"Boss, you've been promoted, shouldn't you just be so stingy and invite us to eat?" Ma Xiaolan's relationship with Zhou Can is relatively close now, and she is not afraid of Zhou Can.

Occasionally dare to joke with Zhou Can in his spare time.

"The last two days have been a bit busy, there is an incurable disease in the pediatric department that has not been solved, and the cardiothoracic surgery department has major surgeries every day. After I have been busy for the past two days, I will not work overtime after work, and then invite everyone to have a big meal to celebrate. My promotion would not have been possible without your support and hard work. ”

Zhou Can is very grateful to his two doctors and three nurses.

Especially Qiao Yu, who has been working hard in the past few years, silently acting as his instrument nurse.

If you want to judge the 'Founding Father', she is the first.

At the beginning, Zhou Can returned to the emergency department, and he was poor and white. took her to do crazy surgery with the intern doctor Luo Shishen, and this slowly opened up the situation.

It's like starting a business from scratch, and after the company grows bigger, you don't need to worry about it much.

The best memories are often the period when I first started my business, and I needed to work extra hard because of the lack of various conditions.

On the third day, Dr. Fu Chachun returned to work.

It's the night shift.

The emergency operating room works in three shifts, and the day shift is the best and busiest. The night shift is second, and the night shift is not so busy, but the work and rest are reversed, and the biological clock is disrupted, and everyone is actually very resistant in their hearts.

Fu Chachun is very smart, he just had such a big incident, and he lost face. It is more advantageous to return to work in the emergency department after a day off and take a night shift to observe the situation.

Because there are the least number of medical staff at night.

When Zhou Can came to work in the department, he heard Qiao Yu and the others talking, saying that Fu Chachun invited all the nurses to drink milk tea.

This old man of Fu Chachun, I didn't expect that there were still some means.

It seems that he has been beaten by society this time, and he has learned a lot of things. put away the sense of superiority in his heart, and didn't dare to put any old qualifications on the table.

In any department, veteran comrades are often the most difficult to handle.

Because they think they are very old, they don't listen to orders a lot of the time. In particular, some leaders younger than them want to command them, which is very difficult.

Zhou Can didn't care much about Fu Chachun asking all the nurses to drink milk tea and repair the relationship with them.

He is too busy with his work, and he has a lot of things to do, knowledge to learn, and surgical skills to practice every day.

It is worth mentioning that he now practices surgical skills except for the steady knife method and the quick knife method, and the others are basically no longer practiced at home. It's about improving directly when operating on patients.

At present, except for a few medical skills in orthopedic surgery, all other surgical skills have been promoted to level six, and it is completely unnecessary to practice suturing with pigskin, or practice vascular anastomosis on mice.

Not to mention the low efficiency, it does not help much to improve the technology.

What can really improve the level of medical skills is those difficult cases and difficult major surgeries.

Every major surgery has its complexity.

Even if it is the same tricuspid regurgitation repair surgery, each patient's situation may be different.

As we all know, the main cause of tricuspid regurgitation is enlargement of the right ventricle or the lesion of the tricuspid valve itself.

The tricuspid valve is a valve located between the right atrium and the right ventricle, and it is more like a door that opens and closes automatically. Normally, blood can only go in and out. If the right ventricle is enlarged, the door is not closed tightly, and blood regurgitates to occur.

The pathological mechanism is probably like this.

However, there are many causes of tricuspid regurgitation, such as increased systolic pressure in the right ventricle, which, if persistent, will cause the myocardium of the right ventricle to become hypertrophied and the right ventricle to enlarge.

Or if the pulmonary artery pressure increases, the right ventricle may also enlarge.

So, even if it is tricuspid valve regurgitation surgery, each one may be different.

If the tricuspid valve is replaced rigidly, the treatment method of each patient is the same, and the end result is that the effect is okay just after the operation. After some time, the tricuspid valve begins to regurgitate again.

Every time Zhou Can has a major surgery, there will be new gains and progress.

This is the right way to quickly improve your medical skills.

……

Time flies very quickly, and in the blink of an eye, more than half a year has passed.

A lot has happened in the past six months.

Zhou Can successfully became a teaching assistant at Tuya Medical College, and became a teaching assistant with a bachelor's degree, which is an outlier in the current extremely competitive situation.

Many young graduate students want to become teaching assistants, and they are still queuing.

In addition, the re-examination and interview for the graduate school entrance examination were successful.

Now he has started graduate school in the field of orthopedics.

At first, he also felt that the field of orthopedics was a bit off the main direction of development. After really studying with the tutor for a while, just two words, really fragrant.

He benefited greatly from his in-depth study of orthopedic knowledge, especially the research on bone trauma and bone joints.

Before he studied, he thought orthopedics was like that.

It is even believed that orthopedic surgery is individual work, and the technical content is there, but it is far less high than that of other surgeries.

It's nothing more than a plaster, drilling a row of holes in the bones, a steel plate or something.

Or put two rivets in one part of the bone to hold the broken bone in place.

After studying with the instructor, he found that the knowledge of orthopedics was much more advanced than he imagined.

For example, the source of blood in the human body is not the heart, but the bone marrow.

There is also the totipotent cells of the human body, which also come from the bone marrow.

Bones not only support the human body, but also have multiple meanings. The human body has evolved over hundreds of years, and each bone has its own specific function.

This graduate school also made him finally understand why all major hospitals attach great importance to academic qualifications, and almost only academic qualifications are used when recruiting.

There is indeed a considerable gap between the level of knowledge of undergraduate and graduate students.

He now has the status of a teaching assistant, the deputy head of the emergency operating room, and an on-the-job graduate degree, which is significantly more advanced than before.

The weight and status are not the same.

Vice President Bai and Vice President Ye promised to help him enter the quality control department, and they already had eyebrows.

If nothing else, he should be able to do so soon.

Unconsciously, he gradually became like those famous doctors, with a lot of various titles and positions.

Of course, he is still just getting started, and there is still a lot of room for improvement.

It definitely takes extra effort.

There is a very big gap with the real famous doctors.

At present, he is not really a famous doctor, and he has only entered the reserve talent team of famous doctors before.

Now it is entering the quasi-famous doctor sequence.

There is another thing worth mentioning, Zhang Qilian from the Third Hospital. After two surgeries, his life was successfully saved. But the serious sequelae left behind made him unable to work and live like a normal person.

The level of medicine in China is limited, and there is no good way to solve these sequelae.

The only way is a heart transplant.

However, his systemic arterial vascular disease was so severe that just one heart operation was already difficult and he had many adventures. With a heart transplant, the chances of dying on the operating table are very high.

No hospital would dare to take that risk.

Not long after Zhang Qilian was discharged from the hospital, he chose to be forced to retire early. The reason is that the illness has retired.

The Third Hospital was a mess by him and was on the verge of bankruptcy. At this time, he chose to retire from illness, but he was relieved, but it was bitter for the baton.

The person who took over the position of dean was none other than Zhang Xingxing, who ran to the hospital ward to visit every day during Zhang Qilian's hospitalization.

is already the vice president himself, and has always been Zhang Qilian's most trusted right-hand man, and it is reasonable to be able to take over Zhang Qilian's position as dean. Because of historical reasons, the management mechanism and the appointment mechanism of hospital leaders are more rigid than those of other large hospitals.

In the event of a normal retirement of the dean, he has the right to recommend the next successor.

In addition, superiors generally carefully consider the successor recommended by the previous dean.

Because the most familiar with the situation in every hospital must be the director.

Sickness retirement is also a normal retirement.

If corruption and bribery are investigated, this is not within the scope of normal retirement. In this case, the previous dean loses the right to recommend.

At this time, it is either an in-house election or an airborne parachute.

After Zhang Xingxing took over the Third Hospital, he directly merged with the First Hospital and was willing to become a campus of the First Hospital.

When the news first came out, everyone couldn't believe it.

Later, the official announcement came out, and everyone believed that it was true.

Zhou Can admires Zhang Xingxing's courage and strategy.

The third hospital was already on the verge of closing down at any time. After Zhang Xingxing took over, no matter how hard he tried, it was difficult to come back to life. And won't give him much time at all.

In this case, it is a very clever practice to choose to be 'eaten' by the First Hospital.

With the financial support of the First Hospital, the new surgical complex can continue. The arrears of wages of the third hospital can also be paid.

Soon after Zhang Xingxing took office, the hospital employees received their long-overdue wages, and they were naturally happy. The support for Zhang Xingxing rose all of a sudden.

There is no one who does not praise him for his wisdom.

After bringing the Third Hospital back to life in this unique way, Zhang Xingxing continued to deepen the development policy of 'import'.

The first thing he did was not only not to give the Japanese outsider a plane ticket, but to give him a raise.

Don't think that Zhang Xingxing doesn't know that this Japanese expert outside the heart is a half-level.

His heart was like a mirror.

The purpose of choosing to do so is to strengthen the 'import' policy. If you want to introduce real foreign high-level talents, you have to use this Japanese expert to publicize.

Other medical experts in Japan looked at it, wow, even that fake expert at the half-level can get such a high salary and be treated so well, so wouldn't it be better for them to go to people with real skills?

This is exactly what Zhang Xingxing is so clever about.

Compared with the means and pattern, he is obviously more than twice as clever as the previous Zhang Qi.

This is a very interesting phenomenon, often some people who seem to only be able to sneak around, especially some people who can rely on this ability to be in a high position, often not because they have no real ability, but smart choice to hide their ability.

Only in this way can we set off the lofty leadership.

For example, the famous corrupt official and Kun in history, in the eyes of the public, this person has no ability, and can only slap the horse.

In fact, people's abilities are much greater than those of clean officials.

He did a lot for the Qing Dynasty.

The Third Hospital continues to develop on the road of introducing foreign experts and importing advanced medical equipment, which should not be underestimated. It's hard to say what it will become.

Wait a year or two, and you'll be able to see some eyebrows.

Just like the Xinxiang Women's and Children's Hospital back then, it was also broken and then established. Now the development momentum is strong, and it is catching up with the pace of Tuya and the Provincial People's Hospital, which are the top hospitals in the province.

Let's talk about the emergency department where Zhou Can is located.

Its expansion is still proceeding at a rapid pace.

Zhou Can also officially became half a leader from an ordinary soldier in the emergency department. He is now invited to attend some important department leadership meetings.

So far, there are only two leaders in the emergency operating room, namely Dr. Xu and Zhou Can.

The master and apprentice are in charge of almost everything in the emergency operating room.

After Zhou Can had the position of deputy team leader, he already had the power to manage other people in the operating room. Including attending physicians Fu Chachun, Dr. Cui, Tang Wangnian and others. The operating room nurse likewise manages to get.

However, he inherited Dr. Koh's management style.

In general, he doesn't take care of things. Only when other doctors encounter patients with difficult surgeries, or there are safety hazards, dereliction of duty, etc., he will take care of them.

The main thing is to lead the surgeons and nurses in the department to continuously improve their professional level and provide better services for patients.

Recently, Zhou Can overheard patients and their families complaining during ward rounds, saying that they had known that Tuya's treatment level was not as good as the legend said, and it was better to have surgery in a local hospital.

The speaker has no intention, but the listener has the intention.

This occasional complaint immediately aroused Zhou Can's high vigilance.

The quality of the emergency department's operating room may indeed be a good idea.

Because of Zhou Can's personal development needs, he gradually stopped doing ordinary first- and second-level surgeries, but distributed them to others, which also led to a problem. The surgical team in the emergency department is uneven, with high and low levels and different working attitudes. The quality of the surgeries performed by these people is either high or poor.

At first, I didn't think anything had changed.

Eight or nine months passed, and the problem gradually became apparent.

The number of surgeries in the emergency department has not decreased as it has the largest flow in Tuya Hospital.

The number of patients in the emergency department is always the largest compared to the outpatient department of any one department.

Moreover, patients who go to the emergency department often have acute symptoms.

Such patients are more likely to need surgery.

The emergency doctor will definitely find a way to intercept some patients and give them to their own departments to digest.

This is related to the income generation of the entire department, but also to the income of every doctor and nurse in the emergency department.

So, you can't just look at the number of surgeries on the surface, but look at whether the 'repeat customers' are seriously decreasing?

(End of chapter)