My medical skills add experience

Chapter 89 The most stable scalpel practice, the consequences of touching other people's cakes

Doctor Xu turned his head and glanced at him.

"Don't you look down on the simpler first-level surgery?"

"No, no! I just want to do more difficult operations gradually, so that the level of surgery can be improved a little bit!"

Zhou Can is really not too ambitious.

For him, simple operations such as sutures and debridement can also earn experience points.

However, the surgical ability must be developed in a balanced manner.

The more difficult the operation, the more it can exercise people.

When faced with difficult operations, he would naturally feel nervous in his heart, forcing him to think of ways to overcome difficulties and meet many challenges.When problems arise, it can also test his adaptability and comprehensive anticipation ability, etc.

There can be a comprehensive improvement in psychological quality, medical skills, and application of medical knowledge.

"I will pay due attention. There are more difficult surgeries that are suitable for you, and I will try my best to let you complete them." Dr. Xu agreed.

He has seen Zhou Can's rapid progress during this period of time.

With Zhou Can's current ability, he is indeed qualified for some relatively difficult operations.

However, the difficulty of first-level surgery is limited after all.

If you really want to challenge, the category of secondary surgery will be a little richer.

The three of them soon came to the large conference room of the surgery building.

It was already full of doctors.

It was the first time for Zhou Can to participate in this kind of official doctor's meeting.

The seats inside are all high-end.

There are two female staff members who are distributing water to each doctor.

This treatment is much better than an intern doctor.

Many interns say that the hospital does not treat interns as human beings, which is not too much.

"Doctor Xu, here!"

Someone waved at Dr. Xu.

Zhou Can followed his reputation and found that Director Lou was sitting in the last row of the conference room with the operating room doctor from the emergency department.

It was Doctor Fu who waved to them.

Sitting in the first row of the conference room were Director Xie of the Department of Surgery, Wu Baihe and Du Leng, the pinnacle surgeons of Neurosurgery, and many unknown surgeons.

All of them are handsome, with pride and strong self-confidence on their faces.

These people are neurosurgery surgeons.

At present, the surgical capabilities of the departments of Tuya Hospital are firmly in the top spot.

Zhou Can noticed that Dr. Xu was staring at the middle-aged doctor sitting in the second row to the left.

The man was about 50 years old, with an ordinary appearance, no different from the uncle next door.At first glance, I felt that the person was different from the people around him.It is as dull and dull as a stone sculpture.

After taking a closer look, Zhou Can was shocked to find that the man's left and right index fingers and thumbs were pinched together, and his hands were slightly raised and suspended in the air.

Is this trying to imitate Guanyin Bodhisattva pinching the lotus finger?
"He is Director Hu Kan of the Department of Cardiothoracic Surgery! Have you seen his hand?"

Dr. Xu also seemed to have noticed that Zhou Can was observing the man.

It turns out that this man who looks like a woodcarving is Director Hu who still has a record of zero surgical failures so far.

Guiguzi once said that if you judge the form based on the form, you can see the leopard in the tube.

It's really indescribable.

Who can believe that he is the most stable surgeon in surgery?

"I see. Why is his hand raised?"

Zhou Can asked curiously.

Raise both arms for short periods of time without any problem.But half-lifting it like this for a long time will be very tiring.The muscles will become sore, and the muscles and bones will not be able to bear it.

Does this person have self-abuse tendencies?

"Let me tell you, Director Hu Kan holds a piece of hair between his index finger and thumb. He has practiced this arm-hanging posture for more than 20 years. Put a glass of water on his hand, and the water in the glass will not change. There will be any tremors, no ripples. This is still the ability of six years ago, and now, he may be stronger."

When Dr. Xu mentioned this former competitor, his expression was complicated.

In the past, he was also a famous surgeon, and he could sit in the front row like Director Hu Kan and enjoy the glory.

Unfortunately, he died due to a medical accident.

Director Hu Kan has always been green.

Practicing the arm suspension posture for more than 20 years, this person's perseverance and perseverance are really terrifying.

There are really not many people who can persist in doing one thing for 20 years.

No wonder surgery is known for its prudence.

Humans are not like machines. The hand that holds the knife shakes the most likely to occur during surgery.

In general surgery, slight shaking will have no consequences.

If you do some high-precision and difficult operations, a slight difference may cause the operation to fail.

Therefore, the requirements for the practitioners are extremely strict.

Director Hu never forgets to practice his surgical skills even in meetings, which is really admirable.

"Director Hu keeps his arms hanging in place to exercise the stability of his hands. Then what is the purpose of pinching a piece of hair with his index finger and thumb?"

Zhou Can asked puzzledly.

Jin Mingxi was also extremely shocked at the moment.

Sure enough, none of the famous doctors in the big hospital is an idler.

They integrate surgery into their lives, and even their attitudes in life are worth learning from every doctor.

"You want to know the purpose of pinching a hair, it's very simple. Don't move." Dr. Xu reached out and plucked a hair from Zhou Can's head. "Pinch it, and I'll tell you the answer when the morning meeting is over."

Jin Mingxi watched from the side, and he also tore a hair from his head funny and pinched it.

Want to experience the feeling of holding your hair for a long time.

The three of them walked to the back row, and Dr. Xu pointed to the empty seat on the right.

"You sit next to Dr. Lin!"

And he himself walked to Director Lou and sat down.

There is still a lot to be particular about sitting in a meeting.

The head of the department sits in the most prominent position.

If it is a meeting in the department, Director Lou will sit in the most central chair.

Now participating in the morning meeting with multiple departments, that is the order of respect from left to right, from front to back.

Since ancient times, China has believed that the left is good luck and the right is evil.The idea that the left is superior and the right is inferior is deeply rooted in the hearts of the people.

The operating room team in the emergency department is actually very poor.

Director Lou seldom has surgery. Basically, there are only two attending doctors, Dr. Xu and Dr. Fu, and three residents, Dr. Cui, Dr. Lu, and Dr. Lin.Then add Zhou Can and Jin Mingxi, two regular training doctors.

Look at those powerful surgical departments sitting in the front row, which one is not strong and has a large number of personnel?Basically, there are regular training groups, piles of resident doctors, several attending doctors, and three or four deputy directors and chief physicians.

Their interns haven't come yet, otherwise the conference room might not be able to accommodate them.

No wonder the emergency department was seated in the last row.

Zhou Can discovered that Zhang Huabi from the Department of Obstetrics and Gynecology had also come.

She sat in the fifth row with the obstetrician and gynecologist.

The first four rows are basically occupied by the surgery room.

Orthopedic surgeons sit in the third row, and general surgeons in the fourth row.

As for gastrointestinal surgery, it was squeezed to the sixth row.

It ranks behind obstetrics and gynecology.

The surgical department of Tuya Hospital is quite powerful.

Zhou Can noticed that Yang Chan was also here, but she was almost the same as him, sitting at the end on the right.

In addition, surgeons from pediatrics, oncology and other departments also came.

This morning meeting should be attended by all surgeons in the hospital.

Of course, interns are not qualified for this.

Sitting in the penultimate row were Director Tan and others from the Department of Internal Medicine.

There is a high opinion that I haven't seen for a while, and it is also listed.

Gao Jian looks pretty good.It seems that the internal medicine has developed quite well. After more than half a month, I should have learned a lot.

"Isn't it the morning meeting of the surgeons? Why are the people from the internal medicine department here?"

Zhou Can whispered to Jin Mingxi.

"Interventional surgery in internal medicine!"

After Jin Mingxi said this, Zhou Can suddenly realized.

Interventional surgery is also surgery.

It's just like minimally invasive surgery.

Not long after, the entire conference room suddenly became quiet.

A tall, half-hundred man walked into the conference room.

"Vice President Ye is here, stop talking!"

Zhou Can could hear someone reminding him in a low voice.

The morning meeting hosted by the vice president himself is not low-level.

On weekdays, these school-level leaders are all deep-sea dragons, and it is difficult to meet them.

There are even interns who have been in Tuya for a full year and still haven't met the hospital leaders.

"Good morning, every body!"

Vice President Ye's aura is very strong, his gaze is like a tiger's, and when he glances over, he really has a vicious look.

Brings a strong sense of oppression.

"I believe that all the old employees of Tuya know me. There may be some newcomers who don't know me. Let me introduce myself. My surname is Ye. I am the medical vice president of Tuya General Hospital, in charge of medical affairs. Everyone here, if there is any Good medical advice, ideas, you can always respond to me.”

It turned out to be the vice president in charge of medical affairs. No wonder even Director Xie, Director Tan, Director Zhang and others respected him very much.

"Today is just a regular surgical safety meeting! Recently, there have been frequent surgical safety accidents. The Xinxiang Maternity and Children's Hospital in this city is a third-class hospital with a history of nearly 70 years. The first five. There was a woman who had a caesarean section at Xinxiang Maternity and Children’s Hospital. Two months after giving birth, the pregnant woman told the hospital doctor many times that she was not feeling well, had abdominal pains, lochia, weakness, and could not eat.”

"The doctor involved didn't pay much attention to it. After a simple inquiry and examination, he prescribed some anti-inflammatory drugs for the puerpera to take home and take it by herself. The puerpera did not improve after taking the medicine for a period of time. In the end, the pain was so unbearable that she chose to be hospitalized. .”

"The doctor did not find out the cause of the disease after examining the parturient. He suspected that it was a disease such as intestinal obstruction or peritonitis. Seeing that the parturient was thin and abnormal, the situation was not good. It is recommended that the parturient go to the provincial people who are more professional in treating this disease. Hospital treatment. But on the night when the mother was about to be transferred to another hospital, her condition suddenly deteriorated and she died of shock."

Vice President Ye said this matter very sadly.

"The husband of the parturient was very sad and applied for a forensic autopsy. After the autopsy, it was finally found that three pieces of gauze that had already turned black were left in the parturient's body, which were adhered to the intestinal tract. This caused multiple inflammations and infections in the parturient's digestive tract. The real cause of death. After investigation, the three pieces of gauze were put on by the mother to stop bleeding during childbirth, but she forgot to take them out later.”

This is a medical accident that makes people extremely sad and angry.

A tragedy that could have been avoided.

However, because of the carelessness, arrogance and self-reliance of the doctors and management of Xinxiang Women and Children's Hospital, a three-month-old baby lost its mother and lost its mother's love forever.The poor husband was separated from his beloved wife, living in pain.

"This incident happened on the 5th of this month. The reputation of Xinxiang Hospital was seriously damaged, and the doctors involved were suspended, but the lost lives could never be recovered. Comrades, the alarm bells are ringing, safety is no small matter, we every Everyone should learn from it.”

After Vice President Ye's voice fell, the conference room was exceptionally quiet.

The hearts of many doctors are unusually heavy.

Zhou Can noticed that Doctor Fu was quietly wiping the sweat from his forehead.

I guess I remembered the patient who was bleeding profusely that night. If Zhou Can hadn't helped to stop the bleeding in time, Dr. Fu would not be able to sit here for a meeting.

"Although no major safety accidents have occurred in the various surgical departments of our hospital, as far as I know, there are quite a few small surgical mistakes and safety omissions. Here, I will not name and criticize. But I hope you will definitely We must learn from the painful lessons of Xinxiang Maternity and Children's Hospital, and we must be careful when performing operations on patients, including preoperative examinations, intraoperative and postoperative care."

In terms of safety, Zhou Can felt that Dr. Xu did a very good job.

It is actually a good thing to learn from a teacher who has had an accident.

Zhou Can learned a lot about surgical safety awareness and various details from Dr. Xu.

This is of great benefit to his future practice of medicine.

It is equivalent to adding an insurance policy.

"Of course, being careful doesn't mean you're afraid of wolves and tigers. If you don't dare to do this, and you don't dare to treat it, then there is no need to carry out the medical business of our hospital. This kind of behavior of giving up food because of choking is definitely not advisable. If there is no accident and the treatment effect must be guaranteed, higher requirements are placed on the surgical practitioners. In addition to always keeping in mind the safety regulations, they also require more professional medical knowledge, more exquisite surgical skills, and parents who treat their children with care. a sense of responsibility."

The doctor's parental heart is actually a sense of responsibility.

Want to consider for the patient everywhere, be responsible for the patient.

The Vice President Ye was quite able to speak, and he continued to talk a lot.

It's all about safety.

"I would like to praise the surgical department that has done a good job. The cardiothoracic surgery operating room has been doing very well in terms of safety. Last month's surgical error rate and postoperative risk control are still No. 1 in their department. According to the usual practice, the hospital It was decided to award 1 yuan to the cardiothoracic surgery department as an encouragement."

After the words fell, Vice President Ye took the lead in applauding.

The whole audience burst into applause.

In addition to cash rewards, there is actually a mobile red flag with the safest surgical department written on it.

This floating red flag was basically covered by the cardiothoracic surgery department.

rarely leaked.

Doctors from other departments cast envious glances at the doctors of this department.

The doctors in the cardiothoracic surgery operating room held their heads high and proud.

This department has been able to maintain the No.1 safety assessment, which has a lot to do with their leader, Director Hu Kan.

Vice-principal Ye raised his hand and suppressed it, and the applause stopped.

"The minimally invasive operating room of the Department of Neurology in the Department of Internal Medicine ranked last in the safety assessment last month. There were 2 accidents in intracranial angiography and interventional surgery, and 3 accidents in intracranial artery stent implantation. There were 3 accidents in the internal vascular stenting operation. Serious criticism must be made. Director Tan, the head of the internal medicine department, deducted 6000 yuan from the salary of the month. Director Yin Hua, the leader of the Department of Neurology, deducted 5000 yuan from the salary of the month, and the leader of the interventional surgery team , 4000 yuan was deducted from the salary of the month, and the doctor involved had already been punished in accordance with the hospital punishment regulations, and no other punishment would be imposed."

The surgical capability of internal medicine has always been weak.

Although efforts have been made to develop interventional surgery in recent years and vigorously cultivate a team of interventional surgery doctors, high-quality minimally invasive surgery doctors cannot be cultivated overnight.

The development of Tuya Internal Medicine is also obviously hindered due to the lack of elite talents for interventional surgery.

This is also a very big test for Director Tan.

It's not a big deal for them to be fined, but being criticized in public is enough to make these big bosses feel ashamed and ashamed.

"Do the department directors have anything else to say?"

Vice President Ye looked at the directors of several major departments.

He is very polite to the directors of these major departments.

His position in the hospital must be supported by these departments.

Generally speaking, asking this question is basically just before the end of the meeting.

"I have one thing I want to mention."

Director Xie stood up and said loudly.

"Thank you, Director, please speak!"

Vice President Ye smiled and gestured.

"Recently, multiple operating rooms in our surgery have reported that the number of cases of first-level surgery has decreased a lot, resulting in a sharp drop in opportunities to train new recruits. After investigation, it was discovered that the emergency department has recently intercepted a large number of patients who should have been referred to specialists. First-level surgical patients in the outpatient clinic. This matter is related to the training of new surgical personnel in our surgical department, so it must be corrected."

Director Xie's words were like a thunderclap to Zhou Can.

He begged Dr. Xu to do this matter, but he didn't expect that after Dr. Xie found out, he directly moved to the monthly routine morning meeting to talk about it.

This is completely different in nature from communicating with Director Lou in private.

And Director Xie's attitude was extremely tough.

Zhou Can was very worried that Dr. Xu would be punished for this.

　Thank you to the five book friends, Linyu V keeps going, sangzi12, book friend 20180609060722770, favorite person, book friend 20220110032029721 for their support.Thanks to over 1000 readers for their paid subscriptions.

　　I saw some valuable suggestions from some book friends, such as Vice President Bai's character design.Maybe these book friends are still young and have no access to some higher-level leaders.What I can say is that it will always be the team leader, supervisor, department manager and other management who are vicious and swearing.For a real great leader, the higher the status, the more amiable he is.Otherwise, he could not climb that height.Even if you have a background, you can't sit firmly in that seat.

　　
　
(End of this chapter)