Dr. Zou was the only one who was embarrassed to take the initiative to greet Zhou Can.

When operating on a patient, he poked the basket, and Zhou Can helped him wipe his buttocks. The key is that he also scolded Zhou Can a few words.

Now Zhou Can has successfully inserted all the coils in five by two, and the threat of the patient's cerebral aneurysm has been removed. Compared with Zhou Canyi, he can see the level of everyone.

"Who is Xiao Zhou currently training with?"

Director Wen asked, it is estimated that he has already begun to fight the idea of this talent.

The preference for excellent medical advancement is not just the preserve of top doctors. Senior doctors with weak medical or surgical skills have an even stronger desire for these talents.

Because as long as you recruit subordinates, you can help a lot.

It has a high utilization value.

"I followed Dr. Cheng Gang in the inpatient department to do some ward rounds, follow up on patients' surgeries and other work."

Zhou Can told the truth.

"Cheng Gang? Is it a bed-tube resident? ”

It is estimated that if Cheng Gang heard this, he was afraid that he would be so angry that he vomited blood.

Anyway, he is a resident doctor with the ability to manage beds independently, but the chief physician of the same department doesn't even remember his name.

The number of doctors in the Department of Divine Surgery is not large.

Cheng Gang has been in this department for a few years, but it is such a result, which is definitely a sadness.

Unlike regular trainees and interns, resident doctors are serious department employees. Participate in various performance and bonus sharing. You should have an impression anyway.

Besides, not long ago, a 22-bed patient developed a postoperative complication - epilepsy.

Cheng Gang also called Director Wen to report the situation.

Compared with other departments, the doctors in the Department of Divine Surgery are particularly indifferent to each other.

There are layers of invisible and untouchable barriers.

"That's right, Cheng Gang is in charge of the bed in the ward."

Dr. Ou answered this question in place of Zhou Can.

It can be seen that Dr. Ou's small eyes are full of desire to curry favor with Director Wen.

"Cheng Gang's academic and surgical abilities are very average. If you follow him, you will only learn some of the most basic ways to deal with patients. I'll transfer you to my group, and follow me to surgery, consultation, and bed management in the future. ”

Director Wen was really playing Zhou Can's idea.

Not to mention anything else, the level of implantation that Zhou Can showed alone was enough to help him in many interventional surgeries.

The key is that such talents are completely free.

The trainees do not participate in the surgical commission and do not participate in the distribution of various bonuses in the department.

Even doctor's orders and medical records can't write your own name.

It's equivalent to hiring a free helper.

can take such a big advantage, it's no wonder that Director Wen doesn't rush to do it.

"Thank you, Director Wen, for cultivating!"

Zhou Can smiled happily and thanked him.

In fact, he hoped to have the opportunity to be appreciated by Wu Baihe and follow Wu Baihe for two months.

Because Director Wen's surgical level is very average, what he can learn is really limited.

At the moment, he has no second choice but to say yes to his 'happy'.

Director Wen didn't ask him if he agreed.

The decision was made directly.

If he disagrees at this time, Director Wen's face is guaranteed to be longer than the donkey's face.

A small trainee who doesn't know how to lift up, the consequences are very serious.

Zhou Can can only lower his expectations, first gain a firm foothold, and then seek development and greater progress.

Now that I have followed Director Wen, I still have a chance to gain Wu Baihe's appreciation in the future.

If you can't wait for that opportunity, it's fate.

I can only find opportunities to study outside the gods in the future.

"Doctor Ou, that Cheng Gang is your resident doctor, right?"

"That's right! Usually I am responsible for him. ”

Doctor Ou saw that such an excellent trainee under his command was poached on the first day of his arrival at Shenwai Regulation, and he was not only envious in his heart, but also envious.

He also especially hoped that Director Wen would dig him up.

Not every attending physician is covered by a senior doctor.

Dr. Ou is one of the 'wild children'.

If there is a problem with the patients under his supervision, he can report it to the director and deputy chief physician of the department. You can find anyone.

But no one took him as an apprentice.

Basically, I rubbed a tertiary surgery with this one today, and another one with another director tomorrow.

This is the only way to make difficult progress.

"I'll talk to Cheng Gang about this later."

Dr. Ou once again offered to show his kindness.

"Hmmm! That's hard work! Director Wen nodded in satisfaction.

Digging up a good talent, it can be seen that he is still quite happy.

At this time, the patient had woken up under the call of the anesthesiologist.

Generally speaking, after stopping anesthetic administration, after about 10 minutes, pat the patient's shoulder and call the patient's name can wake the person up.

General anesthesia is also considered to be a deep form of sleep.

After examination, the patient woke up to anesthesia, but still had vomiting and headache reactions, and neck stiffness still existed.

It seems that the condition has not improved in any way after the surgery.

This is not the case.

When the bleeding stops, there is no new blood rushing into the aneurysm, and it shrinks in size.

This process doesn't take long, maybe not twenty-four hours.

At that time, the patient's intracranial pressure will be reduced.

In addition, the blood in the skull will be slowly absorbed by the brain tissue, and the intracranial pressure will be further reduced.

If nothing else, the patient's condition will be in remission soon.

The symptoms slowly disappear.

It is not the family who thinks the surgery was unsuccessful or that the operation is useless.

Many family members and patients do not have medical expertise, and interventional procedures are almost non-invasive.

They will think that they have spent hundreds of thousands, are they being fooled by the doctor?

Maybe you don't have surgery, and you can get better on your own in a day or two.

Not really.

Doctors and nurses will do the explanation work.

Although most family members are skeptical, they will eventually accept the doctor's explanation when they see their loved one healed and discharged from the hospital.

From this point of view, the credibility of a hospital is too important.

In fact, there is no need to explain too much about a famous provincial top hospital like Tuya, and patients will naturally trust it.

……

After the operation was completed, Zhou Can followed Director Wen straight back to the doctor's office.

What for?

The 22-bed patient was operated on by Director Wen, and now there are complications, and we must find a way to solve them.

Calling the doctors in the group for consultation is the most basic.

As soon as he arrived at the corridor of the inpatient department, Cheng Gang, who came out of the ward, saw Director Wen coming over with a large number of doctors.

Immediately stood there respectfully, with a smile on his face, ready to take the initiative to say hello.

"Hello Director Wen! I heard that the 31-bed patient had a successful operation, and the family members were so grateful to you when the patient was transferred back to the ward. ”

"Haha, yes! It is our duty as doctors to relieve the suffering of patients. Tell family members and patients to cooperate with the doctor's requirements for postoperative care. ”

Thousands of wears, only sycophants don't wear.

Cheng Gang's sycophant made Director Wen smile.

At this time, Cheng Gang's eyes caught a glimpse of Zhou Can actually mixed in the middle of Director Wen's team.

His gaze was fixed on Zhou Can.

"Xiao Zhou, after the operation, I hurried to work in the ward. 27 beds of patient wounds with signs of infection, you go to deal with it. ”

Cheng Gang was flattering like a pug in front of Director Wen.

But when he spoke to Zhou Can, it was in a commanding tone.

Crushing people to death at the level of officials and universities is not only applicable to officialdom.

The same applies to units and hospitals.

Zhou Can looked at him with unruly eyes.

If Lao Tzu doesn't listen to you, he won't listen to you, what can I do?

"Xiao Cheng, Zhou Can has been transferred to my group to participate in the training work."

Director Wen's words were like a thunderbolt from the sky, blasting Cheng Gang to the ground.

He asked incredulously, "He, he was transferred directly to your group?" ”

"What, do you have an opinion?"

Director Wen's tone turned cold.

Talking to a resident doctor like Cheng Gang, who has no sense of existence, Director Wen does not have half a pleasant face, or even humorous thoughts.

"No opinion, no opinion, don't get me wrong. I'm so happy for him! ”

Cheng Gang found that Director Wen's tone was not right with his face, so he was so frightened that he hurriedly explained.

"Xiao Zhou, if you can enter Director Wen's group, that's a great opportunity, do you know? Director Wen's attending and resident doctors are all the elite of the elite. In the future, you must be diligent with a new resident, you know? ”

According to Cheng Gang's idea, Zhou Can can be appreciated by Director Wen, which is already a big luck.

At most, Director Wen asked one of his residents to take Zhou Can with him.

After all, this is the routine operation of the chief doctors.

"Dr. Chow is extremely capable of surgery, and we are not qualified to take him. Instead, Director Wen personally took him. ”

Three residents hastened to clarify.

This Cheng Gang is simply a chatter.

Horn la blah bla blaze, the key is almost to let the three resident doctors lie down with the gun.

"What? Composed...... Will Director Wen take him personally? ”

Cheng Gang's eyes almost fell off.

Only now did he understand that Zhou Can did not hit the big luck, but relied on his strength to rise to the top and soar into the sky.

It was directly highly appreciated by Director Wen.

Otherwise, with Director Wen's status, let alone a regular trainee, even the attending doctor may not be able to teach in person.

Director Wen ignored Cheng Gang's shocked + jealous expression, and directly took the doctors in the group into the office. In his heart, Cheng Gang was no different from the weeds on the side of the road.

Zhou Can just glanced at Cheng Gang indifferently.

Not surprisingly, Cheng Gang's days of giving orders to him are completely over. Later, when Cheng Gang met, he should try his best to lick him.

After entering the office, Zhou Can is a new member of the group.

He consciously sat at the bottom of the seat.

It's further back than the three graduate students are seated.

Low-key is an attitude, but also a kind of cultivation. It can make people feel like a spring breeze, greatly increase the favorability of others, and greatly reduce the chance of making enemies.

The only thing that needs to be overcome is inner vanity and show-off.

"Tang Li, first put the information of the 22-bed patient and the latest EEG on the screen for everyone to see."

Director Wen instructed his chief attending doctor.

"Okay!"

She put the patient's latest EEG onto the screen.

"This patient had cerebrovascular malformation surgery yesterday, and everyone must still have an impression. Postoperative complications occur, which are common. Now the patient has postoperative epilepsy and has been in a coma twice. The emotions of the family members were fierce and fierce. Let's take a look at the electroencephalogram (EEG) that I just did, and the CT of the head with enhanced strength. ”

Director Wen was actually very annoyed when he encountered this situation.

Postoperative complications, to put it nicely, are common.

But to put it mildly, it can also be understood as the doctor's surgical level, the operation is not done thoroughly, or it is not done well. Other symptoms are triggered.

In terms of responsibility, Director Wen will definitely not be able to escape.

To say that it is characterized as medical malpractice and punished, it does not exist.

After all, the surgery was done only after signing the consent form.

And no doctor can guarantee that the operation will be successful.

Not to mention a craniotomy.

Even if it is only a minor first-level surgery, there is a possibility of failure.

For example, suturing a traumatic wound is a simple first-level minor surgery, right? Even a barefoot doctor in a small clinic can do it.

But after the stitches, after a few days, the wound became infected and suppurated.

Whose responsibility is this?

Doctors are certainly not willing to take on this responsibility.

In the end, the patient has to pay for it.

Then again, if something goes wrong with the operation, should the family make trouble?

Actually, it doesn't hurt to make a fuss.

On the one hand, there is a real need to vent emotions. On the other hand, if the trouble is a little more fierce, the hospital will pay more attention to it. Follow-up treatment, even if the patient pays for it himself, will get more guaranteed treatment.

Even the hospital will make some compromises and waive some of the fees.

Therefore, it is more in line with the interests of family members and patients to make trouble when it is time to make trouble.

If you are too good at talking, you will only feel like a bully, like a lamb to the slaughter, who is prone to suffer greater losses and more sins.

Most of the doctors have already seen the patient profiles of 22 beds.

And it's as ripe as a chest.

Before surgery, when formulating the surgical plan, you will know the patient's medical history, medical condition, examination report and other information.

Therefore, when the information is passed on at this moment, many doctors just flip it through and pass it on to the next person.

Zhou Can is the only doctor who has not seen the information of 22 patients.

By the time it came to him, he was already the last.

I just took it and looked at it intently.

At present, his pathological diagnostic skills are inferior to that of a resident.

Compared to the doctors here, it may only be better than three graduate students.

The strength of the three residents is not clear for the time being.

There is no doubt about the level of diagnosis of the attending doctor.

Director Wen's level, not to mention.

As long as you can get a high professional title on Tuya, no one is easy to match. Director Wen's level of interventional surgery does not mean that other abilities are not good.

After seeing the latest EEG and head CT scans, everyone has begun to discuss it extensively.

Zhou Can was not disturbed by external sounds and looked at the patient's information intently.

"Gao Zongyi, male, 46 years old, with symptoms of mental retardation, a history of epilepsy before admission, and the frequency of onset is getting faster and faster......"

After a long time, it turned out that the patient had a history of epilepsy before being admitted to the hospital!

Those family members are still making such a fuss, which shows that the family members are not fuel-efficient lamps.

It belongs to the category that is difficult to deal with and difficult to deal with.

Zhou Can defined the patient's family.

Upon examination, the patient had a venous vascular malformation lesion in the skull. However, this part is very close to the inner capsule.

Many may not know where the inner capsule is.

The internal capsule is the name given to a part of the nerve fibers that connect the cerebral cortex with the brainstem and spinal cord, and is located between the basal ganglia and the thalamus.

The motor and sensory nerve fibers leading to the cerebral cortex are distributed in a fan-shaped radial pattern upwards through the inner capsule.

From here, it is not difficult to see that the internal capsule is equivalent to a point of contact between the cerebral cortex and the brainstem and spinal cord.

It is second only to the brainstem in intracranial surgery.

Generally, the knife is used near the inner capsule, and even if it is a powerful tertiary hospital in the local area, most of them will tell their families euphemistically that they can't do this surgery.

Because the risk is too great.

At present, Tuya Hospital is basically able to achieve no intracranial surgical forbidden area.

Of course, this is propaganda to the outside world, and there is a certain amount of water.

If you really want to use a knife in the brainstem area, even Wu Baihe will be frightened.

The last time I was in the emergency department, the pregnant woman with high blood pressure was fortunately a pseudoaneurysm. Because Wu Baihe made it clear that he didn't even have a fifty percent chance of surgery.

To say that Tuya's god is not particularly powerful in itself.

Not necessarily the strongest even in the province.

The Provincial People's Hospital and a digital hospital are all very strong.

Not to mention Renhe Hospital in the imperial capital.

In addition, the gods of the two major hospitals in the Demon Capital are also strong. Even surpasses Tuya, and can be on par with the benevolence and gods of the imperial capital.

Director Wen dared to perform this operation, which shows that his traditional surgical level is quite high.

He may not have much talent in interventional surgery.

Zhou Can made a new evaluation and cognition of Director Wen.

On the surgical record, it is clearly written that the diseased venous vessel segment will be removed.

Since the resection has been successful, why does the patient's epilepsy worsen after surgery?

Zhou Can looked up at the latest inspection report.

Electroencephalogram with obvious abnormal discharge.

In fact, epilepsy patients are basically caused by abnormal brain discharge.

As for the cause of abnormal discharge, it must be comprehensively investigated. Arteriovenous aneurysms are not the only ones that can cause them.

Varicose veins, telangiectasias, and cavernous hemangiomas can all cause abnormal electrical discharges in the brain.

(End of chapter)