Doctors try their best to make as many friends as they do when they train and study.

It's not like they like to be licking dogs.

In order to encounter incurable diseases in related fields in the future, you can consult doctors in other departments at any time.

If the level of the doctors in other departments you know is high enough, you can even directly invite the other party to come for a joint consultation.

In addition, when the hospital holds an election, the more friends the better.

However, the vast majority of doctors can only make friends at the same level when they train and study. A doctor who can speak is at most one level higher than himself.

They are completely incomparable to Zhou Can.

Zhou Can became acquainted with the bigwigs of many departments and had inextricable contacts or friendships. It's an intangible asset.

Perhaps he himself was unaware of the tremendous benefits that these connections could bring him.

Right now, the patient in bed 6 is in urgent need of surgery.

Craniotomy is usually done outside the mind.

Even if Deputy Director Yu wants to operate a patient in 6 beds overnight, it is difficult to operate. It's almost impossible to do.

Because the director of the Department of Divine Surgery would not buy his account.

Then, he can only follow the rules.

Consult with the patient's attending physician and apply for surgery. Then, the attending physician communicates with the chief physician of Shenwai to determine the surgical plan, and the department arranges the operation.

By the time this operation is over, the daylilies will be cold.

In this case, Zhou Can knew the chief physician outside the gods and had a good relationship, and the effect was revealed.

You can discuss the surgery by calling and chatting directly.

There is no need for a twist in the middle.

"Director Yu, if only I could convince the chief physician of the gods to agree to operate on the patient. Can the intensive care unit be arranged now? ”

Zhou Can is really amazing.

When the surrounding doctors heard this, they only felt very shocking.

A small trainee, his tone is bigger than that of the chief physician.

Find the chief physician of the Department of Surgery to arrange the operation immediately, who does he think he is?

To put it mildly, several vice presidents did not dare to say that they must be sure to arrange it immediately. At most, try to consult with the chief physician outside the gods.

Shenwai is one of the top departments of surgery.

The chief physician of this department is all arrogant, and the old pedant has a bullish temper, and no one buys it.

"You're going to convince the chief physician outside the gods?"

Deputy Director Yu's eyes flashed with surprise, but after all, he was a person who had seen the world, and he quickly regained his calm.

"Even if you really have a way to convince the chief physician outside the gods to agree to operate on the patient, I can't do it. The 6-bed patients belong to your group, so you have to find Director Liu. ”

When rescuing patients, there is no group.

However, the arrangement of such a major event as surgery must be the responsibility of the respective team leader.

You can't do things that are overstepping.

Zhou Can looked at Dr. Hu.

In any case, Dr. Hu is still his senior doctor.

"I'll report the patient's situation to Director Liu now."

Dr. Hu didn't dare to take Zhou Can's opinion lightly this time.

What's more, Deputy Director Lianyu also supported the operation of the patient overnight.

In addition, the patient's condition is really not optimistic.

Probably won't survive tonight.

"Xiao Zhou, you come with me to the duty room to report this matter."

Dr. Hu took him to the outside duty room and dialed Director Liu's mobile phone directly.

After giving a brief account of the patient in bed 6, Dr. Hu went straight to the point.

"Just now, Dr. Zhou Can proposed to Deputy Director Yu to give the patient cranial endoscopic surgery overnight, and Deputy Director Yu agreed with this plan. Let us ask you for advice. ”

Dr. Hu pushed Zhou Can out as a shield.

"Based on the patient you've just described, it's likely that he won't survive tonight. Overnight emergency surgery is indeed the only way to save lives. It's just that the gods outside the gods are afraid that they won't agree. Surgery is too risky. ”

Director Liu is well aware of the stakes.

No chief physician would dare to wade into such troubled waters.

It's not that the chief physicians are indifferent and ruthless, but that the domestic medical environment and rules are like this.

"Dr. Zhou said he had a solution!"

Dr. Hu pushed Zhou Can out again.

In fact, he was quite helpless.

is obviously an attending physician, and the weight seems to be inferior to Zhou Can's regular trainee.

Of course, it also has something to do with his conservative and cautious personality.

If he was required to take too much risk for the patient, he resolutely refused to do it.

Zhou Can is completely different from him, he dares to rush and kill, and rarely thinks about himself.

It is very appropriate to use the newborn calf who is not afraid of tigers to describe Zhou Can's 'stunned youth'.

"Doctor Zhou, please tell Director Liu."

Dr. Hu directly handed over the mobile phone to Zhou Can.

Taking the phone, Zhou Can felt a burst of contempt for Dr. Hu in his heart.

"Hello Director Liu, I'm Zhou Can."

"Xiao Zhou, I heard that you have a way to get the chief physician of the god to agree to operate on the patient?"

"I can only try to convince the chief physician outside the gods, but I am not completely sure. Before that, you need to agree to the patient's request for surgical treatment. ”

Zhou Can didn't dare to say too much.

Just to save the patient, he was willing to be cheeky and ask Director Wen to agree to operate on the patient.

"You are willing to fight so hard to save the lives of patients, what else do I have to say. I agreed to the patient's surgery and rushed to the hospital to preside over the matter. You can contact the chief physician of the gods now, and I will wait for your good news. ”

Director Liu is much more refreshing than Dr. Hu.

It's not like Dr. Hu's mother-in-law.

"Okay, I'll get in touch now."

After hanging up the phone, Zhou Can returned the phone to Dr. Hu.

Then he took out his mobile phone unhurriedly, and in Dr. Hu's half-suspicious gaze, he flipped to Director Wen's number and dialed it.

Dr. Hu didn't speak, his eyes were fixed on Zhou Can.

Let's see what level of doctor outside the gods this kid can contact?

"Xiao Zhou, have you missed me since you left Shenwai for only two days?" Director Wen's cordial voice came from the other end of the phone.

Dr. Hu could hear that the person on the phone had a very good relationship with Zhou Can.

Just as casual as an old friend.

Listen to the voice, it's not young, it should be the main level!

A doctor who is a lot older should be able to mix with the attending title at the very least. If you are over forty-five years old and have not mixed up with the title of attending officer, the end is usually not good.

Either change careers, transfer to an administrative position, or kick to an affiliated hospital such as the second and third annexes.

Generally, if you stay up to 40, you can't get promoted to the main treatment, and many doctors don't need to be adjusted by the hospital, so they will take the initiative to jump to a lower hospital to find another way.

After Tuya's doctor went out, the recognition of other hospitals in the province was quite high.

For example, Tuya jumped out of the high-seniority hospital, and Tuya may be at the bottom. At a lower-level hospital, as long as the doctor himself has passed the attending examination, the hospital will directly issue an appointment letter for the attending officer.

It doesn't matter if you don't pass the attending exam, the new hospital will help you find a way.

If you want a topic, you will help solve the problem, and if you want the amount of surgery, you will help accumulate the amount of surgery. It's even possible to help with papers.

In short, find ways to help you become a ruler.

Dr. Hu saw that Zhou Can was in contact with an attending doctor, and he had a little confidence in this matter.

"Hehe, I really miss you. I'm going to see you again in a while, but now a patient is forcing me to come to you tonight. ”

Zhou Can replied with a smile.

"I know that your kid has nothing to do but go to the Three Treasures Palace, let's say, what kind of patient did you meet?"

Director Wen scolded with a smile.

"There was a car accident patient in bed 6 of the intensive care unit, with extensive intracranial hemorrhage and deep coma......"

Zhou Can gave a general explanation of the situation.

"Do you want to see if you can do this cranial endoscopic surgery on the patient overnight? I'll give you a hand. ”

After talking about the patient's situation, Zhou Can proposed the ultimate goal.

He knew very well that Director Wen's endoscopic surgery ability was very average. He took the initiative to help, which was enough to increase Director Wen's confidence in the success of the operation several times.

When Dr. Hu next to him heard this, his eyes straightened.

I thought that Zhou Can was only looking for the attending level at most, but now I realized that Zhou Can was looking for the chief physician of the gods.

This kid is a good cow.

When Dr. Hu was a trainee, being able to chat with the hospitalist was enough to make him very excited. Talking casually with the chief physician of the department like an old friend, I didn't dare to dream of it.

"In such cases, we generally do not recommend surgery. The stakes are too high. But I was really touched by the tremendous efforts you have made to save the lives of patients. That's okay, I'll discuss it with Director Wu, and then talk to the family. If the family is willing to accept the worst, you and I can try it together. ”

Director Wen hesitated for a moment and then said.

What?

The chief physician and Zhou Can join forces to try? Is this to lift Zhou Can to the same level?

Dr. Hu was shocked by the turmoil in his heart.

He vaguely realized that Zhou Can could have such a high status, and he won it all by strength.

If he knew that Director Wen and Zhou Can joined forces to perform the operation, and Director Wen just did it, he would probably be even more shocked.

……

Less than half an hour later, Director Wen's phone called.

Zhou Can and Dr. Hu have been waiting in the duty room.

During this period, Director Liu also rushed back to the hospital and began to prepare for the patient's surgery.

Now we just wait for news from the outside world.

If the chief physician outside the gods is not willing to take this risk, this matter can only end here.

"Xiao Zhou, I have good news for you."

"Did the surgeon agree to operate on the patient?"

Zhou Can is full of expectations.

"Well, after discussing with Director Wu, I felt that it was worth taking some risks to save a life. Then I communicated with the family members urgently, and after the family learned about the patient's condition, they expressed their gratitude to our hospital for being willing to take the risk to save the patient. At present, the family has signed the consent form for the operation and paid the operation fee in advance. ”

What Director Wen brought was really good news.

The family members are the most anxious party, and they are very positive when they hear that they can save the patient's life.

For a special surgery like this, the attitude of the family is also very important.

When encountering family members who have a lot of shit, the doctor guarantees that they will all be good turtles with shrunken heads and will never take any risks.

Everybody gets paid anyway.

Saving one more patient and one less patient really doesn't have much impact on the doctor.

"Great! So how do we send the patient to the operating room right away? The patient's condition is terrible, and the sooner the surgery is better. ”

Zhou Can was very happy.

Dr. Hu and Director Liu next to him were equally excited.

Even they didn't expect Zhou Can to really contribute to this.

The two also have a new understanding of Zhou Can's influence outside the gods.

"Don't be in a hurry to rejoice just yet. You also know the patient's condition. During the operation of the patient, we need at least one deputy chief physician from the intensive care department to help the anesthesiologist to provide life support for the patient throughout the whole process. Then, you have to come and help me. ”

Director Wen made two requests.

"Listen to the voice, it's Director Wen outside the gods, right?"

Director Liu next to him asked Zhou Can.

"Yes, it's Director Wen on the other end of the phone."

Zhou Can nodded.

Director Liu directly snatched the phone.

"Hello Director Wen, I'm Liu Xiangqing from the Department of Critical Care Medicine. Thank you to the doctor who took the risk to do this surgery for the patient. I can accompany the patient throughout the whole process and provide him with life support to ensure the smooth operation of the operation. ”

"Haha! With Director Liu personally out of the house, what else is there to say, hurry up and send the patient to the No. 1 operating room outside the gods. The operating rooms are all coordinated. All the surgeons on our side have been notified and we will be able to perform the surgery on the patient immediately. By the way, before pulling the patient over, send him for a brain CT scan. ”

These chief physicians all know each other.

It's just not necessarily a friendship.

When you meet, you will definitely greet you warmly.

can mix with the chief physician, and he has real skills under his hands.

Even if it's just a familiar face, it's convenient to say hello if you have something to do in the future.

An operation to save the patient in the sixth bed is quietly unfolding in the hospital.

The patient was escorted to the operating room, and Director Liu personally escorted the patient. Zhou Can is an auxiliary person designated by the gods, and he also went with him.

Also with him was Dr. Hu.

This surgical observation opportunity is a rare learning opportunity for Dr. Hu. It just so happens that he is now off work, so he should work overtime temporarily.

In addition, there is also a deep meaning of working hard in front of Director Liu.

Don't think that doctors are all desireless, in addition to studying medical skills and academics, they have a strong desire for professional titles and job promotions.

There are many benefits to having a good relationship with the chief physician.

Because it's the equivalent of a boss.

In the operating room, Director Wen and his subordinates Dr. Zou and Tang Li, as well as two nurses, two resident doctors, and three graduate students, have already put on a strong lineup.

The anesthesiologist was already in place.

After greeting Director Liu, Director Wen took the newly taken CT film to check the intracranial hemorrhage.

Very bad, massive and widespread hemorrhage, severe fluid buildup in the brain.

"Xiao Zhou, you can also come over and watch the film."

In the past two months, Director Wen and Zhou Can have established a deep trust like comrades-in-arms.

To do this kind of high-risk surgery, he is used to asking Zhou Can to help with the staff.

The expressions of Director Liu and Dr. Hu were slightly stunned.

When I called, I knew that the relationship between Director Wen and Zhou Can was not ordinary.

Now it seems that Director Wen's cultivation of Zhou Can is really beyond imagination.

On the contrary, Dr. Zou, Tang Li and others under Director Wen had already seen it, but felt that all this was taken for granted. Because they have all seen Zhou Can's surgical ability.

Zhou Can walked over to check the film together.

He had already seen all the films taken when the patient was admitted to the hospital.

This time, a CT scan was taken before the surgery in order to get the latest information about the patient's skull.

There are many things that are not visible to the naked eye.

Empirical reasoning alone is certainly not possible.

"The effusion is so severe, it looks like the bleeding hasn't stopped. Do you say the biggest bleeding point is this location? ”

Zhou Can compared it with the angiography and CT done at the time of admission, and then made a conclusion.

It must be mentioned here that angiography is also a CT test, but it is different from a conventional CT test.

It is usually a contrast agent injected into a vein, the image is processed by a computer, and the intracranial vascular system is displayed in three dimensions. Contrast can be used to observe blood vascularity more intuitively and clearly.

For the identification of bleeding points, as well as blood clots, aneurysms, etc., there are very good examination aids.

The choice of contrast agent is not the same for every site.

The gastrointestinal tract is more often treated with barium, and intracranial iodide contrast is more common.

"There should be two biggest bleeding spots, this one you said, and this one. The bleeding point that poses a direct and significant threat to the patient's life should be the point you are talking about. If surgery is required, this spot can be treated first, but other bleeding points need to be treated. ”

Director Wen's surgical experience is much richer than that of Zhou Can.

When the two discussed, he specified the surgical plan one by one.

Dr. Zou and Tang Li basically only listened, and couldn't interject. Other residents and graduate students, that is pure observation and learning.

After much discussion, the surgery began.

Traditional craniotomy certainly won't work.

In the patient's current state, I am afraid that the craniotomy will have to be hung up in the middle of the process.

It is ideal to drill a small hole and perform endoscopic surgery.

The harm and impact on the patient is also much smaller.

These operations were operated by Director Wen himself. As for the key parts of the next operation, endoscopic hemostasis and hematoma removal, all need Zhou Can's hands.

A clear division of labor in an operation can also reflect the importance of each doctor in the operation.

Nowadays, almost no doctor does major surgery alone.

It's all teamwork.

Mark the spot, then cut the scalp and punch the hole with an electric drill.

Hard skulls must be made with electric drills and chainsaws.

In fact, when performing surgeries such as amputation, doctors often use chainsaws. It's just that it's very different from the sawsaw used by the murderer in the movie, and it's far less scary.

(End of chapter)