Chapter 421: This time and that time, success in grasping
At this time, Deputy Director He should have gotten the news and rushed over from the duty room.
Even the buttons of the overalls were crooked.
If you guessed correctly, Deputy Director He should be sleeping in the duty room. After all, he is also old, and it is already twelve o'clock in the night, and he really can't stay up.
Zhou Can and Director Xueyan didn't enter the ward for a long time, at most five or six minutes.
Deputy Director He was woken up so quickly and rushed to the ward, which shows that Deputy Director He is quite powerful in the department.
You know, it's late at night, and the doctors and nurses on night duty in the entire department are less than one-third of the day.
Nurses are divided into small night shifts and large night shifts.
The night is from 5 p.m. to 1 a.m., and the big night is from 1 a.m. to 8 a.m.
It's almost close to the time of the nurse's night shift handover, but the nurse who works the big night shift won't be there so soon. Therefore, in addition to the doctor on duty, I am afraid that the only person who reported to Deputy Director He was the nurse on duty on the night shift.
Whoever reported the letter to Deputy Director He, in fact, there is no need to pursue it.
It doesn't mean much in itself.
Zhou Can only deduced from this small detail that Deputy Director He's influence in the department was quite amazing.
Ginger is old and spicy.
Although Director Xueyan relied on Director Hu Kan's last words, she successfully won the position of section director. But it is not stable, and Deputy Director He has been eyeing it.
I'm afraid I'll have to find a way to help her in this matter.
Otherwise, if Deputy Director He is really replaced as the director of this department, it will not be a good thing for cardiothoracic surgery.
What Zhou Can wants to do with the help of cardiothoracic surgery in the future will never be as easy as it is now.
"Director Xue, the patient's drainage volume seems to have increased again, what do you think should be done to deal with it better?"
After Deputy Director He greeted Xue Yan and Zhou Can, he was about to throw the burden directly to Director Xue Yan.
"Let's go, let's go out and talk!"
Zhou Can proposed.
Although Deputy Director He was a little dissatisfied with Zhou Can's noisy behavior of 'committing the following crimes', he didn't say much. Only a trace of anger passed in the depths of his eyes, showing his dissatisfaction.
After leaving the ward, the three of them did not stand in the corridor outside the ward to discuss, but went to the office.
"Director Xue, you are Director Hu Kan's senior apprentice, and you are extremely skilled and experienced in the surgical skills of chest and cardiac surgery. Is that patient to be dealt with with by you? In the future, there will be lobectomy surgery that is difficult to operate, and no matter how busy I am, I will take the time to actively participate. β
Deputy Director He wants to reach an exchange of interests with Director Xueyan.
Refer the patient to Director Xueyan on the condition that there is a lobectomy in the future, and he will take the initiative to help.
It can only be said that he looks down on his surgical skills too much.
His chest surgery skills and experience are not weak, but he is definitely not top-notch. In the senior chief physician of thoracic surgery, it is a middle and lower level.
Zhou Can has seen Deputy Director He perform surgery, in addition to the hard injury of slow speed, his lack of flexibility in surgery, sloppy surgery, and weak ability in advanced surgery, these are his shortcomings.
"Director He, there are multiple considerations for the hospital to implement the first diagnosis system. You are the patient's first doctor and his chief surgeon, and you are the most familiar with the patient's condition and know the patient's condition best. Therefore, it is most appropriate for you to be responsible for the patient all the time. β
Director Xueyan's answer made Zhou Can feel extremely comfortable.
It's like drinking a cup of iced tea on a June day.
What he was most worried about was that Director Xueyan softened his heart and agreed to the other party.
Fortunately, she has really matured, and she already has the ruthlessness and tactfulness that a mature department director should have.
Deputy Director He's condition was rejected, and he couldn't help but be stunned.
Then he added, "In the future, if there is a difficult chest surgery, I will be on call and will never shirk, is it okay?" β
This is already clearly increasing the bargaining chips and negotiating conditions with Director Xueyan.
"It's a good thing that Director He's work attitude can become positive. Butβ" She deliberately dragged out. "My surgical team is excellent and I already have the confidence to challenge any thoracic surgery. Director He only needs to do what he can, and if you encounter a competent operation, you will take it, and if you can't do it, it doesn't matter, you should push it. β
Things are different now.
Today, with the full help of Zhou Can, Director Xueyan has successfully completed the difficult lower lobectomy operation, which also gave her unprecedented confidence.
No longer have to be stuck by Deputy Director He.
In the future, if you encounter difficult chest surgery, you can discuss it with Zhou Can.
"This ...... This ......," Deputy Director He was dumbfounded.
was rejected twice in a row, and Director Xueyan's attitude became tougher and tougher every time, and she was full of confidence.
He couldn't help but wonder to himself, in just a few hours, how did Xue Yan, a girl, suddenly become so confident?
Deputy Director He's gaze couldn't help but look at Zhou Can.
Does it have something to do with this kid?
"Why don't we talk about that patient's condition first!" Zhou Can looked playful.
"If you have any opinions, please tell me!"
For the sake of this patient, Deputy Director He slept directly in the duty room of the hospital, just because he was worried that if the patient hung up, he would be held accountable for a crime of dereliction of duty and serious dereliction of duty.
I am a lot older, in my fifties, and I will retire after a few more years.
If he is held accountable and punished by the competent authorities because of this case, it will be a bad night, and the end will definitely not be much better.
At the very least, they have lost the qualifications to continue the competition for section heads.
Even the position of deputy director of this department has to be handed over.
"Just now I looked at the nursing records and patient medical records, and from the time I returned to the ward after surgery, the drainage volume yesterday was close to 700ml. Today's drainage volume is still increasing, conservatively estimated at at least 900ml. Do you know what this rapid upward trend means? β
Zhou Can's expression became serious.
"Please advise!"
Deputy Director He was pinched by him and kept hanging his appetite, which made him angry.
However, Zhou Can's diagnostic skills are notoriously powerful, and even when Director Hu was alive, he often praised Zhou Can for solving problems at critical moments.
Therefore, no matter how dissatisfied Deputy Director He is, he has to listen to Zhou Can's diagnosis.
"This means that the patient has had postoperative hemorrhage!"
Zhou Can's tone was aggravated.
It was like a giant hammer slamming into Deputy Director He's heart.
"That'...... Can you tell which part of the bleeding is? β
Deputy Director He's face turned a little paler, and a trace of panic and fear flashed in his eyes.
Postoperative hemorrhage, postpartum hemorrhage...... These are terrible precursors to death.
Something is going to happen.
It is impossible not to be nervous by Deputy Director He.
"The scope of surgery is quite wide, and it's really hard to say which part of the bleeding is specific. But if I had done the surgery, I would have been able to deduce it. Director He can carefully recall what wounds were not treated well during the operation. As a reminder, the patient's current condition should not be considered to control bleeding with coagulation agents, as long as the patient has hypercoagulation, he will die. β
Zhou Can studied with Director Hu Kan for so long.
Director Hu passed on almost all the surgical skills of knife stabilization and cardiothoracic surgery to him and Xue Yan.
Now the patient has serious postoperative complications, and Deputy Director He has rich experience in diagnosis and treatment and surgery, but he is not effective.
One is that he can't flexibly use all kinds of medical knowledge like Zhou Can, and secondly, his diagnostic ability has always been a weakness.
Finally, it has long been a habit for him to be sloppy in surgery.
What hidden dangers were left in the operation, he couldn't find out if he wanted to.
Sometimes, maybe he doesn't even care.
"Doctor Zhou, I know that you have the true inheritance of Director Hu, and the diagnosis level is extremely high. You must help me with this patient, and help find out the cause of the bleeding first. When the matter is settled, I will treat you to dinner. Next time you can use my help, it's all about it. β
Deputy Director He was indeed frightened by him.
The patient died of postoperative hemorrhage, and he, the surgeon, was too affected.
In recent years, few of the family members have been vegetarians.
As long as the patient dies in the hospital, or dies shortly after surgery, the family will make a fuss if they ignore it. If this patient really died of postoperative hemorrhage because of Deputy Director He's sloppiness during the operation and inadequate treatment, and the family applied for an autopsy at that time, Deputy Director He's situation would be very passive.
In this case, he lowered his head and asked Zhou Can for help, which was really nothing.
Zhou Can was able to tell that the patient was bleeding heavily after surgery, indicating that he probably already had some eyebrows.
"If you want to help, I really have one thing."
Zhou Can's eyes flashed.
"Tell me about it!"
Deputy Director He's face was a little stiff. This kid surnamed Zhou, that's really not polite to him.
Now he has to ask for others, but he must be polite to Zhou Can.
"It's not a big deal, Director He will definitely be able to do it, and it won't be a loss to you, but a benefit." Zhou Can said lightly.
"What the hell is going on?"
Deputy Director He is cautious by nature and will never dare to agree hastily.
After all, he is a character with a head and a face, and if he regrets it after agreeing, it will be a bit of a loss.
But anyone who has a little status is extremely concerned about his own credit.
An adult, if he is over thirty years old and has no credit, runs the train with his mouth, and forgets what he promised today tomorrow. Ten out of ten such people get mixed up in society and end up living as pitiful worms.
Because if you don't talk about credit, you won't have real friends in the first place. Relatives will stay away from such people.
No one wants to work with such a person, and no one wants to lend money to such a person. Leaders will also be extremely distrustful of such people, and it will never be possible to put such people in important positions.
In the end, such people are destined to live at the worst bottom of society.
"I want you to put aside all your prejudices, sincerely obey the leadership of Director Xue from now on, and build cardiothoracic surgery together."
Zhou Can said seriously.
Director Hu gave an explanation to him before he died, and now the cardiothoracic surgery is fighting very fiercely. Not to mention external pressures.
If the infighting is not stopped in time, cardiothoracic surgery is likely to be torn apart, or decline step by step, and eventually a large number of talents will be lost, and it will be reduced to a third-rate department.
Therefore, Zhou Can must find a way to stop the infighting.
The source of the contradiction was Deputy Director He, who was not convinced that Director Xueyan became the head of the department, so he engaged in mountaineering.
From time to time, he gave Director Xueyan eye medicine and dug holes.
These behaviors are actually very bad, but the hospital is a unit. Even if Deputy Director He is so bad that pus on the soles of his feet and sores on the top of his head, as long as he doesn't violate the rules of the hospital, no one can help him.
This point can refer to those who have an establishment in public hospitals, but because they have offended the leadership, their future is bleak, and they are completely ruined.
In the face of this kind of person, even the dean has a headache.
But there is nothing that can be done.
Director Xueyan didn't expect that Zhou Can would directly ask Director He to surrender to her in this situation. And it's still on the table.
She was both moved in her heart and admired Zhou Can's courage.
If it were her, she would never dare to spread this kind of thing on the table.
A lot of things make it clear that it takes more than courage. There is also a huge risk of tearing your face.
"Just to help find out the cause of the patient's bleeding, you put forward such a big condition?" Deputy Director He's face showed obvious disdain. This kid surnamed Zhou is also too naΓ―ve, young in the end.
The weight of the two conditions is obviously not equal, how can he agree?
Zhou Can nodded solemnly.
"Not only will I help find the cause of the bleeding, but I will also help treat the patient together so that the patient can turn the situation around. If the patient dies eventually, our gentleman's agreement will be null and void. If the patient is discharged safely, you must put aside your prejudices and sincerely cooperate with Director Xue's work. β
Zhou Can's expression was always serious.
He is not a rookie in the workplace, and if he dares to bring it up, he naturally has his trade-offs.
"What if I don't say yes?"
Deputy Director He obviously still doesn't want to give up the competition for section director because of this matter.
"You'll say yes. The patient had developed a typical anaemia and there was not much time left for you to save the day. As long as this patient dies, you will definitely have to go to court. I've seen the family members who accompany me, but they are not ordinary people. When the autopsy is conducted, it is found that it is due to negligence in the operation, which is not in place, causing the patient to bleed heavily after surgery, and you will not only ruin your reputation, but also your future and money. If not, your family will suffer. β
Zhou Can gave him an in-depth analysis of the huge risks.
Clinicians are most afraid of medical malpractice.
Directly forced by family members to kneel in the outpatient hall of the hospital to burn paper money, this is considered light, and some doctors are even forced to commit suicide by jumping off the building.
Deputy Director He's forehead was already oozing sweat stains, which was frightening.
Fear is hidden deep inside everyone, and everyone has moments of fear.
"Can Dr. Zhou be sure that the patient's bleeding must have been caused by my inadequate treatment during the operation? I followed the normal procedure, the operation was inherently risky, and even if the patient did die, the family would have signed it. If you want to make trouble, let them make trouble. β
Deputy Director He is obviously a bit strong on the outside and a cadre in the middle, and he is talking hard about his neck here.
but in the heart is very empty.
"The family signed, that is to choose to trust the hospital, trust the medical staff. However, this does not mean that doctors can be careless in surgery and not take human life seriously. β
Zhou Can punctured his last bit of fig leaf.
If it had been left in normal times, Deputy Director He would have jumped to scold him a long time ago.
At this moment, as if he had been hit hard, he was stunned and did not say anything. Only a pair of small eyes were spinning.
The beads of sweat on his forehead became larger.
He kept raising his sleeves to wipe his sweat.
Director Xue Yan just stood by and looked at Zhou Can with a strange look. Take a look at Deputy Director He occasionally. But don't interject.
Seeing that Deputy Director He's psychological defense line began to collapse, Zhou Can continued to add to the fire.
"Director He should be 56 this year, right? With all due respect, even if you become the head of the Department of Cardiothoracic Surgery, it will be less than four years. And what took over was a mess, and the pressure was not ordinary. How easy is it for you to be a deputy director now? In this life, people fight back and forth, and in the end they will lose everything, and there is really no need for that. β
It was really a bit of a disobedience for a young man to say such a thing to a middle-aged and elderly person.
But Deputy Director He listened to it.
"Okay, I'll just say yes."
After a battle between heaven and man, and after deeply weighing the pros and cons, Deputy Director He finally chose to agree.
"That's right! Why do you have to be obsessed with becoming a department head? At present, the cardiothoracic surgery is in a very bad situation, even if you take over, you are looking for guilt. β
Zhou Can saw that he had successfully used this incident to successfully grasp the stinky and hard bone of Deputy Director He, and he was also relieved.
"I have another condition, you said two days ago that I have a physical problem, you have to tell me what the problem is." Deputy Director He said.
(End of chapter)