The most difficult thing for people to do is to have peace of mind for a lifetime.

Director Xueyan and Zhou Can have no obligation to help these job-hoppers, but seeing that these people are gone, they must not be happy in their hearts.

Both belong to the elite of society and have a certain amount of empathy for their victims.

What's more, these victims are also former colleagues, 'comrades-in-arms' who have cooperated many times.

"You mean to help them?"

Xue Yan stared at Zhou Can's eyes and asked.

"If you are in love or in profit, you must help. Cardiothoracic surgery still has a long way to go if it wants to become a world-class department. It's very important to find a way to unite all the forces that can be united. Since ancient times, there has been a saying that benevolence and righteousness win the world. It is also righteous to help them, and this can help you become a better department leader. ”

Zhou Can also comprehended these more profound philosophical truths by himself.

Bringing the surgical team in the emergency department has greatly improved his leadership level.

In addition, the time when he took the lead in asking the hospital to improve the personal safety of clinical medical care also gave Zhou Can a lot of inspiration. It can even be called a kind of enlightenment in life.

After Xue Yan listened, she fell silent again.

She was trying to think about the pros and cons. In his position, he must seek his own government.

As the head of the Department of Cardiothoracic Surgery, she must be responsible for the future of the department. It is more necessary to comprehensively consider the development, security, unity and other aspects of the entire department.

After pondering for seven or eight minutes, neither of them spoke.

Zhou Can took care of himself and picked up the inspection report of the difficult case and looked at it carefully. He refuses to spare any available time.

The patient was a 47-year-old man who was diagnosed with lung cancer. Because the tumor is so close to the lower pulmonary veins, in order to treat the tumor, it is necessary to free the lower pulmonary veins to ensure that they are safe. However, because of the short length of the free vessel, it is difficult to safely dispose of the vessel outside the pericardium.

The surgery is extremely difficult.

According to the traditional way of surgery, it is almost impossible to complete it smoothly.

The local municipal tertiary hospital was not able to perform the operation, so the patient was pushed out. I don't know if the doctors of the hospital watched the live broadcast of Zhou Can's surgery that night, and directly told the patient that Tuya's surgical level in the field of cardiothoracic surgery is very high, and asked the patient to come to Tuya Hospital for treatment.

In the end, the patient came to Tuya Hospital with great difficulty, with the last hope.

Zhou Can took the patient's data and studied it repeatedly, his brows furrowed.

The difficulty of this patient's surgery does not stop there.

Based on experience, he suspects that the patient's lower pulmonary veins may have some other surgical difficulties. It's just that modern general examination methods cannot detect some physiological knots that may have variations in advance.

It can only be detected after surgical dissection.

Because the lesion is located in the chest cavity, a thoracotomy is necessary for surgical exploration.

It is impossible to open a chest specifically to explore the patient's physiology, and then find that it is a bit difficult and sew him back again. This practice is neither ethical nor in line with medical norms.

The most commonly used method is to rely on the surgical experience and high-level surgical skills of the chief surgeon, adapt to the situation, climb the mountain when you see the mountain, and cross the river when you see the water.

"The Department of Cardiothoracic Surgery can accept the more than 20 job-hoppers, but their placement may be different from before." Director Xue Yan pondered for a long time, and finally thought about it clearly.

She followed Zhou Can's advice and gave these people a way out.

"Sister Yan is because these people's former positions have been replaced by others, so there is no way to give them 'official reinstatement'?" Zhou Can asked.

"That's one thing. According to the relevant procedures of the hospital, some administrative leadership positions need to go through layers of assessment, including loyalty to the hospital. They had betrayed the hospital, and naturally they could no longer be entrusted with important administrative positions. At least not yet. ”

It's kind of similar to a political trial.

Because leadership positions represent the empowerment of power.

If it is not human, it can easily cause significant damage to the hospital.

The promotion and use of leading cadres in hospitals are often very cautious. Just like Tuya's former head of the security department, he almost forced the clinical care of the entire hospital to rebel.

Even if it is only the head of a subdepartment, it is a huge power.

To a large extent, it can directly determine the development and style of that subdepartment.

"I think they should be able to accept that fact. There is definitely some punishment for doing something wrong. To be able to get them back to work and pull them out of the fire pit is already a matter of duty. If someone is still not satisfied and greedily wants to get the same leadership treatment as before, then I suggest that they simply give up accepting such people and leave them to fend for themselves. ”

Zhou Can knows the ugliness of human nature.

It is really possible that there are such insatiable and ungrateful people.

The punishment is not severe, not enough to establish authority.

When there should be means, we will never be soft, and we will punish them by thunderous means.

On this matter, the two reached a basic consensus. Open the door to those people, provided that they are content, and when they come back, they will not be half-hearted, but change their minds and cherish this hard-won opportunity.

"It's useless for me to nod my head and agree to this, I have to ask the hospital leaders, and they also agree. Then, I hope that you will come forward to reach out to them when the time comes. ”

Director Xue Yan refused to come forward in person, because she had her own considerations.

It is easy for her to come forward in person, which can easily encourage this kind of job-hopping. Let the doctors and nurses in the department have no fear, and they will change jobs when they meet a suitable next home in the future. Anyway, if you don't mix well, you can come back.

Zhou Can came forward, it was much different.

This is basically to tell those people that the fact that you can return to Tuya Hospital is completely the result of Zhou Cannian's friendship in the past and helping you work hard.

It can not only make these people respectful, but also allow Zhou Can to earn a great favor.

Other colleagues will label Zhou Can as benevolent and righteous in the future, which will be very beneficial for him to be promoted to important leadership positions in the future.

"I'm doing something and it's all right. Just as I was about to report an important matter to the leaders of the hospital, I could first tell them about the tragic experience of those who had changed jobs. When the time comes, you will come forward to report the application, and the resistance will be much less. ”

Zhou Can happily agreed.

"Okay, that's it."

She was noticeably more relaxed.

Make a decision to take these old colleagues back and avoid the recurrence of someone jumping off the building to commit suicide. For her, it is equivalent to letting go of some of the burdens in her heart.

In Zhou Can's words, she can gain peace of mind by doing this.

"The operation of this patient is very difficult, and I have asked both hospitals and said that it cannot be done. After careful research, I also felt that it was too difficult and the risk was very high. What do you think? ”

Xue Yan saw that Zhou Can was studying the patient's information, and asked directly.

There are a lot of difficult cases that need to be dealt with, and we must hurry up.

"You can try. There are risks associated with any surgery, and this surgery is a bit more difficult, but as long as you adapt to the operation and deal with it according to the actual situation of the patient, I think it is completely capable of cutting this lung tumor clean. If we refuse him again, it is estimated that the patient is likely to be completely desperate, give up seeking medical treatment directly, and go home and wait for the end of his life. ”

Zhou Can is well aware of some of the inner thoughts of patients.

Because they don't understand medicine, they have cancer, and they are already very desperate.

It is not good to be treated in the local municipal hospital, and now it is still not good to go to the provincial hospital, and most of the older patients will choose to accept their fate at this time.

If you don't want to waste your family's money, it's better to eat and drink at home and wait for death with peace of mind.

The doctor is benevolent, and when encountering this kind of patient, Zhou Can rarely pushes it out.

Even if he can't solve it by himself, he will find a way to invite experts from other departments to consult and operate together.

"Then I'll arrange surgery for him. The tests that should be done have basically been done, and the patient's condition is progressing rapidly, is it okay to schedule surgery tomorrow? ”

After she took the patient's information, she wrote the words "arrange surgery" in the upper right corner.

"No problem, I'll be here around seven o'clock tomorrow."

Zhou Can understood what she meant, and asked him when it was convenient to arrange surgery for the patient, which meant letting him take the surgery.

With the rapid upgrade of Zhou Can's surgical skills, his surgical strength has now surpassed Director Xue Yan in almost all aspects. He has become an absolute leader in cardiothoracic surgery.

In this kind of difficult case, Zhou Can is basically the operator.

The arrangement of a major surgery often requires the preparation of the operation to start two or three days before the operation. For example, preoperative evaluation, consultation and discussion with anesthesiologist, talking to family members, informing patients to fast food and water, etc.

If it is the head or perineum, or even the thighs, it is necessary to clean the skin.

This is basically done by a nurse or a bed-taking intern.

Some patients have a lot of hair, and the chest hair must be shaved clean during thoracotomy surgery.

Especially in middle-aged men, body hair tends to be at peak levels.

"There are a total of 11 difficult cases to be solved. Look at this one again. ”

She handed over a new patient's profile.

Zhou Can went to the Provincial People's Hospital yesterday to visit Deputy Director Lu, but he didn't come to the cardiothoracic surgery department to help, so the backlog of difficult cases is a bit too much.

It must be emphasized that the strength of cardiothoracic surgery is still quite strong.

Even though more than 20 high-level medical staff were poached by the Third Hospital, there are still many backbone forces. The level of Director Xue Yan and others is also constantly improving, and many difficult cases can be solved without Zhou Can's participation.

Zhou Can is very good at diagnosis and surgery, but he is not omnipotent.

There are some difficult cases that he can't solve, and other chief physicians can solve them.

Overall, he is the most prominent one in cardiothoracic surgery.

"Pain and gangrene in the lower extremities?"

Zhou Can hasn't treated a gangrene patient for some time.

I didn't expect to encounter another case now.

Cases that can make Director Xueyan and others feel difficult to diagnose and treat are certainly not simple.

The patient was older, 65 years old.

The most common cause of foot gangrene in older patients is diabetes.

Many elderly patients have diabetes and do not go to the hospital for examination, even if they have been diagnosed, they take medicine intermittently. Because they are worried about spending too much money, as long as their condition improves a little after taking the medicine, they will secretly stop the medicine.

"We have discussed this case in our entire department, and even invited doctors from the Department of General Surgery and Endocrinology to consult, but the cause is still a little confusing. You are the best at this kind of difficult case diagnosis, help me take a look. This patient is an old cadre, and when he was admitted to the hospital, many important leaders had already greeted Dean Zhu. Dean Zhu also gave instructions to let us go all out in the Department of Cardiothoracic Surgery, and if necessary, we can call on the strength of any department of the hospital. ”

Veteran cadres are the favorite of doctors.

Many ordinary patients do not need expensive drugs, and various treatment methods can be used on veteran cadres. When treating veteran cadres, they can completely let go of their hands and feet and pursue the best treatment effect with all their might.

It's a great opportunity for doctors and nurses to exercise.

In addition, the old cadres are the gods of wealth and can contribute a lot to the income generation of the department. Also, in the process of helping them to heal, they can get to know each other, and maybe they can take the opportunity to expand their network.

In short, there are many benefits to treating old cadres.

However, the threshold for treating them is also very high. It is often the top medical staff in the department who come into battle.

In case you mess up, it's still quite troublesome.

If there is an accident, the whole hospital may be in bad luck.

Although people are retired, their energy is not to be underestimated.

Some veteran cadres have a huge influence, and during their hospitalization, they are all visited by big people with heads and faces.

After Zhou Can checked some of the patient's biochemical examination reports, he was surprised, "There is no history of diabetes, no wonder you say that this patient's condition is tricky!" ”

"The living conditions of the patients are excellent, not to mention the quality of medical care. He is very important about health care. Pain in the lower limbs is an old problem, with a long history of disease. He has been hospitalized several times, but he has not been able to break the roots. ”

Xue Yan said beside her.

Think about it, people's retirement money must not be bad, life is so superior, basically don't worry about anything, then you must take care of health and health care, and strive to enjoy a few more years of happiness.

Zhou Can continued to review the patient's medical records and examination reports.

The patient complains of numbness, chills, and pain in the right lower extremity.

The disease has been going on for nearly two decades.

At first, the pain in the lower limbs is due to walking too much. Twenty years ago, he was just an ordinary clerk at that time, and in order to climb up, he waited for a big leader in front of the saddle and behind the horse. He is the most diligent person in the entire department.

Accompanied the big leader to go to the countryside to do research, all kinds of errands, and I was so tired that I almost fell apart at the end of the day.

Since then, I have experienced symptoms such as pain and numbness in my right leg.

But when you go home and rest, you can be relieved.

I specially found a Chinese medicine doctor, prescribed a prescription, boiled it into a decoction, and soaked my feet while it was hot.

It is equivalent to a type of medicated bath.

Because I was struggling with my career, I didn't care about hospitalization at that time. It really hurts so much that I can't stand it, so I grit my teeth and endure it.

In addition, the level of medical technology more than 20 years ago was far less advanced than it is now, and I went to the hospital twice for examination, but I could not find out the specific cause.

Basically, they are prescribed some painkillers, blood-invigorating medicines, and hasty treatment.

His efforts were also rewarded, and he was soon appreciated by the big leaders, and he began to be promoted five years later. Since then, the official fortune has been enjoyed, and it has soared all the way.

The career has made a big difference, the living conditions are better, and the work no longer has to run tens of thousands of steps a day.

However, the root of the disease in his right leg fell because of this.

The pain is often unbearable, and the effect is not satisfactory after multiple hospitalizations.

This time, I also heard that the treatment level of Tuya Hospital is very high, so I rushed over for treatment. At the beginning, it was the basic surgery of general surgery. Because of the pain in the right lower limb, the toes have become black and gangrene.

I have seen two hospitals, and they both said that it is possible that the lower limbs cannot be saved.

This means that there is a possibility of amputation.

This frightened the old cadres a lot.

(End of chapter)