5. Emergency ward and MDT mode
"Emergency ward?" Chu Liang was a little puzzled, the original owner didn't seem to have this stubble in his memory.
"You're in the department all day long, you don't care about this, you don't care about that, it's normal that you don't know about the opening of the emergency ward."
Zhang Hu was not surprised, and explained from the beginning: "Isn't our hospital going to be promoted to the top three in the past few years, and the emergency department also wants to perform, so I learned from the higher-level hospital and prepared to open an emergency ward." ”
"It is said that it is necessary to learn the international advanced MDT model, directly set up a ward in the emergency department, and if there are incurable diseases and critical patients in the future, the emergency ward will be directly responsible, and other specialties will assist, so as to reduce the links of intermediate transfer, handover and consultation, and deal with difficult patients efficiently."
Was there an MDT model in 2009?
Chu Liang couldn't help but be a little surprised, and at the same time a little suspicious.
MDT stands for multidisciplinary diagnosis and treatment model, which simply means to concentrate the strength of all departments of a hospital to develop a complete and unified treatment plan for patients with incurable diseases.
The most fundamental reason why the international community has begun to advocate this model is because those top doctors are becoming more and more aware of a problem:
The disease is so complex that it is difficult to solve the problem fundamentally by relying on one department alone.
Let's say a patient with a malignant tumor comes to see a doctor.
He needs the pain department to solve the pain problem for him, the radiotherapy and chemotherapy department needs to solve the preoperative radiotherapy and chemotherapy preparation for him, the internal medicine department needs to solve the internal environment disorder for him, the surgery department needs to solve the surgical resection for him, and the rehabilitation department and imaging department may be needed in the follow-up......
Doctors in each department can often only stand on their own point of view and provide assistance to patients.
However, the more complex the patient, the more limited the help that the specialist can provide.
If patients are constantly referred, changed departments, and received treatment from different specialties in a split manner, not to mention the final treatment effect, whether there will be contradictory treatment plans, just the intermediate process is enough to toss the patient.
Therefore, such a joint diagnosis and treatment method will gradually emerge in the world.
The idea is very good, directly establish a department, take it as the core, coordinate the resources of the whole hospital, and serve patients with incurable diseases in a targeted manner.
But in fact, until more than ten years later, the MDT model in China has not really developed, and only has made achievements in the treatment of patients with malignant tumors.
At this time, it was only 2009, and the second provincial hospital was going to make an MDT model and open an emergency ward?
What about playing?
Chu Liang couldn't help but be suspicious: "The hospital leader agreed?" Isn't this step a bit big, and I'm not afraid of pulling eggs? ”
Zhang Hu sneered: "Then I don't know, if I do, I will be the leader of the hospital." ”
Chu Liang thought for a while and said: "But if it really opens, it should be pretty good, the emergency ward has an independent emergency operating room, and the attending physician like us has had the opportunity to lead the group in the past, and the treatment will not be worse than that of the emergency department at that time." ”
Zhang Hu shook his head and said: "Having said that, but what will happen to the new department in the future, who can know, no matter how bad the emergency department is, the treatment can be ranked in the top five in the whole hospital, not to mention being kicked out of the department by its own director, this is too faceless, how will you mix in the hospital in the future?" ”
The gold and silver nests are not as good as my own kennels, and as long as I stick to the rules, the situation will not get worse...... Chu Conscience complained silently in his heart.
But then again, what Zhang Hu said does make sense.
The emergency ward, a product of a big step, will eventually be yellow, and the MDT model that has not been developed in the next 20 years or so will not be able to do it.
No matter how bad the emergency department is, it is better than this kind of department that has no hope and no future.
"The old salted fish was in charge at the beginning, and then he was kicked by the director to the edge department, good guy, the difficulty of the start is straight to the ceiling......"
Chu Liang's face was a little ugly, and he wondered why he was so miserable......
But it was only a moment, and Chu Liang thought about it.
On the other hand, leaving the emergency department isn't necessarily a bad thing for you.
After all, his image of being the old ruler of salted fish has been ingrained here, and except for Zhang Hu, everyone else has a lot of criticism about themselves.
Director Li Mingwei has never been waiting to see himself.
Although Chu Liang didn't care what others thought of him, in this environment, there were many opportunities that he couldn't grasp.
The operation is not your turn, the scientific research is not your turn, and the teaching has nothing to do with you.
At that time, even if you don't want to become a salted fish, you probably can't help yourself.
Moreover, the overall aging of the emergency department and the unreasonable composition of talents, Zhang Hu is relatively good in all aspects, but he has not had the opportunity to be promoted to deputy chief physician for several years, and he is about to reach forty, and he doesn't know if he has much hope this year.
A forty-five-year-old salted fish veteran like himself is in the emergency department, and he doesn't want to turn over in the emergency department.
It may be the right choice to go to a new department early and start anew.
Zhang Hu finally couldn't hold back, took out his cigarette and lit it.
Mei Zizi took a puff, the smoke was filled, and Zhang Hu couldn't help but seduce: "Lao Chu really doesn't want to take a sip?" Happy as a fairy! ”
Chu Liang refused without hesitation.
Zhang Huhu glanced at Chu Liang suspiciously, suddenly thought of something, and said with a slightly ugly face: "Old Chu, you can't ...... Something is wrong with your lungs, right? ”
Chu Liang: "? ”
The more Zhang Hu thought about it, the more frightened he became, and said to himself: "Suddenly became so warm-hearted, and quit smoking so thoroughly, Lao Chu, you shouldn't have lung cancer, right, conscience found, want to be a good person in the last stage of life?" ”
Chu Liang's face turned black directly.
How can you make up for your brain so well?
I've watched too many domestic TV series, right, quitting smoking is getting lung cancer, is there a dime relationship between the two?
"Can you stop cursing me, I just don't want to smoke, smoking is bad for your health, you should smoke less."
Chu Liang admonished the only friend in the department: "If you really want to smoke, can you buy some good cigarettes to smoke, isn't this cigarette spicy?" ”
Zhang Hu took the last sip violently, and then threw the cigarette butt into the water cup with a little reluctance, and then said unsatisfied: "You are really a saint after the fact, you didn't say that when you smoked Double Happiness with me, and now you persuade me to be good?" ”
Chu Liang smiled helplessly, and didn't care about this idle matter.
Zhang Hu was addicted to cigarettes, and he wanted to have another one, but unfortunately the nurse hurriedly ran over and said that a patient was coming.
"I'll be right here."
Zhang Hu sighed helplessly, put away the cigarette case, and asked again: "What kind of patient?" ”
"Finger tendon rupture." The nurse's voice came.
"Got it."
Zhang Hu agreed loudly, and then complained to Chu Liang in a low voice: "Holy shit, Director Li is in the department today, this patient with a ruptured tendon will definitely be snatched away by him again, when will we little doctors stand up in the emergency department, I am shaking and cold!" ”