My medical skills add experience

Chapter 529 Some patients can't be pushed away, and the feet hurt and the chest is healed?

The most difficult thing for a person to do is to have peace of mind for a lifetime.

Director Xueyan and Zhou Can are not obliged to help these job hoppers, but seeing these people doomed, they must not be happy in their hearts.

Both belonged to the social elite and had a certain empathy for victims.

What's more, these victims are former colleagues and "comrades in arms" who have cooperated many times.

"You mean to help them?"

Xueyan stared into Zhou Can's eyes and asked.

"We must help both in terms of affection and benefit. There is still a long way to go for cardiothoracic surgery to become a world-class department. It is very important to find a way to unite all the forces that can be united. Since ancient times, benevolence and righteousness have won the world It is Huairen and righteous to help them, and this matter can help you become a better department leader."

Zhou Can also comprehended these relatively advanced philosophical principles by himself little by little.

Leading the surgical team in the emergency department has greatly improved his leadership.

In addition, Zhou Can was greatly inspired when he took the lead in asking the hospital to improve the personal safety of clinical care.It can even be called a kind of life enlightenment.

After Xueyan finished listening, she fell into silence again.

She is trying to think about the pros and cons of it.In his position, he must seek his own government.

As the chief of cardiothoracic surgery, she must be responsible for the future of the department.It is more necessary to comprehensively consider the development, safety, unity and other aspects of the entire department.

After contemplating for seven or eight minutes, neither of them spoke.

Zhou Can picked up the inspection report of difficult cases and checked it carefully.He refuses to let go of any available time.

The patient was a 47-year-old male who was diagnosed with lung cancer.Since the tumor is very close to the inferior pulmonary vein, if you want to deal with this tumor, you must first free the inferior pulmonary vein to ensure its safety.However, because of the short length of the free vessel, it is difficult to safely handle the vessel outside the pericardium.

Surgery is extremely difficult.

According to traditional surgical thinking, there is almost no way to complete it smoothly.

The local municipal tertiary hospital was unable to perform this operation, so the patient was pushed out.I don't know if the doctor in the hospital watched the live broadcast of Zhou Can's operation that night, and told the patient directly that Tuya's surgical skills in the field of cardiothoracic surgery are very high, and asked the patient to come to Tuya Hospital for consultation.

In the end, the patient came to Tuya Hospital with the last hope.

Zhou Can took the patient's information and studied it repeatedly, frowning tightly.

The difficulty of this patient's operation is not limited to those seen.

Based on experience, he suspects that the patient's inferior pulmonary vein may have some other surgical difficulties.It's just that modern general inspection methods can't find some physiological structures that may have variations in advance.

It can only be detected after surgery and dissection.

Because the lesion is in the thoracic cavity, a thoracotomy is necessary for surgical exploration.

It is impossible to open a chest to detect the patient's physiological structure, and then find that it is a bit difficult to sew it back for him.This practice is neither ethical nor medically acceptable.

The most commonly used method is to rely on the surgical experience and high-level surgical skills of the chief surgeon, adapt to the situation, climb mountains when seeing mountains, and cross rivers when seeing water.

"The Department of Cardiothoracic Surgery can accept more than 20 job hoppers, but their job arrangements may be different from before." Director Xueyan pondered for a long time, and at this time she finally thought clearly.

She followed Zhou Can's advice and gave these people a way out.

"Sister Yan, is it because these people's former positions have been replaced by others, so there is no way to 'reinstate them'?" Zhou Can asked.

"This is one aspect. According to the hospital's relevant procedures, some administrative leadership positions need to go through layers of assessments, including loyalty to the hospital. They have betrayed the hospital, so naturally there is no way to entrust them with important administrative positions. At least not now. With this condition."

Kind of like a political review.

Because leadership positions represent empowerment.

If non-human is used, it is easy to cause heavy losses to the hospital.

The promotion and use of leading cadres in hospitals are often very cautious.Just like Tuya's former chief of security, he almost forced the entire hospital's clinical staff to rebel.

Even the director of a sub-department has great power.

To a large extent, it can directly determine the development and style of that sub-department.

"I think they should be able to accept this fact. There must be some punishment for doing something wrong. It is humane to bring them back to work and pull them out of the fire pit. If someone is still dissatisfied and greedy wants to get the same as before leadership treatment, then I suggest that you simply give up accepting such people and let them fend for themselves.”

Zhou Can is well aware of the ugliness of human nature.

It is really possible that such greedy and ungrateful people exist.

The punishment is not severe, not enough to establish prestige.

When there is a means, he will never be soft, and it must be punished by thunder.

On this matter, the two have reached a basic consensus.To open the door to those people, the premise is that they should be content, don't be half-hearted when they come back, but change their minds, and cherish this hard-won opportunity.

"It's useless for me to nod and agree to this matter. I have to ask the leaders of the hospital for instructions, and they agree. Then, I hope that you will come forward to contact them when the time comes."

Director Xueyan refused to come forward in person, she had her own considerations.

By her personal appearance, it is easy to encourage this kind of job-hopping.Let the doctors and nurses in the department have no fear, and they will change jobs when they meet a suitable next job in the future.Anyway, if you don't do well, you can come back.

It would be different if Zhou Can came forward.

This is basically to tell those people that you can return to Tuya Hospital because of Zhou Cannian's friendship in the past and hard work for you.

It can not only make these people respect, but also make Zhou Can earn a huge favor.

Other colleagues will label Zhou Can as benevolent and righteous in the future, which will be very beneficial for him to be promoted to important leadership positions in the future.

"I'll do my best, no problem at all. Just in time, I'm going to report an important matter to the leadership of the hospital. I can tell them about the tragic experience of those job hoppers. When you come forward to report and apply, the resistance will be small. a lot of."

Zhou Can readily agreed.

"Okay, that's it for now."

She was visibly relieved.

Make a decision to accept these former old colleagues back, so as to avoid someone committing suicide by jumping off the building again.For her, it was equivalent to letting go of some burdens in her heart.

In Zhou Can's words, she can gain peace of mind by doing this.

"This patient's operation is very difficult. I have already asked two hospitals and said that it can't be done. After careful research, I also feel that it is too difficult and the risk is very high. What do you think?"

Seeing Zhou Can studying the patient's information, Xueyan asked directly.

There are really many difficult cases that need to be dealt with, so we must hurry up.

"You can try it. Any operation has risks. This operation is a bit more difficult, but as long as you adapt to the situation during the operation and handle it according to the actual situation of the patient, I think it is fully capable of cutting out this lung tumor. If we refuse him again, it is estimated that the patient may be completely desperate, give up seeking medical treatment directly, and go home and slowly wait for the end of life."

Zhou Can is well aware of some inner thoughts of patients.

Because they don't understand medicine, they are already very desperate when they get cancer.

It could not be cured in the local municipal hospital, and now it cannot be cured in the provincial hospital. Most of the older patients will choose to accept their fate at this time.

I don't want to waste money at home anymore, so I might as well eat and drink at home and wait for death with peace of mind.

Doctors are benevolent, Zhou Can seldom pushes out when encountering this kind of patients.

Even if he can't solve it by himself, he will find a way to invite experts from other departments to consult and perform joint operations.

"Then I will arrange an operation for him. The examinations that should be done have basically been done. The patient's condition is developing rapidly. Can I arrange an operation tomorrow?"

After she took over the patient's information, she wrote the words Arrange Surgery in the upper right corner.

"No problem, I should come over around seven o'clock in the afternoon tomorrow."

Zhou Can understood what she meant, and asked him when it would be convenient for him to arrange surgery for the patient, which meant to let him be the chief surgeon.

With the rapid upgrading of Zhou Can's surgical skills, his surgical skills have surpassed Director Xueyan in almost all aspects.Become an absolute go-getter in cardiothoracic surgery.

When encountering such extremely difficult cases, it is basically performed by Zhou Can.

The arrangement of a major operation often requires preparations two or three days before the operation.For example, preoperative assessment, asking an anesthesiologist for consultation and discussion, talking with family members, informing patients to fast and drink, etc.

If it is the head or the perineum, or even the thighs, it needs to be cleaned.

This is basically done by nurses or interns in charge of the bed.

Some patients have exuberant hair, and the chest hair must be shaved clean during thoracotomy.

Especially in middle-aged male patients, body hair is often at its peak level.

"There are eleven difficult cases to be solved. Look at this one again."

She handed over a new patient profile.

Zhou Can went to the Provincial People's Hospital to visit Deputy Director Lu yesterday, but he didn't come to the cardiothoracic surgery department to help, so there are a lot of difficult cases backlogged.

It must be emphasized that the strength of cardiothoracic surgery is still quite strong.

Even though more than 20 high-level doctors and nurses were poached by the Third Hospital, there are still many backbones.The level of director Xueyan and others is also constantly improving, and many difficult cases can be solved without Zhou Can's participation.

Zhou Can is very good at diagnosis and surgery, but he is not omnipotent.

Some difficult cases that he cannot solve can be solved by other chief physicians.

In general, he is the most prominent one in cardiothoracic surgery.

"Lower extremity pain and gangrene?"

Zhou Can has not treated gangrene patients for some time.

Did not expect to encounter another case now.

It is definitely not easy for Director Xueyan and others to find a case that is difficult to diagnose and treat.

The patient was older, 65 years old.

The most common cause of foot gangrene in elderly patients is diabetes.

Many elderly patients have diabetes and do not go to the hospital for examination. Even if they have been diagnosed, they still take medicine intermittently.Because they are worried about spending too much money, as long as their condition improves a little after taking the medicine, they will secretly stop the medicine.

"Our entire department has discussed this case, and even invited doctors from the Department of General Surgery and Endocrinology for consultation. The cause is still a bit confusing. You are best at diagnosing difficult cases of this type. Please help. This patient is a veteran cadre. When I was admitted to the hospital, many important leaders from the superior had already greeted Dean Zhu. Dean Zhu also gave instructions to let us go all out in the Cardiothoracic Surgery Department, and call the strength of any department in the hospital if necessary."

Veteran cadres are favorites of doctors.

Many ordinary patients do not need expensive drugs, and various treatment methods can be used on veteran cadres.When treating veteran cadres, you can let go of your hands and feet and go all out to pursue the best treatment effect.

For doctors and nurses, this is a very good exercise opportunity.

In addition, veteran cadres are the gods of wealth and can contribute a lot to the revenue generation of the department.Also, in the process of helping them treat diseases, they get to know each other, and maybe they can take the opportunity to expand their contacts.

In short, there are many benefits to treating veteran cadres.

However, the threshold for treating them is also very high.It is often the top doctors and nurses in the department.

It's still kind of a hassle if you screw it up.

If there is an accident, the whole hospital may be in bad luck.

Although people are retired, their energy should not be underestimated.

Some veteran cadres have great influence. During their hospitalization, all the people who came to see them were big and famous.

Zhou Can looked at some of the patient's biochemical test reports, and said in surprise, "There is no history of diabetes, no wonder you said that this patient's condition is difficult!"

"The patient's living conditions are superior, not to mention the quality of medical care. He attaches great importance to health care. Lower limb pain is an old problem with a long history. He has been admitted to the hospital for treatment several times, but the root cause has not been cured."

Xueyan said beside her.

Thinking about it, people's retirement benefits are definitely not bad. With such a good life, there is basically nothing to worry about, so you must take good care of your health and health care, and strive to enjoy a few more years of blessings.

Zhou Can continued to check the patient's medical records and examination reports.

The patient reported numbness, coldness, and pain in the right lower extremity.

This disease has been going on for nearly 20 years.

The pain in the lower extremities at the beginning was due to too much walking. Twenty years ago, he was just an ordinary clerk at that time. In order to climb up, he waited on a big leader.He is the most diligent person in the whole department.

Accompanying the big leader to go to the countryside to do research and run all kinds of errands, I was so tired that I almost fell apart after a day.

Since then, I have experienced pain, numbness and other symptoms in my right leg.

But after going home to rest, it can be relieved.

I specially found a Chinese medicine doctor, prescribed a prescription, boiled it into a decoction, and soaked my feet while it was hot.

It is equivalent to a kind of medicinal bath.

Because I was at the beginning of my career struggle, I didn't care about hospitalization at that time.The pain was unbearable, so I gritted my teeth and endured it.

In addition, the level of medical technology more than 20 years ago was far from as advanced as it is now. I went to the hospital for examination twice, but failed to find out the specific cause.

Basically, some painkillers, blood-activating medicines are prescribed, and grass-roots treatment is given.

His hard work paid off, and he was quickly appreciated by the big leaders, and he was promoted five years later.Since then, the official career has been enjoyed, and all the way to the top of the sky.

My career is promising, my living conditions are improving, and I no longer need to run errands with tens of thousands of steps every day.

But the right leg fell to the root of the disease.

The pain is often unbearable, and after multiple hospitalizations, the effect is not satisfactory.

This time, I also heard that the treatment level of Tuya Hospital is very high, so I rushed here for treatment.At the beginning, it was the basic surgery of general surgery.Because of the pain in the right lower extremity, the toes have turned black and gangrene.

I have seen two hospitals, and they both said that the lower limbs may not be preserved.

This means amputation is possible.

This frightened the veteran cadres.

(End of this chapter)