Chapter 89: The most stable scalpel, the consequences of touching other people's cakes
Dr. Xu turned his head and glanced at him.
"You don't care about a simple first-level surgery?"
"No, no! I just want to gradually perform more difficult surgeries and improve my surgical skills a little bit more!"
Zhou Can is really not too ambitious.
For him, simple operations such as suturing and debridement can also earn experience points.
However, surgical capabilities must be developed in a balanced manner.
The more difficult the surgery, the more it can train you.
When faced with a difficult operation, he would naturally feel nervous, forcing him to find ways to overcome difficulties and meet many challenges. When problems arise, it can also test his ability to respond and comprehensive prediction ability, etc.
It can comprehensively improve psychological quality, medical skills, and application of medical knowledge.
"I will pay proper attention. If there are higher-difficulty surgeries suitable for you, I will try to let you perform them." Doctor Xu agreed.
He saw all of Zhou Can's rapid progress during this period.
With Zhou Can's current abilities, he can indeed perform some more difficult operations.
However, the difficulty of primary surgery is limited after all.
If you really want to challenge yourself, the categories of secondary surgeries will be richer.
The three of them soon arrived at the large conference room in the surgical building.
The room was already full of doctors.
It was Zhou Can’s first time to attend such a formal doctors’ meeting.
The seats inside are all high-end.
Two female staff members were distributing water to each doctor.
This treatment is much better than that of an intern.
Many interns say that hospitals do not treat interns as human beings, which is not too much.
"Doctor Xu, here!"
Someone waved at Dr. Xu.
Zhou Can followed the voice and found Director Lou and the operating room doctors from the emergency department sitting in the last row of the conference room.
It was Dr. Fu who waved to them.
Sitting in the first row of the conference room were Director Xie from the Department of Surgery, the top neurosurgeons Wu Baihe and Du Leng, and several unfamiliar surgeons.
Each of them is charming and their faces show pride and strong self-confidence.
These people are all neurosurgeons.
At present, among , neurosurgery is firmly in the top spot.
Zhou Can noticed that Dr. Xu's eyes were fixed on the middle-aged doctor sitting in the second row, first seat from the left.
The man was about fifty years old, with an ordinary appearance, no different from the uncle next door. At first glance, I felt that he was different from the people around him. He was as dull and wooden as a stone sculpture.
After observing for a few more seconds, Zhou Can was shocked to find that the man's index fingers and thumbs of both hands were pinched together, and both hands were slightly raised and suspended in the air.
Are you trying to imitate Guanyin Bodhisattva’s lotus finger gesture?
"He is Director Hu Kan of the Department of Cardiothoracic Surgery! Did you see his hands?"
Dr. Xu also seemed to notice that Zhou Can was observing that man.
It turns out that this man who looks like a wooden sculpture is Director Hu, who has maintained a record of zero surgical failures to date.
Guiguzi once said that judging by appearance is like seeing the leopard through a tube.
It's true that you can't judge a book by its cover.
Who could have guessed that he was the most stable surgeon in the surgical field?
"I see. Why is his hand raised?"
Zhou Can asked curiously.
There is no problem if you raise your arms for a short time. But if you keep them half-raised for a long time, you will be very tired. Your muscles will become sore and your tendons and bones will not be able to bear it.
Is this person self-abuse prone?
"Let me tell you, Director Hu Kan holds a strand of hair between his index finger and thumb. He has been practicing this arm-lifting posture for more than 20 years. If you put a glass of water on his hand, the water in the glass won't vibrate or ripple. This was his skill six years ago. Now, he may be even better."
Dr. Xu had a complicated expression when he mentioned this former competitor.
Once upon a time, he was also a famous surgeon and could sit in the front row like Director Hu Kan and enjoy the glory.
Unfortunately, he died due to a medical accident.
Director Hu Kan, however, has always been young and evergreen.
Having practiced the arm-raising posture for more than twenty years, this man's perseverance and persistence are truly terrifying.
There are really not many people who can persist in doing one thing for twenty years.
No wonder surgery is known for its steadiness.
Humans are not like machines. The most common thing that happens during surgery is shaking of the hands holding the knife.
It's a normal operation, and slight shaking won't have any consequences.
If you are performing some high-precision and difficult surgeries, the slightest error may lead to the failure of the operation.
Therefore, the requirements for the practitioner are extremely strict.
Director Hu does not forget to practice his surgical skills even during meetings, which is truly admirable.
"Director Hu kept his arms suspended in the air to exercise the stability of his hands. What was his purpose in pinching a strand of hair with his index finger and thumb?"
Zhou Can asked in confusion.
Jin Mingxi was also extremely shocked at this moment.
It turns out that none of the famous doctors in big hospitals are ordinary people.
Their attitude of integrating surgery into life and even into life is worth learning for every doctor.
"You want to know the purpose of pinching a hair. It's very simple. Don't move." Doctor Xu reached out and plucked a hair from Zhou Can's head. "Pinch it, and I will tell you the answer after the morning meeting."
Jin Mingxi was watching from the side, and he also jokingly pulled out a hair from his head and pinched it.
I want to experience the feeling of holding my hair for a long time.
The three of them walked to the back row, and Dr. Xu pointed to the empty seat on the right.
"You sit next to Dr. Lin!"
He walked over and sat down next to Director Lou.
There are some rules for sitting in meetings.
The head of the department sits in the most prominent position.
If the department holds a meeting, Director Lou sits in the central chairman seat.
Now when we attend morning meetings with multiple departments, the order of seniority is from left to right and from front to back.
Since ancient times, the Chinese have believed that the left is auspicious and the right is unlucky. The idea that the left is superior and respected, and the right is inferior and humble is deeply rooted in people's minds.
The operating room team in the emergency department is actually very shabby.
Director Lou rarely performs surgeries, so there are basically only two attending doctors, Dr. Xu and Dr. Fu, and three residents, Dr. Cui, Dr. Lu, and Dr. Lin. In addition, there are two interns, Zhou Can and Jin Mingxi.
Look at those powerful surgical departments sitting in the front row. Which one is not strong and well-staffed? Basically, there are groups of regular trainees, a bunch of residents, several attending physicians, and three or four deputy directors and chief physicians.
The interns haven’t arrived yet, otherwise this conference room might not be able to accommodate them.
No wonder the emergency department was arranged to sit in the last row.
Zhou Can found that Zhang Huabi from the Obstetrics and Gynecology Department was also there.
She sat in the fifth row with her obstetrician and gynecologist.
The first four rows are basically occupied by the surgical department.
The third row holds orthopedic surgeons, and the fourth row holds general surgeons.
As for the gastrointestinal surgery department, it was squeezed to the sixth row.
The ranking lags behind obstetrics and gynecology.
The surgical department of Tuya Hospital is quite powerful.
Zhou Can found that Yang Chan had also come, but he was similar to him, both sitting at the last seat on the right.
In addition, surgical doctors from multiple departments including pediatrics and oncology were also present.
All surgical doctors in the hospital should attend this morning meeting.
Of course, interns are not qualified to do this.
Sitting in the second to last row were Director Tan from the Department of Internal Medicine and others.
Also included are some great insights that I haven’t seen in a while.
Gao Jian looked to be in pretty good shape. It seemed that he had made great progress in Internal Medicine. After more than half a month, he must have learned a lot.
"Isn't this a morning meeting for surgeons? Why are people from the internal medicine department here too?"
Zhou Can talked to Jin Mingxi in a low voice.
"Interventional surgery is available in the Department of Internal Medicine!"
After Jin Mingxi said this, Zhou Can suddenly realized.
Interventional surgery is also surgery.
It's just minimally invasive surgery.
Not long after, the entire conference room suddenly became quiet.
A tall man in his fifties walked into the meeting room.
"Vice President Ye is here, stop talking!"
Zhou Can heard someone in front of him whispering a reminder.
The morning meeting chaired by the vice president himself is of a high level.
Normally, these hospital-level leaders are all deep-sea hidden dragons, and it is difficult to even meet them.
There are even interns who have been interning at Tuya for a full year but have never met any hospital-level leaders.
"Good morning, everyone!"
Vice President Ye has a very strong aura and a gaze like a tiger. When he swept over, he really had a sense of ferocity.
It gives people a strong sense of oppression.
"I believe that all the old employees of Tuya know me. Some new employees may not know me. Let me introduce myself. My surname is Ye, and I am the deputy director of medical affairs of Tuya General Hospital, in charge of medical affairs. If anyone here has good medical suggestions or ideas, please feel free to let me know."
It turns out that he is the vice president in charge of medical affairs. No wonder even Director Xie, Director Tan, Director Zhang and others all respect him so much.
"Today we are just holding a regular surgical safety meeting! Recently, surgical safety accidents have occurred frequently. The Xinxiang Women's and Children's Hospital in this city is a Class III A hospital with a history of nearly 70 years. It is at least ranked in the top five in the field of maternal and child medicine in the province. There was a woman who had a caesarean section at Xinxiang Women's and Children's Hospital. Two months after giving birth, the pregnant woman repeatedly told the hospital doctors that she was feeling unwell, had abdominal cramps, had constant lochia, was weak all over, and couldn't eat."
"The doctor in question did not take it seriously. After a brief inquiry and examination, he prescribed some anti-inflammatory and uterine cleaning drugs for the mother to take home. The mother did not see any improvement after taking the medicine for a period of time. Finally, she could not bear the pain any more and chose to be hospitalized for treatment."
"The doctor examined the woman but could not find the cause of her illness. He suspected it was intestinal obstruction or peritonitis. Seeing that she was abnormally thin and in a bad condition, he suggested that she be transferred to the Provincial People's Hospital, which is more professional in treating this disease. But on the night when she was about to be transferred, her condition suddenly worsened and she eventually died of shock."
Vice President Ye spoke of this matter with great sorrow.
"The woman's husband was extremely grief-stricken and applied for a forensic autopsy. After the autopsy, it was finally discovered that three pieces of gauze that had long since turned black were left in the woman's body and adhered to her intestines. This caused multiple inflammations and infections in her digestive tract, which was the real cause of death. After investigation, it was found that the three pieces of gauze were used by the woman to stop bleeding during childbirth, and she later forgot to remove them."
This is a medical accident that makes people extremely sad and angry.
A tragedy that could have been avoided.
However, due to the negligence and arrogance of the doctors and management of Xinxiang Women and Children's Hospital, a three-month-old baby lost his mother and lost his mother's love forever. The poor husband was separated from his beloved wife and lived in pain.
"This incident happened on the 5th of this month. The reputation of Xinxiang Hospital has been severely damaged. The doctor involved has been suspended, but the lost life can never be recovered. Comrades, the alarm bell is ringing. Safety is no small matter. Each of us should take this as a warning."
After Vice President Ye finished speaking, the conference room became unusually quiet.
Many doctors are feeling extremely heavy-hearted.
Zhou Can noticed that Dr. Fu was quietly wiping the sweat from his forehead.
He probably remembered the patient who was bleeding profusely that night. If Zhou Can hadn't helped stop the bleeding in time, it would be hard to say whether Dr. Fu could sit here for the meeting.
"Although no major safety accidents have occurred in the various surgical departments of our hospital, as far as I know, there have been many minor surgical errors and safety omissions. I will not criticize them by name here. But I hope you will learn from the painful lessons of Xinxiang Women's and Children's Hospital and be extremely careful when performing surgery on patients, including preoperative examinations, intraoperative and postoperative care."
In terms of safety, Zhou Can thinks Dr. Xu did a very good job.
It is actually a good thing to learn from a teacher who has been in an accident.
Zhou Can learned a lot from Dr. Xu about surgical safety awareness and various details.
This will be of great benefit to his future medical practice.
It's like adding a layer of insurance.
"Of course, being extremely cautious does not mean being completely afraid of everything. If we don't dare to do this or that, then our hospital's medical business will not be able to operate. This kind of behavior of throwing the baby out with the bathwater is definitely not advisable. In order to avoid accidents and ensure the treatment effect, higher requirements are placed on surgical practitioners. In addition to always keeping in mind safety regulations, it also requires more professional medical knowledge, more sophisticated surgical skills and a sense of responsibility like a parent treats his child."
A doctor is like a parent, which actually means a sense of responsibility.
We must always consider the patients and be responsible for them.
Vice President Ye was quite talkative and he spoke a lot.
They all revolve around the theme of safety.
"Now let's praise the surgical departments that have done a good job. The cardiothoracic surgery operating room in the Department of Surgery has always done a very good job in terms of safety. Last month, their surgical error rate and postoperative risk control were still the first in their department. As usual, the hospital decided to reward the cardiothoracic surgery department with 10,000 yuan as an encouragement."
After he finished speaking, Vice President Ye led the applause.
The whole audience burst into applause.
In addition to cash rewards, there is actually a mobile red flag with the words "safest surgical department" written on it.
This mobile red flag is basically occupied by the cardiothoracic surgery department.
Rarely leaked.
Doctors from other departments cast envious glances at the doctors in this department.
The doctors in the cardiothoracic surgery operating room held their heads high and felt extremely proud.
The fact that this department has always ranked first in safety assessments has a lot to do with their leader, Director Hu Kan.
Vice President Ye raised his hand in a mock gesture, and the applause stopped.
"The minimally invasive operating room of the Department of Neurology of the Department of Internal Medicine ranked last in the safety assessment last month. Two accidents occurred during intracranial angiography intervention, three accidents occurred during intracranial arterial stent implantation, and three accidents occurred during intracranial vascular stent angioplasty. Serious criticism must be made. Director Tan, the general person in charge of the Department of Internal Medicine, will have 6,000 yuan of salary deducted for that month. Director Yin Hua, the leader of the Department of Neurology, will have 5,000 yuan of salary deducted for that month. The leader of the neurology interventional surgery team will have 4,000 yuan of salary deducted for that month. The doctors involved have already been punished in accordance with the hospital's penalty regulations, so no other punishment will be imposed."
The surgical capabilities of internal medicine have always been weak.
Although efforts have been made to develop interventional surgery and to train a team of interventional surgery physicians in recent years, high-quality minimally invasive surgeons cannot be trained overnight.
Tuyan Internal Medicine’s development has been significantly hampered by the lack of elite talent in interventional surgery.
This is also a huge test for Director Tan.
The fine was nothing to them, but being criticized in public was enough to make these bigwigs lose face and feel ashamed.
"Do the department heads have anything else to say?"
Vice President Ye looked at the directors of several major departments.
He was very polite to the heads of these major departments.
His position in the hospital must be supported by these departments.
Generally speaking, asking this question is basically the beginning of the meeting.
"There is one thing I want to mention."
Director Xie stood up and said loudly.
"Director Xie, please speak!"
Vice President Ye smiled and gestured.
"Recently, many operating rooms in our surgical department have reported a decrease in first-level surgical cases, resulting in a sharp decline in opportunities to train new personnel. After investigation, we found that the emergency department has recently intercepted a large number of first-level surgical patients who should have been directed to specialist clinics. This matter is related to the training of new surgical personnel in our surgical department, so it must be corrected."
Director Xie's words were like a bolt from the blue to Zhou Can.
He had begged Dr. Xu to do this, but he didn't expect that after Dr. Xie found out, he would directly bring it up at the monthly morning meeting.
This is completely different from communicating and resolving the issue privately with Director Lou.
Moreover, Director Xie’s attitude was extremely tough.
Zhou Can was very worried that Dr. Xu would be punished for this.
