My medical skills add experience

Chapter 553 The Terrible Number One Hospital Series, The Dark Horse in Second-Rate Hospitals

After treatment, the baby, who was nearly killed by a plaster, recovered.

The recovery speed of children is fast. After the plaster is removed, the purulent necrotic tissue can be removed in time to reduce inflammation and keep the wound dry.It took less than five days to recover almost.

That experience also left a deep impression on Zhou Can.

Since then, in the process of practicing medicine, he will be extra careful every time he encounters some babies who cry continuously and the cause is unknown.

Because there must be a reason for a child to cry.

Sometimes, the parents are careless, the child swallows some small metals by mistake, or there is a problem with a certain organ of the body, or the head is injured and causes intracranial hemorrhage, etc. All these require the doctor to be more careful.

Because of a little carelessness, it is possible to miss the best time for treatment.

After dinner, on the way back to the operating room of the emergency department, Jiang Wei came up.

"Boss Zhou, are you free tonight?"

"Do you have something to do?"

"There is another private job, and the consultation fee is very considerable. If the operation fails, the chief surgeon will receive a red envelope of [-]. If the operation is successful, the chief surgeon will receive a red envelope of [-]."

The [-] consultation fee is quite considerable.

Under normal circumstances, the level of the chief physician and below, even if the ability is very strong, the maximum consultation fee is about [-].

Those who can give one thousand and five are already very wealthy bosses.

There is another big problem when going out for surgery, that is, the risk of surgery.

If the operation fails, the visiting doctor usually only gets travel expenses.Even thin-skinned doctors are embarrassed to accept travel expenses.

Not getting paid for nothing has already been deeply rooted in the country.

Regardless of whether it is a corrupt official, a social bastard, or other people, there are still a small number of people who take money and do nothing.

"You seem to be very diligent in taking on private jobs!"

Zhou Can is not short of money, and he is very busy.

Not to mention the [-] appearance fee, even if he was given [-], he wouldn't want to go to this clinic.

"You have to find a way to make money to live! Who wouldn't want to live a better life?"

Jiang Wei is very straightforward.

The question of wanting to make more money is not evasive at all.

"Thank you very much for thinking of me every time you receive private work, but I'm really busy, I'm afraid I don't have time for this consultation. You should stop contacting other doctors!"

Zhou Can declined her invitation.

"How can I find a better surgeon than you? Just help!"

She begged Zhou Can in a gentle voice.

"It's not that I don't want to help, I really don't have time."

Zhou Can was unmoved.

"I know that you usually have to work overtime in the cardiothoracic surgery department. In the morning, you said that you can finally get off the morning shift tonight. Just help me, okay? If the patient can't be operated on in time, he will definitely die."

She almost pulled Zhou Can's arm and begged.

In terms of physical contact, she has always been dignified and never acted frivolously.

"I said casually in the morning that you assigned me a task at noon? According to this situation, you should take private work more frequently than I imagined!"

There was a trace of dissatisfaction in Zhou Can's words.

"To survive! Look, this is my chat record with my old classmate. She asked me for help when we were having dinner just now. She knows that I'm hanging out with you now, and that you have a very high level of surgery, so she begged me help."

She showed Zhou Can the chat records.

It really is the chat record just now, and it is indeed her classmate.

The other party also mentioned that the patient's condition is critical and the operation is quite difficult.Their hospital does not have the ability to perform such operations, so they can only seek help from experts from other hospitals.

There are no more than ten experts in the city who can perform this kind of surgery, and basically they either don't accept private work, or they are busy.

Jiang Wei's old classmate couldn't find a suitable doctor either, so she thought of asking her for help.

"Ask your classmate to send over the patient's information to have a look. If it's within my ability, I can make this consultation. But don't try to get me wrong next time. I won't accept private work or accept it."

After all, Zhou Can still has compassion for patients.

Patients with problems after such operations are generally rarely accepted by hospitals.

Because there is no pay for wiping other people's buttocks well.If you don't wipe it well, you have to fall into it yourself.

So no one wants to accept patients who have failed this kind of surgery.

Usually it can only be followed up by the first hospital.

If you have friendship with the leader of a large hospital or the chief physician of a department, you can also say hello and seek help.

"Thank you boss! Ha, it's finally done!"

Jiang Wei looked very happy.

In front of Zhou Can, he voiced back to his old classmate.

When the other party learned that Zhou Can agreed, he was also very happy, and soon sent over the patient's information.

"Boss, I forwarded it to you via WeChat."

Jiang Wei raised her phone.

Zhou Can took a look at the general condition of the patient.The patient was only 33 years old, a male, who suffered severe vomiting due to alcoholism, and then developed chest pain and difficulty breathing. He was taken to the nearest No. [-] Hospital by ambulance for treatment.After the consultation, the First Hospital checked and found that the patient's right lung breath sounds disappeared, and the chest X-ray indicated that there was a hydropneumothorax on the right side.

This is an apparent spontaneous esophageal rupture.

Subsequently, the hospital urgently arranged an operation for the patient to repair the rupture of the esophagus.

During the operation, it was found that the patient's esophageal tear was as long as 6 cm.

The chief surgeon sutured the mucosal layer and muscular layer, and then sewed up the pleura. The operation went smoothly without any accidents.

But on the fifth day after the operation, the patient's body temperature suddenly rose to over 39 degrees, and the fluid drained from the chest cavity increased and was very cloudy.

After a joint consultation with doctors from the First Hospital, it was highly suspected that the patient had an esophageal fistula.

So the patient was given methylene blue orally, and blue pleural fluid flowed out casually, which was basically diagnosed as an esophageal fistula.

Esophageal repair surgery, especially when the gap is large, is very prone to postoperative esophageal fistula.

It doesn't necessarily mean that the doctor's surgical skills are low.

The First Hospital is one of the old hospitals in the city, and its strength is not weak.In the earliest days, the No. [-] Hospital's position in the province was even the same as that of Tuya and the Provincial People's Hospital today, belonging to the leader.

It made great strides, from the first hospital to the sixth hospital.

At present, the Sixth Hospital and the Second Hospital have disappeared in the tide of the times.Only the first hospital, the third hospital, the fourth hospital, and the fifth hospital are still persisting.

The strongest is the Fifth Hospital.

Like Tuya and Xinxiang Maternity and Children's Hospital, it has carried out bold reforms in the last wave of development.The strength has been greatly improved.

In contrast, the first hospital, the third hospital, and the fourth hospital have solidified systems and rigid internal management.

The leadership of the hospital lacked great plans and plans, and only cared about their own petty profits, frantically placing their relatives into the hospital's iron rice bowl, and even later, no one knew how many related households were living on empty pay.

For the hospital's clinical medical personnel, very little attention.

This is also a common problem shared by every company with an aging system.

There are more related households, more leading cadres, and fewer people working.Moreover, those leading cadres who do not work, in order to declare their authority, or to gain more benefits, will implement strict control over clinical medical staff.

I can't wait to control them as my own slaves.

However, this type of hospital has several obvious characteristics. The number of logistics, administrative, and idlers is much larger than the number of clinical medical staff.A doctor may have to support two logistics and administrative staff.

And all of them can ride on the doctor's head and shit.

If they are a little disobedient, they will be suppressed in various ways, wear small shoes in various ways, and go to work and go online.

Needless to say, in such a harsh working environment, any capable doctors and nurses would run away as far as they could.Will quit soon.

Those who stay are smooth, flattering doctors and nurses.

Most of these people spend their energy and time on things that please their leaders and meet their fate.They hardly raise the level of professionalism.

If this kind of old oil only accounts for a small part of the clinical department staff, it may not have much effect.

But when a department is almost full of such old oil, the problem becomes serious.

After capable newcomers come in, they will be 'beaten' in turn immediately, suppressing them to death.Either get along with them, be assimilated by these people, or be squeezed out.Incompetent newcomers come in, as long as they learn how to flatter their horses, they will have a chance to survive.

As a result, the hospital was basically abandoned.

It is said that when the Second Hospital and the Sixth Hospital closed down, the competent authorities wanted to arrange jobs for the employees of these hospitals and arrange them to work in other hospitals.As a result, Tuya, Provincial People's Hospital, Provincial Children's Hospital...all ambitious hospitals tried their best to keep these people out.

For this reason, a recruitment blacklist was also established, which has been controlled by the directors of major hospitals.

The doctors and nurses in these two hospitals were basically black all their lives.

At least in this province it is almost abolished.

But all the better hospitals, without exception, closed their doors to these people.

Then a thought-provoking but very interesting thing happened.

After the closure of the second hospital, because the doctors and nurses of this hospital often work closely with a private hospital.So I found a way to swarm into this private hospital.

At that time, the director of this private hospital thought that recruiting a large number of clinical medical staff at once would make a big difference.

As a result, in just nine months, this private hospital was directly knocked down by the gang of veterans who poured in.

On the day of bankruptcy, I heard that the director of this private hospital was sitting in his office and weeping.The family business established by generations of ancestors was destroyed by him.

It was also after this incident that the medical staff of the Second Hospital and the Sixth Hospital were blacked out all their lives.

No hospital is willing to accept it anymore.

It is said that even the medical staff who have entered other hospitals through various connections have been cleared out.

The name of a man, the shadow of a tree.

These two hospitals are notorious, and everyone is really afraid of following in the footsteps of that private hospital.

A grain of rat droppings can really ruin a nest of porridge.

Even today, the medical staff of the faction from the First Hospital to the Fifth Hospital are still discriminated against.

The Fifth Hospital was able to catch up with the latecomers because its previous director worked hard and carried out a talent reform in the hospital.I heard that at the worst time, there were at least three groups of medical staff from the hospital to petition each day.

Under great pressure, after more than ten years of hard work, the Fifth Hospital finally achieved a major personnel change.

Its appearance is also completely new, and it is full of new vitality.

Later, the dean was diagnosed with three types of cancer at the age of 48.They are lung cancer, liver cancer and colon cancer.It can be said that so many cancers are detected in one person at the same time, which can be said to be extremely terrifying.

It can also be seen how much effort the young dean has put in to help the Fifth Hospital achieve self-help, and he is under enormous pressure that ordinary people can't imagine.

The new dean who succeeded him was a very young woman.

I heard that he is an outstanding international student who has studied abroad for seven years and has experience in foreign hospital management.After taking over, the Fifth Hospital continued to deepen reforms and implemented many new development strategies.

Its progress rate in the past three years is even faster than that of Tuya.

Some people regard it as a dark horse, and think that if it continues to develop according to the current momentum, maybe within ten years, it will become one of the top three courtyards in the province.

Because of the deep foundation of the First Hospital and the extremely tough relationship with the competent authorities, its strength should not be underestimated.

There are rumors that working in this hospital is the easiest hospital to get staffing.

The benefits are also notoriously good.

For the nurses in Tuya Hospital, it is very good to have one day off a week.In fact, it is normal for Tuya's clinical nurses to work night shifts.

But the nurses in the No. [-] Hospital can take one day off after working two days.

The opportunity to work the night shift is at most once a week.

In addition, the temptation to have a great chance to be included is also very great.Regardless of the current promotion of equal pay for equal work, even if everyone gets the same salary, in terms of benefits, there is a huge gap between contract workers and staff workers.

There is also the salary after retirement, which is even more heartbreaking to the point where you can't breathe.

The retirement salary of the contract workers is the insurance they buy, usually two to three thousand yuan a month.For staff workers, the retirement salary shall not be lower than 3000% of the pre-retirement salary.

This alone is enough to make many people prefer not to have any major development, but to stick to the establishment.

Don't ask for great wealth, at least be stable!
It is precisely because of this huge advantage that there are quite a lot of veteran experts in the First Hospital.

There are many powerful doctors among them.

Zhou Can began to think seriously about the real reason for the postoperative esophageal fistula after reading the information on the patient with postoperative esophageal fistula.

First of all, it is not ruled out that the doctor's poor surgical skills may lead to the possibility of patients having problems after surgery.

Secondly, considering that the patient's esophagus was torn spontaneously, and the tear was so long, it shows that the toughness of the esophagus is inherently poor.

Of course, the toughness of the esophagus is not good.

But it has good elasticity.
The muscular layer of the esophagus is divided into an inner ring and an outer longitudinal layer, about 2 mm thick, with elastic fibers sandwiched between the two layers. The muscular layer of the upper esophagus is a striated muscle, and there is no longitudinal muscle fiber behind it.The circular muscles at both ends of the esophagus are more developed, similar to sphincters.

In theory, it is no problem to pass food three times thicker than its diameter.

Even this is far from its limit.

Under normal circumstances, it is almost impossible to burst the esophagus by wanting to eat.

(End of this chapter)