"No problem, I can confirm the list of judges on the spot!" Dr. Xu was more anxious than anyone else.

He has been working in the emergency department operating room since the accident.

I have a deep affection for the operating room of the emergency department, and I have indeed put in a lot of effort.

After accepting Zhou Can, an apprentice, he saw that the operating room of the emergency department was expanding little by little, and finally developed to the current point. He didn't want to see anything go wrong in the operating room.

At that time, cardiothoracic surgery was so powerful that it collapsed, which left a deep impression on him.

So his sense of crisis has always been strong.

After listening to Zhou Can's report today, he was already scared into a cold sweat.

This matter is even more important.

"Haha, Lao Xu is still so resolute in doing things!"

Director Lou was obviously very satisfied with Dr. Xu's attitude.

"I'm in a hurry! The emergency department operating room is like my child, and watching it grow step by step makes me happier than anyone else. But now that I suddenly found out that it was sick, I wanted to solve the problem right away! The judges are currently selecting three people, me, Xiao Zhou, and Cui Ming. Xiao Zhou and Cui Ming's surgical abilities are very good, fair, and dignified, and I can trust both of them. ”

Dr. Xu drew up a list of three judges on the spot.

This time, the judges did not look at the seniority or not, but looked at the two indicators of professional level and morality.

"Don't you pick one or two old comrades? For example, Fuchachun. ”

Director Lou asked.

"It's not that I don't respect my old comrades, if I want to change the atmosphere in the operating room of the emergency department, I must use a person like Xiao Zhou who has the ability and dares to act. Otherwise, if you choose someone like Fu Chachun, when you are a judge, you will be with the mud and play haha, then you will lose the role of this scoring mechanism. When the time comes, it will become formalism, which will not only be ineffective, but may on the contrary encourage the unhealthy trend of deception. ”

Dr. Xu's years of Taoguang cultivation have really not been in vain.

He has a very clear prediction of some unhealthy trends that may occur in management.

If you choose an old fritter like Fu Chachun as a judge, even if a doctor's surgery is not good, as long as you secretly give Fu Chachun some gifts and have a good relationship, you can still be qualified, and even get a high score.

So Dr. Koh was adamantly opposed.

"Lao Xu, this matter will be left to you. You come up with a complete plan and submit it to me, and I'll back you up when the time comes. The surgical business is the core business of the emergency department, the reputation of the emergency department, and the taproot of the emergency department's growth. If anyone is for a little self-interest, ignoring the reputation and image of the operating room, I will ask him to leave the class. Two-legged toads are hard to find, and two-legged surgeons can recruit a whole bunch of them at will. ”

Director Lou made a final statement.

As the biggest leader of the emergency department, what I need to do is to support these people who do practical things and provide them with the power and legitimacy to do things.

The hospital is a unit and a small kingdom.

The emergency department is the equivalent of a state, and the operating room is half of the state, and it is also the most important foundation.

To destroy word-of-mouth is to destroy this foundation.

It's no wonder that Director Lou will release cruel words murderously, and whoever doesn't listen to the order will be let out of class.

……

Coming out of Director Lou's office, Dr. Xu was still frowning, and his mind was probably still thinking about rectifying the operating room.

As the person in charge, there was such a big problem with the quality of the surgery, and Dr. Xu was under great pressure.

"Teacher, you decided on the list of judges on the spot, are you going to start implementing the surgical scoring system immediately?"

"That's right! Thanks to the timely discovery of this matter, if you wait until the stubborn disease that has been formed is discovered, it will be completely cold. After looking at the return visit forms you provided, it is urgent to improve the quality of surgery. Xiao Zhou, in the future, you can have more snacks and report to me or Director Lou in time if you find any problems. The emergency department operating room must not be allowed to collapse! ”

Dr. Koh is already in his fifties, and it is the first time he has served in his old age in the face of such a major crisis.

For the first time, I had the consciousness of slowly transferring the burden to Zhou Can's shoulders.

"On the first day of today, a point system was implemented, and I personally scored the points. In the future, you and Dr. Cui will take turns to score and send me the surgical score report for the day after work. ”

A total of three judges were selected, and not all three scored a single operation at the same time.

Instead, Zhou Can and Dr. Cui took turns to score each operation before submitting it to Dr. Xu for examination. to ensure impartiality.

"By the way, what is the cause of the numbness of the toes of the patient in bed 1, has it been found out?"

"For the time being, I only did a physical examination, and I can basically conclude that the nerve was broken or compressed. Approximately one-third of the way from the base of the third toe, the patient's tactile sensation is markedly diminished and flexion function is lost. ”

Zhou Can's current medical skills have not yet reached the peak level.

You can only roughly predict what the problem is.

Almost all doctors have this practice, and the patient is first examined with the most visual physical examination, such as palpation and visual examination. Then make a prediction, also known as the first diagnosis.

Doctors with high levels can achieve at least 60% accuracy in the initial diagnosis.

"You have to find a way to get to the root of the problem first, and you'll be responsible for it. There are two points to pay special attention to, the first is to prevent patients and families from thinking that this is a medical malpractice. Give them as much information as possible about the risks of surgery and tell them that some of the risks are hard to avoid. The second point is to pay attention to protecting the interests of the doctors involved and our hospital, even if it is really Fu Chachun who made a mistake in the operation, he must not be dismantled. ”

Dr. Koh is very firm in dealing with this kind of thing.

The interests of both parties must be safeguarded.

That's the premise.

"I understand!"

Zhou Can nodded heavily.

Not to mention the doctors in this hospital, even if the patient had surgery done in an outer hospital, and it was obvious that the operation was done badly, he never dismantled the table of other doctors. Patients and family members asked if the previous doctor's operation was not done well, and Zhou Can's answers were often vague.

This is also the minimum quality of doctors.

The kind of person who likes to speak ill of other doctors in front of other patients and family members, and belittle his peers, is a double scum nine times out of ten.

Character scum, technical scum.

Zhou Can is naturally not this kind of person.

The nerves were severed, and even the most advanced MRI could not detect them. Electromyography (EMG) signal detection is also only effective for connected nerves. It can measure whether the nerve signal disappears or decays when it reaches the muscle, but it cannot detect whether the nerve has been severed.

The best way is to dissect and find out the nerve with the doctor's experience, naked eyes and hands, so as to make a diagnosis.

Out of caution, Zhou Can still gave the patient a myoelectric signal examination.

The results were generally consistent with those he had when he had a hand examination of the patient.

The EMG signal is nearly interrupted at that point.

It has been largely determined that the patient's third phalange nerve was severed.

After the diagnosis was concluded, Zhou Can still did not rush to arrange a second operation for the patient. Instead, I found Fu Chachun, who was sitting in the clinic, to learn more about the operation.

Dr. Fu was the operator of the operation and knew the situation best.

"Doctor Fu, busy!"

Zhou Can greeted with a smiling face.

"Hmm!"

Dr. Fu just snorted in his nostrils. Zhou Can snatched the position of deputy head of his operating room, and he already had a big opinion.

Zhou Can grabbed the patient in bed 1, and even entered Director Lou's office with Dr. Xu this morning, which made Dr. Fu even more angry.

It's good to be able to deal with Zhou Can now.

"Do you think it's convenient to talk to the end?"

"There are so many patients in line, I don't have time!"

Dr. Fu coldly refused.

"Then I'll just say here, when the patient in bed 1 is operated on, did you see the third digital nerve in the patient's left foot?"

Zhou Can suppressed his anger and asked patiently.

In any unit, the biggest headache is these stubborn and paranoid old comrades. Some veteran comrades are very familiar with current affairs and are very cooperative with the work of the young leaders of the department. Some veteran comrades are holding a shelf and looking at young cadres who are not pleasing to the eye.

I always feel that such a little doll is in charge of the old man's head, and I don't know how thick the sky is.

"Didn't I tell you everything? Don't ask me about it. If you are not satisfied with me, you can go directly to Director Lou and find Dr. Xu to sue me. Fu Chachun watched Zhou Can pull Dr. Xu into Director Lou's office, and he must have gone to the black.

Now he came to him in a low voice to inquire about the patient's operation.

He thought to himself that most of the time he ran to sue to no avail.

As a result, Dr. Fu also became more confident.

"We are all colleagues in the same department, and I believe that you and I have the same purpose, which is to restore the health of patients. The patient lost flexion and numbness in the third toe of the left foot, and the problem was actually quite serious, and it was no longer a trivial matter. The head of the department entrusted me with full authority to deal with this matter, and I hope to solve the problem as much as possible without harming the interests of both parties. Thank you for your cooperation. ”

Zhou Can was still patient and worked hard to do ideological work for Fu Chachun.

"Xiao Ding, call the next one!"

Fu Chachun had a cold face and no longer paid attention to Zhou Can.

Seeing that this old comrade did not enter the oil and salt, Zhou Can was no longer polite. Stand directly in place and call Director Lou's phone.

At this moment, Dr. Xu is operating on a patient in the operating room, and it is more appropriate to ask Director Lou to solve the problem.

Because in terms of rank, Dr. Xu is only an attending physician.

Plucked phoenixes are inferior to chickens.

Dr. Xu was actually quite miserable after the disaster. A lot of people don't take him seriously for a long time.

"Xiao Zhou, what's the matter?"

"Director Lou, there's something I need to report to you......

Zhou Can told Fu Chachun about his non-cooperation.

Director Lou's wheezing voice was visibly thicker, indicating that he was already very angry.

"You ask Fu Chachun to cooperate with you, just say what I said."

Director Lou said angrily on the phone.

"Doctor Fu, you also heard the phone, Director Lou asked you to cooperate with me to solve that patient's problem."

Zhou Can was about to be depressed.

is obviously helping Fu Chachun wipe his buttocks, but now he begs his grandfather to tell his grandmother, but Fu Chachun is here to put up a score.

I don't know where the confidence comes from.

Do you really think the emergency department can't do without him?

Director Lou said not long ago, whoever doesn't do a good job will be called out of class.

It may be a bit difficult for the department director to clean up the director-level doctors, but it is definitely a matter of one sentence to clean up an ordinary attending physician.

"How to solve it? Tell the patient that the doctor did the surgery and did the problem? Xiao Zhou, it's best not to be too immoral, and be careful to give birth to a son with an anal opening. ”

Fu Chachun scolded Zhou Can with a thick neck.

The nurses, doctors, patients, and family members all listened.

For the first time, Zhou Can had the idea of cleaning up this rich old man.

Why doesn't this old man go to the Tao at all?

Last time in the conference room, he also attacked Zhou Can with an old shelf, but Zhou Can didn't make a move at all, but the three nurses under him made a move, and they cleaned up Fu Chachun so much that he almost called his mother.

It's only been half a year, and Fu Chachun is afraid that the scar has healed and forgotten the pain.

Again began to die.

Zhou Can could feel a pair of strange eyes. If he can't fight back this time, and he can't clean up Fu Chachun fiercely, the fact that he was scolded by Fu Chachun in the department will go viral.

When the time comes, it will be more than the majesty that will be damaged.

Just as Zhou Can was about to get angry, a short figure rushed over like a rolling knife.

Fierce momentum.

After taking a closer look, I realized that it was Director Lou who rushed over from the office with a black face.

"Fu Chachun, you don't have to sit in the clinic anymore, I will arrange for other doctors to take over. You come with me to the office right now. ”

Director Lou has a gloomy face, and he has never been so scary as at this moment.

"Xiao Zhou, you also come to the office with me."

When he spoke to Zhou Can, his voice was significantly softer.

Even a fool can hear that this is the rhythm of cleaning up the rich doctor.

In the end, it was the head of the department, although he was very angry, he still controlled his anger and did not say anything in front of the patients and their families.

This is the right thing to do very rationally.

There are many things that cannot be said in front of families and patients. Otherwise, it is easy to spread and be misinterpreted, causing extremely bad effects.

The two followed Director Lou to the office.

Fu Chachun had an unconvinced expression. Zhou Can was indifferent.

Director Lou has come forward, but there is no need for him to fight against Fu Chachun anymore.

"Sit, both of you!"

After Director Lou invited the two of them to sit down, he made tea himself.

"Old Fu, have you been working in the emergency department for some years?"

He didn't get angry as he imagined, but chatted with Fu Chachun in a gentle tone.

The more this is the case, the more uneasy it makes Fu Chachun feel uneasy.

Because he knows Director Lou too well.

Director Lou's personality is impatient, straightforward and honest. If the doctor or nurse in the department makes a mistake, if Director Lou is angry and scolds him, it will be a good thing.

After scolding, there is basically nothing to do.

But if Director Lou was obviously angry, he didn't get angry, but instead talked in this gentle tone.

Nine times out of ten, it's the rhythm of taking this person under the knife.

The lightest is also a substantial punishment such as deducting bonuses and demotion.

"When you were the deputy director of the emergency department, I went to the emergency department. I remember the next year, you were promoted to department head. ”

Fu Chachun subconsciously put his legs together.

The hands were also restless on their knees.

"yes, time flies so fast. In the blink of an eye, eleven years have passed, when I first became the head of the department, Dr. Xu Chen had not yet come to the emergency department. I remember when you were busy sitting in the clinic and going to the operating room for surgery, but you were busy. It is also with you, the veteran comrades of the emergency department, who helped the department get through the most difficult days. ”

Director Lou looks very good-tempered, but he is very attached to old feelings.

When Dr. Lu made a mistake, Director Lou also gave Dr. Lu a chance.

This time, when it comes to Dr. Fu's past contributions, it should also have this meaning.

It was also deliberately said to Zhou Can.

Fu Chachun insulted Zhou Can in public just now, and his behavior was extremely bad. must let Zhou Can understand why he didn't open Fu Chachun directly.

(End of chapter)