Chapter 511 - First Day Administrative Rounds
Which department the newly appointed President Chen will visit at his first stop is a topic of common concern to all the staff of the People's Hospital.
In fact, the first inspection point of the new dean often represents which department the dean will pay special attention to and focus on construction in the future.
In fact, the dean often has no special meaning, but some people just over-interpret it, and then cause a wave of suspicion.
Monday morning was the day when Chen Qi officially went to work.
On the morning of October, the scorching heat has passed, and it is a little cold in the morning and evening, Chen Qi is wearing a gray suit and a blue tie, and the whole person looks very energetic.
Chen Qi originally wanted to wear a tunic and look a little younger.
But Lan Lijuan turned around and felt that it was better to wear a suit, which looked foreign and more energetic, and it was also in line with the personality of Chen Qi, an international double director.
Chen Qi's suits are all purchased from foreign brand-name stores, and a suit starts at thousands of dollars, so it has a special version and demeanor when worn on the body.
Of course, Chen Qi also knew that the top richest people wore custom-made suits, but he was reluctant to spend that unjust money.
A suit costs tens of thousands of dollars, what international jokes? How much is an ounce of gold now? Isn't it fragrant to have the money to buy a few more sets of courtyard houses?
From this point of view, Chen Qi's thinking is still somewhat dick-mentality, although he is already very rich.
There is another reason to wear a suit, and that is the need for occupation.
is more slippery than the old traitor, Chen Qi is definitely not as good as Wu Weiguo, so what should I do.
Then find another way, I just want to be different from you, that is, to bring you a new atmosphere, that is, to show my youthful vitality.
The more personable you become, the more you buy people's hearts, the core is for who can hold the leadership of the hospital.
In fact, this is also the result of the alternating collision of the old and new forces, and in the eighties and nineties, all walks of life had these contradictions.
Older people also want to occupy the stage and adopt conservative policies to govern the unit.
But young people are eager to get ahead and rush to make a difference, adopting radical, more open and inclusive policies to govern the unit.
As soon as Chen Qi got down from Santana, Liu Huichun, the director of the hospital office, quickly ran out of the office building, and then carefully pressed his hand against the car door to prevent Dean Chen from hitting it.
Liu Huichun is in his 40s this year, and he is already the age of a, but he is clever, capable, and exquisite.
The director of the office is the role of the secretary, in addition to being capable, he must also be able to figure out the thoughts of the leader, so that he can continue to work in the position of this "close minister of the Son of Heaven".
Although the rank is not high, the power is absolutely huge, and many times it can appear on behalf of the dean.
If you often blow the wind next to the dean, saying that this is not good and that is not good, then the targeted employees will also think about it.
In the hands of Comrade Guo, who can't tolerate sand in his eyes, he has been the office director for seven or eight years, and Liu Huichun has also proved his strength and ability.
When a new dean takes office, the first people to be replaced are often the secretary and the chief of staff, as well as the driver.
But Chen Qi has no such plan, Comrade Lao Guo is on the same line with him, and the person Lao Guo trusts is also the person he trusts Chen Qi.
"Dean Chen, you went to work really early, and it was only 7:20 in the morning, hehe."
Chen Qi also smiled: "Director Liu, we are also old acquaintances, there is no need to be so polite, besides, if you arrive early, you are still there, there is no need to guard me next time, I am not Comrade Guo, I need support when I walk." ”
Of course, Liu Huichun knows the relationship between Lao Guo and the new dean, and it is not an exaggeration to say that he is in love with father and son
Even Lao Guo specially told her that she must follow the new dean closely, serve the new dean well, and come forward to help the new dean sweep away some ghosts, snakes, and gods at a critical moment.
So he laughed at Chen Qi's ridicule, and instead asked about the day's itinerary.
"Dean Chen, on your first day of work today, which department are you going to go to for research?"
Chen Qi intended to test the director of the office, so he asked rhetorically:
"No matter which department I go to, it will cause dissatisfaction and embarrassment, which department do you think I should go to first?"
"If you want me to say, let's go to the newly established Sixth Department of Internal Medicine today, after all, the ongoing project of the Sixth Department of Internal Medicine is Sino-foreign cooperation, or a national-level research group, which is a big signboard of our People's Hospital at present, and the president should pay special attention to it."
Who in the whole hospital does not know that the newly established Inner Sixth Department is the territory of the dean's wife, which is equivalent to an independent kingdom.
Is there a problem with the new dean taking office to inspect his wife's department? And the reasons have been found, this is the only national laboratory in the People's Hospital, a Sino-foreign cooperative research group.
I can't pay too much attention to it, who can say that I am not convinced?
Liu Huichun's thoughts coincided with Chen Qi, so he nodded:
"Nacheng, let's go to the sixth department of internal medicine for research, by the way, apart from the two of us, have the comrades from the medical department come over?"
"Chief Qi of the medical department will personally accompany the dean on rounds."
Generally, in large hospitals, the administrative rounds of the president, or the professors' rounds in the department will be scheduled on Mondays, so the relevant staff will also be in place early.
However, Chen Qi and Liu Huijuan waited for a long time before they saw that Qi Damin, the head of the medical department, was late.
Chen Qi looked at his watch, it was already 8:10 at this time, and he waited for 20 minutes.
"Dean Chen, I'm sorry, I'm sorry, I had an accident in my house, so I was late for a while."
Don't look at Qi Damin is trotting over, he seems to be in a hurry, but Chen Qi understands that this Qi Damin is not a fuel-efficient lamp, and he has been targeting him when he was interning.
On the first day of the new dean's tenure, the head of the medical department, who is similar to a big housekeeper, was actually 20 minutes late?
If it was another dean, he might have believed it, but Chen Qi didn't believe it, and he could only say that some people were starting to give him a beating.
Qi Damin was "wiping his sweat" while carefully observing Chen Qi's face.
Section Chief Qi is angry in his heart, this intern of the year, today actually climbed on his head and became the leader of his leadership, can he bear it?
And Chen Qi and Lao Guo are wearing the same pants, who doesn't know about the People's Hospital? Then he was born to be Vice President Wu's enemy, and he was also the enemy of Qi Damin.
He had already thought about it, and he wanted to use the power of the medical department in his hands to serve yin and yang in clinical work, so that Chen Qi would be dumb after he took office.
His late arrival today is an attitude to Chen Qi, and at the same time an attitude to Vice President Wu, he will not betray the old master.
Originally, Qi Damin thought that if he explained a few words, Chen Qi would also make a few sighs and turn the page on this matter.
As a result, he waited for a while, and Chen Qi didn't say a word, but looked at Liu Huijuan:
"Director Liu, have you all arrived?"
Liu Huijuan glanced at Qi Damin, thinking that this person was too eyesightly, and he dared to give the dean eye drops on the first day, I am afraid that the position under the butt will not be saved.
"The people from the medical department, the science and education department, and the hospital office are all here."
"Let's go, go to the sixth department."
Chen Qi walked past Qi Damin's eyes, and said hello without saying hello, as if he didn't exist.
Qi Damin chuckled in his heart, but then sneered.
He is the head of the medical department with old qualifications, if it weren't for no one above, he would have been promoted to the level of vice president, and he himself is the chief physician of the endocrinology and metabolism department, and he is also an old man in the people's hospital.
He didn't think that Chen Qi dared to do anything to him, and he was very confident.
So he followed with ease, ready to touch the fish for the day.
On the first day of the inspection, Dean Chen came to the sixth department of internal medicine, and the doctors and nurses of the sixth department of internal medicine were waiting at the door of the department, and then applauded warmly.
A little nurse also took out a stick of plastic flowers and delivered them to Chen Qi as soon as possible.
Chen Qi took the flower, and said with a somewhat frightened expression:
"Wow, this little comrade, if you want to send flowers, you can't send them in front of Director Lan, although I am the leader of Dr. Lan in the hospital, but after returning home, Dr. Lan is my leader, don't you obviously ask me to kneel on the washboard?"
Hahaha~~~
The hallway burst into laughter.
Lan Lijuan glanced at her husband, as the head of the department, she hurriedly expressed her position, after all, this is work.
"Welcome Dean Chen to our newly established Sixth Department of Internal Medicine, and now I would like to report to you the work and achievements of our department in the past period. At present, our sixth department of internal medicine is testing two antibiotics + omeprazole + bismuth to treat gastric diseases.
At present, it has achieved very positive curative effects, and has published 4 SCI papers in top international medical journals, and 2 papers are being sorted out. At the same time, in clinical practice, last year's business reached the first place among 6 internal medicine departments. ”
Of course, these achievements are clear to Chen Qi, but Lan Lijuan still has to talk about them again today.
It's not to brag, but to show everyone that when she became the head of the department, she didn't make a sycophant, but made real achievements.
Chen Qi kept nodding while jotting down something in his notes:
"The sixth department of internal medicine is very remarkable, it has achieved such brilliant results when it was in the temporary department, and now it is officially established, I hope you can achieve greater results, okay, next time we will seize the time to check the ward and see how your real level is."
Lan Lijuan was a little embarrassed, feeling like acting, she bowed slightly and whispered:
"Then, Dean Chen, please."
Chen Qi coughed lightly, and the old god nodded on the ground:
"Good attitude, I hope to keep it at home."
Ma Xiaona laughed out loud and was glared at by Liu Huijuan.
As the name suggests, the dean's administrative ward rounds are to conduct a comprehensive inspection of the medical treatment, nursing, scientific research, teaching, medical ethics, labor discipline, price policy, health management and other work of the clinical department, listen to opinions and solve problems.
Therefore, as a dean, you must not only understand management, but also understand clinical practice.
Otherwise, in the process of ward rounds, if the little doctor encounters a problem that he does not understand, or if there is any clinical diagnosis that is not standardized, your dean cannot find out or point it out, which is a joke.
Therefore, the deans of parallel goods in later generations almost did not engage in "dean's administrative rounds", because they could not bear it.
Spend all day at the wine table, how can you have time to study business? How can I have time to go to the clinic? It's nice to be able to get to and from work on time every day.
When it comes to the dean's rounds, there are many things to pay attention to, such as a standing position.
Chen Qi, as the dean, stood at the end of the bed.
This position has the best line of sight, and can see all the performance of the ward rounder, which is equivalent to the C position, and the focus is highlighted.
The head of the department, the chief of the medical department and other small leaders stood on the left side of the bed.
To the right of the bed, near the first position of the patient's head, stands the doctor in charge of the bed.
The doctor in charge of the bed is the main force in reporting cases, and the timid little doctor, when he sees the dean staring at him/her, many people will be so frightened that they can't speak clearly, and the report of medical records becomes intermittent and difficult to continue.
The future is in jeopardy.
The second position behind the bed doctor is the deputy chief physician, the third position is the attending physician, and finally the ordinary doctors.
The first little doctor reported today is called Wang Fang, and her short hair shows that this is a girl with a lot of personality.
Chen Qi also wanted to see what the level of his wife's subordinates was, a department is strong, just the director is strong, it is useless, all members need to be strong, after all, this is teamwork.
"Hello Dean Chen, I am Wang Fang, the doctor in charge of the bed, and I will report the major medical records today. The patient in bed 1 was a 46-year-old woman who was admitted to the hospital with hematemesis for 3 days. The patient had a sudden feeling of nausea and then hematemesis 3 days ago without obvious triggers......"
Chen Qi suddenly asked, "As a bedside doctor, how can you tell whether a patient is vomiting blood or hemoptysis?" ”
Wang Fang is obviously mentally prepared:
"Yes, hematemesis refers to blood coming out of the digestive tract, such as esophageal, stomach, and duodenal bleeding. Hemoptysis is bleeding from the trachea and lungs, which is coughed out in the form of coughing, and the patient has no cough symptoms before vomiting blood, only nausea, so I preliminarily judged that it was hematemesis. ”
Chen Qi nodded slightly, and then asked:
"What are the two most common causes of gastrointestinal bleeding? Which one do you think is more suitable for the patient? ”
Wang Fang was still not in a hurry, and replied with a serious face:
"There are two most common causes of gastrointestinal bleeding, one is bleeding caused by gastric ulcers, duodenal ulcers, and the other is bleeding from ruptured esophageal and gastric varices due to cirrhosis.
But now, after a series of inspections, we can preliminarily judge that neither of these possibilities is very likely. I have done gastroscopy on the patient and it shows that there are no bleeding spots and ulcer spots in the gastric mucosa. In addition, the patient had no history of hepatitis A and hepatitis B, and no cirrhosis was detected on ultrasound. ”
As soon as Chen Qi heard that he had an incurable disease, he immediately became interested.
"There's no problem with the stomach, there's no problem with the liver and esophageal veins, it's weird, what about the color of the stool?"
When the patient's family heard this, they were anxious: "Doctor, the stool was just sampled in the morning, and it was still in the toilet stool test basket. ”
Lan Lijuan said to the family: "Hurry up and bring the stool specimen over for us to see." ”
After a while, the stool in a cardboard box was delivered, Chen Qi took a breathless look, and saw the problem at a glance:
"Such an obvious black stool, no need for laboratory testing, this must be gastrointestinal bleeding."
The stool is originally yellow, but if it contains blood, the blood will turn black after digestion and decomposition, so black is an important indicator of upper gastrointestinal bleeding.
This is common knowledge that any doctor knows.
But will it be that simple?