The Provincial Hospital is a large comprehensive tertiary hospital parallel to Yunhua Hospital.

To put it in slightly more internal terms, they are actually provincial-level tertiary hospitals.

Hospitals have a siphon effect.

Everyone wants to go to the best hospital, and leaders are no exception.

Therefore, high-level hospitals under provincial management will receive the greatest support from provincial health finance, high-level tertiary hospitals under municipal management will receive the greatest support from municipal health finance, and county-level tertiary hospitals will receive the greatest support from county health finance.

If there is a tertiary hospital in the county...

In this atmosphere, the Matthew effect is particularly obvious in hospitals. The strong become stronger and the weak become weaker. The better the hospital, the more advanced equipment it can obtain and retain excellent doctors.

Among the 1,300 tertiary-level hospitals in the country, only 44 are commissioned hospitals, such as Xiehe, Xiangya, Huaxi, Zhongshan, Fudan, etc., which are steadily higher than provincial and Yunhua hospitals.

In this regard, Huo Congjun, director of the emergency department of Yunhua Hospital, and Qi Zhenhai, chief physician of the emergency department of the provincial hospital, are both leaders in the medical field in Changxi Province.

Especially since both of them are good at burns, they have more "interactions" with each other.

However, formal out-of-hospital consultation procedures are complicated, which is easier to facilitate only for special public events such as factory explosions or cadre health care tasks.

Qi Zhenhai was very concerned about this opportunity. He checked the ward in the morning, performed only one operation, put on his clothes and went straight to Yunhua Hospital.

He was appointed chief physician just after turning 40, so he can be said to be young and promising.

He also deliberately dressed himself young. At a time when old-school doctors were wearing white coats all year round, he would wear a shirt and trousers whenever he left the hospital.

The only thing to worry about is that the wrinkles on his face are increasing day by day, and his body, which is neglected to exercise, has obviously gained weight. If he is not careful, his belly will stick out. If he wears a white coat like the director of the department, he will still

You can cover it up, but Qi Zhenhai is not willing to do that.

He is too old-fashioned and cannot highlight his youthful and promising side.

Now, what worries Qi Zhenhai the most is the department director.

Unlike government agencies, hospitals have very narrow promotion channels. Unless the department director is promoted to deputy director, or is transferred or poached, he will remain in the position of department director until retirement.

Some department directors have even become deputy deans and are unwilling to leave the position of department directors. As a result, young and promising department directors have been in this position for twenty years, making the doctors below them breathless.

Qi Zhenhai couldn't wait for the director of the emergency department to step down, so he actively promoted the establishment of a burn center, hoping to become the independent leader.

This extra hard work probably deepened his wrinkles, so much so that when he met Huo Congjun, he couldn't tell that there was a 10-year age difference between the two.

"I was just thinking about having a case discussion when I received a consultation call from your Yun Medical Hospital. I also brought over the cases received by our hospital and took a look at them together." Qi Zhenhai was talking about the medical records assigned to the provincial hospital.

The factory explosion was a tragedy for the injured workers and the damaged factory, but it was a rare opportunity for Qi Zhenhai. If he could prove his status in burns, it would be easy to establish a burn center.

"If there is still time after the consultation, we can discuss it privately." Huo Congjun didn't mean to be polite.

Let’s take a look together? I’m afraid I want to show off.

Huo Congjun glanced at Qi Zhenhai from the corner of his eye and thought: I'll see if you still want to show your face later.

"Come in, it's almost time." Huo Congjun was not in the mood to chat. He only said hello and returned to the conference room.

At this time, the junior doctors in the department had chairs arranged around them, and they gave up the large conference table in the middle.

Huo Congjun chose the far corner opposite the door and sat down with a golden sword.

The other two chief physicians and four deputy directors were sitting on both sides, and the awkward atmosphere of the large department with seven experts was immediately revealed.

Qi Zhenhai didn't take it seriously. He casually found a chair in the middle and sat down. He asked the resident doctor who came with him to put the medical records in front of him, and asked with a smile: "Director Liu from the Army General Hospital is not here yet?"

"The patient over there is in some condition and is already on his way." Dr. Du was in charge of liaison and explained.

Qi Zhenhai smiled and said: "Then wait, this factory explosion is quite serious, and it will be tried by three courts."

Huo Congjun remained silent, and the other doctors were also reluctant to speak. The atmosphere was awkward for a while.

Qi Zhenhai pulled his clothes indifferently, covered his unrefined belly, and waited quietly.

Hospitals like Yunnan Medical University or provincial hospitals don't like out-of-hospital consultations, so the consultation environment has always been bad.

In contrast, out-of-hospital consultations initiated by tertiary hospitals at the county and city levels are more interesting because of the status gap and the inherent meaning of asking for help and showing weakness.

Of course, today's top tertiary hospitals at the county and city levels are too lazy to conduct out-of-hospital consultations through formal channels. They all contact privately to invite foreign aid. They have to pay anyway, and it would be easier to have fewer procedures.

"Oh, sorry, I'm late. I'm late." The sound of opening the door disturbed the air in the office.

An old doctor with a square face came in, with an old-fashioned stethoscope hanging on his chest like a pocket watch.

Huo Congjun stood up to greet him and asked: Director Liu, has the patient been taken care of?"

"Declared dead." Director Liu's expression did not change.

Ling Ran sat in a small corner and turned to look at Director Liu.

Death is common in large hospitals. Modern people rarely end their lives quietly and peacefully at home. They always have to go through the hospital before they give up completely.

However, Director Liu's understatement is still rare.

Among the doctors sitting in a circle with their backs to their desks, the attending doctors had the calmest expressions. The young residents had different expressions. Some were accustomed to Director Liu's words, while others were senior residents.

By accident, they were junior residents who had just finished their regular training. Also, they didn't pay attention to the conversation in the conference room at all.

"Everyone is here, let's get started." Huo Congjun sat back in his seat and opened the medical records.

The consultation system has been improved over the years and has procedures.

In particular, out-of-hospital consultations are as meticulous as university military training. Their importance is also equivalent to university military training - extremely troublesome, seemingly useful and useless, but superiors often like to check this work.

Dr. Du got up and turned on the projector and started reading with the PPT.

Huo Congjun turned around in his chair, squinted his eyes, and listened as if sleeping, not caring about other people's eyes.

Qi Zhenhai was in high spirits, his eyes widened, and he was constantly calculating in his mind.

Director Liu was doing his usual routine, his eyes seemed to be wandering, and he didn't care about what was going on outside his own land.

"This is the situation. The burn areas of the two critically ill patients are relatively large, but they are basically under control. What we need to pay attention to now is not to repeat." Huo Congjun was more like a doctor giving instructions to his doctors.

This attitude also sets the tone for today’s out-of-hospital consultation.

Qi Zhenhai couldn't help but feel a little disappointed. He wasn't seriously ill, so how could he perform well?

"Patients with 80% burn area should not be taken lightly." Director Liu paused and said, "There must be someone following you at all times. I suggest you allocate manpower."

"Doctor Du has been assigned to take charge of this case..." Huo Congjun said.

"Too old, I can't follow you." Director Liu said unceremoniously: "Burn patients have complications all the time. 80% of the burn area, heart failure, kidney failure, shock, toxemia, anything can happen.

, find a younger attending physician, it is best not to change the person, and stay on duty for a month to see if they can save both of them."

The factory explosion is the focus of the city's attention. The direction of consideration should be cautious and comprehensive, and the cost is secondary.

Huo Congjun was stunned for two seconds, nodded and said: "Okay, we will arrange it later."

Huo Congjun and Qi Zhenhai, both present, are emergency experts and have made great achievements in the field of burn injuries. However, when it comes to specific and subtle aspects, they cannot compare to Director Liu, who has been in charge of the burn surgery department for many years.

Director Liu himself was very indifferent and said: "The more people died under my command, the more ideas I had. What I did today was that the pulmonary embolism was discovered too late. At that time, I should have just prescribed heparin regardless of whether it was good or bad... Forget it, no.

I said, let’s leave it until the death discussion. Well, Lao Huo, then I’ll go back if it’s okay?”

"Don't worry, it's not easy to come here. Let's talk about the medical case again." Huo Congjun coughed and saw Dr. Du pick up the remote control and play a video.
Chapter completed!