Chapter 173 Growth is visible, and human relationships are everywhere
If they said it was purely because of their friendship that they came to say goodbye to Zhou Can, even a fool would not believe it. The main reason was that Zhou Can's potential was too amazing and he was worth getting to know him.
Of course, friendship also plays a part.
The human relationships in this world are originally composed of friendship and interests.
Friendship can make mutual trust come true, while interests are the important bond for both parties to maintain contact and help each other.
Without a foundation of trust, it is impossible to give gifts.
No matter how short of money a leader is, he will not accept a gift from a stranger. A trustworthy acquaintance must act as a middleman to guide the way, so that the gift can be sent out.
Doctors in the critical care unit, such as Dr. Hu and Deputy Director Yu, do not have a close relationship with Zhou Can.
I guess he also wanted to deepen his friendship with Zhou Can through this farewell.
Whenever you need help in the future, you will be able to talk to me.
After saying goodbye to them one by one, Zhou Can went home after get off work.
Dr. Shi caught up.
"Doctor Zhou has moved to another department. Will we still write the paper together?" Dr. Shi asked. "Even if you are not involved, I will include you in the paper when I publish it."
He added one more sentence .
Dr. Shi is a quiet and honest man who can't hide his true feelings on his face.
Although he spoke politely, it was obvious from his eyes and expression that he didn't want Zhou Can to withdraw from the cooperation.
He can complete the rest of the thesis on his own.
But it is definitely not as powerful as two people.
"Of course I will. I'm very happy to learn and improve together with Dr. Shi." Zhou Can usually doesn't have the opportunity to work with senior doctors.
Dr. Shi helped him write the paper together, which was a great help to him.
The two have been working together for nearly three months and have developed a high level of tacit understanding when doing research.
The two of them worked together to look up information, conduct dialectical research, calculate various data, develop and expand the ideas of the thesis, etc.
At the beginning, Zhou Can had little to write in his papers, so he was basically in the learning stage the whole time.
He had only written internship summaries and reviews before.
The thesis defenses that you usually attend on campus are not considered thesis at all.
The papers I am writing now with Dr. Shi are aimed at being published in core journals.
The appearance and grade are incomparable to those of a graduation thesis.
Dr. Shi wants to use this paper to lay the foundation for his associate senior professional title.
Zhou Can has a very strong learning ability and a good foundation.
The only thing is that my medical knowledge about memory is a little weak, and my English is not very good.
The reason why I have a weak foundation is that I was lazy when I was in college and was not willing to put in the hard work of memorizing knowledge. Besides laziness, my poor English is also due to my inherent aversion to foreign languages.
He always felt that there was no need to spend too much time and energy learning foreign languages.
Of course, in the end he was beaten up by reality.
His weak medical foundation and poor foreign language skills were probably the main reasons for his failure in the postgraduate entrance examination.
In terms of talent, Zhou Can is really gifted, especially in terms of logical knowledge, he can memorize through understanding, and his thinking is very agile.
Even the teacher has praised him many times.
This is also why, although his medical foundation is not particularly outstanding, his pathological diagnosis is very good.
Because he is particularly interested in the diagnosis and treatment of various cases.
When reading, this type of knowledge is absorbed very quickly.
All I can say is that everyone has their own strengths and weaknesses.
In addition to his poor medical knowledge in terms of memory, his surgical skills were not particularly good.
Before the experience point system was available, you might not even be able to make it into the top 100 in the regular training exam.
In fact, he has always been very hardworking in practicing his surgical skills.
Now, relying on the experience value system, many medical skills have been upgraded, which is equivalent to making up for the original shortcoming and turning it into the biggest advantage.
This is also the main reason why he can become more and more evil.
He collaborated with Dr. Shi to write a paper, and from the beginning he relied on Dr. Shi's guidance. Now, his contribution to the paper even exceeds that of Dr. Shi.
Growth is truly visible.
It was precisely because he was very important to the completion of the thesis that Dr. Shi caught up with me to chat about this matter privately.
Doctor Shi breathed a sigh of relief after hearing Zhou Can's statement.
“Keep in touch!”
Dr. Shi shook the phone in his hand and turned away.
…
The next day, Zhou Can rushed to the cardiothoracic surgery department early to report.
So as to avoid being caught by the pigtails.
Director Xie of the General Surgery Department had never been friendly to him and had always wanted to suppress him.
It is like the United States has never given up its desire to destroy China and has been doing all kinds of bad things and suppressing us.
As long as Zhou Can did not submit to the Department of Surgery, Director Xie would be unable to sleep or eat, always feeling that Zhou Can would pose a huge threat to the Department of Surgery in the future. He would not stop suppressing Zhou Can.
Cardiothoracic surgery is known as one of the four strongest surgical departments, and it is not a false reputation.
Any heart bypass surgery can generate revenue of 70,000 to 80,000 yuan.
As for various heart, lung, and aortic vascular surgeries, they are basically all major surgeries. The cost is high and the technical difficulty is also quite high.
This is also the reason why cardiothoracic surgeons dare to be so arrogant.
The only branch of surgery that can compete with neurosurgery on a technical level is cardiothoracic surgery.
However, in recent years, some large hospitals have become more and more specialized.
Cardiovascular surgery gradually began to be listed as a separate department.
It is equivalent to dismembering cardiothoracic surgery.
This is actually a big blow to thoracic surgery.
Tuya’s cardiothoracic surgery department has not yet been separated, so it is very strong.
In the doctor's office, Zhou Can discovered that, including him, there were only five new interns in the cardiothoracic surgery department.
After filling in the information form, the doctor in charge of the interns said in a shrill voice, "Do you know what the first thing you should do when you enter the cardiothoracic surgery department? Learn to take out the trash. Because in our cardiothoracic surgery department, there are no minor surgeries, only major surgeries with high risks and high technical requirements. You interns should not think about what you can do. What you can do is to watch, learn, and listen more, and ask less questions and do less."
It is said that cardiothoracic surgeons are always arrogant and conceited.
Zhou Can got to experience it personally today.
Although the trainees are a little green in many aspects, they are much better than interns. Moreover, some of the trainees present have been doing so for more than two years.
He has already obtained his medical license and is now a formal resident doctor.
There is nothing wrong with being a treating physician.
When we get here, we are asked to learn how to take out the trash, which is really disgusting.
As he was speaking, a young female nurse rushed into the office in a hurry.
"Doctor Zhao, Doctor Zhao, there's a patient with chest pain outside. He's in severe pain. Please go over and take a look!"
"Why are you here? Tell him to register for the outpatient clinic first!"
Doctor Zhao, who was speaking to Zhou Can and others, frowned.
When patients go directly to the doctor's office, they are usually advised to register and go through the outpatient procedures first.
Otherwise, if all the patients behaved like this, wouldn’t it be a mess?
"He said he knows Director Xueyan, why don't you go over and take a look!"
The nurse seemed a little embarrassed.
The medical and nursing relationship in the department is complicated. When encountering patients who know the doctors in the department, nurses generally treat them with caution.
The person you know is a chief physician, so you should not chase him away rudely.
If Director Xue blames them later, the nurses will have a hard time.
Normally in the hospital, nurses curse and scold patients and their families, and then scold doctors. They seem to be fearless.
They are actually very smart in what they do.
If you observe carefully, you will find that the nurses are always against doctors below the level of residents. When they meet senior residents, even if they are dissatisfied, such as blaming the doctor for being too slow or throwing everything to her, they dare not say it to their face, and usually they just say a few words behind their backs.
As for women, nagging is their natural skill.
As for arguing with the attending physician, that nurse must have lost her mind.
Even chief doctors with higher professional titles and their chief nurses would greet them politely when they met them.
Some people just respect each other.
When Dr. Zhao heard that the patient was a relative of his, he did not dare to neglect him. He walked out of the office and saw the patient lying at the door of the nurse station, lying flat on the cart, screaming.
He was accompanied by three anxious-looking family members.
Judging from the way these people are dressed, they should be quite wealthy.
The two older men and women, probably the patient's parents, stood there with quite an imposing manner.
It is possible to become a minor official or manager in a certain unit or enterprise.
Generally, people with some authority like to use connections and go through the back door when going to the hospital for treatment.
Especially for most junior cadres in public institutions, when they go to the hospital for medical treatment, they almost always have to seek help from acquaintances or connections.
It may have something to do with their working environment.
In many public institutions, most people who can become small cadres are those who have connections.
"Hello, doctor. This is my son. I am very familiar with your Director Xue. She is undergoing surgery now. Could you please help me find out what disease my son has?"
The older woman spoke first.
As for the young woman lying on the flatbed cart, she was pretty and had a good temperament. She didn't say anything, but just anxiously looked at the young man who kept shouting in pain.
These four people should be a family of four.
The older man and woman are the patient's parents, and the pretty young woman is the patient's wife or girlfriend.
"How did he do this?"
Doctor Zhao was performing a physical examination on the patient while asking about his condition.
"My husband said that when he was doing pull-ups, he suddenly heard a sound like clothes tearing in his chest, and then he felt an excruciating pain," the beautiful woman replied.
Doctor Zhao nodded and opened the patient's collar to check the condition of his chest wall.
"Where does it hurt?"
“This… oh my…”
The patient's physique is quite strong, with large pectoral muscles and no abdominal fat.
You should exercise regularly .
"It could be a pectoral muscle tear. You need to go to the outpatient clinic and get a chest CT scan to see the specific situation. If it's serious, you'll definitely need surgery."
After the examination, Dr. Zhao said to the family.
"Doctor, can you please make special arrangements for me? Can you just issue an application for a checkup for my son?"
"Sorry, I'm in charge of the inpatient department. You need to find an outpatient doctor for this matter."
Dr. Zhao politely declined.
These family members really dared to think that it would be impossible for such a large hospital not to operate according to the rules.
At most, the patient or the doctor himself is injured, and the doctor in the examination room corresponding to the medical technology department happens to be familiar with him, so you can ask him to take an X-ray privately without having to print the film, just to see where the injury is and how serious it is.
As for the one raised by the family members, don’t even think about it.
Many patients who come from other places for treatment are still waiting for beds.
The family had no choice but to take the patient to the outpatient clinic.
When I left, I was somewhat unhappy and didn't even say thank you.
Doctor Zhao started assigning tasks to the interns directly.
Old rules, take care of the bed.
Including following surgeries, writing medical records, learning to write medical orders, etc.
Zhou Can was in charge of beds 16 to 20. His superior doctor was none other than Dr. Zhao.
I don’t know whether Zhou Can is lucky or unlucky.
As soon as I took charge of the bed, the patient in bed 17 needed to be scheduled for surgery.
This patient was examined and required aneurysm clipping surgery.
Chest surgery and abdominal surgery are actually two different concepts.
Because you need to open the abdominal cavity, you only need to cut the skin, muscles, and peritoneum.
But if you want to open the chest cavity, even if it's just to make a simple bypass for the heart and blood vessels, you have to saw the sternum open, and then use a chest expander to spread the bones apart. After the operation, use steel nails to fix the sawed sternum.
All open-heart surgeries are major surgeries and carry extremely high risks.
Aortic aneurysm clipping surgery is a serious level 4 major surgery.
It is just as Dr. Zhao said, there are no minor surgeries in cardiothoracic surgery, only major surgeries.
The patient's surgery was scheduled to begin at 11 a.m. The surgeon in charge was none other than Chief Physician Xueyan, who was known to the patient.
The nurse had already informed us not to eat before the operation.
What Zhou Can has to do is to keep records of the patient's body temperature, blood pressure, etc. before the operation, and to find out whether the patient has a history of allergies, etc.
The patient in bed 19 is being discharged and there are many things he doesn't understand.
They came over from time to time to ask questions, and Zhou Can patiently explained them one by one.
After three months of almost devilish training in the Department of Critical Care Medicine and then being assigned to the specialized inpatient department to manage beds, Zhou Can felt it was too easy.
You don’t have to be nervous all the time and worry that the patient will die in the next second.
You don't even need to stay by the bed all the time. You can go to the toilet whenever you want, or go back to the office to write medical records whenever you want.
Less than an hour later, the patient with chest wall rupture came back again.
He was holding the CT film in his hand.
The connections were really good, and a hospital bed was arranged for me so quickly.
"Your bed is here. Director Xue has already instructed that surgery will be arranged for him as soon as possible. Don't eat or drink during this period." The nurse personally brought the patient and his family here.
I moved directly into the newly vacated bed 19.
Then the nurse from the inpatient department came over with a tray. She created a file for the patient, took his temperature, blood pressure, heart rate and other basic data, and gave him a painkiller injection.
The man who was screaming in pain finally calmed down.
If you know someone, you can indeed get certain care when you are hospitalized or have surgery in the hospital.
The treatment enjoyed by this man with a torn chest wall is far beyond that of ordinary patients, whether it is the use of medication, cutting in line to occupy a bed, or emergency surgery, it is all a bold move.
The reason behind this is that they know a chief physician and can get the best care.
Zhou Can saw all these social practices and thought to himself that a chief physician had great power.
