Chapter 628: The style of the doctors in the hospital, criticism is a kind of care
Doctor Xu didn't say much the whole time. He just followed Zhou Can out of Director Lou's office .
"I see you've been quite active in treating various neurological diseases lately!"
Doctor Xu asked meaningfully.
"Hehe... I am active in treating diseases in all fields. I can't learn all about medicine in my lifetime. I just want to learn more about various aspects of medicine in my lifetime."
Zhou Can laughed dryly.
"The diagnosis and treatment in the field of neurology has always been like dancing on the edge of a knife. Internal medicine is a little better, but surgery is like walking on a tightrope in the air. I am very grateful for your heart, but you must do it within your ability and protect yourself. This is the greatest reward for me."
Dr. Xu just doesn't like to talk much, but he is actually very wise.
He just doesn't express his opinions easily on many things, but he knows everything in his heart.
Zhou Can has been desperately taking on various big jobs in the neurological field recently, and Dr. Xu has already guessed what he is trying to do.
As a teacher, he was very pleased to see his apprentice being so grateful and trying to help him get rid of the shackles of sin. But he was also worried.
The stakes in neurosurgery are too high.
"Okay, I will be extra careful. By the way, Director Wu asked me to follow him in performing surgery and learn some surgical techniques and experience in the field of neurosurgery."
Of course I have to inform Dr. Xu about this matter.
It is also a kind of respect.
In ancient times, if an apprentice wanted to take someone else as his master, the first master would need to nod and agree.
Otherwise it would be equivalent to betrayal of the sect, which is a serious crime.
Modern society is not so feudal, but respecting teachers has always existed and is a virtue.
This is especially evident in the fields of medicine, scientific research, etc.
"Director Wu is a very good person. He looks serious, aloof, and unkind, but he is actually a man with a strong sense of justice. Back then, he, Hu Kan and I fought in the field of surgery together. We had agreed to make Tuya's surgery a world-class hospital. I didn't expect that things have changed now. Old Hu has passed away, and I am in trouble. Alas..."
When Dr. Xu talked about his ambitions back then, he couldn't help but sigh.
Recalling the past, heroes are old.
The surgery department at that time had their three famous knives and was invincible. I believe the grand occasion at that time must have been extremely gratifying.
Unfortunately, the glory was like a flash in the pan and soon faded away.
It’s the time and it’s the fate.
If Dr. Xu's sharp knife had not been damaged, Tuya Hospital might have achieved great success in the field of surgery.
"Every generation has its own talents! Xiao Zhou, your surgical talent is far superior to the three of us. I believe that within ten years, as long as you can move forward steadily, you will be able to lead a new era and create an unprecedented surgical flourishing era for Tuya Hospital."
Dr. Xu has extremely high expectations of him.
I am full of confidence in him.
"Teacher, you think too highly of me! I am just a little hardworking at best."
Zhou Can couldn't help but smile bitterly as he listened to the blueprint for the future that Dr. Xu had described to him. He really didn't dare to think of leading a new era.
What I do every day now is to work hard to improve each medical skill, try to make myself more knowledgeable, and make great progress in my specialized field.
"Is modesty engraved in your bones? But it's okay, being low-key can make you more stable and less likely to repeat the mistakes I made back then. Go and do your thing!"
Doctor Xu looked at his beloved disciple with relief, expectation, and a hint of helplessness in his eyes.
As a master, he became less and less confident in front of his apprentice.
Zhou Can's wealth has long surpassed that of Dr. Xu, and his medical skills in all aspects have also improved by leaps and bounds. He has already achieved a very high level of attainment, and his status and position in the hospital and department are also rising steadily.
This is a pace that surpasses his master in all aspects.
Watching his apprentice grow rapidly step by step, he couldn't help but feel deeply moved.
Zhou Can came to the triage desk and saw Cheng Xiaolu still standing beside her mother, waiting for the judgment of fate.
If Zhou Can couldn't get her mother into the hospital, she could basically go home and wait for the funeral.
"Director Zhou..."
She looked at Zhou Can with great anticipation, he was the light of her mother's life.
"Our department director reluctantly agreed, but with some conditions."
Zhou Can said to her.
"Thank you, thank you! I can agree to any condition!"
When she heard that the hospital had agreed to admit her mother, she was so excited that tears welled up in her eyes.
I can understand this strong bond of family affection.
In order to save their children, many parents are willing to donate their organs, such as kidneys. As long as they can be successfully matched, many parents will agree without hesitation.
Everyone knows that losing a kidney will have a huge impact on life and body, and may even threaten life.
But they still did not look back, because of that unbreakable family bond.
However, very few children are willing to sacrifice their organs to save their parents.
In order to save her mother, Cheng Xiaolu is not just talking, she is really willing to give everything.
This filial piety, this love for parents, and this selfless love for family are very touching.
It makes sense that a daughter is a warm and caring person to her parents.
"You are aware of your mother's condition, which is very serious. Our hospital has a huge risk in admitting her to the hospital. In her case, she will definitely need surgery to have a chance of recovery, which is a higher risk. Before the surgery, you need to agree to exempt the hospital from liability, so that our doctors and nurses will dare to give her the first shot. Otherwise, our medical staff have worked hard to save people, but in the end you sued us, which is really chilling."
Zhou Can spoke to the two family members very frankly.
People's hearts are complicated. Even though Cheng Xiaolu is begging the hospital to save her life with tears in her eyes, her father also looks very honest.
But no one could predict what the family's attitude would be if her mother died on the operating table or after surgery.
Almost all clinicians and nurses have experienced a real-life version of the story of the farmer and the snake.
"Don't worry, we are not that kind of people."
Cheng Xiaolu expressed her position on the spot.
Her father said nothing, but nodded in agreement.
"Okay, I'll write out a hospital admission form for your mother and have her admitted immediately. This will also allow the two medical staff following the car to go back earlier." Zhou Can nodded and began to make arrangements.
Two medical staff who were following the car listened the whole time.
There were some subtle changes in the way they looked at Zhou Can.
Whether it was the conversation between Zhou Can and the family before admission to the hospital, or the warm words that showed understanding of their difficulties, they made the two of them deeply feel the responsibility and style of the doctors in the hospital.
I believe that the impact on these two people will be profound after they return.
When carrying out their medical work, they can't help but take Zhou Can as a role model.
Learning from the strong and the advanced is everyone's instinct.
…
After the patient was admitted to the hospital, he underwent a number of additional examinations.
This is all in preparation for surgery.
The patient's current condition definitely makes it impossible for him to tolerate a traditional craniotomy. If it is a minimally invasive cranial endoscopic surgery, after the anesthesiologist and Zhou Can's evaluation, if there is no problem, it can be carried out.
Zhou Can's anesthesia skills are now at the chief physician level, but there is still a long way to go to the next level.
But it's enough.
It can not only be used to anesthetize patients clinically, including general anesthesia and spinal anesthesia, but also greatly improve Zhou Can's ability to assess the safety of surgeries for various types of patients.
And the level of treatment when rescuing critically ill patients.
As his various medical skills gradually reached the level of chief physician, he discovered that each medical skill was independent in itself, but was complementary to the other skills and had an inextricable relationship with them.
All medical skills ultimately point to one ultimate goal, which is life.
No matter which medical skill it is, its ultimate purpose is to ensure the stable and healthy operation of life.
This was the new understanding he gained after being promoted to the level of chief physician with multiple medical skills.
In the office, Zhou Can carefully studied the various supplementary examination reports of Cheng Xiaolu's mother, fully evaluated every detail, and then slowly worked out a practical surgical plan in his mind.
After everything was ready, he requested a joint consultation from Wu Baihe of the Department of Neurosurgery.
Out of respect, we usually first consult with experts from the other department, then discuss the surgical plan together, and then apply for a joint surgery in person.
I believe no expert would agree to just ask them to come and help with the surgery.
Unless one situation occurs where something goes wrong during the operation and emergency treatment is required.
In this case, if you send a request for assistance to a sister department, they will usually come to rescue you. But it is not always the case.
After all, it was an accident, and it would be risky for others to come over to provide support.
Speaking of this, let’s talk about the importance of personal connections.
It is very necessary to maintain good relationships with doctors and nurses from other departments.
At least when you reach the level of director or associate chief physician, you need to expand your network appropriately.
At around 8:20 in the evening, Wu Baihe had just completed an extremely difficult neurosurgery operation.
When he saw the consultation request sent by Zhou Can in the form of a text message, he replied with a few words.
"I just got out of surgery. I'll be here after dinner."
"Thank you, thank you very much!"
Zhou Can originally thought that it would be good if Wu Baihe could find time to come for consultation the next day. Unexpectedly, Wu Baihe had just finished surgery so late. After seeing the message, he agreed to come for consultation that night.
Zhou Can was really touched and a little surprised.
Although the patient's condition is critical, it is not a new onset, but has been going on for almost four days.
The patient was admitted to the hospital yesterday and underwent routine blood, urine and stool tests that evening.
As for the biochemical tests in the laboratory, Tuya Hospital’s technical strength is there, so you must test it yourself to feel at ease.
The rigor and accuracy of county hospitals are greatly compromised.
Many advanced biochemical testing projects cannot be carried out at all.
The patient is now in a deep coma, and many aspects of the test data are very important.
For example, whether acidosis occurs, and how are the changes in several key data in the blood count?
These are of great reference significance for surgical safety assessment.
It was almost 8:50 when Wu Baihe hurried over. Although he still looked energetic, one could see deep fatigue in his eyes.
"Director Wu, I'm really sorry to invite you here for a consultation so late at night!"
Zhou Can hurriedly stood up to greet him.
"Don't bother with empty polite words. Show me the patient's information. Also, your emergency department should have developed a preliminary surgical plan, right? Show it to me as well."
Wu Baihe hates being polite the most.
He likes to get straight to the point and talk about what he means.
Upon learning that he was coming, Director Lou, Doctor Xu and others rushed from home to the consultation room to wait.
Wu Baihe simply nodded to them as a greeting.
Then I began to carefully review the patient's films and examination reports.
Dr. Xu seemed to know his character and didn't care, just waited patiently.
Director Lou showed a helpless smile.
In terms of rank, Director Lou is not higher than Wu Baihe, but in terms of position, Director Lou is at least the director of a large department, which is definitely higher than Wu Baihe.
However, Wu Baihe is the director of the neurosurgery department and also a technical ace. This is a powerful department.
Therefore, Director Lou does not have any advantage in terms of status.
Just look at Director Xie of the General Surgery Department, who could attack the Emergency Department at will in the past, and you will understand how low Director Lou’s status is.
The heads of cardiothoracic surgery, neurosurgery, orthopedics, and bone surgery... I guess none of these important departments take Director Lou seriously.
“Who made the surgical plan?”
"I!"
Zhou Can did not discuss the matter with Dr. Xu because Dr. Xu had already gone home from get off work to be with his wife and children.
Dr. Xu is not good at endoscopic surgery.
Even if Zhou Can invited him over, he probably wouldn't be able to help much.
"The plan is fine, and the surgical idea is also very clever, but the order of the surgery needs to be changed. You approached the patient from the middle of the head first, wanting to check if there is bleeding in the brain stem, which is absolutely not advisable. This kind of bold and aggressive idea can be used casually in diagnosis, but it must be carried out step by step in surgery."
Wu Baihe seriously criticized Zhou Can.
After careful diagnosis, Zhou Can believed that the patient was very likely to have brainstem hemorrhage.
When he performs surgery, he usually likes to tackle the toughest parts first and then pass them to other doctors to do the simpler parts.
The plan for this endoscopic cranial surgery was also influenced by this habit.
"Lao Xu, didn't you teach him the basic surgical procedures?"
Wu Baihe looked at Dr. Xu.
Suddenly, Zhou Can became extremely nervous. He didn't expect that this time he would cause his teacher to get scolded.
Unexpectedly, Dr. Xu was not angry. Instead, he said a little embarrassedly, "I have certainly taught him the basic procedures, but this kid is like a wild horse. Sometimes his personality is too strong and it is impossible to persuade him. I thought that nothing had happened to him during the operation, so I just let him do what he wanted. The criticism you raised is very correct. I was negligent in the past."
Doctor Xu rarely bows to anyone when it comes to medical skills.
Even with Director Hu Kan, Dr. Xu was in direct competition with him.
Unexpectedly, he was so humble in front of Wu Baihe at this moment, which really surprised Zhou Can.
"Just because there has never been an accident doesn't mean there will never be an accident. The surgical procedures are strictly regulated. If you wantonly break the rules, it's fine if there is no problem, but once there is a problem, it will be a big problem."
Wu Baihe stared at Zhou Can and lectured him sternly.
