Nearly fifty minutes later, Zhou Can hurried to the director's office in the internal medicine building.

In terms of status, Director Tan is already second only to the vice president.

According to some gossip, if all of Tuya's departments successfully complete the reform this time, the directors of each major department may be automatically promoted to vice president.

This is also an opportunity for Zhou Can to quickly rise to the top.

At present, the only hope he has is to improve his academic qualifications as soon as possible. This is related to his future professional title evaluation, competition for important positions, comprehensive scoring of famous doctors and many other developments.

The door to the director's office was closed.

Knock knock!

He knocked politely on the door, and then came Director Tan's gentle and honest voice.

"Please come in!"

Pushing the door in, I saw Director Tan holding a yellowed ancient book reading.

It is a book on Chinese medicine.

Physicians like to study medical theory and pathology, and after a certain level, they can even study pulse theory.

At present, at least three developed countries have developed automatic pulse diagnosis instruments based on the technology of traditional Chinese medicine pulse diagnosis. Unfortunately, the results have always been unsatisfactory.

This is because TCM pulse diagnosis needs to be based on the doctor's pulse knowledge, pulse meaning, and diagnostic experience, and then comprehensively consider.

Among them, there is a very important independent human intelligence, which is ever-changing, and requires flexible diagnosis.

With current artificial intelligence, it simply can't be imitated.

It is estimated that even in the past 50 years, it will still be difficult for automatic pulse diagnosis instruments to make major breakthroughs.

Traditional Chinese medicine is broad and profound, and those who don't understand it think it's metaphysics.

Only those who understand it will think that it is medicine.

Nowadays, the vast majority of young doctors in China think that Chinese medicine is more 'metaphysical'. One of the most common phenomena is that when encountering some difficult patients or terminally ill patients who cannot be treated, everyone will invariably persuade these people to see Chinese medicine.

From this point of view, TCM must have been severely disvalued.

At least Zhou Can has felt the power of traditional Chinese medicine, if Su Qianqian's kidney disease is treated according to Western medicine, there will be no second way except for transplanting a kidney. However, taking traditional Chinese medicine prescriptions, supplemented by dietary therapy, gymnastics, etc., was eventually cured.

She has now been re-examined three times, all of which show that her urine test results are normal and her kidney function is normal.

"Director Tan!"

"Here we go! Sit! ”

Director Tan got up and made him a cup of health tea. There are wolfberry, astragalus and other things.

There are not many people who can make tea for Director Tan personally.

Zhou Can is an exception.

"There are two things that came to you. The first thing: The identity of the myocardial infarction patient yesterday is very special, he is the director of the Third Hospital. ”

When mentioning Zhang Qilian's identity, Director Tan's face showed a narrow smile.

It's kind of interesting indeed.

The Third Hospital itself focuses on the diagnosis and treatment of cardiac surgery, and there was a time when the scenery was so high-profile that it didn't even know who its father was.

Fortunately, the dean had a heart attack, and his own hospital couldn't handle it, so he was sent to Tuya Hospital for rescue.

The point is, Tuya really succeeded in saving people back.

"The Third Hospital has dealt a fatal blow to our hospital, and this time it is a good publicity opportunity for our cardiovascular department and cardiothoracic surgery. The hospital is already preparing to arrange interviews and reports to hype up a wave. ”

When Director Tan said this, there was a hint of murder in his calm tone.

Righteousness does not do business, and compassion does not lead soldiers.

None of the people who can become important leaders of the hospital are easy to match. When it should be ruthless, the means are extremely iron-blooded.

It is not too late for a gentleman to take revenge.

It can be heard that Tuya Hospital is ready to seize this opportunity and fall into the well once.

The country is weak but not humble, and the strength is small but not afraid of the strong, which are all taboos.

When the Third Hospital was hacking Tuya Hospital at that time, it should have thought that there would be such a day.

Tuya Hospital can be generous, but it does not mean blindly generous.

"Because it involves you, I said hello to you in advance about this matter, which can be regarded as a discussion. In the publicity, the hospital may need to cooperate. ”

Zhang Qilian's thrombus removal and blood vessel dredging were basically done by Zhou Can.

Now if you want to use this matter as publicity, out of respect, you must communicate with Zhou Can in advance.

As for 'consultation', just listen to it.

When leaders discuss things with their subordinates, they often say hello. In fact, the leaders have already decided, and the subordinates can raise objections, but it has little impact on the results.

"I will fully cooperate with the hospital to do a good job in publicity."

Zhou Can said on the spot.

He knew that his attitude would be fed back to the leaders of the hospital by Director Tan.

Treating the Third Hospital as a stepping stone, there is no psychological obstacle for Zhou Can. Non-toxic not husband.

When it was time to make the hand of death, he was still there with the heart of the Virgin, benevolence and morality, which is too.

Taking advantage of its illness and killing it is the way it should live.

The law of the jungle has always existed.

Lions and tigers never sympathize with the weak, but think about how to get the food they need to survive at the lowest cost.

"The second thing: your interventional surgery is so slippery, the level is already very high. The level of intervention in internal medicine has always been very poor, which is not in line with the competition of modern strong hospitals, I would like to hire you as a teacher of interventional surgery in internal medicine, and teach doctors in internal medicine to do interventional surgery. I know you're very busy, but every doctor will move towards a teaching position, and only in this way can medicine be passed on and continue to survive. ”

"You are now working part-time in a teaching position, which will be of great benefit to you in the future. If you say yes, all I can get for you at the college is a teaching assistant position. Even if he is a doctoral supervisor of the college, he has been promoted step by step from this position. ”

Director Tan must have made an in-depth evaluation and analysis of Zhang Qilian's interventional surgery and postoperative results.

found that Zhou Can's level of intervention was far beyond his imagination, so he moved his mind and wanted to hire Zhou Can as a teacher of interventional surgery.

This is a thing that is beneficial to both parties.

"I'm more than happy to accept the position, and teaching itself is a very pleasant thing. It's just a little worried that my level is not enough and I can't teach well. ”

Zhou Can said more modestly, in fact, it is equivalent to having agreed.

It's like going to relatives, when stuffing red envelopes, everyone often politely remarks.

The mouth said don't don't, how embarrassing is that, but the hand is honest to take it.

Teachers in colleges and universities are usually promoted to teaching assistants, lecturers, associate professors, and professors.

After being promoted to professor, there will be first-level professors, second-level professors, and third-level professors.

Among them, the first-level professor is the highest level, and they are often 'Pangu' people in a certain teaching field. There is absolute authority in that field. The third-level professor is the lowest position among professors, but those who can be rated for this title are also very good.

No one can rate it.

There are a total of thirteen levels of teaching positions in colleges and universities, just like the position of doctors in hospitals has multiple levels, which need to be promoted step by step.

If the level is not enough, the ability is weak, and the ascension is very slow.

There are many university teachers who may not be rated as third-level professors in their lifetime, and they stay in the position of lecturers until retirement.

There are even a few teachers who are unlucky and have some hard injuries, and they are still teaching assistants until they retire.

In short, the competition in every career field is extremely brutal.

The capable are on the top, and the mediocre are standing still or eliminated.

It is definitely a great thing that Zhou Can can step into the teaching position now.

Many cattle people start from the age of 30. He can start his teaching career before the age of 30, which will be very beneficial for his future promotion.

The promotion of the position, step by step, step by step.

"Don't worry about teaching well or badly, everyone starts as a toddler. The academy will definitely give you enough time and opportunities to grow, and will not put forward extremely strict requirements as soon as you come up. ”

Director Tan comforted him and said.

"Okay, since you trust me so much, there's nothing to say, just roll up your sleeves and do it. When the time comes, it's up to you. ”

Zhou Can readily agreed.

There is no need to be too pretentious, because it is difficult to have such an opportunity if it is missed.

……

On the third day, Zhou Can was undergoing surgery in the emergency department when the cardiothoracic surgeon suddenly called for help and asked him to come over for an emergency consultation.

Saving people is like fighting fire, Zhou Can handed over the operation to two assistants.

They are now fully capable of handling the general surgical part of primary and tertiary surgery.

For the difficult second-level surgery, as well as many important parts of the third-level surgery, Yang Zhi and Pu Dingdong are not able to do it well. That's a very fast progress.

Because Yang Zhi has a good surgical foundation, he is obviously stronger than Pu Dingdong in terms of surgical ability.

However, Pu Dingdong's progress speed is very stable, and he has been making progress at a balanced speed.

It is difficult to say which of the two will be stronger and which will be weak in the future.

Zhou Can was very satisfied with the two medical assistants under him.

It is impossible to ask them to grow to the point of Zhou Can in just one or two years. That's unrealistic.

If you compare them with ordinary doctors of the same level, the progress is already very amazing.

He quickly rushed to the cardiothoracic surgeon.

In the consultation room, the atmosphere is solemn.

"This patient had an emergency interventional thrombectomy in the cardiovascular department of our hospital three days ago. Symptoms of discomfort began to appear last night. Wheezing, severe pain in the heart area, and a severe drop in blood pressure. It is now suspected that after acute myocardial infarction, a large amount of myocardial ischemia occurs for too long and necrosis occurs. The patient's current condition is very dangerous, and after evaluation with several directors, I believe that the surgery is very risky. You know this patient's condition the best, and I would like to invite you to come and have a consultation. ”

Director Xue Yan sat at the main seat of the consultation table.

The first seat on the left was vacant, and it was a seat specially reserved for Zhou Can.

Most of the doctors in the department acquiesced that Zhou Can was the No. 2 person in cardiothoracic surgery.

Since ancient times, the ancients have respected the left.

The first person on the left is usually seated by the number two person.

Zhou Can took the examination materials and looked at them, mainly chest color ultrasound and CT examination.

This helps to spot anomalies.

"When this patient was brought in three days ago, the best time for rescue was delayed. When I had an interventional dredging operation, I had a bad premonition. It is felt that the area of myocardial necrosis in his heart may be very large. I didn't expect it to be like this now. ”

Speaking of Zhang Qilian's condition, Zhou Can also had a headache.

It's an absolute hard bone.

"In his current condition, based on my clinical experience, he would die if he didn't have surgery. Even with surgery, the survival rate is not higher than 50%. There are two approaches that we have just discussed. The first is to try surgery first and see how it goes. Second, a heart transplant is considered directly. Of course, if you want to have a heart transplant, the donor is a big problem. An artificial heart is preferred. ”

Director Xue Yan gave some suggestions for discussion.

After listening to this, Zhou Can still felt very worried.

"Both surgical approaches are feasible. The key is that the patient has severe malformations of arteries and blood vessels throughout the body, and atherosclerosis is very obvious. During my ward rounds, I learned from chatting with family members that the patient had vascular abnormalities since childhood. Since then, I have been taking medication to control it. For this reason, the patient studied in Japan specifically to find a way to treat systemic arterial vascular disease. ”

The patient's situation is extremely unique.

Even a heart transplant for an average patient still carries a very high risk of death.

Not to mention the patients with severe arterial malformations.

After everyone heard this, they were in trouble for a while.

In patients with acute myocardial infarction, if there is a large amount of myocardial necrosis, myocardial remodeling will occur, resulting in heart enlargement, myocardial contraction weakness, decreased cardiac output, heart failure, decreased blood pressure, and even cardiogenic shock.

If left untreated, the necrotic heart muscle can swell outward, causing a ventricular aneurysm or papillary muscle rupture or even a ruptured heart.

In the week, due to the thinning of the myocardium at the infarct site, the thickening of the non-infarcted myocardium, and the uncoordinated contraction of the myocardium, there will be a mural thrombus in the left ventricle, which will cause arterial embolism in the brain, kidney, spleen, lung or limbs.

Therefore, when Zhou Can went to the ward that morning to check Zhang Qilian's postoperative condition, he reminded the family that the real danger period was far from over.

He was able to successfully remove the thrombosis for Zhang Qilian, but he could not guarantee that the myocardium would not die.

This is because at the time of thrombectomy, a part of the myocardium has been necrotic due to ischemia. It's just that if you don't open the pericardium, you can't find it.

Western medicine often treats passively.

It can also be understood as a secondary version of defensive medicine.

For example, if a patient is found to have a tumor, but the tumor is not large, the doctor will ask the patient to observe and recheck every three or six months. If it doesn't continue to grow, it will always be left to it.

This is medically called living with the disease.

The whole idea of diagnosis and treatment in Western medicine is basically the same idea. Prolong the patient's life as much as possible, and then find ways to alleviate the patient's suffering.

For example, cancer patients will first be given chemotherapy or radiotherapy to control the spread of cancer cells. The purpose of this is not to cure, but to prolong the patient's survival cycle.

The patient is then prescribed some painkillers to relieve the pain of advanced cancer.

Many people think that trigeminal neuralgia has the highest level of pain, and some people think that childbirth is the most painful, but in fact, these pains are nothing compared to cancer pain.

Cancer pain is what really makes life worse than death.

In particular, the pain of advanced cancer is enough to make people feel unbearable.

(End of chapter)