Chapter 169 This is a direct call to the chief physician. Zhou Can's position in the operating room
When doctors are doing regular training or advanced studies, they will try their best to make more friends.
It’s not that they like to be bootlickers.
This is so that if you encounter difficult and complicated problems in related fields in the future, you can consult doctors from other departments at any time.
If the level of the doctors you know in other departments is high enough, you can even directly invite them to come for a joint consultation.
Also, when the hospital holds elections, the more friends the better.
However, most doctors can only make friends with people of the same level during their training and further studies. The doctors they can have a say in are at most one level higher than themselves.
They are no match for Zhou Can at all.
Zhou Can has established close connections or friendships with the bigwigs of many departments. This is an intangible wealth.
Perhaps he himself does not realize the great benefits these connections can bring to him.
Right now, the patient in bed 6 urgently needs surgery.
Craniotomy is usually performed by a neurosurgeon.
Even if Deputy Director Yu wanted to have the patient in bed 6 undergo surgery overnight, it would be very difficult to do so.
Because the director of the neurosurgery department wouldn't buy his story.
Then, he can only follow the rules.
First, we need to discuss with the patient's attending physician and submit an application for surgery. Then the attending physician will communicate with the chief physician of neurosurgery to determine the surgical plan, and the department will arrange the surgery.
By the time this whole process was finished, the day lily was cold.
In this situation, Zhou Can knew the chief physician of neurosurgery and had a good relationship with him, so his role became apparent.
You can discuss the surgery directly by calling and chatting privately.
There is no need for any twists and turns in the middle.
"Director Yu, if I can convince the chief physician of neurosurgery to agree to perform surgery on the patient, can the intensive care unit arrange it now?"
Zhou Can's words are really shocking.
When the doctors around heard this, they found it extremely shocking.
A small intern speaks more arrogantly than the chief physician.
Find the chief physician of the neurosurgery department to arrange surgery immediately. Who does he think he is?
To put it bluntly, even the vice presidents did not dare to say that they could arrange it immediately. At most, they would try to discuss it with the chief physician of neurosurgery.
Neurosurgery is the top department in surgery.
The chief physicians of this department are all very proud and stubborn. When the old pedants get angry, they won't listen to anyone.
"You're going to convince the chief physician of neurosurgery?"
There was a flash of surprise in Deputy Director Yu's eyes, but as he was a man who had seen the world, he quickly regained his composure.
"Even if you can convince the chief neurosurgeon to agree to perform surgery on the patient, I can't make the decision. The patient in bed 6 belongs to your group. You have to find Director Liu."
When rescuing patients, everyone is not divided into groups.
However, important matters such as arranging surgery must be the responsibility of their respective team leaders.
Don't do things that are beyond your authority.
Zhou Can looked at Dr. Hu.
No matter what, Dr. Hu is still his superior doctor.
"I will report the patient's condition to Director Liu now."
This time, Dr. Hu dared not underestimate Zhou Can's opinion.
What's more, Deputy Director Lian Yu also supported performing surgery on the patient overnight.
In addition, the patient's condition is indeed not optimistic.
There's a good chance I won't make it through the night.
"Xiao Zhou, come with me to the duty room to report this matter."
Doctor Hu took him to the duty room outside and called Director Liu directly on his cell phone.
After briefly explaining the condition of the patient in Bed 6, Dr. Hu went straight to the point.
"Just now, Doctor Zhou Can proposed to Deputy Director Yu that the patient undergo cranial endoscopic surgery overnight. Deputy Director Yu quite agrees with this plan. Let us consult you."
Dr. Hu pushed Zhou Can out as a shield.
"Based on the patient's condition you just described, he may not survive tonight. Emergency surgery overnight is indeed the only way to save his life. But I'm afraid the neurosurgery department will not agree. The risk of surgery is too great."
Director Liu is well aware of the interests involved.
No chief physician dares to wade into such muddy water.
It’s not that the chief physicians are callous, but that the domestic medical environment and rules are like this.
"Doctor Zhou said he has a solution!"
Doctor Hu pushed Zhou Can out again.
In fact, he was quite helpless.
Although he is an attending physician, his importance seems to be less than that of Zhou Can, a resident intern.
Of course, it also has something to do with his conservative and cautious character.
He would refuse to do anything that would require him to take too much risk for his patients.
Zhou Can is completely different from him. He dares to charge and kill, and rarely considers himself.
It is most appropriate to describe Zhou Can, the "greenhorn", as a newborn calf is not afraid of a tiger.
"Doctor Zhou, please talk to Director Liu."
Dr. Hu handed the phone directly to Zhou Can.
After taking the phone, Zhou Can felt contempt for Dr. Hu in his heart.
"Hello, Director Liu. I'm Zhou Can."
"Xiao Zhou, I heard that you have a way to get the chief physician of neurosurgery to agree to perform surgery on the patient?"
"I can only try to convince the chief neurosurgeon, but I'm not completely sure. Before that, you need to agree to the patient's surgical application."
Zhou Can didn't dare to say anything too decisive.
Just to save the patient, he was willing to shamelessly ask Director Wen for permission to perform surgery on the patient.
"You, a resident intern, are willing to fight so hard to save the patient's life. What else can I say? I agree with the patient's surgery plan and will rush to the hospital to preside over it immediately. You can contact the chief physician of neurosurgery now, and I'll be waiting for your good news."
Director Liu is much more straightforward than Doctor Hu.
It doesn't seem like Dr. Hu is fussy at all.
"Okay, I'll contact them now."
After hanging up the phone, Zhou Can returned the phone to Dr. Hu.
Then he calmly took out his cell phone, and under Dr. Hu's half-suspicious gaze, he found Director Wen's number and dialed it.
Doctor Hu didn't say anything either, his eyes fixed on Zhou Can.
Let’s see what level of neurosurgery doctor this kid can contact?
"Xiao Zhou, you miss me already after just two days away from the Department of Neurosurgery?" Director Wen's kind voice came from the other end of the line.
Dr. Hu could tell that the person on the phone had a very good relationship with Zhou Can.
Just as casual as old friends.
Judging from his voice, he is quite old, probably at the attending physician level!
Doctors who are older should at least be able to get the title of attending physician. If they are over 45 and still haven't gotten that title, their fate is usually not good.
Either change careers, transfer to an administrative position, or be kicked to an affiliated hospital such as the Second or Third Affiliated Hospital.
Generally, if one cannot be promoted to chief physician after reaching the age of 40, many doctors will take the initiative to jump to a lower-level hospital to seek other jobs without the hospital making any adjustments.
After Tuya's doctors left, they were highly recognized by other hospitals in the province.
For example, the senior resident doctor who jumped out of Tuya might be at the bottom of the list in Tuya. When he arrives at a lower-level hospital, as long as the doctor has passed the attending physician examination, the hospital will directly issue an appointment letter for attending physician.
It doesn’t matter if you don’t pass the attending exam, the new hospital will help you find a solution.
If they need a topic, I will help them with it. If they need a surgeries, I will help them with surgeries. I can even help them with papers.
In short, we will try our best to help you get promoted to chief physician.
When Dr. Hu saw that Zhou Can had contacted a chief neurosurgeon, he gained some confidence in the matter.
"Haha, I really miss you. I was planning to visit you later, but now a patient is forcing me to visit you tonight."
Zhou Can replied with a smile.
"I knew you wouldn't come to my temple for no reason. Tell me, what kind of patient did you meet?"
Director Wen laughed and scolded.
"There is a patient in bed 6 of the intensive care unit who was in a car accident. He has extensive intracranial hemorrhage and is in a deep coma..."
Zhou Can gave a brief account of the situation.
"Do you think you can perform this cranial endoscopic surgery on the patient overnight? I'll help you."
After talking about the patient's condition, Zhou Can put forward the ultimate goal.
He knew very well that Director Wen's endoscopic surgery skills were average, so his initiative to help was enough to increase Director Wen's confidence in the success of the operation several times.
When Dr. Hu next to him heard this, his eyes widened.
I thought Zhou Can was looking for a chief physician at the attending physician level at most, but now I understand that Zhou Can was looking for a chief physician in neurosurgery.
This guy is awesome.
When Dr. Hu was a resident intern, being able to chat with the chief resident was enough to cheer him up. He never dreamed of being able to talk to the chief physician of the department as if he were an old friend.
"For patients in this situation, we generally do not recommend surgery. The risks are too high. But I am really moved by your great efforts to save the patient's life. Okay, I will discuss this with Director Wu, and then talk to the family. If the family is willing to accept the worst outcome, you and I can try together."
Director Wen said this after hesitating for a moment.
What?
The chief physician and Zhou Can try to work together? Is this to bring Zhou Can to the same level?
Dr. Hu was filled with shock and grief.
He vaguely realized that Zhou Can's high status was earned through his strength.
If he knew that Director Wen and Zhou Can had worked together to perform the surgery and Director Wen was just helping, he would probably be even more shocked.
…
Less than half an hour later, Director Wen called.
Zhou Can and Dr. Hu have been waiting in the duty room.
During this period, Director Liu also rushed back to the hospital to prepare for the patient's surgery.
Now we are just waiting for news from the Department of Shenwai.
If the chief neurosurgeon is unwilling to take the risk, the matter will end here.
"Xiao Zhou, I have good news for you."
"Does the neurosurgery department agree to operate on the patient?"
Zhou Can is full of expectations.
"Well, after discussing with Director Wu, we felt that it was worth taking some risks to save a life. Then we contacted the family urgently. After learning about the patient's condition, the family expressed their gratitude to our hospital for taking the risk to save the patient. At present, the family has signed the consent form for the operation and prepaid the operation fee in advance."
Director Wen indeed brought good news.
The family members are the most anxious party. When they hear that the patient's life can be saved, they become very positive.
For special surgeries like this, the attitude of the family members is also very important.
When encountering troublesome family members, doctors guarantee that they will all act like turtles and never take any risks.
Everyone gets a salary anyway.
Saving one more patient or one less patient really has little impact on doctors.
"Great! Then should we send the patient to the operating room right away? The patient's condition is very serious, and the sooner the operation is performed, the better."
Zhou Can was very happy.
Doctor Hu and Director Liu next to them were equally excited.
Even they didn't expect that Zhou Can could actually make this happen.
The two also had a new understanding of Zhou Can's influence in neurosurgery.
"Don't be too happy yet. You know the patient's condition. During the neurosurgery operation, we need at least one deputy director-level physician from the Department of Critical Care Medicine to assist the anesthesiologist in providing life support for the patient. Then, you must come and help me."
Director Wen made two requests.
"From the sound of his voice, it's Director Wen from the Department of Neurosurgery, right?"
Director Liu next to him asked Zhou Can.
"Yes, that's Director Wen on the other end of the line."
Zhou Can nodded.
Director Liu snatched the phone away.
"Hello, Director Wen. I am Liu Xiangqing from the Department of Critical Care Medicine. Thank you to the neurosurgeon for taking the risk to perform this operation on the patient. I can accompany the patient throughout the whole process and provide him with life support to ensure the smooth implementation of the operation."
"Haha! With Director Liu personally here, what else is there to say? Send the patient to the No. 1 operating room of the neurosurgery department. The operating room has been coordinated. All the surgical staff here have also been notified and will be able to perform surgery on the patient right away. By the way, before bringing the patient over, send him for a brain CT scan first."
These chief physicians all know each other.
It just doesn't necessarily mean friendship.
When we meet, we will definitely greet each other warmly.
Anyone who can become a chief physician must have really capable people under him.
Even if it's just to make yourself familiar with the face, it will be convenient to say hello when there is something in the future.
An operation to save the patient in bed 6 is quietly unfolding in the hospital.
The patient was escorted to the neurosurgery operating room, where Director Liu personally escorted the patient. Zhou Can, a designated assistant in the neurosurgery department, also went with the patient.
Dr. Hu also went with them.
This kind of opportunity to observe an operation is a rare learning opportunity for Dr. Hu. It just so happens that he is off work now, so he will treat it as a temporary overtime.
In addition, there is also a deeper meaning of trying hard to perform in front of Director Liu.
Don't think that all doctors are selfless. In addition to studying medicine and academics, they also have a strong desire for promotion in professional titles and positions.
There are many benefits to having a good relationship with the chief physician.
Because this is equivalent to being your immediate boss.
In the operating room, Director Wen, along with his staff doctors Zou and Tang Li, two nurses, two residents, and three graduate students, have formed a powerful lineup.
The anesthesiologist was already ready.
After greeting Director Liu, Director Wen took the newly taken CT film to check the intracranial bleeding.
It was very bad, with extensive bleeding and severe fluid accumulation in the brain.
"Xiao Zhou, come and watch the movie too."
Director Wen and Zhou Can have established a deep trust between them like comrades-in-arms in two months.
When performing such high-risk operations, he has become accustomed to asking Zhou Can to help him with advice.
Director Liu and Doctor Hu looked slightly surprised.
When I called, I knew that Director Wen and Zhou Can had a special relationship.
Now it seems that Director Wen’s cultivation of Zhou Can is really beyond imagination.
On the contrary, Dr. Zou, Tang Li and others under Director Wen were already used to it and thought it was natural because they had seen Zhou Can's surgical skills.
Zhou Can walked over to check the film together.
He has already seen all the films taken when the patient was admitted to the hospital.
This time, another CT scan was taken before the operation in order to understand the latest condition of the patient's brain.
There are many things that cannot be seen by the naked eye.
It is definitely not enough to rely on experience alone to make inferences.
"The fluid accumulation is so severe, it seems that the bleeding has never stopped. Do you think this is the location of the biggest bleeding?"
Zhou Can compared the results with the angiography and CT scan performed when he was admitted to the hospital, and then made a conclusion.
It must be pointed out here that angiography is also a CT examination, but it is different from conventional CT examination.
It usually involves injecting contrast media into a vein, processing the image with a computer, and then displaying the intracranial vascular system in three dimensions. Contrast examination can observe blood flow more intuitively and clearly.
It provides very good inspection assistance for identifying bleeding points, as well as thrombosis, aneurysm, etc.
The choice of contrast agent is not the same for every site.
Barium is used more often in the digestive tract, while iodine ion contrast agents are more commonly used in the brain.
"There should be two biggest bleeding points, the one you mentioned and this one. The bleeding point that directly poses a major threat to the patient's life should be the one you mentioned. If surgery is required, this point can be treated first, but other bleeding points also need to be treated."
Director Wen has much more surgical experience than Zhou Can.
While the two were discussing, he pointed out the surgical plans one by one.
Doctor Zou and Tang Li were basically only there to listen and could not get a word in. The other residents and graduate students were there to observe and learn.
After the discussion was almost over, the operation began.
Traditional craniotomy definitely won’t work.
Given the patient’s current condition, he might die halfway through the craniotomy.
It is ideal to drill a small hole and perform endoscopic surgery.
The harm and impact on patients is also much less.
Director Wen performed the drilling operations himself. As for the key parts of the operation, endoscopic hemostasis and hematoma removal, Zhou Can was required to perform them.
The clear division of labor in an operation can also reflect the importance of each doctor in the operation.
Nowadays, almost no doctor performs major surgery alone.
It's all team work.
Mark the points, then cut the scalp and drill holes with an electric drill.
Hard skulls must be cut with an electric drill or saw.
In fact, doctors often use electric saws when performing amputations and other surgeries. However, they are very different from the big electric saws used by the murderers in the movies, and are far less scary.
