After Zhou Can and Fu Chachun had a stalemate last time, the two basically only retained superficial politeness.

There is a saying that it is easy to reconcile, but it is too difficult to be the same.

The two didn't have a deep friendship, and at the critical moment when Zhou Can was promoted to deputy team leader, Fu Chachun jumped out and stabbed him. Since no one takes Zhou Can seriously, he naturally won't have the heart of the Virgin.

Obviously using the power of the deputy team leader to retaliate against Fu Chachun, that's not enough.

He still has this kind of mind and bearing.

It is also impossible to let him help Fu Chachun wipe his ass, take care of all kinds of things, and repay his grievances with virtue.

To put it bluntly, it's business.

He remembered that Fu Chachun was on the day shift today, and he should have gone home from work at this moment.

Call the other person directly.

It was quickly connected.

"Hello, Team Leader Zhou! What's the matter? ”

Fu Chachun asked politely.

Of course, this politeness is only superficial.

What he said was Hello to Team Leader Zhou, not Hello to Team Leader Zhou, and this detail can reflect that he doesn't have much respect for Zhou Can, the deputy team leader.

Many old comrades are in this tone, clinging to that bit of face and refusing to let go of their bodies.

"There is a patient here who had a parallel toe surgery the day before yesterday, and now there is a bit of a problem, I would like to ask you to come over!"

"What's wrong with that patient?"

"The third toe of her left foot was numb, and the touch was almost gone."

"It's not a big deal, and the risk of splitting the toes is quite high, and it's not uncommon to injure nerves after the surgery. As long as the patient's toes have smooth blood flow and the wound has healed well, this is a successful operation. ”

Fu Chachun said it lightly.

He didn't care much about the numbness of one toe of the patient's foot.

In clinical procedures, patients experience numbness in one finger or toe, and few doctors are willing to deal with it because of the nerve problems involved.

Because of this 'small problem', most patients can accept it.

There's no need to make any more extraneous complications.

Everyone is afraid of trouble, and they don't want to get into trouble.

If you tell the patient, the nerve may have been injured during the surgery.

Whose responsibility is this?

"The patient told me that she had surgery to dance ballet better. Now after the surgery, there is a problem with the third toe, which will definitely affect the motor function of her left foot. Rich doctor, do you think this will work? Please come over and study the cause of the patient's numbness in the third toe of the left foot, and try to help her solve it if it can be solved. ”

The heart of the healer's parents.

Zhou Can is unwilling to deal with the problems of patients with such an irresponsible attitude.

"No need! The operation is inherently risky, and the family members have signed it, and directly inform the patient that the third toe of the left foot can try to exercise more in the future to see if it can gradually recover. If you can't recover, the doctor can't do anything. ”

The solution given by Fu Chachun is more in line with the interests of the hospital and the interests of the surgeon himself.

Usually encountering similar situations, this is basically how to solve them.

"Not bad! The family signed before the operation, and the possible risks of the surgery were indeed informed to the family and the patient before the operation, and their consent was obtained. If we don't deal with it, the family and the patient can only admit it. But I think there's a better way to deal with it. At least it's worth trying. ”

Zhou Can can only do Fu Chachun's ideological work with all his heart.

"Humph! Team Leader Zhou wants to be this good man, he can be himself, and I won't accompany him. If you just want to retaliate against me, you can do whatever you want. I have only one attitude, no need to deal with it extra, if you are not convinced, you can find the head of the department, find the leader of the medical department, and see what they say. ”

Doodle......

There was a busy sound on the phone, and Fu Chachun had already hung up the phone.

It's really a day.

Dr. Fu actually thought that he was taking revenge for personal gain. The conscience of heaven and earth, Zhou Can really never had this kind of thought.

"Dr. Zhou, the patient's surgical records have been retrieved from the operating room. To give! ”

Jiang Shuangshuang's service is really thoughtful.

Not only did I find the operating room to retrieve the operation record, but I also printed it out.

Surgical records are generally managed in two places: the operating room and the medical department. It is not as easy as imagined to adjust a patient's surgical records, and it is not possible for anyone to do so.

Zhou Can is the deputy leader of the operating room, and his status in the emergency department is special, Jiang Shuangshuang told the operating room that Zhou Can wants to transfer a patient's surgical records, which is basically a matter of one sentence.

"Thank you! You go get busy. ”

Taking the newly printed surgical records, he carefully checked them one by one.

The surgical record is usually written by the surgeon himself and signed at the end, which has a certain legal effect. Relatively speaking, it's quite rigorous.

Sometimes, the surgeon is too busy to write.

There is a high probability that medical records and medical records will be written by interns and trainees, but surgical records are often not written by interns.

If the surgical records are well written and true, the professional can directly review the surgical records to restore the entire surgical process.

Zhou Can was not in a hurry to go to cardiothoracic surgery.

Instead, he took the operation record and logged in to his personal account in the emergency department to retrieve the patient's preoperative examination information. Preoperative photographs of the patient's syndactyes were recorded.

After some research, there is not much to gain.

Judging from the surgical records and preoperative examinations, this is a very simple operation. There are no complicated operations such as reconstructing phalanges and blood vessels.

Just separating the two toes from the middle normally, how can it hurt the nerves?

Zhou Can's mind couldn't help but recall the patient's postoperative wound again.

Could it be that the nerve in the third toe of the left foot is distributed on the side where it adheres to the fourth toe? And then in the process of separation, the nerve was severed?

This is more likely.

Of course, it is also possible that the wound skin was sutured and pulled too tightly, compressing the nerve. In addition, there is also the possibility that the local hematoma compresses the nerve after surgery.

The patient had a clear touch on the third toe of his left foot before surgery, but now he has numbness, which must have been caused by surgery.

There was no major progress in the research for half a day, and Zhou Can decided to check the situation tomorrow morning by rounding the ward.

Hurried to the cardiothoracic surgery department to help complete two fourth-level major surgeries, not to mention.

When he got home, it was already past eleven forty, and after taking a shower, Su Qianqian was already wearing beautiful pajamas with lace to urge him to go to bed early.

"I found that there seems to be a problem with the quality of the recent surgeries in the emergency department, so I specially asked the nurse to send me the statistical report of the surgery in the past three months. You go to sleep first, I'll have to take a closer look. ”

Zhou Can said apologetically.

His girlfriend deliberately wore such beautiful pajamas after taking a shower, and it would be stupid for him to still not understand her mind.

It's just that I can't help it, the work pressure is huge, and I'm afraid I'm powerless today.

He sat on the sofa in the living room, opened his laptop, and opened the email from Ye Tingting after logging in to his mailbox.

"Patient Wang Jian, 17 years old, male, had a ureterostomy tube replacement last Thursday, and on the third day after the operation, the patient called and reported hematuria. Surgeon Tang Wangnian. ”

"Patient Zhou Yongbo, 54 years old, male, underwent facial bone removal surgery on September 8, and returned to the room one month after surgery, and the patient reported facial paralysis. Surgeon Fu Chachun. ”

……

I don't know if I don't know it, when I look at this return visit questionnaire given by Ye Tingting, it is simply shocking.

Patients are not satisfied with the results after surgery, and various minor problems abound.

It involves almost the entire department of doctors.

Including the surgery performed by Zhou Can himself and Dr. Xu, the satisfaction rate of the return visit is also not 100%.

It's just relatively much better than other doctors.

Zhou Can's return visit satisfaction rate ranked first, and Dr. Xu was actually squeezed to second, and the gap between Dr. Xu and Zhou Can was quite large. In third place is Dr. Choi.

The surgical satisfaction rate also reflects the doctor's surgical level.

Only with a high level, enough care, and rich experience can the harm caused by surgery to the patient be minimized. Avoid a large number of postoperative sequelae.

It seems that the emergency department operating room still has a long way to go if it wants to become bigger and stronger!

There is still a long way to go.

Surgery, now and in the future, will be the core competitiveness of the emergency department.

If you want to grasp the quality of surgery, Zhou Can's strength alone is too weak.

Because it is really practical, it will offend almost all doctors in the operating room.

Even if a few doctors close to Zhou Can don't hold a grudge against him, other doctors will definitely be dissatisfied.

Therefore, this matter needs to be discussed with the department leaders.

……

At seven o'clock the next morning, Zhou Can came to the emergency ward for rounds.

The female patient in the first bed of the emergency surgery department recovered well in other aspects, the only problem was the numbness of the third toe of the left foot, and the touch was extremely weak.

"How's it going, are you feeling better today?"

Zhou Can asked the patient with concern.

"It seems to be about the same, still numb, and unconscious."

She looked worried.

"The nurse hasn't come to change the dressing in the morning, has she?"

"No, I only come here at half past eight every morning to change the dressing."

"I'll check it again for you."

Zhou Can put on a thin disposable sterile glove and gently broke the third and fourth toes of her left foot.

"Ah...... It hurts, it hurts! ”

She immediately let out a cry of pain.

"Honghong, bear with me, Dr. Zhou will examine you, and he also wants to help you find out the problem and treat it." The patient's mother comforted her daughter.

The mouth was so comforting, but his eyes were staring at Zhou Can's movements, and he seemed even more nervous than the patient himself.

Pity the hearts of parents all over the world.

A mother's love for her children is greater than the heavens and thicker than the earth.

"Come, try to bend your toes."

During the inspection yesterday, Zhou Can just took a cotton swab and did some simple tactile tests.

After reviewing the surgical records and preoperative examinations, no answer was obtained. So today it is necessary to intensify inspections.

Every examination a doctor gives to a patient will have a strong purpose.

It's not like a kid playing at home.

She bent the toes of her left foot according to Zhou Can's request, and as a result, the five toes bent down together.

Because of the lack of special exercises on weekdays, the toes are more often like pampered princesses, wearing socks and shoes, and are heavily protected.

As a result, it is far from being as nimble as a finger.

If you have studied Australopithecus, you will find that their toes are about the same length as their fingers. After human beings learned to use tools and developed to the stage of stone civilization, their feet gradually gained foot rest.

The toes are also degrading.

So, the toes are much shorter than the fingers. In addition, the toes have been trained, and they can actually grasp flexibly like fingers and do all kinds of difficult movements. Some people with disabilities who have unfortunately lost their arms have fully proved this point through the efforts of the day after tomorrow.

They can dress with their feet, eat, write, and so on.

In this case, his toes will be as flexible as his fingers.

Zhou Can grabbed her other four toes with two hands, leaving only the third toe of her left foot.

"Try to bend again, and don't be afraid of pain."

She tried to bend the third toe of her left foot, and Zhou Can could clearly feel the other four toes working together. But he pulled it.

He found that the patient's third toe of the left foot was not flexed well.

"Good! Try the fourth toe of your left foot again! ”

Next, Zhou Can tested the bending of the other toes of her left foot one by one.

His mood became extremely heavy, and there was a noticeable abnormality in the flexion and extension of the third toe. If you just don't feel pain, you can bend and straighten, which is quite optimistic.

Now, even the ability to flex is lost, and the injured nerves, including motor nerves, are in it.

"I'll press your feet down and you close your eyes and don't speak if you can feel it normally. If you notice that your perception has weakened or disappeared, you can tell me quickly. ”

Zhou Can first pressed on the back of her foot, all the way to the third toe.

"Stop, stop, the touch is getting weaker, it's getting weaker."

She hurriedly shouted to stop.

At this moment, Zhou Can pressed to the position where her third toe was nearly one-third from the root.

After some more tests, he had a bottom in his mind.

"Thank you for your cooperation, I will continue to follow up or arrange for further examination."

After completing the detailed investigation, Zhou Can began to check other hospital beds.

When he encounters problems, he will carefully record in his notebook, which bed, what surgery he has done, and what the problem is.

After checking the room, when I came out, I happened to see Fu Chachun coming to work.

The two took a look at each other.

When Fu Chachun saw others, he greeted them with a smile, but when he saw Zhou Can, he glanced at him coldly, pretended not to see it, and went directly into the office.

I should have changed my clothes.

It seems that Zhou Can called him yesterday because of the numbness in the toes of the patient in bed 1, and made him have a great opinion.

must think that Zhou Can is deliberately manipulating him.

Zhou Can didn't explain either, so there was no need to explain.

As a leader, if you want to do one thing, you will definitely encounter a lot of resistance. As long as he is sincere for the development of the emergency department, I believe everyone will understand him in the future.

Look at the time, it's almost eight o'clock.

He had to go to work in the operating room quickly, but before that, he was going to find Director Lou and Dr. Xu to ventilate and report the situation.

At this moment, his cell phone rang.

When I took out my mobile phone, I saw that it was a call from Vice Dean Bai.

Usually during the New Year's holidays, Zhou Can took the initiative to send a message to the other party to send blessings. Vice President Bai almost never took the initiative to call him.

There must be something important.

(End of chapter)