean, in fact, often represents which department the dean will pay special attention to in the future and focus on construction.

In fact, the dean often has no special meaning, but some people will over-interpret it, and then cause a wave of suspicion.

Monday morning is Chen Qi's official work day.

On the morning of October, the scorching heat had passed, and it was a bit cold in the morning and evening. Chen Qi was wearing a gray suit and a blue tie, and he looked very energetic.

Chen Qi originally wanted to wear a Chinese tunic suit, so he looked a little more mature.

But Lan Lijuan turned around and felt that it was better to wear a suit, which looked foreign and more energetic, and also fit the personality of Chen Qi, the international dual director.

Chen Qi's suits are all bought from famous brand stores abroad, and a suit starts at thousands of dollars, so it has a special shape and style when worn on the body.

Of course, Chen Qi also knew that the top tycoons wore custom-made suits, but he was reluctant to waste that money.

A suit costs tens of thousands of dollars, what international joke? How much is an ounce of gold now? Wouldn't it be nice to buy a few more courtyard houses with this money?

From this point of view, Chen Qi's thinking is still a bit of a dick mentality, even though he is already rich.

Another reason for wearing a suit is professional needs.

Chen Qi is definitely inferior to old villains like Wu Weiguo, so what should we do?

Then find another way, I just want to be different from you, just to bring you a new look, just to show my youthful vigor.

The more elegant the performance, the more people are bought, and the core is for who can control the leadership of the hospital.

This is actually the result of the alternation of old and new forces colliding. In the 1980s and 1990s, all walks of life had these contradictions.

Older people still want to occupy the stage and adopt conservative policies to govern the unit.

But young people can't wait to get ahead, eager to make achievements, and adopt radical, more open and inclusive policies to govern the unit.

As soon as Chen Qi got off Santana, Liu Huichun, the director of the hospital office, quickly ran out of the office building, and then carefully put his hand against the car door to prevent Dean Chen from bumping into him.

Liu Huichun is more than 40 years old this year, already in her mid-mature age, but she is smart, capable and slick.

The director of the office is originally the role of the chief secretary. In addition to being capable, he must also be able to figure out the leader's mind, so that he can continue to work in this position of "the emperor's close minister".

Although the rank is not high, the power is absolutely huge, and it can appear on behalf of the dean in many cases.

If you often blow the wind next to the dean, talking about this is not good, that is not good, then the targeted employees will not want to stand out.

Liu Huichun has also proved his strength and ability to be the director of the office in the hands of Comrade Guo, who can't tolerate sand in his eyes, for seven or eight years.

When a new dean takes office, the first person to be replaced is often the secretary, the director of the office, and the driver.

But Chen Qi didn't have this plan. Comrade Lao Guo was on the same line with him, and the person Lao Guo trusted was also the person he trusted Chen Qi.

"Dean Chen, it's really early for you to go to work. You're here at 7:20 in the morning, haha."

Chen Qi also smiled: "Director Liu, we are also old acquaintances, there is no need to be so polite, besides, it's you if you arrive early, there is no need to guard me next time, I am not Comrade Guo, I need to walk help."

Of course Liu Huichun knew about the relationship between the old Guo and the new dean, and it would not be an exaggeration to say that he was in love with his father and son.

Even Lao Guo specially told her that she must follow the new director closely, serve the new director well, and help the new director clean up some monsters and monsters at critical moments.

So he laughed off Chen Qi's teasing, and instead asked about the day's itinerary.

"Dean Chen, today is your first day at work, which department do you plan to go to for research?"

Chen Qi wanted to test the office director, so he asked:

"No matter which department I go to, it will cause dissatisfaction among others. It's embarrassing. Which department do you think I should go to first?"

"Let me tell you, let's go to the newly established Sixth Internal Medicine Department today. After all, the current subject of the Sixth Internal Medicine Department is a Sino-foreign cooperation, and it is a national-level research group. It is a big sign of our People's Hospital. The dean It should be given special attention.”

Who in the hospital does not know that the newly established Sixth Division is the territory of the dean's wife, which is equivalent to an independent kingdom.

The new dean takes office, is it a problem to inspect his wife's department? And the reasons have been found, this is the only national laboratory of the People's Hospital, a research group of Sino-foreign cooperation.

No matter how important it is, who can say no?

Liu Huichun's thoughts coincided with Chen Qi's, so he nodded:

"Then, let's go to the Sixth Department of Internal Medicine for investigation. By the way, besides us, have the comrades from the Medical Department come over?"

"Chief Qi from the medical department will personally accompany the dean on rounds."

In general large hospitals, the administrative rounds of the dean, or the rounds of the professors in the department will be scheduled on Monday, so the relevant staff will also be in place early.

But Chen Qi and Liu Huijuan waited for a long time before seeing Qi Damin Shanshan, the chief of the medical department, came late.

Chen Qi looked at his watch, it was already 8:10, and he waited for 20 minutes.

"Dean Chen, I'm sorry, I'm a bit late because of an accident at my house."

Don't look at Qi Damin trotting over, as if he was in a hurry, but Chen Qi understood that this Qi Damin was not a cheap lamp, and he had been targeting him all the time during his internship.

This time the new dean made a ward round on the first day of his tenure, and he, the head of the medical department, who is similar to a butler, was 20 minutes late?

If it was another dean, he might have believed it, but Chen Qi didn't believe it to death. It can only be said that some people are starting to give him power.

While "wiping his sweat", Qi Damin carefully observed Chen Qi's face.

Chief Qi is angry. This intern from that year actually climbed onto his head today and became the leader of his leader. Can this be tolerated?

Besides, Chen Qi and Lao Guo are wearing a pair of pants, who in the People's Hospital doesn't know? Then he was born to be Vice President Wu's enemy, as well as Qi Damin's enemy.

He had already made up his mind that he would use the power of the medical department in his hands to do his best in clinical work, so that Chen Qi's three fires after taking office could be misfired.

His being late today was an attitude to Chen Qi, and at the same time an attitude to Vice President Wu, he would not betray the old master.

Originally, Qi Damin thought that if he explained a few words, Chen Qi would also chuckle a few times, turning the matter over.

As a result, he waited for quite a while, but Chen Qi didn't say a word, but instead looked at Liu Huijuan:

"Director Liu, is everyone here?"

Liu Huijuan glanced at Qi Damin, thinking that this person is too blind, and dared to put eye drops on the dean on the first day, I am afraid that the position under the buttocks will be lost.

"People from the medical department, the science and education department, and the hospital office are all here."

"Go, go to the Sixth Division."

Chen Qi walked past Qi Damin without saying hello, as if he didn't exist.

Qi Damin's heart skipped a beat, but then he sneered.

He is a veteran chief of the medical department. If there is no one above him, he would have been promoted to the rank of vice president. Moreover, he is the chief physician of the Department of Endocrinology and Metabolism, and an old man in the People's Hospital.

He didn't think Chen Qi dared to do anything to him, he was very confident.

So he followed with ease, ready to fish for a day.

President Chen came to the Sixth Internal Medicine Department on the first day of his inspection. The doctors and nurses of the Sixth Internal Medicine Department waited at the door of the department and applauded enthusiastically.

A little nurse also took out a stick of plastic flowers and delivered them to Chen Qi immediately.

Chen Qi took the flowers and said with a frightened expression:

"Wow, little comrade, if you want to send flowers, you can't send them in front of Director Lan. Although I am the leader of Dr. Lan in the hospital, Dr. Lan is my leader after returning home. Don't you make it clear that Am I punished by kneeling on the washboard?"

Hahaha~~~

There was instant laughter in the hallway.

Lan Lijuan gave her husband a white look. As the head of the department, she had to express her opinion immediately, after all, this was work.

"Welcome Dean Chen to visit our newly established Sixth Internal Medicine Department. Now I will report to the leaders the work and achievements of our department in the past period of time. At present, our Sixth Internal Medicine Department is experimenting with two kinds of antibiotics + omeprazole + bismuth method to treat stomach ailments.

At present, a very positive curative effect has been achieved, and 4 SCI papers have been published in top international medical journals, and 2 papers are being sorted out. At the same time, clinically, last year's business reached the first place in 6 internal medicine departments. "

Of course, Chen Qi is clear about these achievements, but today Lan Lijuan still has to tell them.

It's not for bragging, but to show everyone that she didn't flatter her when she became the head of the department, but made real achievements.

Chen Qi kept nodding while writing down something in his notes:

"The sixth internal department is very remarkable. It achieved such brilliant results in the temporary department. Now that the department is officially established, I hope you can achieve even greater results. Okay, let's hurry up and do rounds next time to see you guys." What is the true level of

Lan Lijuan was a little embarrassed, feeling like she was acting, she bowed slightly and said softly:

"Then, Dean Chen, please."

Chen Qi coughed lightly, and the old god nodded:

"The attitude is good, and I hope to maintain it at home."

Ma Xiaona laughed out loud, and was glared at by Liu Huijuan.

The dean's administrative ward rounds, as the name suggests, are to conduct a comprehensive inspection of the medical treatment, nursing, scientific research, teaching, medical ethics, labor discipline, price policy, health management, etc. of the clinical department, listen to opinions, and solve problems.

Therefore, as the dean, you must not only understand management, but also understand clinical practice.

Otherwise, in the process of ward rounds, if the little doctor encounters a problem that he doesn't understand, or there is some irregular diagnosis in the clinic, your dean can't find out or point it out, it's a joke.

Therefore, those deans of parallel imports in later generations seldom conduct "administrative ward rounds by the dean" because they can't bear it.

Spending all day at the wine table, how can I have time for business study? How can I have time to go to the clinic? It's nice to be able to commute to get off work on time every day.

When it comes to the dean's ward rounds, there are many things to pay attention to, such as a station.

As the dean, Chen Qi stood at the end of the hospital bed.

This position has the best line of sight, and can see all the performances of the ward round doctors in the eyes, which is equivalent to the C position, with a prominent focus.

The head of the department, the head of the medical section and other small leaders stood on the left side of the hospital bed.

On the right side of the hospital bed, at the first position close to the patient's head, is the doctor in charge of the bed.

Bed doctors are the main force in reporting cases. For a timid little doctor, seeing the dean staring at him/her, many people will be so frightened that they can’t speak clearly. Reporting medical records becomes intermittent and difficult to continue. .

The future is worrying.

The second position behind the bed doctor is the deputy chief physician, the third position is the attending physician, and the last is ordinary small doctors.

The first little doctor who reported today is Wang Fang. Her short hair shows that she is a girl with a lot of personality.

Chen Qi also wanted to see the level of his wife's subordinates. It is useless for a department to be strong, but only the director is strong. All the members need to be strong. After all, this is teamwork.

"Hello, Dean Chen, I am Wang Fang, the doctor in charge of the bed, and I will report the major medical records today. The patient in bed No. 1 is a female, 46 years old, and was admitted to the hospital for 3 days due to vomiting blood. , vomiting blood after a sudden nausea..."

Chen Qi asked suddenly: "As a bed doctor, how do you tell whether a patient is vomiting blood or hemoptysis?"

Wang Fang is obviously mentally prepared:

"That's right. Hematemesis refers to blood from the digestive tract, such as bleeding from the esophagus, stomach, and duodenum. Hemoptysis refers to hemorrhage in the trachea and lungs, which is coughed up in the form of coughing. The patient had no cough symptoms before vomiting blood. It manifested as nausea, so my preliminary judgment was vomiting blood."

Chen Qi nodded slightly, and asked again:

"There are two most common causes of gastrointestinal bleeding. Which two are they? Which one do you think the patient is more suitable for?"

Wang Fang still calmly replied with a serious face:

"There are two most common causes of gastrointestinal bleeding, one is the bleeding caused by gastric ulcer and duodenal ulcer, and the other is the rupture and bleeding of esophageal and gastric varices caused by liver cirrhosis.

But now, after our series of inspections, we can preliminarily judge that these two possibilities are unlikely. I have done a gastroscopy to the patient, which showed no bleeding points and ulcers in the gastric mucosa. In addition, the patient had no history of hepatitis A and B, and no liver cirrhosis was found in B-ultrasound examination. "

As soon as Chen Qi heard about an intractable disease, he immediately became interested.

"There is no problem with the stomach, liver and esophageal veins, which is strange. How is the color of the stool?"

When the patient's family heard this, they became anxious: "Doctor, the stool sample was just left in the morning, and it was still in the toilet stool test basket."

Lan Lijuan said to her family members: "Then bring the stool specimen quickly and let us have a look."

After a while, the stool in a cardboard box was delivered, and Chen Qi took a look, holding his breath, and saw the problem at a glance:

"There is no need to test such obvious black stools. It must be bleeding from the digestive tract."

The stool is originally yellow, but if it contains blood, the blood will turn black after digestion and decomposition, so black is an important indicator for judging upper gastrointestinal bleeding.

This is common sense any doctor knows.

But is it that simple?