The patient tore a 6 cm long cut in his esophagus when he vomited, which was quite a horrific thing.

If a normal vomiting could destroy the esophagus like this, I am afraid that most people in the world would die. Nor can humanity multiply to such an alarming amount.

This indicates that the patient's esophagus may have had a problem before the tear.

For example, it is possible for the esophagus to become hard or brittle.

Associated with long-term alcohol abuse in patients.

When alcohol enters the body, it not only causes damage to the liver and kidneys, but also to many tissues and organs of the digestive tract. It doesn't matter much if you drink it once or twice.

But after drinking for more than ten years, the damage caused by the accumulation of time is a bit terrible.

After each injury, it can take two to three days, or even longer, for your body to recover. But before the body can recover, the new damage caused by the patient's drinking comes.

If you accumulate little by little, you will eventually have a big problem with your body.

That's why almost all doctors advise patients to quit smoking and drinking.

Following this line of thought, Zhou Can boldly speculated that the patient's postoperative esophageal fistula was probably not caused by the doctor's poor surgical level, but that there was a problem with the esophagus itself.

Of course, this still has something to do with the level of doctors.

If the doctor's level is high enough, some adjustments can still be made depending on the patient's esophageal condition.

For example, during the suturing process, the esophagus was found to be brittle and had poor toughness. At this time, the tension of the esophagus can be taken into account when suturing. There is also whether the wound heals slowly after suturing, etc.

With these considerations in place, some precautions can be done during the suturing process.

This makes it less likely to develop an esophageal fistula.

At least let Zhou Can do this surgery, with his current surgical level, he is fully capable of avoiding the formation of esophageal fistula.

"Boss, there's nothing wrong with you doing this surgery, right?"

Jiang Wei saw that Zhou Can had finished reading all the patient's information, and asked at the right time.

"No one dares to pack tickets, but if the other party can trust them, you can try."

Zhou Can's answer was very conservative.

After reading it, he actually has more than ninety percent certainty.

Anastomosis, patching and suturing are his strengths.

Some fistulas are difficult to find.

However, it is relatively easy to find a fistula in this type of esophageal fistula. It took only five days for the patient to complete the operation, and with Zhou Can's surgical skills, he was completely sure that it would be solved through endoscopic surgery.

"Then I'll reply to my old classmate now!"

Jiang Wei replied to the voice message directly in front of Zhou Can.

"Old classmate, our boss agreed to take this private job. However, any surgery has risks, and we can't guarantee that the surgery will be successful. You see, if it's okay, I'll ask the boss what the preparations are before the operation, and you can start to prepare there, and then we can go over and operate directly. ”

can hear that Jiang Wei's position when chatting is on Zhou Can's side.

Although Zhou Can didn't say it, he was very satisfied in his heart.

"Okay, okay! Thank you Weiwei and thank you Dr. Zhou for helping me. This rotten patient has finally been solved, and I have a good deal with the hospital leaders. Let's invite you to dinner another day! ”

Jiang Wei's old classmate is a woman.

Listening to the voice, the age should not be particularly old, at most under the age of thirty.

Rotten patients need to be dealt with by her, and according to Zhou Can's speculation, this woman is likely to be the administrative post of the hospital. For example, the deputy head of the medical department, or the head of the digestive surgery department.

Leaders get more wages than ordinary employees, and they hold great power and status.

But when there is a problem in the department, it is often the leaders who come forward to extinguish the fire at the first time.

Power and responsibility are inherently one.

……

This matter was settled.

Zhou Can entered the operating room of the emergency department and began to work in the afternoon, not to mention.

After his hard work, the emergency department is a world away from two years ago. Today, the total number of inpatient beds in the emergency department has increased to 60. This number of beds is only the official number of beds approved above.

In fact, when there are too many patients, the number of surgical beds can be increased to about seventy. The total number of beds in internal medicine can be increased to 50.

This equates to a total of 120 beds.

You must know that one of the important criteria of a tertiary hospital is that the number of inpatient beds exceeds 500.

Two years ago, the emergency department did not even have a single regular bed except for the single-digit number of inpatient beds in the ICU. In less than two years, the number of ordinary hospital beds has grown to 120, which is a skyrocketing rate of progress.

At the same time, the number of doctors and nurses in the emergency department has increased considerably.

Compared with the 'poor staff' who could only pick up other departments in the past, the current emergency department is much stronger. Because of its good income and rapid expansion of strength, it can ensure that the treatment of doctors and nurses reaches a relatively high level.

There is also the establishment of quotas, deputy high quotas, high quotas, and year-end bonus ratios, all of which can already be fought for by the hospital.

You know, in the previous emergency department, there was nothing to do, except for working day and night, there was really nothing.

Some outstanding talents have avoided this department.

Even if you are recruited, you will leave quickly.

There is no way to keep people.

Looking at it now, every time he recruits, Director Lou is full of confidence, and even has the capital to select outstanding talents.

I met some talents who had jumped out of the job, but did not mix well in other departments and wanted to change jobs again. If it is really good, Director Lou will agree to give it a chance.

If the level is average, hehe, now it's Director Lou's turn to raise his eyebrows.

That's really the sunset, you don't accompany the West Mountain, who are you when the East Mountain rises again?

Now the clinical departments of Tuya Hospital are recruiting new people, and the emergency department has even unwittingly left behind some departments with poor performance or a bad future.

In addition to the great improvement of the talent team, the hardware facilities of the emergency department are also changing with each passing day.

With a 100-level operating room, a traditional operating room, and a 10,000-level operating room is under construction, which is estimated to be put into use by the end of this month.

The operating room is also fully equipped.

Especially in the 100-level operating room where Zhou Can works, except for some particularly expensive special equipment, the other surgical equipment is basically complete.

Most of them are imported.

There is no way to do this, domestic products are still very backward in the production of these advanced medical devices and instruments.

For example, a very ordinary endomicroscope, Olympus can be placed thousands of times, and the clarity is guaranteed. Domestic, not to mention microendoscopes, even ordinary microscopic equipment cannot reach the level of small Japan.

The number of emergency operating rooms has increased to three, and the hardware facilities are complete, which is not inferior to that of general specialist departments.

This is just the tip of the iceberg in its rapid development.

For example, the establishment of the endoscopic operating room has enabled the emergency department to now have endoscopic surgery capabilities.

The only thing missing is a doctor with a high level of surgery.

At present, the absolute number one cadre in endoscopic surgery in the emergency department is not Dr. Xu, but Zhou Can.

It's just that Dr. Xu's endoscopic surgery level is also good.

In addition, the construction of the ICU, the success rate of rescuing acute and critical cases in the past can only be said to be acceptable. Now it has attracted many cutting-edge talents with doctoral degrees or above, coupled with the continuous renewal and improvement of ICU equipment, and the technology has been continuously improved with the progress of the times.

The success rate of rescue in critical cases is already quite amazing.

This is inseparable from Director Lou's hard work and wise leadership, and even more inseparable from Zhou Can's various helps.

Zhou Can has a deep relationship with Tuya's intensive care medicine department, and he has received a lot of support in talent training by taking advantage of this convenience. It is to recruit people from the emergency department, send them to the intensive care department for training for a period of time, and then come back to work.

If it weren't for Zhou Can's matchmaking and various efforts, would the Intensive Care Department do its best to help the ICU of the emergency department?

Unless it's crazy, it's pretty much it.

The two are inherently competitive.

The stronger the ICU in the emergency department, the fewer patients will be admitted to the intensive care unit.

In order to promote this matter, Zhou Can had a long time with Director Liu of the Department of Intensive Care Medicine. and made a certain promise, and Director Liu relented.

Facts have proved that Zhou Can's vision is extremely forward-looking.

The strengthening of the ICU in the emergency department has increased the number of patients in the intensive care unit rather than a decrease.

Why?

Because the Department of Cardiothoracic Surgery has now become one of the strongest cardiothoracic surgeries in China.

Although there is a lot of water in this first, it is only necessary for patients and ordinary people to recognize it.

Cardiothoracic surgery is one of the departments most likely to produce critically ill patients.

As its fame grew, the number of patients admitted to it skyrocketed, and so did the number of patients sent to the intensive care department.

In addition, the ICU rescue success rate of the emergency department has increased, which has also attracted more acute and critical patients to run here.

The emergency department is the façade of a hospital.

The higher the success rate of rescuing critically ill patients, the greater the hospital's fame.

In addition to the emergency ICU, the level of the emergency room has also improved. Because the rescue success rate of the emergency room is actually closely related to the ICU and emergency operating room.

The level of ICU and emergency operating room has risen, and even if the emergency room is lying flat, it can also make progress.

At present, the only shortcoming of the emergency department is probably internal medicine.

There is no way to do this, there is a lack of top internal medicine experts, and you can't recruit a few doctoral students and master students to improve their level.

Don't look at Zhou Can's personal relationship with Director Tan of the Department of Internal Medicine, but letting the Department of Internal Medicine help the emergency department cultivate key internal medicine talents is to eat fart. No fool would give the meat in his bowl to someone else to eat.

Overall, emergency medicine is still making rapid progress.

It's just not comparable to surgery.

Because surgery has the demon of Zhou Can.

There is one more thing worth mentioning.

Zhou Can has now consciously reduced the number of primary and secondary surgeries and increased the number of tertiary surgeries.

Because of his surgical skills, except for orthopedic surgery, all the others have been promoted to level six or above. It doesn't make much sense to do the first and second level of surgery.

Only by constantly challenging the more difficult level 3 and 4 surgeries can we continue to maintain the rapid improvement of the experience points of various medical skills.

Other rookie doctors, under the guidance of Dr. Xu and others, started exercising from first-level surgery.

That's how every surgeon grows up.

This is also the health model of the emergency department's operating room, where newcomers are engaged in first-level surgery, senior residents with a little more experience are engaged in second-level surgery, and the attending doctor begins to participate in third-level surgery and preside over second-level surgery.

Only in this way can we ensure a virtuous circle of talent training.

At present, there is still a forbidden line in the emergency department operating room that has not been broken, that is, the highest can only do tertiary surgery.

There is no way to do fourth-degree surgery for the time being.

Because there is no director-level surgeon.

If he is a chief surgeon who only specializes in a specialty, he can only perform fourth-level surgery in the area he is good at. In fact, there are strict restrictions on the qualification requirements for surgery.

A director-level general surgeon is something that is unimaginable.

I'm afraid it's hard to find such a chief physician in the world.

Perhaps in the near future, Zhou Can can achieve it.

It's just a possibility.

You must know that Zhou Can has the help of the medical experience value system, and he can use one or two years to complete the road of other doctors for ten or even twenty years. Even he is only possible, no matter how rebellious other doctors are, they can only work in one or two fields at most in their lives.

This is determined by energy, time, and longevity.

Many surgeons are at least 24 years old when they graduate and many more are 27 years old.

Chief physicians at the expert level are allowed to work until retirement at the age of 65.

The number of years that can be really used for work in a lifetime is more than 30 years. The older a person gets, the more his learning ability, memory, and physical fitness will deteriorate.

Therefore, it is destined to be only able to work in one or two medical fields at most in his life.

……

At about 6:40 p.m., Zhou Can dragged his tired body out of the operating room.

Five second-level surgeries and three third-degree surgeries were completed this afternoon.

The results are quite encouraging.

A total of eight surgeries were successfully completed.

While tired, he also felt full of gains. The sense of accomplishment gained from treating patients must be the strongest among clinical surgeons.

Walking out of the operating room, Su Qianqian, as always, sat not far away with a thermos bucket and waited for him.

What is a good wife and mother?

Su Qianqian is definitely a model of these four words.

"Sister-in-law, I'm bringing food to Dr. Zhou again! It's enviable to see you so loving! Jiang Wei smiled and stepped forward to say hello.

"Isn't it because I'm afraid he'll be hungry! When a man works, he doesn't care about his body at all, so I can only try to take care of him as much as I can. Su Qianqian said, subconsciously looking at Zhou Can.

Her eyes were full of affection.

As far as the eye can see, it is full of beloved lovers.

Even though the two have lived together for so long, they never get tired.

On the contrary, the two became more and more intimate, like glue.

Zhou Can himself is an emotional person, influenced by his father, and is quite dedicated to his feelings. After experiencing some things with Su Qianqian, especially Su Qianqian's kidney disease, which almost made him lose her forever, which also made Zhou Can cherish this fate even more.

Since then, in his clinical work, he has become accustomed to seeing life and death, and his perception of life has become more profound.

Those scenes when patients and lovers parted in death, or when they were sick in bed, the other half gave everything and stayed at the bedside to take care of the affectionate affection, all let him see the best side of love.

Since he chose Su Qianqian, he naturally won't let her down.

"Dr. Zhou has always praised my sister-in-law's cooking skills! One day I have to be cheeky to go to your house as a guest and try my sister-in-law's craftsmanship so that I don't regret this life. "Jiang Wei is very enthusiastic every time she sees Su Qianqian.

Consciously praise her.

This time, he took the opportunity to ask to be a guest at Zhou Can's house.

Although it was just a joke, it was expected that such a friendly person as Su Qianqian would not refuse.

(End of chapter)