Chapter 215 Improving the cohesion of the department, Dr. Wu was impressed
"The schedule has been drawn up. You can check it out. If you have any objections, please raise them in person. If you have no objections, I will submit it directly."
The highest position Mr. Liu ever held was leading a team.
Now that he has to be in charge of a department, he feels a little uncomfortable.
"This arrangement is obviously unfair!"
A young female resident muttered.
Her voice was not loud, but Zhou Can heard it clearly.
Most of the doctor schedules above were worked out by Zhou Can with great effort, with only one purpose, to ensure the efficient operation of the department.
"What do you think is unfair?"
Zhou Can didn't know her name, he only knew that this female resident was in Director Mo's group.
"I was assigned to do miscellaneous work such as writing medical records, managing patients, and following surgeries, while you were assigned to do high-level work such as performing surgeries and following the chief physician in outpatient clinics. This is very unfair. Let us do the hard and miscellaneous work, and you do the technical work so that you can grow quickly. We are exhausted but it is difficult for us to learn useful new knowledge."
The female resident was quite young and her fangs were visible when she spoke.
In addition, she is heroic and beautiful, making it difficult for people to dislike her.
On the contrary, I think this girl is straightforward and cute.
"Do you think it's too much that I took away most of the surgery that originally belonged to you?"
Zhou Can didn't rush to explain, but asked her back with a smile.
"What did you say?"
The female resident raised her eyebrows and looked at Zhou Can without showing any weakness.
"Wu Ziyu, stop talking nonsense! Doctor Zhou is young and promising, how can you compare with him!" Director Mo Kodo was worried that his resident doctors would anger Zhou Can, and he would definitely suffer the consequences.
Because they are all new members joining this department.
Mr. Liu’s original team members are the core.
Although Zhou Can is only a trainee, he has a very high status in this team.
In addition, senior leaders such as Vice President Ye and Vice President Bei are very fond of Zhou Can. How can an ordinary resident like her shake them?
"I guess there are many people who think the same as Dr. Wu Ziyu. They think that I have taken all the high-end work for myself and assigned you all kinds of miscellaneous and basic work. Dr. Wu, thank you for speaking out."
Zhou Can was not angry at all, instead he thanked her.
This confused everyone.
Is this guy a hypocrite, putting on a show in front of the 'general public'?
"Let me explain to you the reason for this arrangement. Although the hospital has given each sub-department a seven-day adaptation period to handle the patients in hand within seven days, I want our department to win at the starting line. The best way is to shorten this adaptation period. We will try to handle the accumulated patients in the shortest time possible, lighten our load, and allow more people to devote themselves to the diagnosis and treatment of patients in the thyroid and breast department as soon as possible."
After listening to Zhou Can's explanation, the other doctors nodded and looked at Zhou Can without any dissatisfaction in their eyes.
Instead, there is a little more trust.
"I won't hide it from you. My surgery speed is quite fast. I will soon leave the Department of Thyroid and Breast Surgery and go to the Department of Internal Medicine for training. So I want to do my best for this department and take over all the surgical patients I can handle. This way, you will have more time and energy to welcome new patients with thyroid and breast diseases."
Zhou Can did this not to "line his own pockets", but rather with good intentions.
Doctor Wu Ziyu, who questioned him, felt his face getting hot.
"If what you said is true, I will apologize to you then!" she said a little embarrassedly.
"Why does Dr. Zhou want to help us?" someone else asked.
People are selfish and will consider their own interests first.
It was hard for them to believe that Zhou Can was so great and selfless.
"Because we are all in the same department now, we are a family, we are close people. That's all." Zhou Can's words instantly made the questioner feel ashamed.
After hearing this, the other newly joined doctors were all moved.
At the same time, I also feel extremely warm.
"Our own people"; these three words instantly connected the hearts of more than twenty people.
The cohesion of this new department increased instantly.
The human heart is the most complicated.
A man can die for his best friend, and a woman can dress up for the one who pleases her.
They now have a much stronger sense of belonging to this new department.
"Dr. Zhou Can said it very well! You used to belong to different groups or teams, but now you have joined the Department of Thyroid and Breast Surgery, and you are a family. We are all part of this department. If we all work together, I believe that we can achieve results in the shortest possible time. We will strive to make the Department of Thyroid and Breast Surgery a new signboard of Tuya one day."
Old Liu admires Zhou Can from the bottom of his heart.
When the resident doctor named Wu Ziyu questioned Zhou Can in public just now, Old Liu felt a little unhappy and even more worried.
The department has just been established and people are uneasy.
Isn't she trying to disrupt the situation by making such a fuss?
Old Liu secretly cursed the girl in his heart for being ignorant.
Fortunately, Zhou Can had a strong ability to respond. Not only did he not quarrel with Wu Ziyu, but he also expressed his gratitude to her in a very graceful manner.
Then after some explanation, the words "we are one of them" actually made the people in the new department more confident.
A true master can take advantage of adversity and turn disadvantages into advantages.
Zhou Can has already initially acquired this ability to handle matters.
"This guy is really my lucky star. It's great to have him help me in the thyroid and breast surgery department!"
Old Liu also likes Zhou Can even more.
The shift schedule and department personnel list were successfully submitted. The hospital will make changes to the files of these people, and the outpatient appointment time and department to which they belong also need to be changed in the hospital registration system.
…
In the operating room, a male patient in his sixties lay quietly on the operating table.
Elder Liu, Director Mo, Wu Ziyu, Zhou Can and others will jointly perform surgery on this patient.
It can be seen that there is a huge tumor near the patient's left clavicle on his neck. The diameter is larger than a bowl and looks extremely scary.
This patient discovered a thyroid tumor more than 20 years ago, but because he had no other symptoms, he did not go to the hospital for treatment. Later, he developed symptoms of hyperthyroidism, so he went to the local health center to get some medicine.
The drug the patient took was methimazole, commonly known as thiamazole.
Recently, the thyroid tumor has continued to grow and has begun to compress the trachea, causing the patient to feel difficulty breathing. The symptoms are particularly obvious when lying on the side.
The family was worried that this huge thyroid tumor would threaten the patient's life, so they sent him to Tuya Hospital in the hope of surgical treatment.
The patient was seen by Director Mo, and after waiting in line for several days, he finally got a bed.
Prepare for hospitalization and surgery.
Zhou Can took on the task of operating on this patient. Director Mo was a little worried, and the female resident Wu Ziyu wanted to see if Zhou Can's operating speed was really fast.
So, Director Mo took her to participate in the operation.
Director Mo himself also wanted to see Zhou Can's surgical abilities.
People all want to broaden their horizons and satisfy their curiosity.
Zhou Can is helping the anesthesiologist to perform preoperative anesthesia on the patient. He is seen preparing the patient for preoperative anesthesia quickly with very professional techniques.
This includes intubation, ventilator, and some preparations to prevent unexpected events during surgery.
His anesthesia skills have been growing since he acquired them.
But one thing made him very depressed, only general anesthesia or spinal anesthesia could increase experience points. Ordinary local anesthesia did not increase experience points.
At first I thought the system might be screwing up.
Later, when his anesthesia skills were upgraded to level two, which is the regular training level , he realized that this anesthesia is not the same as other anesthesia.
The anesthesia technique he acquired included anesthesia, life support, life monitoring, and even extracorporeal circulation, etc. It was a very advanced medical skill.
To inject a local anesthetic, the system may think that anyone can do it and it does not require any technical skills.
That's why I didn't give him any additional experience points.
His current experience in anesthesia is 98/100, which is an excellent level for a resident trainee. If he increases his experience by 2 more points, he can be promoted to the level of a resident doctor.
Still quite difficult to upgrade.
"Can I perform the anesthesia?" Zhou Can asked the anesthesiologist.
"Okay! Don't do it too fast. This patient is quite old and I'm afraid he can't handle it."
The anesthesiologist was none other than my old acquaintance, Dr. Guan.
This is not the first or second time that he has collaborated with Zhou Can.
So the trust level is very high.
Even for high-risk operations such as anesthesia, he delegated the authority to Zhou Can.
In addition to his willingness to delegate power, Dr. Feng was also willing to delegate power.
At least half of Zhou Can's 98 anesthesia experience points were earned from these two doctors.
There are two common methods of general anesthesia.
The anesthetic drugs are inhaled into the body through the respiratory tract or injected intravenously, temporarily suppressing the central nervous system. The patient will experience symptoms such as loss of consciousness and relaxation of skeletal muscles.
Local anesthesia is usually injected intramuscularly.
It can also be seen from here that the risk of general anesthesia is much higher than that of local anesthesia.
Currently, general anesthesia surgery mostly uses respiratory intubation and inhalation medication, which is safer than intravenous injection. If the patient has problems during anesthesia, the medication can be stopped immediately.
Anesthesia recovery should also be more convenient.
This patient was taking the drug by inhalation.
Zhou Can adjusted the dosage of anesthetic very carefully, allowing the patient to inhale it into the body with mechanical ventilation.
After successful inhalation general anesthesia, the patient will experience respiratory arrest, so the endotracheal tube must be connected to the anesthesia machine for mechanical ventilation.
Overall, this operation still carries a fairly high risk.
I can only say that it is relatively safe.
The patient gradually lost consciousness, as if he was falling asleep.
Zhou Can called the patient's name but there was no response. He also patted the patient's shoulder but there was no response either.
He observed the patient's vital signs and found them to be generally stable.
[Anesthesia experience +1. ]
He was only one point away from being promoted to resident level in anesthesia skills. He should be able to complete the upgrade today.
Because he took over most of the surgical patients that were piling up from other doctors in the department.
Most of them were level II or higher surgeries.
In fact, first-level surgeries rarely require hospitalization. Most are done on an outpatient basis.
Especially in large hospitals like Tuya, anesthesia spaces are extremely limited, and as long as it is assessed that the patient has no major problems after the operation, the patient is basically not allowed to be hospitalized.
"The anesthesia was successfully implemented, the patient's vital signs are stable, and the surgery can be performed!"
"Well, come over and perform the surgery!"
Mr. Liu looked serious.
When performing major surgery, senior doctors are actually under a lot of pressure.
Their serious expressions were also an invisible deterrent to the junior doctors. It was almost like everyone in the room was reminding the junior doctors to be careful and not to cause any trouble.
Zhou Can walked to the operating table and stood at the operating position. The nurse put on sterile gloves for him.
Director Mo and Wu Ziyu watched from the side.
So far, Zhou Can has performed very well in intubation, skillful operation of various instruments, and anesthesia during anesthesia surgery.
The two of them couldn't help but have higher expectations for Zhou Can's surgical abilities.
Wu Ziyu, in particular, was somewhat shocked to see that Zhou Can was able to perform the job of an anesthesiologist and directly establish a general anesthesia channel for the patient.
Although surgeons are required to rotate into the anesthesiology department for at least one month during their residency training, many of them only learn the basics of anesthesia.
It just means you have a more detailed understanding of the entire anesthesia process.
As for how to deal with emergencies during anesthesia, what kind of anesthesia is suitable for various major surgeries, what preparations should be made before surgery, and what are the contraindications, many doctors know very little.
After all, every profession has its specialties!
What surgeons are good at is holding the scalpel, while anesthesiologists need to be proficient in both internal and external medicine, and have a solid foundation in both internal medicine and surgery.
An excellent anesthesiologist needs to constantly accumulate various surgical anesthesia experiences and rescue experiences to improve the patient's life protection ability throughout the perioperative period.
It must be said here that the anesthesiologist is not only responsible for ensuring the patient's life safety during surgery.
An excellent anesthesiologist will provide a safety assessment of the patient's entire perioperative period.
It includes preoperative, intraoperative and postoperative periods after hospitalization until the patient is safely discharged.
It can also be seen from here that when anesthesiologists participate in larger operations, they are never dispatched suddenly. Instead, they will be involved when discussing the surgical plan before the operation.
After Zhou Can took his position as the operating surgeon, he began to replay the patient's examination records in his mind.
The results of the MRI examination were: a huge mass in the left lobe of the patient's thyroid gland, measuring 81*110*115mm, part of which entered the thorax, and the trachea and mediastinum were compressed and shifted to the right, causing local stenosis.
The patient also had an enhanced CT scan of the neck. The size of the tumor was similar to that of the MRI, but slightly larger. The tumor had clear boundaries, uneven density on plain scan, and a low-density area in the center.
Judging from these test results, although this tumor is large, it is more likely to be benign.
The patient was relatively old and had thyroid dysfunction before the operation. The chest X-ray before the operation showed that the patient had emphysema in both lungs. It was extremely risky to perform surgery on such a patient.
Zhou Can also put his utmost attention into it and carefully cut open the wound from the incision.
With just one cut of the knife, Director Mo and Wu Ziyu's eyes immediately widened, with expressions of horror on their faces.
They had thought that Zhou Can's surgical skills were much better than those of ordinary interns.
But I didn’t expect Zhou Can’s incision skills to be so advanced.
And the cutting speed is fast and precise.
Next, Zhou Can let the two of them thoroughly experience what it means to be the successor of the Swift Sword.
He first made an incision to expose the tumor in the surgical field, then quickly separated it and finally removed it.
Zhou Can easily cut off the huge tumor with a diameter of more than 10cm. During the operation, it was found that there were multiple cystic and solid nodules with a diameter of more than 1.5cm in the right thyroid gland, and Zhou Can removed them all.
The hemostasis and ligation during the operation amazed the two of them.
Until the end of the operation, the two of them were still staring at it stupidly.
It took me a long time to recover.
"Surgery can actually be done like this! Oh my God, it's incredible."
Wu Ziyu's beautiful eyes revealed extreme shock and indescribable admiration.
Watching Zhou Can perform surgery on patients was like opening a new window for her.
In the past, when I watched other senior doctors perform surgery, they were always very careful, steady and cautious. But now when I watched Zhou Can perform surgery, it was like playing.
It was so fast that my eyes couldn’t keep up.
But it was done so well. When separating, it perfectly avoided all the important blood vessels and nerves around it, without accidentally hurting anything.
Whether it is early ligation of blood vessels or electrocoagulation to stop bleeding, every action becomes very cool in her eyes.
The amount of blood loss during the entire operation was very small.
This is closely related to Zhou Can's superb hemostasis skills.
The wound was cut very smoothly, and the suture made her mistakenly believe that it was a chief physician with extremely rich surgical experience and a very high level of suture skills who was performing the operation.
Moreover, it was the first time she had seen Zhou Can’s suture surgery.
After the wound is sutured, it looks very comfortable.
It can be predicted that the patient's wound healing time will be greatly shortened and the scar will be very small.
Only now did she understand why Liu's team had performed nearly 900 surgeries last month, and why the success rate had not been lowered but reached 98.4%, with an average surgical quality score of 4.8 points.
Given Zhou Can's level, it is not surprising that he can achieve such a high surgical success rate and quality score.
A surgical success rate of over 90% is considered excellent.
Over 95%, that's excellent.
After 95%, every additional percentage point increase becomes extremely difficult.
Zhou Cansheng improved his performance by 3.4 percentage points on this extremely excellent basis, which is almost the ceiling in the surgical field.
"After watching Dr. Zhou's surgery today, I realized that I was just a frog sitting at the bottom of a well. There are always people who are better than you. Dr. Zhou's surgical skills are superb, and his speed is so fast that people dare not even think about it. I will never be able to achieve it in my lifetime. Yesterday, I questioned Dr. Zhou's unfair arrangement of doctors' work tasks in public. Now I solemnly apologize to you. I'm sorry!"
She bowed to Zhou Can.
His words were full of shame, but his eyes were full of admiration for Zhou Can.
"Dr. Wu, you are too serious. It's good enough that the misunderstanding has been clarified. There is no need to apologize solemnly. We are all doctors in the same department. We should trust each other and help each other."
Zhou Can didn't dare to help her.
Because she is a lesbian.
It's pretty good to be able to convince her.
