My medical skills add experience

Chapter 568 The importance of flattering the leader, the burden on the shoulders is down

"morning!"

Zhang Mingxing's smile was somewhat stiff.

If it wasn't about his future this time, he would definitely not want to come to Tuya Hospital again.

A man needs a face, and a tree needs its bark.

Anyway, he is also a person with a head and a face.He was taken away in public by the security guards of Tuya Hospital last time, which made him extremely angry.

It's just because he was in the wrong, so it's not easy to break up with Tuya Hospital.

In terms of social status, those who can be vice presidents are basically department-level cadres.Naihe Tuya Hospital is much larger than the Third Hospital, and its level is much higher.In Tuya Hospital, he couldn't afford to use his official authority, let alone reason, so he could only admit it by pinching his nose.

Who hasn't suffered a few times as an adult?

"Is Dean Zhang Qilian awake?"

Zhou Can asked directly.

"do not know."

Zhang Mingxing subconsciously distanced himself from him, lest those hospital security guards with sharper noses than dogs would chase him away again.

He came to Tuya Hospital twice to look for Zhou Can, but was driven away by the security guards, which had left a psychological shadow on him.

He didn't want to try again.

The security guards at Tuya Hospital were very aggressive. If they dared to attack him, he couldn't help but not be afraid.

It is said that those who are horizontal are afraid of being stunned, and this is the reason.

"Don't you know if Dean Zhang Qilian is awake? You came to visit the patients, and at least you have some snacks. This is too perfunctory. I know, you must have got the news, knowing that Dean Zhang Qilian's body may not be able to be the dean anymore work, so hurry over here to show your loyalty..."

Zhou Can never talked about gentlemanly etiquette when dealing with enemies.

It is also a good thing to be able to disgust each other.

"Ancestor, my living ancestor, please don't hurt me anymore, okay?" Zhang Mingxing didn't dare to let Zhou Can speak any more, so he quickly bowed to Zhou Can and begged for mercy.

This little ancestor really dared to say anything.

But he also explained all his little thoughts.

Zhang Qilian's body had a big problem, Zhang Mingxing was very concerned on the surface, but actually he was very happy in his heart.

Anyone who has been a leader knows that if the leaders above are not transferred or retired, the people below will have no chance to rise.

Zhang Mingxing must have dreamed of becoming the director of the third hospital.

Even though the Third Hospital was already a mess and could close down at any time, he still longed to be the director.

If he wanted to succeed Zhang Qilian smoothly, he had to have a solid background and someone above him.For example, Dean Zhu of Tuya is covered by someone above him.When he was running for president, Cao Guozheng tried his best to push him to the position.

If Zhang Xingxing was appreciated by that kind of nobleman, he wouldn't have to go to Tuya Hospital to poach Zhou Can again and again like a running dog.

It's not that he wanted to come, but Zhang Qilian gave instructions that he must come.

It is by no means an easy task to gain the appreciation and trust of leaders.

So many people in the hospital sharpen their heads and want to please the dean, why?
Because as long as he is appreciated and trusted by the dean, his future will be bright.The dean will illuminate that person's future like the sun, and all kinds of promotion opportunities will be softened.

However, there are often very few people who can successfully gain the appreciation of the dean.

Zhang Mingxing climbed to today's position step by step, without any background, relying on his mouth and his heart to please Zhang Qilian.

At the beginning, Zhang Qilian wanted to revitalize the Third Hospital, and Zhang Mingxing was the first to fully support it.

Including spending a lot of money to import Japanese cardiology experts and a complete set of equipment, this kind of thing cannot be decided by the director Zhang Qilian alone.It must be discussed at the leadership meeting of the hospital.

Only when those in favor must have a majority can it be implemented.

Without Zhang Mingxing, a heavyweight vice president, helping to wave the flag and shout, Zhang Qilian's desire to accomplish these major events would not be easy.

Over the years, Zhang Mingxing has been working hard, trying his best to please Zhang Qilian.

He didn't want to lose the chain at this critical moment and be harmed by Zhou Can, the fifth child.

Sowing discord is always scary.

It is easy for leaders to become suspicious of competitors just by talking about it.

There are more people in the office who like to do this kind of thing.

Even with Zhou Can's words, there is only a [-]% chance of succeeding in sowing dissension, making Zhang Qilian feel suspicious of Zhang Mingxing.Zhang Mingxing couldn't afford to gamble either.

In desperation, he bowed to Zhou Can and begged for mercy.

"Look at how timid you are. After all, you're the vice president of the Third Hospital, and you're about to become a regular. Is there any need to be afraid of this?"

Killing hearts.

What Zhou Can said before entering the ward made Zhang Mingxing break out in a cold sweat again.

This ancestor is really not to be offended.

The matter of being promoted to the dean has not yet been written off, and Zhou Can is talking about it now, which is by no means a good thing.

I hope it won't arouse Dean Zhang Qilian's disgust.

Zhou Can opened the door and entered the ward, which is an advanced ward with one room and two beds.

It seems that Zhang Qilian's family has found a way to find someone to say hello, otherwise it would be impossible to receive such good treatment.

Medical resources are now basically one of the most scarce resources in society.

For ordinary people, it is hard to find a bed.

Patients with a little status and power are not willing to live in non-special needs wards and advanced wards.

Zhou Can looked at the patient on the hospital bed. On the other bed was a thin old man with white hair and beard.It is basically impossible for ordinary people to live in this kind of ward.

Because the average person has only two choices.

If the condition is normal, live in a general ward.If the condition is serious, go directly to the ICU.

Only dignitaries and leading cadres can enjoy certain high-quality medical resources.

"Hey, it's you!"

Zhang Qilian's wife was standing by the side of the ward. Seeing Zhou Can enter the ward, a friendly smile appeared on her face, and she also stood up to show her respect for Zhou Can.

In advanced wards, there are actually nurses and nurses on duty 24 hours a day.

If the patient's condition is stable, family members do not need to accompany the patient at the bedside at all times.

Of course, the cost here is also much higher.

Patients living here can basically achieve a reimbursement rate of more than 90%, so they don't care much about the cost.Even if it cost 10 yuan to stay in the hospital, he would pay [-] yuan at most.

More likely, all reimbursed.

"Hi! I'm done checking the house, and I'm stopping by to see how your husband is doing. Did you urinate?"

Zhou Can could tell at a glance that Zhang Qilian had awakened.

But his complexion was still bad.

Some ashamed.

The sequelae of myocardial infarction are terrible, and after careful maintenance, it is still impossible to return to the previous state.

If it is intestinal surgery, the doctor will also ask the patient if he has gas.

That is to say fart.

Because if the patient farts after the operation, it can be inferred that the intestinal tract is moving normally, which is normal.

Patients undergoing intestinal surgery need to fast for food and water before the operation, and the intestinal tract will be in a state of emptying at this time.You cannot eat immediately after the operation.

From eating to forming feces and excreting, the fastest is about ten hours.

There are also patients with strong spending power, and the defecation time will be shorter.

Relatively speaking, the digestive ability of the elderly is weak, and the time from eating to defecation will be longer.

"I urinated twice, and the nurse and the doctor in charge of the bed said that the situation is not bad."

"Has a doctor checked the room this morning?"

"Director Ling of the Cardiovascular Department has already brought someone here for an investigation."

"Anyone auscultating heart sounds?"

"Auscultation. Director Ling personally auscultated, saying that he will stay in the hospital for two days before observation. Judging from Director Ling's expression, my husband's condition should not be so ideal."

Zhang Qilian's wife is absolutely highly educated, and when answering Zhou Can's questions, she is very organized and can answer to the point every time.

And his attitude towards Zhou Can is always friendly and respectful.

He was not underestimated just because he was young.

"Don't worry too much, just let nature take its course. For the time being, his cardiovascular system is unblocked, but one of the myocardium may have undergone necrosis due to long-term ischemia. We must be vigilant about this. If the area of ​​necrosis is too large If it is large, it is likely that surgery will be required.”

Zhou Can gave himself some suggestions appropriately.

The purpose is to hope that family members can be more vigilant and always pay attention to the changes of patients.

Because even if you live in an advanced ward, it is impossible for nurses to stay in the ward 24 hours a day.In addition, the nurses here work in two shifts, and it is normal to have omissions during the handover.

"Thank you for telling me this. Director Ling also said similar things. The doctors in Tuya Hospital are not only skilled, but also very responsible for patients. I am really touched. It would be great if I could have sent my husband here earlier. gone."

She thought that after her husband fell ill, too much time wasted in the third hospital, which caused the serious consequences now.There must be some regret and self-blame in her heart.

In fact, whatever you sow, you will reap the same fruit.

Zhang Qilian spent a lot of money to invite Japanese cardiology experts, because the level is not as good as imagined, and many people have been deceived.

Now that he himself fell ill, he deserved to suffer again.

It was good enough to save his life.

"You don't have to blame yourself too much, it has already happened, just try to find a way to solve it. As long as the person is rescued, this is a blessing in misfortune."

Zhou Can consoled.

"I'll come back tomorrow to take a look. When you accompany him, if you find any significant changes in his breathing, heart rate, or blood pressure, you must ring the bell to call the medical staff in time. According to my clinical experience, his dangerous critical period It should be within the period of 36 hours to 72 hours after surgery."

After myocardial infarction, even if the blood vessels are reopened, there will still be a medical "malignant attack period".

It can also be called the tissue necrosis period.

The fastest occurred within 24 hours after surgery, and most of them did not show obvious symptoms until 36 hours later.

When Zhang Qilian was operated on yesterday, Zhou Can didn't feel too obvious.

Because at that time the myocardial infarction had not been particularly long.

Moreover, if most of the myocardium is only transiently ischemic, it is possible to relieve and recover after the blood vessels are opened urgently and the blood supply is restored.

"Ok, thank you!"

The family thanked Zhou Can again.

"goodbye!"

Zhou Can waved his hand and walked out of the ward.

Zhang Qilian was lying on the hospital bed with his eyes closed.

If he wasn't pretending to be asleep, he must have recognized Zhou Can's voice.It's just that he planned to take Zhou Can to court not long ago, so he must have no face to meet Zhou Can.

……

When it was time to get off work in the evening, Zhou Can received a call from Director Tan of the Department of Internal Medicine.

Normally, Director Tan rarely called him.

"Xiao Zhou, do you want to work overtime tonight?"

"There are two operations in the cardiothoracic surgery department to help."

The personal relationship between the two has always been good, and their speech seems to be much more straightforward.

"Did your wife bring you dinner today?"

"You know all about this!"

Zhou Can couldn't help smiling.

"Hehe, the show of affection between you and your girlfriend is no longer a public secret in our hospital. Many young people are learning from you. If a man wants to be stable, he must not only work hard in his career, but also take good care of his family. Only when Xiaojia is stable can I focus on my career."

Director Tan agrees with him and his girlfriend showing affection.

A successful man needs a stable marriage very much.

Only in this way can we appear stable and responsible in the public impression.

It is also a prerequisite for competing for many leadership positions.

"I guess you must have something to look for me. I'll look for you after dinner, okay?"

Zhou Can knows Director Tan too well.

"Haha, okay, okay, I'll wait for you in the office. I thought, if your wife doesn't bring you dinner today, I'll treat you to dinner and talk about something by the way."

Director Tan smiled heartily.

"No problem, I'll be there in about four or ten minutes. It won't take me a few minutes for me to eat, and the rounds at the emergency department will take a little longer."

Zhou Can explained.

"As a physician, I must warn you to learn to chew and eat slowly. Eating too fast or too fast will cause certain harm to the body. No matter how busy you are, your health must come first."

Director Tan cared about him from the bottom of his heart.

Many people don't have much time to spend on eating because they are too busy with work.Sometimes even when I get busy, I don't have time to eat.

Doing so will cause great harm to the body.

But it is also impossible.

"Okay, I will definitely remember your teachings."

Zhou Can agreed.

"You can't say you will remember it, but don't put it into action! I am very optimistic about you, young man. The greater a person's ability, the heavier the burden on his shoulders. Do you know? Now you are no longer You simply represent yourself, but represent the strongest hope of the younger generation of Tuya Hospital. Our Tuya Hospital is full of talents, and each department has a large number of talents, but you are the most special one among them. Many of our old comrades I am particularly optimistic about you, and I hope that one day, you can lead Tuya Hospital to a higher level."

Zhou Can was really flattered to hear Director Tan's heartfelt words.

For him, what he thinks is to keep working hard to improve his medical skills and cure as many patients as possible.

I really didn't expect that the burden on my shoulders was already so heavy.

Just like many men in their 30s, when they were in their 20s, they only felt that they were just a child who hadn't grown up, with a childish innocence.If one person is full, the whole family will not be hungry.But after getting married and having children, in the blink of an eye, when I was in my 30s, I suddenly realized that all the burdens on my shoulders were on my shoulders.

There are young people at the bottom, and old people at the top. There is no way to be as chic as a young man in his 20s.

(End of this chapter)