"Good afternoon, Mr. Huntelaar."

"Good afternoon, Miss Brown."

While opening the door to his office with the key, John turned his head and casually greeted, but his eyes widened when he saw the thick stack of letters in the hand of the secretary, Miss Brown: "This is ...... Miss Brown, are these my letters? ”

"Yes, sir."

Miss Brown flipped the letter in her hand and smiled helplessly.

Since the time entered May of this year, from all over the world...... Chiefly, of course, in Europe and North America, there has been a sudden increase in the number of letters sent to Mr. Huntelaar, especially in the last week, when several letters have been delivered to Miss Brown almost every day. And today is the largest number, she just roughly counted it, and it has exceeded fifteen!

"Uh...... All right. ”

After swallowing a mouthful of foam, John opened the door and asked Miss Brown to put the letter inside. He didn't need to read it to know what the content of these letters was, it was nothing more than an exchange letter from some doctors and researchers, after all, the hottest topics in the medical field in the past six months were inseparable from his own name - this can be seen from the citation rate of the papers in various medical journals. So, like his contemporaries, John was naturally invited to exchange ideas from all over the world......

When I opened the letters, I saw what John had expected.

Most of them wanted to discuss academic issues with him, and the current focus was on cardiopulmonary resuscitation, surgical trauma management, and vitamin theory, but there were also several letters from medical schools around the world that wanted to invite him to give academic reports, and even three letters were written by physicians themselves, hoping to study under him.

It took John more than half an hour to process the letters.

He has limited time now. Of course, it's not possible to reply to each of these letters, but it's not appropriate to ignore them, so the easiest way to deal with them is to assign them. For example, the letters for surgery were given to Thomas, the letters for vitamins were given to two young physicians, and so on. As for the request to come to New York to study, John replied in a uniform tone - he had no intention of recruiting a trainee physician for Heinz General Hospital for a short time.

Ultimately. The foundation of Heinz General Hospital is still too thin.

John had allowed the surgeons at Columbia College to come to the university because they were also in New York City, and if they refused, it would be detrimental to future contact. But if anyone else wanted to come, John had to think about the implications. At present, Heinz General Hospital focuses on surgery, and in addition to standardizing basic operating techniques, surgery also has to study the treatment of surgical trauma and develop new surgeries, which is a very heavy task, and John does not want these young surgeons to be under too much pressure.

Wait for two or three years when the school starts recruiting students. It's a different story......

After briefly disposing of the letters, John looked at the time and hurried to the surgical ward.

It's Wednesday, and it's a day of the weekly surgical rounds that start at half past two in the afternoon, and John certainly doesn't want to miss it. Since returning from his honeymoon, John hasn't missed his clinic or surgery. He knew very well that although he had world-leading knowledge and technology, he was still a surgeon. Hands-on operation is the most important thing, otherwise you will become a pure researcher sooner or later after a long time......

"Huh?"

When I came to the door of the surgical ward. John was surprised to see a figure who shouldn't be here, and couldn't help but ask, "Professor Osler, why are you here?" Is there something to find Thomas? ”

Smiling slightly, Professor Osler shook his head and said, "No, I don't have anything to do today, but I'm very interested in the big ward round system implemented by the Department of Surgery. So I wanted to take a look. ”

"Oh, I see."

Hearing Professor Osler say this, John nodded abruptly.

From which country the ward rounds began, and when they began, John can no longer find a corresponding record in his memory. However, when he visited Charlotte Hospital or Columbia College Hospital, he had already seen the rudiments of ward rounds in later generations—professors majestically taking junior physicians or medical students to inspect patients in the wards!

In John's hospital, of course, there are also daily rounds and big rounds.

Literally, ward rounds mean that doctors go around the wards and ask inpatients about their condition so that they can respond in a timely manner. There are also many kinds of ward rounds, such as the routine rounds of the attending physician, as well as the rounds of the director and deputy chief physician, etc., and in the course of more than 100 years of development, the connotation of ward rounds has been greatly developed and expanded, and there have been large ward rounds, teaching rounds and administrative rounds and so on. The content of teaching rounds and administrative rounds is relatively simple, the former is mainly taught by physicians, and the latter is that administrative staff understand the problems of the ward and assist in solving them, while the large rounds are actually more like a small clinical seminar......

The main content of the ward round is to discuss the cases.

For example, the current system of ward rounds in the Department of Surgery at Heinz General Hospital is that a physician selects a characteristic case from the inpatient this week and publishes it after Thomas's approval. These cases are either difficult to diagnose, or some experience is worth learning and summarizing, or relatively rare, etc., and then the general surgery is discussed and studied every Wednesday afternoon......

"I think it's very good for the growth of young doctors!"

Looking at his boss, Professor Osler said with a serious face: "Through the discussion of these cases, they can see more cases and learn more experience, so if I can, I want to promote it in internal medicine!" ”

"Not bad!"

After listening to Professor Osler's words, John nodded again and again and smiled: "And in addition to training young doctors, it can also brainstorm and solve difficult problems in the process of diagnosis and treatment of patients, so that doctors can communicate and learn from each other, and at the same time ...... It can also enhance mutual understanding and cohesion......"

"Hmm......"

Professor Osler's eyes lit up and he nodded thoughtfully.

After a slight pause, John then smiled and said, "After our medical school starts to recruit students, we can actually conduct teaching rounds according to the clinical teaching model you proposed." Through ward rounds, students can not only learn knowledge that cannot be learned in books, but also allow them to experience the pain of patients and their responsibilities at an early stage......"

After the beginning, John did not go into details.

In the face of Osler, the father of modern American medicine, John actually does not need to say much, this great physician who believes that the three greatest enemies of physicians are arrogance, indifference and greed, already has his own complete medical philosophy, and he does not need to say much at all.

And......

Although John has advanced ideas that have lasted more than 100 years, the ideas of the future are not necessarily suitable for this era. Perhaps Osler is undoubtedly the most suitable for this era, which is why John went to great lengths to invite him over to prepare for the medical school, instead of going up and down himself!

As Osler broke, Thomas and the other surgeons arrived.

Under Thomas's chairmanship, the afternoon rounds soon began, with carefully selected cases displayed in front of everyone, and everyone began to discuss once a week.

Feeling the warm atmosphere, John couldn't help but feel a trace of pride in his heart.

Today's Heinz General Hospital surgery is different from when it first opened, because of the success of appendectomy and the strict implementation of surgical disinfection standards, the surgical infection rate of Heinz General Hospital is relatively low, and the success rate of surgery has been greatly improved, which also makes it famous in the whole New York City! So after more than a year of hard work, the surgical ward of Heinz General Hospital has been expanded again and again, and it has almost forty beds.

What's more, the utilization rate of these beds is very high!

Under the strong promotion of John and Thomas and others, there have been endless papers on the diagnosis and surgical treatment of appendicitis in recent years, and there were more than 70 papers last year alone, and as long as the doctors who paid a little attention know that Heinz General Hospital is the best hospital in the world for appendectomy. So in the last six months, the number of appendicitis patients recommended by doctors to come here has increased day by day, and in the first four months of this year, Thomas and his team have completed more than 100 appendicitis surgeries!

The more surgeries are performed, the higher the level of the doctors.

And in addition to these learnings in the work, Heinz General Hospital continued to "buy" a large number of corpses for the dissection of surgeons - Professor Osler was an absolute expert in this area, and it was no joke that he had dissected thousands of corpses in ten years. There are also a large number of laboratory animals, which are also the objects of training for surgeons......

Like building a house, laying the foundation was the most important thing in John's opinion.

John didn't go to major surgeries such as liver, gallbladder, spleen, lungs and kidneys, let alone the head and heart, what he had to do was to standardize his surgeons through a series of "minor surgeries" such as appendectomy, skin debridement, and subcutaneous cyst removal! Standardize their basic operating techniques, aseptic concepts, etc., and subtly begin to remind them to study blood transfusion, acid-base balance and other theories......

As a future surgeon, John really wasn't in a hurry.

Anesthesia, surgical sterilization, blood transfusion, basic operation techniques, etc., may seem simple to future surgeons, and they are the most basic things in surgery. But only John in this day and age understood how important they really were!

These things are the cornerstones of surgery!

Without safe anesthesia techniques, the risks of surgery are unacceptable; Without strict and effective surgical disinfection techniques, postoperative infections can take the lives of countless patients; Without standardized blood transfusion and basic operation techniques, even major surgical operations can only be left to chance...... Whatever kind of surgery, it must be built on these cornerstones, otherwise it will only be like the surgeons in history, who will use the names of people as the price of progress...... (To be continued.) )