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Page 477
Every major event requires calmness. Although Zhou Congwen does not need the title of world number one, many people in the medical team do.
And Zhou Congwen can be sure that the one who fought with him for many years in the previous life will definitely participate, so he can't be careless.
The next day, the sky was bright, and Zhou Congwen heard the sound of "Ding Dong~".
Chapter 0819 Cautious like being persecuted paranoia
The system rarely automatically issued tasks in the early morning. Zhou Congwen was awakened by the task notification sound, and he didn't get up out of breath. Instead, his heart began to involuntarily start atrial fibrillation just like when he was working in the Third Hospital of Jianghai City.
It was as if I had received an emergency call, my heart was trembling and I felt extremely uncomfortable.
Taking a deep breath, Zhou Congwen glanced at the system panel in the upper right corner of his field of vision.
[System task: Unparalleled Under Heaven, the first stage...]
What's wrong!
Zhou Congwen viciously despised the system.
I know that I want to participate in the World Surgery Competition, and for Zhou Congwen, this is not a competition, but a surgery one by one.
Moreover, Zhou Congwen knew the game well, he had done the task of Wushuang in the previous life, but the system guy actually disturbed his sound sleep early in the morning.
Zhou Congwen sighed softly when he saw that the system was like a wild animal, no matter how many mission rewards he ate, there was no change.
It's not that it hasn't changed, at least now there are a few more fonts displayed by the system task.
Get up, wash up, and call Master Shi to pick up the boss.
When he came to the hospital, Mr. Huang was not unfamiliar. He started the ward rounds as if he was in 912, making the last preparations for the operation.
Everything is in order, this is the most familiar workflow for the master and apprentice.
"Send the patient away." Huang Lao straightened up slightly after checking the patient's physical condition, and waved.
"Boss, let's go change clothes." Zhou Congwen said, "The equipment you brought has been sent for disinfection. I made sure that the disinfection is complete and can be used at any time."
Leaving the ward with Mr. Huang and Deng Ming, he stood alone at the door.
Seeing Mr. Huang coming out, Director Miao bowed to greet him, "Mr. Huang, I'm busy."
"Xiao Miao, why are you here?" Elder Huang raised his eyes and asked.
"Isn't this the end of the year when the professor's operation was done well last week at the annual meeting, so I moved my mind to learn more." Director Miao said with a humble and respectful face, "There are more things in the past year, so I will do it in the next year." Hurry up and come here."
"Oh, further study is a good thing." Huang Lao said lightly.
Deng Ming glanced at Director Miao, but said nothing.
Director Miao made way sideways and walked behind Mr. Huang. Zhou Congwen heard him chatting softly with Deng Ming.
Both of them are directors of a large public hospital in the imperial capital, they are familiar with each other, and they speak more casually than they did when they were facing Mr. Huang.
Director Miao is here for further study?
Zhou Congwen knew that this sentence was both true and false, and the real intention was probably still in the surgery competition.But it doesn't matter what his purpose is, if Director Miao wants to take a look, he can take a look, if he wants to learn, he can teach himself.
When he came to the operating room and changed his clothes, Zhou Congwen asked the boss to sit in the operating room and rest before picking up the patient himself.
Although Zhou Congwen has been familiar with this surgical procedure many times in his previous life, he still calmly and earnestly completes every step before the operation, striving to complete the operation without any surprises.
Zhou Congwen came to the operating room to check the machines, anesthetics, and disinfection equipment, etc., and Liu Wei went to pick up the patients with the operating room nurses.
Director Miao did not accompany Mr. Huang, he was always less close to Mr. Huang, and more in awe.
The 80-year-old old man is still active in the front line, which is impossible for Director Miao.
I'm only so old, and I already have some feelings of powerlessness.
Director Miao reckoned that before he was 60, most of the work in the department would be left to the professor leading the group, and he would hang around until he retired.
Moreover, Mr. Huang is not only good at surgery, but also at the peak level of coronary interventional surgery.The DK-crush operation at the annual meeting of the Department of Circulation last year proved that Mr. Huang is not only doing surgery, but also has enough brains to improve the operation.
Director Miao knows how difficult it is to improve the technique.
Facing the monstrous Huang Lao, Director Miao always felt that his heart would be completely seen through as long as he looked at him.
So Director Miao didn't dare to stay in the locker room at all, but came to the operating room with Zhou Congwen after saying hello.
Director Miao found a corner to stand, quietly watching Zhou Congwen check the connection lines of the equipment, check the shelf life of medicines, etc., which should not be done by doctors at all.
"Director Zhang." Director Miao asked in a low voice.
"I'm here, what's the matter, Director Miao?"
"Has Xiao Zhou always been so cautious?" Director Miao asked.
"No." Zhang You has been observing Zhou Congwen since the complicated congenital heart disease last summer.
It is definitely not his friend who knows a person best, but his enemy.
"Xiao Zhou has very strict requirements for surgery, whether it is the following medical records, physical examination, laboratory tests, or positioning and checking patients before surgery."
"..." Director Miao was taken aback.
This has involved all aspects of clinical practice, and it is extremely trivial to do.
"Including everything in the operating room." Zhang You watched Zhou Congwen squatting behind the ventilator to check the circuit, and said in a low voice, "Sometimes I think Xiao Zhou has delusions of persecution."
"Uh……"
"His anesthetist was brought from Jianghai City. Before the operation on each operation day, his anesthesiologist came as early as 6 o'clock in the morning. Once I was in an emergency department, and it was about [-] o'clock when I stepped down. I saw the elective The lights in the operating room are on."
"You know, during the elective surgery, I was startled in a dazed state. I walked over and took a look, and saw the anesthetist checking the circuit."
"Is it necessary?" Director Miao asked in surprise.
"I thought so too, so I went in and asked. Xiao Zhou's anesthesiologist is Liu Wei, and Dr. Liu told me that this was requested by Xiao Zhou. During the operation, there are sometimes major accidents due to problems with the machine connection."
"Hey, how many surgeries can be performed in one day, it's such a toss." Director Miao disagreed.
Three or five surgeries a day, why be so cautious?
The entire Second Hospital of Medical University performs more than 1 surgeries a year, and the chest department performs less than [-] surgeries a year, and Zhou Congwen's medical team only performs a few hundred surgeries.
With such a small amount of surgery and such cumbersome preparatory work, Zhou Congwen did suffer from persecution paranoia.
When it comes to the volume of operations, Zhang You was slightly taken aback, and then sighed, "There are 2-3 operation days a week in Xiaozhou, and the two operation rooms are performed back and forth, and 15-20 operations can be performed in one day."
"!!!" Director Miao felt that he had heard it wrong, and looked into Zhang You's eyes in surprise.
"It's true." Zhang You said, "I don't believe it either. You said that such a young man has just come to an unfamiliar environment. If I were in the same year, it would be difficult to accept patients, let alone the amount of surgery."
Director Miao took Zhang You's words seriously.
"But Xiao Zhou is really auspicious. He has an old doctor from a nearby city to help outpatients and patients. The volume of operations exploded within a month."
"!!!"
Chapter 0820
Both Zhang You and Director Miao are veterans of the clinic, and everyone knows what is going on with some small but important things.
As Zhang You said, Zhou Congwen is young, and it may be very difficult to preside over the work of the academician workstation at the beginning.But... how long is it until the annual meeting of thoracic surgery, and he can... perform fifty or sixty operations a week?
"Director Zhang, what kind of techniques does Xiao Zhou do?" Director Miao asked.
"There are various operations, half of which are small nodules, and the other half are lung cancer and esophageal cancer. Cardiothoracic bypass surgery is also done, but the patient can't live in his bed and is in the circulatory department. After the operation, he will go to the ICU. come out."
Director Miao had never heard of this kind of work.
Every department in the hospital seems to be in harmony, but who hasn't thought about it.
Especially between the circulatory department and the cardiothoracic department, everyone cooperates and fights with each other. It is good to say that the fight is not broken. In many hospitals, the tear between the two departments is ugly.
It is the best cooperation to have the heart outside squatting at the door of the interventional catheterization room and waiting to receive patients, but Zhou Congwen threw the patients who needed surgery to the standing bed in the circulatory department and went to the ICU after surgery.
This is so special!
How could Zhou Congwen overwhelm the circulatory department so much.
"Director Miao, I don't believe Xiao Zhou's ability is so strong, but all of this happened when my eyelids were low, so I can't believe it."
"Excellent." Director Miao admired softly, "But Xiao Zhou even has to check the shelf life of the medicines. This is a bit too much. Does your head nurse in the operating room have any objections?"
"No." Zhang You said, "And Xiao Zhou is not only looking at the shelf life, but also the drug manufacturer."
"what?!"
Even if Director Miao is a clinical veteran, he didn't understand the meaning of Zhang You's words for a while.
"It is said that I heard from Dean Xiao who came to study. Here, it is the old doctor squatting next to Xiao Zhou. He said that he asked Xiao Zhou to go to their hospital to perform an operation on the city leader, but he was robbed."
Zhang You briefly talked about what happened, "Finally, the patient developed a delayed allergy to the contrast medium."
"Is it related to the manufacturer?" Director Miao was puzzled.
"Tell me which manufacturer has newly produced a contrast agent to prevent allergies. If you change to a normal type, you may see the problem during the operation. The products of each manufacturer are slightly different, but I can't understand it."
Director Miao stared blankly at Zhou Congwen's back.
As for being so delicate?
As for being so cautious?
As for being so careful?
Many things may not be encountered once in a lifetime, but with such a workload, it is entirely possible to overwhelm Zhou Congwen's doctors.
"Director Miao, your side..."
"Don't mention it." Director Miao shook his head slightly, "All the doctors under me are as lazy as pigs."
"Leaving aside, there was a patient consultation in the ICU during the Chinese New Year, and I performed the operation. I didn't write the operation record after the operation, neither did the professor who led the group, nor did I write anything about hospitalization, and the doctor who was in training was even more lazy. A push."
Director Miao began to scold as he spoke.
Although the voice was very low, Director Miao could still be heard feeling helpless.
"Hehe, it's normal. If we have nothing to do in the surgery department, who will write the operation records." Zhang You laughed.
"The patient was discharged from the hospital, but the others were just calling and chasing after writing the operation records. Every time the medical office checks the medical records, they have to pay a fine, so they don't have a long memory."
"It's the same on my side. The medical records are rough. Many surgical records and consultation records are written by trainees and interns before they are discharged from the hospital. They don't read them after they are finished. I check them once in a while. Ren hurts. I have to scold people every time, my blood pressure is high every time, and I have to take medicine. I don’t change it no matter what, it’s a headache.” Zhang You is also very helpless.
"What about Xiao Zhou and the others?" Director Miao asked.
"All homework documents are written and completed in the first time. I have read their medical records, and there are basically no major problems." Zhang Youdao.
All kinds of tedious steps before the operation, and checking the circuit of the electronic equipment, the manufacturer of the medicine and the shelf life... The medical records are written in the first time.
"Did the doctors under him rebel?" Director Miao asked in surprise.
"Xiao Zhou is well fed." Zhang You said in the smallest voice.
Director Miao understood, and there was only one explanation that made sense.
The doctor's work is already very busy, seven days a week, an average of about twelve hours a day, and the hospital does not pay overtime pay.
Clinically making money is the reason why the machine is still running, and the doctors are quite motivated.
After all, doctors belong to the late-stage profession. Many people give up some interests when they are young, and they also focus on the future.
The clinical situation is due to the combination of several factors.
But that being said, even Director Miao himself did not dare to squeeze the doctors under him too hard.
Last year, there was a new professor who led the group and brought a fellow doctor.As a result, the professor with the group left all the medical records and other work to the trainee doctor.
Although he didn't have many operations, everyone knows how tiring it is to write medical records by hand.
The professor leading the group is a newcomer with strict requirements and wants to make some achievements.The trainee doctor worked for a month, sleeping no more than 5 hours a day, and finally collapsed directly.
Before the end of the training period, the training doctor left without saying goodbye, and did not want the training certificate. Before leaving, he tore up all the medical records of all the patients in the group at that time.
These are all trivial matters, and Director Miao just criticized the professor leading the group. As for whether he can do it, that is his business.
This matter is mainly due to the fact that the working hours of doctors have been stretched to the limit, and they have to pay attention to every detail with trepidation. After they go down, they have to write medical records, see patients, and do treatment.
A doctor who is not tough enough will quickly collapse.
Director Miao had seen a lot of similar things, so he didn't dare to squeeze to death, unless it was like what Zhang You said-fed enough.
But with all that money, if he feeds his doctors, he earns less.
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