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Chapter 538: Hospital-wide medical records discussion(1/2)

 The next morning, Dean Chen, who was enjoying his sexual life, walked to the office humming Yue opera, but was robbed on the way.

Several surgical directors were preparing to have a discussion with the dean before going to work.

Jin Peilin, director of the First Department of Surgery, fired the first shot.

When Chen Qi went to surgery as an intern in 1981, Jin Peilin was the director, so he had the oldest qualifications, second only to Zhu Huoyan in surgery. Chen Qi respected him when he saw him.

"Dean Chen, are you betraying the revolution? I remember you were born as a surgeon, right? Why are you always in the Department of Internal Medicine recently? Is it just because your wife works in the Department of Internal Medicine that you are particularly partial?"

Yan Chengzhi, director of the fifth department of surgery, was also standing next to him with an unconvinced look on his face:

"Dean Chen, you have been in office for two months, right? Except for the occasional rounds of the dean, you have never been to the Department of Surgery to conduct research and work, nor have you brought any new technologies to the Department of Surgery. Instead, you have devoted yourself to

Are you helping the internal medicine department to poach the corner of our surgical department?"

"That's right. Originally, problems in the digestive system that required surgery were the business of our surgery. Now that it's fine, what kind of endoscopic treatment are you going to do to cure the disease without surgery? Isn't this poaching the corner of our surgery?

."

Shen Zhemin, director of the third department of surgery, used to be a gentle and gentle person, but now he is also anxious.

"If this continues, our surgery will have no business in the future?"

"What should we do? The director of surgery actually eliminated surgery?"

"This is unreasonable. Oh my god, I'm so angry that I can't sleep at night."

Several old directors talked to each other, and a group of elementary school students also expressed their grievances and denounced the dean as a surgical traitor, which made Chen Qi laugh and cry.

In fact, the reason why Chen Qi has not done anything with surgery for the time being is because he doesn't know what to do.

The ages of these old directors are basically over 50 years old. For surgeons, this age has already passed their prime period.

After the age of 50, all aspects of the human body's mechanisms are declining. You can do some traditional surgeries, but it is difficult to maintain high-tech surgeries because your hands will shake and your eyes will blur.

To take the simplest example, a good surgeon must be absolutely motionless when holding a scalpel.

If an older surgeon uses a later-generation scanning camera and holds the scalpel straight forward, and the photo is scanned, the scalpel shakes until it turns into a ghost, then that won’t work.

Not everyone is as awesome as Professor Wu Mengchao. People can perform surgeries until their hands and feet are deformed, which is really a desperate effort.

The scalpel is starting to shake. How do you perform laparoscopic surgery?

Laparoscopic surgery is not something you just need to understand the theory. The most important thing for a surgeon is to do it, which cannot be compared to those ppt experts.

For example, in Chen Qi's previous life, he practiced singing, which was very strict.

Generally, the right hand holds an operating rod in each hand, and then uses the operating rod to complete a series of difficult movements.

Things like "Plum Blossom Stakes", "Catching Beans", "Lingbo Weibu", "Delivery Service", etc., are all basic skills.

To explain, the "plum blossom pile" is to clamp the small glass balls one by one with the endoscopic operating rod, and then place them on the vertical pole, just like the plum blossom pile in martial arts.

Glass marbles are difficult to use with a fast clip, and they are slippery and fall off accidentally, not to mention the operating lever, which needs to be fast and stable.

This not only exercises the doctor's hand speed, but also tests the doctor's stability, which is simply too much for older doctors.

"Catching beans" is to pick up a small glass bean with an operating lever, switch to another operating lever in the air, and then put it on the plate.

"Lingbo Microstep" uses two operating rods sandwiching a surgical thread, which needs to pass through small holes.

"Delivery service" requires two operating poles to separate the rubber bands, and then prepare to put them on different poles, etc.

This is just basic skills. It is easy to say but difficult to do. Once you have passed this level, there are still more difficulties to overcome.

For example, if it is more difficult, your doctor would hold two operating rods in his left and right hands and use the clamps at the front of the rods to peel raw eggs.

The requirement is that you peel off the egg shells cleanly without damaging the egg membrane.

This exercise is difficult to peel even with bare hands, let alone relying on two poles to operate. It not only tests the doctor's skills and gestures, but also tests the doctor's patience.

Another method is to give you a grape, then cut a knife on the grape skin, and ask you to use the operating rod to sew it up.

Some instructors are even more perverted, asking you to sew dumpling wrappers, and others asking you to sew tofu. If you can't do it, if others can do it, they will become famous doctors.

This kind of exercise or operation is not something that ordinary medical students can learn. Not everyone is clever, has hands that are not trembling, eyesight that is not blurry, and movements that are decisive and quick.

Medical students who are not suitable can only be assigned to internal medicine or other departments, and they will miss the most profitable surgery.

What's more, what about these old directors who are over 50 years old? How can they learn?

If Chen Qi tried his best to introduce the latest technology of this era, laparoscopic surgery, to the Vietnam-China People's Hospital, and then led a group of junior doctors to do it, leaving these old directors aside.

Chen Qi could also imagine what bad consequences would happen.

When all the senior surgical directors and doctors opposed Chen Qi's promotion of new technologies, there was only one consequence, and that was that laparoscopic surgery could not be promoted at all.

Then Chen Qi will also be trapped in a series of troubles such as endless wrangling, lawsuits, reports, etc., and finally become physically and mentally exhausted.

Don't doubt the courage and ability of surgeons to get into trouble. There is nothing in this world that these rough men can't do. Only you, the dean, can't think of it.



Even though the old directors in front of you are all smiling, once they fall out, the dean's face is worthless, and he will go to hell to punish him, the so-called dean.

Therefore, Chen Qi can only appease, but cannot engage in confrontation, let alone implement his own ideas without caring about anything.

“Aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaahhh, I’m not convinced by the accusation that I’m a traitor. Why am I a traitor? When Teacher Zhu came to visit me for endoscopic surgery that day, I told him that the major trend in surgery in the future is minimally invasive surgery.

Instead of resorting to the knife, I stabbed the pipe instead."

Jin Peilin was anxious:

"We don't care whether you stab a knife or a tube. Since you have become the dean and placed all our hopes on it, our surgical directors still want to do something great under your leadership. The result is good, you

I’m just helping those talkative people in the internal medicine department.”

Surgeons and physicians dislike each other. This is a long-standing tradition in the hospital, and no one is convinced by the other.

Chen Qi argued awkwardly:

"Isn't there too much to do? I have to do it one by one. Look at the emergency department I founded. Isn't it helping you transport a large number of surgical patients every day? Can you tell your conscience that the business has increased to a certain extent recently? <

/p>

The key is that I haven’t decided which disciplines our hospital’s surgery department will focus on. After all, the operations we can do can be done by brother hospitals in the province, even the second and fourth hospitals. This will not reflect the competitive value, and even other hospitals can do it.

The charges at the second hospital are slightly cheaper than ours.”

Liu Chuanpin, director of the Second Department of Surgery, snorted coldly:

"Not to mention competing with brother hospitals, within our People's Hospital, the internal medicine department is trying to grab the surgical business. How will we live in the future?"

Of course Chen Qi understands the eccentricities of these old directors, but he is not afraid. Anyway, Teacher Zhu Huoyan helps him control these rough surgical gentlemen.

However, in order to dispel the "arrogant attitude" of the surgeons, Chen Qi decided to give them a showdown.

"It just so happens that I have just received a patient. His disease is ultimately a problem with the digestive system, but it also involves the respiratory system, circulatory system, facial features system, nervous system, etc. There are many symptoms and the condition is very complicated.
p>

Now the cause of the disease has been found out with great difficulty, but drug treatment is ineffective. Everyone is at a loss as to how to treat it, and everyone has their own ideas. I have decided to hold a hospital-wide medical record discussion tonight, and then let you and the Department of Surgery and

Let’s have a PK in Internal Medicine to see who is more confident.”

Jin Peilin smiled contemptuously:

"The digestive system? It's either the intestines or the stomach. There's nothing that can't be solved with one knife. If one knife isn't enough, we'll do two knifes to make sure the medicine cures the disease!"

"Lao Jin is right, medicine is ineffective, so of course the only option is surgery."

"Physicians can only brag. What diseases can they treat? I will attend the discussion tonight."

The old directors of the Department of Surgery were talking a lot for a while, gearing up to beat the physicians to pieces and maintain the honor of the Department of Surgery.

Chen Qi chuckled: "Sure, it's settled."

After getting off work at 5 o'clock in the evening, clinicians from various departments walked to the large conference room one after another.

This is the first "hospital-wide medical record discussion" in the history of Vietnam-China People's Hospital, and everyone is full of curiosity. Of course, it is the senior doctors who are curious, while the junior doctors just want to throw away their academic skills and steal their fists.

Chen Qi has already sat on the rostrum, and sitting next to him is Zuo Liwei, the chief of the medical department. There is an empty seat next to him, and I don't know who to take it.

This is not a formal occasion. Guo Yuanhang is not willing to sit on the rostrum. Instead, he sits with the surgeons and talks and laughs.

Seeing that the time was almost up, Zuo Liwei said softly to Chen Qi beside him:

"Dean, most of the doctors have come. I made a list, but some doctors still refused to participate in the hospital's medical record discussion. Should I go and write down the names of those who didn't come?..."

"No, from now on, this kind of academic conference will be entirely voluntary. Come if you want to come, if you don't want to come, don't come. If you don't take advantage of such a good learning opportunity, it will be them who will suffer after all. Let's get started."

Chen Qi patted the microphone on the table:

"Everyone, please be quiet. I've wasted you an hour today. Let's have a big discussion on the medical records of the whole hospital. This case is a disease recently accepted by the Internal Medicine Department. The condition is very complicated. The disease involves multiple disciplines, and the patient also went to the capital.

and the top hospitals in Shanghai.

It can be seen that the complexity of this case can be regarded as a difficult and complicated disease. Today we have a big hospital-wide discussion. One is that doctors from all departments are here. We are equivalent to a hospital-wide consultation, working together to see if we can give the best solution.

Reasonable treatment plan.

In addition, through this medical record discussion, our hospital must form a good learning atmosphere and continuously improve its academic and clinical standards. As for those who do not come, they will not be able to catch up with the hospital in the future, and they will be eliminated and laid off. Don’t cry.

."
To be continued...
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