Later, after treatment, the baby, who was almost killed by a plaster, recovered.

The recovery speed of the child is fast, after removing the plaster, remove the purulent necrotic tissue in time, reduce inflammation, and keep the wound dry. It took less than five days to recover almost.

That experience also left a deep impression on Zhou Can.

Since then, in the course of his medical practice, he will be extra careful every time he encounters some babies who are crying incessantly and the cause is unknown.

For there must be a reason for a child to cry.

Sometimes, parents are careless, and the child swallows some small metals by mistake, or a body organ has a problem, or falls on the head and causes intracranial hemorrhage, etc., which require more attention from the doctor.

If you are careless, you may miss the best time for treatment.

After eating, on the way back to the operating room of the emergency department, Jiang Wei came up.

"Boss Zhou, are you free tonight?"

"Do you have something?"

"There is another private job, and the house visit fee is very considerable. The operation failed, and the surgeon's red envelope was 1,000. The operation was successful, and the surgeon's red envelope was 3,000. ”

The house call fee of 3,000 is already quite considerable.

Under normal circumstances, even if the chief physician is very capable, the maximum cost of the visit is about 1,000.

can give 15,000 is already a very generous boss.

There is another big problem with the surgery, and that is the risk of surgery.

If the surgery fails, the visiting doctor usually only pays for the journey. Even doctors with thinner skins are embarrassed to charge travel expenses.

Reactive power has long been ingrained in China.

Whether it is a corrupt official, a social bastard, or other people, after all, there are still a minority who do not do anything after receiving money.

"You seem to be very diligent in taking personal work!"

Zhou Can is not short of money, plus he is very busy.

Not to mention the appearance fee of 3,000, even if he is given 5,000, he doesn't want to go out for this consultation.

"I have to find a way to make a living! Who wouldn't want to live a little better? ”

Jiang Wei is very direct.

There is no shying away from the question of wanting to make more money.

"Thank you for thinking of me every time you get a private job, but I'm really busy, I'm afraid I don't have time to go to this clinic. Don't contact any other doctors! ”

Zhou Canwan declined her invitation.

"How could I find a better surgeon than you? Just help! ”

She pleaded with Zhou Can softly.

"It's not that I don't want to help, I really don't have time."

Zhou Can was unmoved.

"I know you usually have to go to the cardiothoracic surgery department to work overtime, and in the morning, you said that you can finally get off the morning shift tonight. Just help me, okay? That patient would definitely die if he hadn't operated on it in time. ”

She just didn't take Zhou Can's arm and pleaded.

In terms of physical contact, she has always been very dignified and has never behaved frivolously.

"I casually said in the morning, you assigned me a task at noon? In this case, you should be taking private jobs more often than I think! ”

There was a hint of dissatisfaction in Zhou Can's words.

"To survive! You see, this is a chat with my old classmates. She asked me for help during the meal. She knows I'm following you now, and she knows that your surgery is very high, so she asks me for help. ”

She showed the chat history to Zhou Can.

It's really the chat record just now, and it's indeed her classmate.

The other party also mentioned that the patient's condition was critical, and the operation was quite difficult. Their hospital does not have the ability to perform this operation, so they can only ask experts from other hospitals for help.

There are no more than 10 specialists in the city who can perform this kind of surgery, and basically they either don't take private work or have trouble.

Jiang Wei's old classmate couldn't find a suitable doctor, so he thought of asking her for help.

"Ask your classmates to send the patient's information to have a look, and if it is within my ability, I can come out for this consultation. But next time, don't hit me again, I don't take private work, I don't take it. ”

After all, Zhou Can still has compassion for the patient.

In general, few hospitals are willing to accept patients who have problems after this kind of surgery.

Because wiping someone's buttocks, wiping them well, doesn't pay much. If you don't rub it well, you have to fall into it.

So no one wants to take in a patient who has failed this kind of surgery.

Usually, it can only be followed by the first hospital.

If you have a relationship with the leader of a major hospital or the chief physician of the department, you can also say hello and ask for help.

"Thank you, Boss! Ha, it's finally done! ”

Jiang Wei looked very happy.

In front of Zhou Can, he replied to his old classmate.

After the other party learned that Zhou Can agreed, he was also very happy and quickly sent the patient's information.

"Boss, I forwarded it to you through WeChat."

Jiang Wei raised her phone.

Zhou Can took a look at the general situation of the patient. The patient, a 33-year-old male, was taken by ambulance to the nearest No. 1 Hospital for treatment after severe vomiting, chest pain and difficulty breathing. After receiving the consultation, the First Hospital found that the patient's breath sound in the right lung was absent, and the chest X-ray showed the presence of a fluid pneumothorax on the right side.

This is a significant spontaneous esophageal rupture.

Subsequently, the hospital urgently arranged surgery for the patient to repair the esophageal rupture.

The patient's esophageal tear was found to be up to 6 cm long.

The surgeon performed suturing the mucosal layer and muscular layer for the patient, and then sutured the pleura, and the operation went smoothly without any accidents.

However, on the fifth day after surgery, the patient's body temperature suddenly rose to more than 39 degrees Celsius, and the fluid drained from the chest cavity increased and became very cloudy.

After a joint consultation with the doctors of the First Hospital, there was a high suspicion that the patient had developed an esophageal fistula.

Therefore, the patient was given oral meilan, and it was found that there was blue pleural fluid flowing out, and the diagnosis of esophageal fistula was undoubtedly confirmed.

Esophageal repair surgery, especially if the tear is large, is very likely to develop a postoperative esophageal fistula.

It's not necessarily that the doctor's level of surgery is low.

The First Hospital is one of the oldest hospitals in the city, and its strength is not weak. At the earliest, the status of the First Hospital in the province was even like the current Tuya and Provincial People's Hospitals, which belonged to the leading boss.

It made great progress, from the first hospital to the sixth hospital.

At present, the Sixth Hospital and the Second Hospital have disappeared from the tide of the times. Only the first hospital, the third hospital, the fourth hospital, and the fifth hospital are still holding on.

The strongest is the Fifth Hospital.

Like Tuya and Xinxiang Women's and Children's Hospitals, it has undergone bold reforms in the last wave of development. The strength has been greatly improved.

On the other hand, the first hospital, the third hospital, and the fourth hospital have a solidified system and internal management is very rigid.

The leadership of the hospital lacks ambition and strategy, only cares about their own petty profits, and frantically inserts relatives into the hospital's iron rice bowl, and even later, no one knows how many related households are eating empty salaries.

For the hospital's clinical medical personnel, there is no attention.

This is also a common problem common to every aging company.

If there are more households and leading cadres, there will be fewer people to do the work. Moreover, those leading cadres who do not work, in order to assert their authority, or in order to make more profits, will implement strict control over clinical medical staff.

I want to control them as if they were my own minions.

However, all this type of hospital has several obvious characteristics, and the number of logistic, administrative, and idle staff is much larger than that of clinical medical staff. A doctor may have to support two logistical and administrative staff.

And all of them can ride on the doctor's head to and pee.

If you are a little disobedient, you will be suppressed in all kinds of ways, wear small shoes in all kinds of ways, and go online.

Needless to say, in this harsh working environment, doctors and nurses who have some skills can escape as far as they can. Soon will quit his job and jump ship.

Those who remained were sleek, sleek doctors and nurses.

Most of these people spend their energy and time on currying favor with their leaders and trying to get along with them. They barely elevate their profession.

If this old oil only accounts for a small part of the staff of the clinical department, it may not have much effect.

But when a department is almost full of this kind of old oil, the problem is serious.

After the capable newcomers come in, they will immediately be 'beaten' in turn and suppressed to death. Either they will be in the same stream and assimilated by these people, or they will be excluded. Incapable newcomers come in, as long as they learn from these people, they will have a chance to survive.

As a result, the hospital was largely abandoned.

It is said that when the Second and Sixth Hospitals closed down that year, the authorities wanted to arrange jobs for the staff of these hospitals and arrange for them to work in other hospitals. As a result, Tuya, the Provincial People's Hospital, and the Provincial Children's Hospital ...... But any hospital with a little ambition is trying to keep these people out.

To this end, a recruitment blacklist has also been established, which has been controlled by the directors of major hospitals.

The doctors and nurses in these two hospitals have basically been in the dark all their lives.

At least in this province it is almost abolished.

But all the hospitals that are a little better, without exception, close their doors to these people.

Then something thought-provoking and very interesting happened.

After the closure of the second hospital, because the doctors and nurses of this hospital often worked closely with a private hospital. So I managed to rush into this private hospital.

At that time, the director of this private hospital also felt that he could do a big job by recruiting a large number of clinical medical staff at once.

As a result, it took only nine months for this private hospital to be directly knocked down by the old oilmen who poured in.

On the day of bankruptcy, I heard that the director of this private hospital was sitting in his office and crying. The family business laid by his ancestors for several generations was destroyed by him.

It was also after this incident that the medical staff of the Second and Sixth Hospitals were black.

No hospital is willing to accept it anymore.

I heard that even the medical staff who had entered other hospitals with various connections were cleared out.

The name of a man, the shadow of a tree.

These two hospitals are notorious, and people are really afraid to follow in the footsteps of that private hospital.

A grain of rat droppings can really spoil a nest of porridge.

Even today, the medical staff of the faction from the First Hospital to the Fifth Hospital are still discriminated against.

The Fifth Hospital was able to catch up with the latecomers because its previous president worked hard to carry out a talent reform of the hospital in the form of scraping bones and curing poison. I heard that at the worst time, at least three groups of medical staff from our hospital petitioned each day.

Under tremendous pressure, after more than ten years of hard work, the Fifth Hospital finally achieved a major talent change.

It also has a new look and is full of new vitality.

Later, at the age of 48, the dean was diagnosed with three types of cancer. They are lung cancer, liver cancer, and bowel cancer. It is extremely terrifying to have so many cancers detected in one person at the same time.

It can also be seen how hard the young director has worked hard to help the Fifth Hospital save himself, and he is under tremendous pressure that ordinary people can hardly imagine.

The new dean who succeeded him was a very young woman.

I heard that they are excellent international students who have studied abroad for seven years and have experience in hospital management abroad. After taking over, the Fifth Hospital continued to deepen the reform and implemented many new development strategies.

Its progress in the past three years has been even faster than Tuya's.

Some people regard it as a dark horse, thinking that if it continues to develop according to the current momentum, it may be among the first-class top three compounds in the province within ten years.

Because of its deep foundation and the relationship between the First Hospital and the competent authorities, its strength should not be underestimated.

It is rumored that working in this hospital is one of the easiest to obtain the establishment.

The benefits are notoriously good.

For nurses like Tuya Hospital, it's very nice to be able to take one day off a week. In fact, for Tuya's clinical nurses, night shifts are the norm.

But the nurses at Renjia No. 1 Hospital can take one day off after two days of work.

The opportunity to work night shifts is at most once a week.

In addition, the temptation to have a great chance of being included in the compilation is also very great. Don't look at the current implementation of equal pay for equal work, even if everyone gets the same salary, but in terms of benefits, the gap between contract workers and establishment workers is very large.

There is also the salary after retirement, which is even more heart-wrenching and unbearable.

The retirement salary of contract workers is the insurance they buy, which is generally two or three thousand yuan a month. Establishment workers, the retirement salary shall not be less than 80% of the pre-retirement salary.

This article alone is enough to make many people prefer not to have any big development, but also to stick to the establishment.

Don't seek to be rich and expensive, at least stable!

It is precisely because of this huge advantage that there are quite a lot of veteran experts in the First Hospital.

Among them are strong doctors.

After reading the information of the patient who developed esophageal fistula after surgery, Zhou Can began to seriously think about the real reason for the postoperative esophageal fistula in this operation.

First of all, it is not excluded that the doctor's poor level of surgery leads to the possibility that the patient will have problems after surgery.

Secondly, considering that the patient had a spontaneous esophageal tear and that the tear was so long, it means that the toughness of the esophagus is already poor.

Of course, the toughness of the esophagus is not good.

However, it is very resilient.

The muscular layer of the esophagus is divided into two layers, the inner ring and the outer longitudinal layer, with a thickness of about 2 mm, and elastic fibers are sandwiched between the two layers. At both ends of the esophagus, the circumferential muscles are more developed and resemble sphincters.

Theoretically, it's okay to finish with food that is three times thicker than its diameter.

And that's far from its limit.

Under normal circumstances, it is almost impossible to burst your esophagus by wanting to eat.

(End of chapter)