My medical skills add experience

Chapter 419 Knowing Gratitude

Among all the heavyweight doctors in orthopedic surgery, Zhou Can has the closest relationship with Director Shen.

He is Director Shen's half-apprentice, and he is deeply respected and loved by Director Shen.

The master-student relationship sometimes comes with a bonus of intimacy, even after many years, it can still be as close as before.

Zhou Can did not ask Director Shen for help this time, and Zhou Can also made a decision after careful consideration.The status quo of cardiothoracic surgery made him realize that there are talented people in every generation, and a new generation replaces the old ones.

Now that he has established a good relationship with people like Dan Dan and Chi Hanqiu, in the future, after Director Shen and other older directors retire, his network in Tuya Hospital will still be as stable as a mountain.

If Tuya Hospital is compared to a small world, each department is equivalent to a separate country.

A big country still needs the support of many allies.

Zhou Can's emergency department is extremely weak, which is equivalent to a weak country, so it needs allies even more.

Not to mention far away, let's take the fact that he is currently leading the operation in the emergency department. It has been almost two months, and the business of other surgical departments must have been affected.But this time no one jumped out to object, why?
Looking at Zhou Can's first training in the emergency department, his level at that time was far worse than it is now.

It's just that a few more operations were performed, and Director Xie directly objected at the morning meeting of doctors in the hospital.Even more so, Zhou Can was only able to participate in first- and second-level simple operations in the emergency department.

At that time, even if a thousand operations were performed a month, the total income was actually not large.

The impact on other surgical departments is minimal.

Because Tuya Hospital is a big platform, its reputation has already come out.There is no shortage of patients.

Those specialized departments often even persuade patients with first- and second-level operations to be treated nearby.

To put it bluntly, Zhou Can just picked up some leftovers they didn't want, but they still provoked them to suppress him.

He can even perform tertiary surgery now, and he outputs two to three units a day stably.Not to mention primary and secondary surgeries, there is no day when the number of surgeries is less than [-].

In addition, he not only performs operations, but also admits and treats postoperative patients in the hospital.

This is equivalent to standing on the top of the mountain and fighting against the specialist departments, which has already touched the bottom line of the specialist departments' interests.

But even so, no one jumped out to object.

Don't think this is Director Lou's face.

In the face of interests, Director Lou's face can only be used in the emergency department.After graduation, nothing.

Why are the surgical departments all silent, and no one expressly objected?

Because of the two words 'love'.

Although Zhou Can's current rank is not high, he is just a small resident doctor, but he has made a name for himself in many departments during the training period.I have established good friendships with the directors, doctors, and nurses of those departments.

With this level of acquaintance, when he returned to the emergency department to lead the operation, others would naturally not object.

So maintaining a good network of contacts is very important.

This is related to whether he can successfully grow bigger and stronger in Tuya Hospital in the future.

Dial Chi Hanqiu's phone, after a few rings, he was connected.

"Hello, Doctor Zhou!"

Chi Hanqiu actually kept Zhou Can's number.

Sometimes, a person's outstanding potential can indeed bring great benefits to the establishment and durability of the relationship.

Chi Hanqiu felt that Zhou Can would have great achievements in the future, and maybe there would be places where Zhou Can's help would be needed in the future.Therefore, Zhou Can became a high-quality contact in his mind, and he kept Zhou Can's number all the time.

"Haha, before I called, I was still worried that Dr. Chi would not remember me! I was very worried. Now it seems that my worry is unnecessary. Thank you for keeping me in your memory."

Zhou Can responded happily with a smile.

"Although we spent less than two months together with Dr. Zhou, I believe our friendship can last forever, can't you?"

Chi Hanqiu is also a person who knows how to come.

Climbing up the pole, he directly established friendship with Zhou Can.

This is exactly what Zhou Can wants.

"This is so good! As long as Dr. Chi does not give up, I will always regard Dr. Chi as a good teacher and helpful friend in my life. When I was lucky enough to meet and work with Dr. Chi in the orthopedic surgery department, I still feel warm and lucky when I think about it. People and The fate between people seems to have its own will in the dark, and when the time comes, it will naturally arrange a chance for the two to meet and get acquainted, and then slowly get along."

Zhou Can really wasn't talking nonsense with him.

Instead, he really recognized Chi Hanqiu.

With superb medical skills and a good personality, Dr. Chi is a friend worth making friends with.

Now that the two are talking speculatively, their relationship will naturally go a step further.

"There is a long way to go in life, and it is a blessing for three lives to have a good friend to go forward hand in hand. You must have something to ask me, so tell me!"

Doctor Chi is much older than Zhou Can.

The friendship was almost done, but he was the first to turn the conversation to the serious business.

This is also to worry that Zhou Can's skin is too thin to speak up.

"I really want to ask you for help. The patient in bed 57, Han Changqing, is the patient with a broken right arm. Do you have any impression?"

Zhou Can asked.

"Yes, yes! This man is a doctor in your emergency department and was injured by his family members. I sympathize with him. Do you have a good relationship with him?"

Chi Hanqiu asked back.

The underlying meaning of these words is already obvious.

If Zhou Can and Han Changqing have a good relationship, Chi Hanqiu can take care of him.Otherwise, it's basically business.

Orthopedic surgeons, especially those who are capable, will behave in this way even when they meet with the directors of heart and mind surgery.

"It's not that I have a good personal relationship. My uncle was hospitalized in Tuya Hospital more than a year ago and received some care from him. I was in the emergency department, and he also took care of me. I went to see him in the ward just now. Help him if you think you can. Mingren don’t say dark words, this time I just want to ask you to help arrange surgery for him as soon as possible, and let him recover and leave the hospital as soon as possible. I owe you favors, and I will repay you when I have a chance. No chance Just put it on the account first."

Zhou Can treats his friends with integrity.

Only honesty can make friendship last.

Otherwise, no one is stupid to tell lies.After being found out, people will feel that this is playing him.Naturally, they will look down on Zhou Can and gradually alienate him.

"Haha, I didn't expect Dr. Zhou to be so grateful! No problem, I will arrange it immediately tomorrow morning."

Chi Hanqiu readily agreed.

He appreciates Zhou Can's kindness and gratitude from the bottom of his heart.

Helping a grateful person is a very good deal.

……

After finishing this matter, Zhou Can first went to the cafeteria to quickly solve his hunger.

Then I went to the Department of Cardiothoracic Surgery to assist Director Xueyan in the operation.

He looked at the time and agreed to start the first operation at seven o'clock.If the first operation is completed smoothly and the time is still early, then the second operation will be performed.

Basically, it's a night of lights.

This represents a change in director Xueyan's thinking.I really listened to Zhou Can's "Three Good Strategies", no longer greedy for success, no longer competing with departments in other hospitals, but down-to-earth to do every operation well and serve every patient well.

It's 10:[-] in the afternoon and he was [-] minutes early.

I am going to check the information of the two surgical patients first, and then participate in the operation.At least I can know what I know.

Level [-] surgery is still a difficult challenge for him now.

Don't look at Director Hu Kan who often arranged for him to undergo level [-] surgery when he was alive.

Now without this layer of protection, everything depends on themselves, and the situation is completely different.

If you encounter any problems during the operation, you need to find a way to solve them yourself.

Before Zhou Can arrived in the operating room, he met Director Le.

The current situation in cardiothoracic surgery is unstable, and Director Xueyan's approval rating is dropping rapidly.Director Le is one of the few chief physicians who firmly supports Director Xueyan.

"Zhou Can!"

When seeing Zhou Can, Director Le seemed very happy, obviously a little excited.

"Director Xueyan asked me to come and participate in two [-]-level major surgeries. I'm not late, am I?"

Zhou Can responded with a smile.

"It's not too late, the first lobectomy is scheduled to start at 19:10, and it's still [-] minutes away! Seeing you here, I'm very happy and at the same time feel at ease."

Guessing that the failed heart surgery two days earlier, Director Le felt a little bit of fear in his heart.

Although the patient died on the operating table, Director Le and Director Xueyan do not need to bear legal responsibility, but putting the patient to death will definitely cause a certain psychological shadow on the doctor involved.

When the patient goes to the hospital for surgery, he entrusts his life and death to the doctor.

I believe that as long as he is a doctor with a little conscience, he will try his best to complete the operation and let the patient return to the inpatient ward safely.After a period of nursing, he walked out of the hospital in good health.

Nobody wants to have an accident.

"Don't flatter me, I'm just here to join in the fun and learn from you." Zhou Can said modestly.

Director Le is far above him in terms of rank and seniority.

In the face of Director Le's flattery, if he accepted everything he ordered, he would be really bad at being a man.

In front of superiors, any behavior of arrogance and arrogance will cause resentment.

Even if people don't say it, they will definitely have a bad impression in their hearts.

Director Le turned his head and looked around. There was no one around, so he lowered his voice and whispered, "You don't know that Director He was originally invited to help with this lobectomy operation. As a result, he simply rejected it. It's nothing more than I gave Director Xue a badass, just to make everyone in the department see her as a joke. However, if this operation fails again, Director Xue's status will definitely be seriously affected. Now in the department, the voices against her are gradually rising."

Director Le knew that Zhou Can had a close relationship with Director Xueyan.

In addition, he also has a good friendship with Zhou Can, and he completely regards Zhou Can as his own, so he said such a thing.

"Where there are people, there are rivers and lakes, and there are intrigues. If they don't help, let's fight for the success of the operation. At that time, some people will naturally know that without his plaster, you and Director Xue are the same You can pull out the pus."

After hearing this, Zhou Can had a very bad impression of Deputy Director He.

The best way to deal with this kind of villain is to silently increase your strength, and then use your strength to slap the opponent in the face.

When the time comes, Deputy Director He finds out that the department will continue to operate without him, so he will naturally be honest.

After entering the operating room, the anesthetist is already at work.

Typically, the surgical nurse is the first person in the operating room.They have to adjust the temperature and lighting of the operating room to achieve the best operating environment.

If there is a problem with the instrument or the environment, the roving nurse will immediately report to the chief surgeon.

Then find a way to apply to the hospital to change the operating room.

Cardiothoracic surgery has its own exclusive operating room, and the usual operations are decided by the department itself.

There are many advantages to this.

For example, the exchange of operating rooms will be more flexible and the procedures will be simpler.

In an emergency, the director of the department can solve the problem with a single sentence.

The anesthesiologist is not Director Feng, but another chief physician.After all, it was two Level [-] major surgeries.

Anesthesiologists actually have a lot of say in surgery.

They can even veto a surgery.

If the risk is considered to be too high to be controlled after the assessment, you can directly propose a replacement treatment plan to the chief surgeon and cancel the original surgical treatment plan.

In addition, the anesthesiologist has a certain right to make suggestions on how to perform the operation.

When formulating the surgical plan, the anesthesiologist will participate in the discussion and give advice when necessary.For example, the chief surgeon thinks that the incision from the front of the chest is better, but the anesthesiologist thinks that the incision from the intercostals is safer, and then gives some reasons. In the end, the chief surgeon probably has to listen to the anesthesiologist's opinion.

If you don't listen, the anesthetist has the right to refuse to participate in the operation.

Then you can only change or compromise.

Also, itinerant nurses also have certain powers.When participating in surgical discussions, they also have a certain right to speak.

During the whole operation process, the roving nurses knew it well.

What to do next, they will be ready before surgery.

The success of a major surgery does not depend on the surgeon alone.

Instead, the entire surgical team cooperates closely, like a running machine, and the connection of each step must be seamless.Otherwise, something may happen.

Finally, let me say that the status of the itinerant nurse in the operating room is high, but her status is actually not as good as that of the medical assistant.

Although they often scold the first assistant, the second assistant and others like their grandchildren.

The medical assistants are often scolded, and they have to say good things with a smile.

But it is an indisputable fact that the status of itinerant nurses is not as good as that of medical assistants.

The first and second assistants of the fourth-level major surgery are basically doctors above the attending level, and it is relatively rare to be scolded on tour.After all, people's weight is there.

Just like today's two four-level major surgeries, the first assistant is directly a director-level doctor.

The itinerant nurse's brain is convulsed before she dares to scold a doctor of this level.

Zhou Can read the patient information of the two surgeries in detail.One is thoracic surgery to remove tumors in the lungs.The part of the lung lobe that needs to be cut is quite large, which also means that the operation risk is high, and the risks during and after the operation are high.

The second surgery is an extracardiac surgery, the repair of the tricuspid valve, which is also a very difficult fourth-level major surgery.

There are two tough battles tonight. Apart from being a little nervous, he is more looking forward to it, and there is also a little bit of excitement.

Like a peerless sword that has been dusty for a long time, it has not drank blood for a long time.

In the bones of men, there is an adventurous spirit, like adventure, excitement, and challenges.

For Zhou Can, he is really tired of doing primary and secondary surgeries now.Hand cramps can be achieved every day, and tertiary surgeries also have the opportunity to perform two or three sets every day.

There is only a fourth-level major operation. Since he returned to the emergency department, it is difficult for him to have the opportunity to participate again.

From time to time in the future, I will come to the cardiothoracic surgery department for a guest appearance, which is also quite good.

(End of this chapter)