My medical skills add experience

Chapter 576 The most vicious compliment, the anesthetic effect is 'too good'

Why do 'returning customers' have to be quoted?If you are doing catering, haircuts and other services, you definitely hope that the more regular customers the better.

The hospital is quite special, and it is one of the few places where repeat customers are taboo.

The hospital is not taboo, at most it has a bad reputation.Patients and their families are taboo!

Because the patient just got sick a few days after being treated here, and then fell ill again. What kind of disease does your hospital treat?Did you stay behind on purpose?Is it because of poor medical skills?Is it fake medicine for Lao Tzu?
Zhou Can wants to check the 'repeat customers', which refers to the patients who have been treated here. They feel that the medical skills here are good and the service is good, and they will introduce those relatives and friends who are in need.

Recently, he has clearly felt that such 'repeat customers' are becoming less and less.

This speaks to the declining reputation of the emergency department.

The upper class doctor treats the disease that is not yet sick, the traditional Chinese medicine doctor treats the disease that is about to be sick, and the lower doctor treats the disease that is already sick.

As an excellent doctor, Zhou Can has always believed that prevention is better than cure.

Now it is found that there is a bad sign in the operating room of the emergency department. If you really wait until it is cool to deal with it, then you will be passive.

The best way is to act decisively, find the problem immediately, and solve it.

He has served as the deputy team leader of the operating room for some time. Apart from continuing to show extraordinary talent and ability in surgery, he is still somewhat lackluster in terms of management.

At the beginning, he was exceptionally promoted to the deputy head of the operating room by the department, which caused dissatisfaction among some people.

It was just that a few nurses under Zhou Can made an example of them and suppressed Dr. Fu Chachun, so no one dared to jump out and act as a demon.

As time went by, some unfavorable remarks about Zhou Can gradually began to circulate in the department.

One of the most unfavorable mainstream opinions is that Zhou Can only knows how to perform surgery, and is only suitable for treating diseases, not for management, or for scientific research.

This is absolutely murderous.

For a genius like Zhou Can, the most vicious insult is not to call him poor in medical skills, or to call him poor in character, because in these two aspects, he is not afraid of attack at all.His surgical ability and diagnostic ability are obvious to all.

Noble medical ethics are widely recognized by doctors, nurses, patients and their families.

For him, the most vicious remarks are boasting that he only knows how to see a doctor.

If he is really labeled with this label, he will be black for life.To the end of his life, he was just an ordinary doctor, at most the chief physician.

A slightly higher administrative position will miss him.

Zhou Can didn't want to find out who spread such vicious words.Can't find out why.

Because the emergency department now has nearly a hundred medical staff, it is too easy to spread irresponsible remarks.As the saying goes, good things don't go out, but bad things spread thousands of miles.

Regarding his remarks about the lack of management ability of this Tuya celebrity, there is no need to deliberately fuel the flames. Some people who suffer from jealousy will be very happy to spread it around.

The greatest evil of human nature is that we can't see others living better than ourselves.

Zhou Can has been going smoothly in his career, like a dazzling pearl, which other people basically can only look up to.

Even Zhou Can's two medical assistants have a very close relationship with Zhou Can. I believe that in the dead of night, or when watching Zhou Can shine brightly, they also felt envious or even jealous in their hearts.

It's just because they have a deep emotional foundation with Zhou Can, they won't frame him.

The interests of each other are deeply bound. When Zhou Can is attacked, they will spontaneously defend Zhou Can.

But other colleagues in the department are hard to say.

There is always a small group of people who are villains who eat honey and swords.

The best way to break vicious rumors is not to quarrel with others, but to prove it with practical actions.

This time, he had an insight into the problems in the operating room in advance, which was an excellent opportunity for Zhou Can to break the rumors.

He didn't immediately announce that he found a problem in the operating room.

Publicizing the problem as soon as he discovers it doesn't reflect how good his management is. Apart from a short-term show off, it will only make the superiors think that his head has grown beans?
Really high-level leaders have a chest like a thunderbolt and a flat mirror.

After discovering the problem, keep calm, conduct in-depth investigation and understanding secretly, identify the root cause of the problem, and then find a solution.This is smart management.

If you want to find out the root of the problem, you must start with the surgical patient.

This matter is not difficult to say.

Because the hospital has a regular return visit for most surgical patients.

There is at least one return visit, and if it is more, it may reach two or three times.

For example, if the orthopedic surgeon has undergone fracture surgery, he will usually call back once every three months, and then once every six months or one year.

The purpose is to grasp the patient's recovery situation, and if any abnormality is found, the patient can be reminded to go to the hospital for reexamination in time.

Zhou Can is familiar with most of the girls in the emergency nurse station.

Many people who saw him were calling Cange Cange, which was very intimate.

After get off work, Zhou Can went directly to Ye Tingting, who had been promoted to a supervisor and held a certain position.

After she was stabbed by a crazy family member that time, the hospital recognized her as a work-related injury.

In view of the fact that her body was not as good as before after the injury, she was not allowed to continue to engage in high-intensity front-line work.Instead, she was gradually promoted to the second line and engaged in some management work.

Why is it promoted to the second line instead of retiring to the second line?

That's because front-line nurses work very hard, but their income is very low.After being transferred to the second line, they can eat finger food and direct ordinary nurses to work.The key salary is much higher than that of ordinary nurses.

Therefore, nurses are very eager to be transferred to second-line work.

They call entering the second line a promotion.

In fact, it is indeed a promotion and salary increase.

It's just that there are limited positions in the second line, and it is impossible for hospitals to support idlers.Many front-line nurses turn 35 and see no hope of promotion, so they choose to change careers and become full-time wives.

Most smart women still want to have a job of their own, and don't want to reach out and ask men for money.

Otherwise, it will be too insecure to wait until old age and fading.

Without their own career, their status in the family is often very low.

Most will choose to change careers and re-employment.

It was a blessing in disguise that Ye Tingting was promoted to the second line.

Speaking of her promotion, Zhou Can was a great help.

Because it is not generally difficult to be promoted to the second line, unless you can be rated as a deputy senior professional title, it will be easier.But how many nurses can be rated as deputy senior professional titles?
After all, there are only a few.

More ordinary nurses, working hard to be promoted to supervisor nurses, have basically reached the top.

Head nurse Niu Lan has almost absolute say on whether the nurses in the nurse station can be transferred to the second line.

That time when Zhou Can went to the Provincial People's Hospital to visit Deputy Director Lu who was injured by jumping off the building, didn't Director Zhu ask someone to send 500 yuan to Zhou Can, asking him to take it to Deputy Director Lu?
Because the 500 yuan was placed on the nurse's desk, head nurse Niu knew it naturally.

Since then, head nurse Niu has always believed that Zhou Can has a close relationship with Dean Zhu, and has taken extra care of Zhou Can.

With this level of relationship, it is very useful for Zhou Can to speak in front of head nurse Niu.

Seeing that Ye Tingting was a little weak after recovering from her injury, he just mentioned it to Nurse Niu.

Not long after, Ye Tingting told Zhou Can in great surprise that she finally didn't have to run around in the observation room and emergency room anymore.Director Niu transferred her to the background to do patient maintenance and return visits.

At first, Ye Tingting didn't know that it was Zhou Can who greeted her.

Later, in order to express my gratitude, I invited head nurse Niu to have a meal and gave some 'souvenirs' from my hometown.Only then did I know from head nurse Niu that it was Zhou Can who greeted her.

Head nurse Niu also comforted Ye Tingting, and she will work in the patient maintenance and return visit position first. If she is not satisfied, there will be a better second-line position at that time, and then she will be replaced.

Ye Tingting was so happy that she almost fainted on the spot.

She is a nurse in charge who has nothing to do with no background, and she has already burnt high incense if she can be promoted to the second line.

This is a good thing that I didn't even dare to think about before.

It's good now, it doesn't count if she was promoted to the second line. Listening to what head nurse Niu said, there will be better second-line positions vacant in the future, and if it suits her, she can be transferred to an easier position.

Ye Tingting was extremely grateful, Zhou Can was so kind to her.

Helped her so much, didn't even say a word.

Help without expecting anything in return from her is the real kindness.

Since then, Ye Tingting has become one of Zhou Can's most staunch allies in the emergency department.

Sometimes, the foundation of a department or a unit is laid down bit by bit.

As long as we gradually have a few die-hard supporters, the unit will basically be stable.

Zhou Can's position in the emergency department and cardiothoracic surgery department is deeply rooted.

Die-hard supporters are not one or two, but a large group.

"Sister Ting, you're not off work today!"

Zhou Can walked over to say hello to Ye Tingting.

At this point, she is still carefully sorting out the patient's information.Her work is much easier than ordinary front-line nurses, but the workload is still relatively heavy.And need to have enough patience and care.

Every day new patients in the emergency department need to be registered in time.

Of course, this does not require manual filling in the ledger, just copy and organize it into a form on the computer.

Then she needs to check the return visit list to ensure that every patient who needs a return visit can get a return visit in time.If the recovery is good, you can tick it.If there is a problem, it needs to be carefully recorded, and some need to be reported to the doctor for further processing.

"Oh, it's you!"

Ye Tingting looked up and saw Zhou Can, and immediately showed a bright smile.As happy as seeing a family member.

"I want to ask you to get a copy of the follow-up data of surgical patients in the past three months, especially the data of those patients who are not satisfied with the follow-up visits."

Zhou Can and her don't need to be polite, just talk about things directly.

"No problem. Print it out or email it?"

She answered very frankly.

"Send me email!"

Zhou Can thinks it will be more convenient to send emails to check and count.You can print it out when you need it.

"I'm going to check the room first, just send it to me when you're done, thank you!"

He is a busy man with a lot of things to do every day.

"Why are you being polite to me, see you!"

She scolded dissatisfied.

Zhou Can smiled and waved his hands, and went to make rounds.

In the emergency inpatient ward, Zhou Can was different from previous ward rounds, and this time he was extra careful.

In the past, because of the large number of hospital beds and limited time for ward rounds, for those patients who were in normal condition, he would basically check the next bed with a few simple questions.

Only patients with abnormal conditions will be checked in detail.

This detailed and clear ward round method is commonly used by chief physicians and deputy chief physicians.

They are as busy as Zhou Can, even if they only need to make rounds once or twice a week, it is still a big burden for them.Ordinary patients, even from hospitalization to discharge, have no chance to see the chief physician at all.

The hospital has a three-level responsibility system.

If the interns and trainees cannot solve the problems, they will report to the resident physician.

If the resident cannot solve the problem, report it to the attending physician.

If you still can't solve it at the level of attending, or you are not sure about the treatment of the disease, you can report it to the deputy chief physician or the chief physician.

It is also the implementation of this grading system that allows the chief physician to squeeze out more time and energy to focus on dealing with some difficult and difficult patients or critically ill patients.

When Zhou Can found the first bed in the emergency department, he didn't just ask a few questions and skip over as usual.

Instead, walk directly from the end of the bed to the side of the bed.

"Girl, I remember you did a toe split, didn't you?"

"You remember really well."

She nodded somewhat flattered.

Basically, most hospitalized patients know that Zhou Can is a famous doctor in the emergency department.Family members and patients like gossip the most, both men and women.

Which doctor is skilled and which doctor is the director, they don't need to be taught at all, they can figure it out one by one.

"Is today the second day of surgery?"

"That's right! I had an operation at eleven o'clock yesterday morning. I wanted to ask you to help me perform the operation myself, but the sister nurse told us that your operation is already fully booked. She also told me that this It's just an ordinary minor operation, which can be done by any doctor. I thought that Tuya is a famous hospital in the province, and everyone said that the medical skills here are excellent, so I agreed."

When she looked at Zhou Can, she looked very respectful.

She felt a little regretful that Zhou Can could not perform the operation on her personally.

But it can be seen that this is an optimistic girl.

The age should be about eighteen or nineteen.

"Thank you for your trust in our hospital, thank you for trusting me so much. Do you feel anything unusual after the operation? For example, severe pain."

Every time Zhou Can hears that patients come to him for surgery, he feels very happy.

This heavy trust is also the greatest encouragement to him.

Many patients who underwent surgery by him did not look down on him because he was young, let alone because he was not a director or professor.After recovering from the operation, as long as they feel that the effect of the operation is good, they will recommend Zhou Can to their relatives and friends.

This kind of word-of-mouth accumulation is something that every doctor likes.

"Hmm... There is no severe pain. I just feel that the right toe is still a little numb. Your big hospital is different. The effect of anesthesia is very good. I heard from others that you will start to feel pain at most five or six hours after the operation. "

The female patient was very naive, and thought that the anesthetic was very effective, so she always felt numb.

In a word, it directly scared Zhou Can into a cold sweat.

If she hadn't stopped and asked carefully, she probably wouldn't report the situation to the doctor until she was discharged from the hospital.

"Under normal circumstances, the effect of the anesthetic doesn't last that long. Let me check it for you."

He carefully loosened the gauze wrapped around the patient's foot.

This surgery involves separating two toes that grow together.The difficulty of surgery depends on the specific degree of deformity.

(End of this chapter)