My medical skills add experience

Chapter 554 The quiet rise of the emergency department, choose one person to love deeply and die forever

The patient tore a 6cm opening in the esophagus due to vomiting, which is quite a scary thing.

If a normal vomiting can destroy the esophagus like this, most people in the world will probably die.It is impossible for human beings to multiply to such an astonishing number.

This shows that the patient's esophagus is likely to have problems before tearing.

For example, the esophagus becomes hard or brittle, which is possible.

Associated with chronic alcoholism in patients.

After alcohol enters the body, it will not only cause damage to the liver and kidneys, but also cause damage to multiple tissues and organs in the digestive tract.It doesn't matter if you drink it once or twice.

But if you drink it for more than ten years, the accumulated damage will be a bit scary.

Every time the body is injured, it may take two to three days or even longer to recover.But before the body recovered, the new injury caused by the patient's drinking came again.

This little bit continues to accumulate, and the body will eventually have big problems.

This is why almost all doctors advise patients to quit smoking and drinking.

Following this line of thought, Zhou Can boldly speculates that the patient's postoperative esophageal fistula is probably not caused by the doctor's poor surgical skills, but a problem with the esophagus itself.

Of course, this has something to do with the level of doctors.

If the doctor's level is high enough, some adjustments can still be made according to the patient's esophageal condition.

For example, during the suturing process, it was found that the esophagus was very brittle and had poor toughness.At this time, the tension of the esophagus can be considered when suturing.Also, after suturing, whether the wound heals slowly and so on.

With these considerations, some precautions can be taken during the suturing process.

In this way, esophageal fistula is not easy to occur.

At least let Zhou Can perform this operation. With his current surgical level, he is fully capable of avoiding the formation of esophageal fistula.

"Boss, is it okay for you to perform this operation?"

Seeing that Zhou Can had read all the patient's information, Jiang Wei asked in a timely manner.

"No one dares to guarantee it, but if the other party is trustworthy, you can try it."

Zhou Can's answer was very conservative.

After reading it, he actually has more than [-]% certainty.

Fitting, patching and suturing are all his forte.

Some fistulas are more difficult to find.

However, it is relatively easy to find the fistula of this esophageal fistula.It didn't take long for the patient to complete the operation, only five days had passed. With Zhou Can's surgical skills, he was completely sure to solve it through endoscopic surgery.

"Then I'll write back a promise letter to my old classmate now!"

Jiang Wei replied the voice message directly in front of Zhou Can.

"Old classmate, our boss has agreed to take on this private job. However, any operation has risks, and we can't guarantee that the operation will be successful. If there is no problem, let me ask the boss about the preparations before the operation. While getting ready, we will be able to operate directly when we go there."

It can be heard that Jiang Wei is on Zhou Can's side when chatting.

Although Zhou Can didn't say anything, he was very satisfied in his heart.

"Okay, okay! Thank you, Weiwei, and thank you Dr. Zhou for helping me. This rotten patient is finally resolved, and I can easily deal with the hospital leadership. I will treat you to dinner another day!"

Jiang Wei's old classmate is a woman.

Judging from the voice, the age should not be particularly old, at most it is under 30 years old.

The rotten patients need to be handled by her. According to Zhou Can's speculation, this woman is probably the administrative post of the hospital.For example, the deputy chief of the medical department, or the director of the digestive surgery department.

Leaders get paid more than ordinary employees, and they hold great power and have a distinguished status.

But when there is a problem in the department, the leaders are often the first to come forward to put out the fire.

Power and responsibility are inherently one.

……

That's how the matter was settled.

Zhou Can enters the operating room of the emergency department to start the busy work in the afternoon without mentioning it.

After his hard work, the emergency department is a world of difference compared to two years ago.In today's emergency department, the total number of hospital beds has increased to sixty.This number of beds is only the official hospital beds approved by the above.

In fact, when there are too many patients, the number of surgical beds can be increased to about [-].The total number of internal medicine beds can be increased to fifty.

Equivalent to a total of 120 beds.

You must know that one of the important criteria for a tertiary hospital is that the number of inpatient beds exceeds [-].

Two years ago, the emergency department did not even have a single ordinary bed except for the number of inpatient beds in the ICU.In less than two years, the number of ordinary hospital beds has grown to 120, which is a rapid progress.

At the same time, the number of doctors and nurses in the emergency department has increased a lot.

Compared with the "poor employees" who could only be eliminated from other departments in the past, the emergency department now has a lot more confidence.Because it generates a good income and its strength expands rapidly, it can guarantee the treatment of doctors and nurses to a relatively high level.

In addition, the number of staffing places, deputy high school, full-time high school, and year-end bonus ratios can all be obtained from the hospital.

You know, in the emergency department in the past, there was nothing you wanted, except for working day and night, there was really nothing.

Some outstanding talents avoided this department one after another.

Even if they are recruited, they will leave quickly.

Can't keep people at all.

Looking at the present, Director Lou is full of confidence every time he recruits, and even has the capital to select outstanding talents.

I met some talents who had quit jobs, but did not do well in other departments, and wanted to come back after quitting.If it is really excellent, Director Lou will agree to give it a chance.

If the level is average, hey, now it's Director Lou's turn to feel proud.

That's really the sunset, if you don't accompany you, who are you when you come back from the mountain?
Now the clinical departments of Tuya Hospital are recruiting new people, and the emergency department has even unknowingly left behind some departments with poor performance or uncertain future.

In addition to the great improvement in the talent team, the hardware facilities of the emergency department are also changing with each passing day, and there has been a preliminary change of shotguns.

With a [-]-level operating room, a traditional operating room, and a [-]-level operating room under construction, it is estimated that it will be put into use by the end of this month.

The equipment in the operating room is also readily available.

Especially the [-]-level operating room where Zhou Can works, except for some very expensive special equipment, other surgical equipment is basically complete.

Most are imported.

There is no way to do this, domestic products are still far behind in the production of these advanced medical devices and instruments.

For example, a very common endoscope produced by Olympus can be placed at several thousand times, and the clarity is guaranteed.Domestically produced, not to mention endoscopic microscopes, even ordinary microscopic equipment has not been able to reach the level of small Japan.

The number of emergency operating rooms has increased to three, and the hardware facilities are complete, which is not inferior to general specialist departments.

This is just the tip of the iceberg in its rapid development.

For example, the establishment of the endoscopic operating room has enabled the emergency department to have endoscopic surgery capabilities.

The only thing missing is a doctor with a high level of surgery.

At present, the absolute number one performer of endoscopic surgery in the emergency department is not Dr. Xu, but Zhou Can.

It's just that Dr. Xu's level of endoscopic surgery is not bad.

There is also the construction of the ICU. The success rate of emergency rescue in the past can only be said to be fair.After attracting a lot of cutting-edge talents with a doctoral degree or above, coupled with the constant renewal and improvement of ICU equipment, the technology is also constantly improving with the progress of the times.

The success rate of emergency rescue has been quite amazing.

This is inseparable from Director Lou's hard work and wise leadership, and it is inseparable from Zhou Can's various kinds of help.

Zhou Can has a deep relationship with Tuya's Department of Critical Care Medicine. Taking advantage of this convenience, he has received a lot of support in personnel training.That is, after the emergency department recruits people, they are sent to the intensive care medicine department for a period of training, and then come back to work.

Without Zhou Can's help and various efforts, the Department of Critical Care Medicine would do its best to help the ICU in the emergency department?

Unless it's crazy that's about it.

The two are in competition with each other.

A stronger ICU in the emergency department means fewer patients will be admitted to the intensive care department.

In order to facilitate this matter, Zhou Can spent a long time with Director Liu of the Department of Critical Care Medicine.And made a certain promise, Director Liu let go.

Facts have proved that Zhou Can's vision is extremely advanced.

After the ICU in the emergency department became stronger, not only did it not lead to a decrease in the number of patients in the intensive care department, but it also increased a lot.

why?
Because cardiothoracic surgery has now become one of the strongest cardiothoracic surgery departments in China.

Although this number one has a lot of water, it is enough for patients and ordinary people to approve it.

Cardiothoracic surgery is the department most likely to produce critically ill patients.

After its reputation increased, the number of patients admitted skyrocketed, and the number of patients sent to the intensive care department also increased.

In addition, the success rate of ICU rescue in the emergency department has increased, which has also attracted more acute and severe patients to run here.

The emergency department is the face of a hospital.

The higher its success rate in rescuing critically ill patients, the greater the hospital's reputation.

In addition to the emergency ICU, the level of the emergency rescue room has also been improved.Because the success rate of rescue in the emergency room is actually closely related to the ICU and emergency operating room.

The level of ICU and emergency operating room has risen, even if the emergency room is lying flat, it can also improve accordingly.

At present, the only shortcoming of the emergency department is probably internal medicine.

There is no way to do this, because there is a lack of top internal medicine experts. It is not that you can recruit a few doctoral students and master students can improve their level.

Don't look at Zhou Can's personal relationship with Director Tan of the internal medicine department is very good, but asking the internal medicine department to help the emergency department cultivate key internal medicine talents is a fart.No fool would give the meat in his own bowl to others.

In general, emergency medicine is still progressing rapidly.

It just doesn't compare to surgery.

Because there is such a monster as Zhou Can in surgery.

There is one more thing worth mentioning.

Zhou Can has now consciously reduced the number of primary and secondary operations, and continuously increased the number of tertiary operations.

Because of his surgical skills, except for orthopedic surgery, all others have been upgraded to level six or above.It doesn't make much sense to do another primary or secondary operation.

Only by constantly challenging the more difficult three-level and four-level operations can we continue to maintain the rapid improvement of the experience value of various medical skills.

Under the guidance of Dr. Xu and others, other novice doctors began to exercise from the first-level surgery.

Every surgeon grows up this way.

This is also the health model of the operating room of the emergency department. Newcomers are engaged in the first-level surgery, experienced senior residents are engaged in the second-level operation, and the attending doctors start to participate in the third-level operation and preside over the second-level operation.

Only in this way can we ensure a virtuous circle of talent cultivation.

At present, there is still a forbidden line in the operating room of the emergency department that has not been broken through, that is, the highest level of surgery can only be performed.

There is no way to do level [-] surgery yet.

Because there are no director-level surgeons.

If it is a specialized chief surgeon, then he can only do level [-] surgery in the field he is good at.In fact, there are strict restrictions on the qualification requirements for surgery.

It's unimaginable for a general surgeon at the director level.

I am afraid that it is still difficult to find such a chief physician in the whole world.

Perhaps in the near future, Zhou Can can achieve it.

It's just a possibility.

You know, Zhou Can has the help of the medical experience point system, and he can go through the journey of other doctors for ten or even twenty years in one or two years.Even he is only possible. No matter how unfathomable other doctors are, they can only cultivate in one or two fields in their lifetime.

This is determined by energy, time, and longevity.

Many surgeons are at least 24 years old when they graduate and officially work, and most of them are 27 years old.

Expert-level chief physicians are allowed to retire at the age of 65.

The number of years that can really be used for work in a lifetime is more than 30 years.As people age, their learning ability, memory, and physical fitness will all deteriorate.

Therefore, it is doomed that at most one or two medical fields will be cultivated in a lifetime.

……

At around 40:[-] in the afternoon, Zhou Can dragged his tired body out of the operating room.

Five secondary operations and three tertiary operations were completed this afternoon.

The results are quite gratifying.

A total of eight surgeries were performed successfully.

While he was tired, he also felt fulfilled.The sense of accomplishment gained from treating patients has to be the strongest for clinical surgeons.

Walking out of the operating room, Su Qianqian was sitting not far away with a thermos bucket waiting for him as always.

What is a good wife and mother?
Su Qianqian is definitely a model of these four characters.

"Sister-in-law, I'm delivering meals to Dr. Zhou again! I'm so envious to see you guys so loving!" Jiang Wei came forward to say hello with a smile.

"Isn't it because I'm afraid he'll be hungry! A man doesn't take care of his body at all when he's working. I can only take care of him as much as I can." Su Qianqian said, subconsciously looking at Zhou Can.

Her eyes are full of affection.

As far as the eye can see, there are all lovers who are deeply in love.

Even though the two have lived together for so long, they never get tired of it.

Instead, the two became closer and closer, like glue.

Zhou Can himself is a person who attaches great importance to emotions. Under the influence of his father, he is quite dedicated to emotions.After experiencing some things with Su Qianqian, especially Su Qianqian's kidney disease almost made him lose her forever, which also made Zhou Can cherish this fate even more.

Since then, in clinical work, he has become accustomed to seeing life and death, and his understanding of life has become more profound.

Those scenes when the patient and his lover parted from each other, or when he was sick in bed, the other half gave everything and took care of him affectionately in front of the bed, all let him see the best side of love.

Since she chose Su Qianqian, she would naturally not let her down.

"Doctor Zhou has always praised my sister-in-law's cooking skills! One day I have to be cheeky to visit your house, and taste my sister-in-law's cooking skills so that I will not regret this life." Every time Jiang Wei sees Su Qianqian, she will be very enthusiastic.

Consciously compliment her.

This time, he took the opportunity to ask to be a guest at Zhou Can's house.

Although it was just a joke, it was expected that such a friendly person as Su Qianqian would not refuse.

(End of this chapter)