Chapter 208: Turning the Tide, Director Yang Qing's Concerns
The patient is a 40-year-old female patient with a mass of unknown nature on the outside of her left elbow. According to her, the mass is still growing, causing some inconvenience to her daily life.
She was afraid it was a malignant tumor and was very anxious so she came to the hospital to have the mass removed.
Worried that the small hospital might not be able to perform a clean cut or that there might be problems after the operation, he chose Tuya Hospital, the most famous hospital in the province, for treatment.
After Deputy Director Liu diagnosed her, he recommended surgical resection and then sending the pathological data for examination.
Zhou Can had performed surgery on many subcutaneous tumors in the emergency room before.
This type of surgery does not even require an anesthesiologist, as brachial plexus anesthesia can be performed directly.
Zhou Can only asked for an instrument nurse.
Everything is ready, let’s get started.
After a preliminary examination of the patient's mass, he skillfully took the local anesthetic prepared by the instrument nurse and quickly performed local anesthesia on the patient's arm.
It’s still the same old rules, with a total of three bets.
You can earn three injection experience points, so it doesn't make sense to only earn one.
Elder Liu was watching from the side, with a puzzled expression on his face. This kid's injection skills were obviously very good, why did he need so many injections?
Although he had doubts in his heart, as long as the operation went smoothly, Mr. Liu would not say much.
The vast majority of chief physicians can tolerate some minor flaws of their doctors.
As long as the operation is safe overall and the quality is guaranteed, they will remain silent.
"Doctor, can you ask an older doctor to do this surgery for me? I'm scared!"
Female patients of this age are usually not as shy as younger girls.
When it comes to issues concerning their own interests, they dare to speak out.
"Don't worry, the doctor performing the operation on you looks young and has extraordinary skills. He has performed many operations like yours." Deputy Director Liu spoke for Zhou Can.
It is very necessary to flatter young doctors.
It can dispel patients' doubts and make them cooperate with the surgery.
After Zhou Can gave the patient anesthesia, the following operation almost frightened Mr. Liu into having a heart attack.
Whether it is cutting open, separating the tumor, or removing the entire tumor, the speed is astonishingly fast.
The tumor was removed in no time.
Stop bleeding, clean the wound, and prepare for suturing.
The series of quick movements made Old Liu unable to recover from the shock.
He made no mistakes and cut quickly and well.
The incision was smooth, the tumor was separated perfectly, and the hemostasis was very effective. The amount of bleeding was pitifully small.
Unexpectedly, at this time, Zhou Can stopped.
His brows were slightly furrowed.
"The operation was done very well. Dr. Zhou can sew up the wound now !"
Elder Liu reminded from the side.
He thought Zhou Can wanted him to check and confirm that there was no problem before suturing the surgical wound.
"When I was operating on her, I found that there seemed to be a small cyst on the inside. Does this need to be removed as well?"
Zhou Can not only reported to Mr. Liu, but also sought the patient's opinion.
"Where is it? Let me see!"
Old Liu moved closer and touched the area designated by Zhou Can.
"It's a bit like a small nodule, not very big." He actually felt it. Perhaps because the tumor was too small and located on the inside, it was not found during the examination.
"You are a regular hospital and you did a checkup before the operation. Now you tell me there is a small tumor. Do you want to temporarily increase the price?"
The female patient looked a little unhappy.
These days, there are too many dark revelations and negative news about hospitals.
There have been many news reports of people suddenly raising the price halfway through an operation on a patient on the operating table.
"The tumor is very small . If you have concerns, just ignore it for now. After the operation, just observe it carefully. If you find that it has grown larger, come to the hospital for treatment."
Deputy Director Liu has dealt with all kinds of patients.
When he heard the patient say this, he immediately gave up the idea of adding another surgical procedure at the last minute.
Zhou Can wouldn't say anything more.
Suture the wound directly on the patient.
"Remember not to eat spicy food, and don't do strenuous exercise on this hand to prevent the wound from splitting. Also, avoid letting the wound come into contact with water..."
Zhou Can gave the patient some precautions.
Some female patients are particularly fond of cleanliness.
I take a bath every day and I particularly like taking a bath or shower.
The wound was easily moistened.
This will increase the difficulty of wound healing and the risk of wound infection and suppuration.
The female patient didn't even say thank you when she left.
Obviously, they are very disgusted with the behavior of wanting to increase the price at the last minute during the operation.
After being given anesthesia, she didn't feel anything when Zhou Can and Mr. Liu pressed the small swelling on the inside of her elbow.
Before coming to the hospital, she did not find any tumor inside her elbow.
So, she thought the doctor was trying to cheat her out of money.
After this patient was sent away, the next one came in.
Zhou Can still completed the operation for the patient in no time at all.
Old Liu was watching from the side in amazement.
He now finally understood why the emergency department suddenly saw an increase of nearly two thousand surgeries per month.
Given Zhou Can's terrifying speed and the number of emergency patients he receives, it would be no problem for Zhou Can alone to complete a thousand surgeries in a month.
"This guy is really a lucky star sent by God! With his surgical speed and ability, our team is fully capable of treating all the surgical patients we receive. We can even increase the number of surgical patients we receive."
Old Liu was secretly happy.
After witnessing Zhou Can's terrifying surgical speed, he realized that this guy had been hiding his talents before.
Zhou Can has been in General Wai Hospital for more than a month.
I have performed many operations with Master Liu, because they are all major operations with extremely high risks, and he is also a novice with little experience, so he mainly focuses on stability during the operation.
I never pursued speed.
This time he was asked to complete the first and second level operations independently, and he seemed to have returned to the time when he was frantically performing operations in the emergency department.
I couldn't help but go into berserker mode.
The operation speed is several times faster than before.
Zhou Can’s surgery speed is actually faster now than when he was in the emergency department, and the quality is better.
Because both his quick knife skills and other medical skills have improved so much compared to a year ago.
Three hours later, Zhou Can performed six level one and level two operations by himself.
The instrument nurse is also quite knowledgeable.
After witnessing Zhou Can's terrifying speed, she was also shocked.
She had worked as a surgical nurse for many general surgeons, but had never seen anyone perform surgery as quickly as Zhou Can.
"Anything else?"
Zhou Can performed six level one and level two operations in one go, but still felt a little unsatisfied.
Old Liu couldn't help but smile bitterly.
"You almost performed all the first and second level surgeries today. Good boy, you really weren't bragging. The apprentice brought up by Lao Xu is not only not inferior to him, but also better than him."
Deputy Director Liu was full of praise for Zhou Can's surgical skills.
Although he is an associate chief physician with decades of surgical experience, he cannot catch up with Zhou Can in terms of surgical speed.
This guy is awesome.
"Zhou Can, it's a good thing to perform the surgery quickly, but safety must be put first. We can't ignore safety in pursuit of speed."
Deputy Director Liu still had some concerns.
Back then, although Dr. Xu was so talented, he eventually got into trouble because of his pursuit of extreme speed.
Surgery is performed on living patients, so zero accidents must be achieved.
"Please rest assured that I will exercise due caution. The female patient with the tumor on the inside of her elbow is still somewhat worrying. If her tumor grows a little bigger, it may compress the radial nerve. If that happens, she will have obvious problems straightening her left hand."
Zhou Can has performed many level one and level two surgeries and can be said to be knowledgeable.
Accurate predictions can be made in advance for many lesions.
This ability is actually one of the advanced abilities of famous doctors.
"Did Dr. Zhou really complete all six surgeries? My level 2 surgery took me more than three hours to complete."
He Hansheng had just finished the operation and walked in.
He was a bit unlucky today. The second-level operation he performed was full of twists and turns. He was lucky enough to have completed it successfully.
"Hmm! If I hadn't seen it with my own eyes, even I wouldn't have believed that Zhou Can's surgery speed would be so terrifying. Normally, when I see this guy participating in level 3 major surgeries, his speed is fast, but it's still somewhat reasonable. Today, he was doing a level 1 and 2 surgery, it was simply terrifying."
The sad look on Old Liu's face disappeared without a trace.
Instead, there is a sunny and good mood.
A faint smile reappeared on his face.
Zhou Can stepped forward at the critical moment and displayed his surgical skills to turn the tide. That was truly a ray of light in the darkness, which rekindled his hope.
"Doctor Zhou, you're great! You know what? As long as you keep up this terrifying speed, you can save our team. After our team has been streamlined, we can go into battle with less equipment, and the number and quality of surgeries will not decrease. This will give us a huge advantage."
He Hansheng's face was also full of excitement, and all the previous dejection and gloom were swept away.
With Zhou Can's terrifying surgical skills, all the disadvantages were not only eliminated, but turned into an advantage.
A team of ten people who completed two hundred surgeries in a month had absolutely no advantage over a team of four who completed one hundred and fifty surgeries.
Moreover, the more doctors a surgery is performed, the better.
When there are a lot of people, there will likely be good and bad people, with some having good skills and some having bad skills.
By then, the total number of surgeries will be considerable, and if the per capita number of surgeries is not good, it is more likely to lead to a serious decline in the quality of surgeries.
"As a resident doctor, I am a drag on the team. If I had one-tenth of Dr. Zhou's ability, I would be able to contribute to the team ."
Wan Sanlao, as a resident doctor, had been assisting He Hansheng.
Level II surgery requires an assistant.
Mr. Liu also served as Zhou Can's assistant just now.
After all, a person only has two hands, and it is difficult to complete some more complicated parts of the operation alone.
Also, for things like hooks, you need an assistant to help.
"Xiao Wan, you don't have to belittle yourself. Everyone has their own uses. If the number of surgeries in our group doesn't decrease, you have to pay more attention to the management of the ward."
Old Liu comforted Wan Sanlao.
A medical team is equivalent to a complete machine, and its operation is inseparable from small screws.
Wan Sanlao's skills are not particularly outstanding, but he is definitely not the worst among the resident doctors.
It’s just because Zhou Can is too evil that he looks dull in comparison.
"Okay, I'll stay in the hospital every day for this month and manage the inpatients in this group. If I can't do the frontline work, then I'll be your logistics support."
Wan Sanlao found his own value and was very happy.
To be honest, it was very good that Wan Sanlao did not defect to other groups like the other three doctors under extremely unfavorable circumstances.
At least his character is guaranteed.
Not the kind of person who forgets his principles when he sees profit.
Now that Zhou Can has solved the biggest problem in the group, everyone is full of hope and fighting spirit.
The morale of this team was instantly restored to full strength.
…
Five days passed in a row, and Zhou Can seemed to be full of energy, with his surgical skills becoming stronger and stronger.
If Qiao Yu hadn't been in neurosurgery training, he would have wanted to call her over to help.
Thinking that she would only stay in the general surgery department for less than a month, she would not be able to follow Zhou Can when he left. She had no choice but to give up the matter.
According to Zhou Can's regular training plan, general surgery is his last stop in surgery.
Because general surgery includes the liver and gallbladder, intestines, stomach, pancreas, breast, urinary system, etc.
The most difficult thing to learn is the stomach and intestines.
Because this is the human digestive system, there are various rare diseases that cause people a lot of headaches.
Even though Zhou Can has been working in the Department of Digestive Surgery for three months, he still doesn't dare to say how good he is.
He is not even knowledgeable about the human digestive system and the various diseases caused by the digestive system.
At most, I know a little bit.
Originally, according to Zhou Can's idea, regular training in general surgery should be at least three months.
Because in general surgery you can see a variety of common diseases, as well as some unheard-of difficult and complicated diseases.
Director Yang Qing and several of his doctors sit in the office to discuss surgical cases, develop surgical plans for some key patients, or consult together to try to find out the cause of the disease.
For some difficult cases, even if his entire team works together, they are unable to clearly diagnose the cause of the disease.
This phenomenon exists not only in his group, but in the entire Tuya Hospital and even in all major hospitals around the world.
For many diseases, doctors are unable to find out the cause and pathological mechanism.
Some can be controlled with medication, while others can only be treated symptomatically and by correcting vital signs.
"It is really regrettable that the cause of two cases could not be diagnosed today."
The discussion was almost over and Director Yang Qing made a summary speech.
"Director Yang, don't worry. The causes of these two patients' illnesses are extremely complicated. We are unable to diagnose them, and other teams are even less able to do so. These two difficult patients have already been treated in many large hospitals, but no clear cause has been found."
A fat deputy chief physician said.
" That said, if we can diagnose this difficult patient and successfully cure him, it will add a lot of points to our team. It will also become an outstanding case in this field. The pancreas and breast are two very promising medical fields. I don't want to miss out and be overtaken by another team."
Director Yang Qing was still somewhat worried.
Afraid of capsizing in a ditch.
When building a new sub-department, the hospital evaluated the expertise of each team. In addition to the number of common cases cured in this field, there was another extremely important reference indicator.
That is the diagnosis and cure of difficult cases.
How do famous doctors come about?
If you can cure a case that others cannot, you can take the opportunity to make a name for yourself.
No matter how good a doctor is, even if he cures 5,000 common cases, he cannot become a famous doctor.
If he can cure ten highly difficult cases, those are patients that other large hospitals, other experts and famous doctors cannot cure, the celebrity effect he will generate will far exceed that of the doctor who cured 5,000 ordinary cases.
If the hospital wants to establish a reputation, it will first consider the doctor who has cured ten difficult and complicated cases.
Why do we attach so much importance to the number of SCI papers published and their impact factors when evaluating associate professor and senior professional titles?
It is because of the ability to write high-quality SCI papers that can create a sensation in the medical field. Both patients and colleagues in the medical field recognize and believe in this.
"By the way, how is Deputy Director Liu's team doing recently? With three doctors gone, I believe the number of surgeries they perform must have been greatly reduced, right?"
Yang Qing is able to lead such an excellent team and always keep it among the best in comprehensive strength, relying not only on his extraordinary medical skills, but also on his high wisdom and management ability.
Take the enemy seriously tactically and despise the enemy strategically. This is a tactic that many masters like to use.
Although Deputy Director Liu is only an associate chief physician, he has strong surgical skills and rich experience in diagnosis and treatment, even more than Yang Qing.
After all, Yang Qing is several years younger than Mr. Liu.
“It doesn’t seem to be decreasing at all!”
An attending physician answered carefully.
