Chapter 109 If you want to curse someone, just call! (Please subscribe!)
Ward 1 of the Department of Orthopedics, above the morning shift! After the doctor on duty and the nurse on duty have finished explaining the routine shift handover in the department.
As the current chief director of the Department of Orthopedics, Zeng Yi said: "From today on, our Department of Orthopedics will be responsible for the manual reduction of upper limb bone and joint dislocations, and we will also select some patients for manual reduction of fractures."
"If the doctor on duty cannot handle a patient, he or she will call the front-line consultation class. If the front-line consultation class cannot handle the patient accurately, the director of each group will personally come to the scene to handle the patient."
When Zeng Yi said this, everyone in the department looked at each other in shock.
Li Changhong even jumped in and said, "Director Zeng, didn't we assign this joint surgery department to the second department of orthopedics, and Yan Haihan and others handle it? Why did our department suddenly perform manual reduction of joint dislocation?"
Every day, Class A hospitals have three front-line shifts, namely the front-line duty shift, and there are doctors on duty in the ward 24 hours a day.
The front-line consultation team is headed by the attending physician and deputy senior physician, who are responsible for handling patients who cannot be handled by the on-duty physician at any time.
The director of each group is responsible for the second-line consulting class and handles problems that cannot be solved by the first-line consulting class.
The reason why Li Changhong said this was because what Zeng Yi said just now directly touched his interests in rest.
If you encounter regular patients on weekdays, most of them are handled by the front-line consultation class. Unless there are extremely rare circumstances, he needs to come forward, which is only once or twice a year. This is normal.
But if the department also takes care of the dislocation of the upper limb bones and joints, then the number of times he comes to the department will not be less.
Zeng Yi glanced at Li Changhong and did not reply. Instead, he first explained to Wang Yongjin: "Director Wang, for this arrangement, you are not included in the on-duty staff. The second-line consultation team when you are on duty will be handled by me."
Share it with Chang Hong."
There are three groups in the Department of Orthopedics. The directors leading the groups are Zeng Yi, the current director of the Department of Orthopedics, Chief Physician Li Changhong and the former director of the Department of Orthopedics——
Chief physician Wang Yongjin.
Wang Yongjin has already retired and been reemployed as a hospital leader. He is also quite famous in Hunan Province. He is one of the veteran names in orthopedics who are still active in the clinical front line.
As for the seniors of Wang Yongjin's generation, they have either completely retreated or only sit in the clinic in small numbers.
At such an old age, it is natural not to let Wang Yongjin get involved in duty matters anymore, which is also a sign of respect for his seniors.
Wang Yongjin was a thin figure, wearing an old-fashioned shirt, and his hair was meticulously combed into a side part. He was sitting there, not wanting to talk much.
But Zeng Yi turned the conversation to him, and Wang Yongjin still said politely: "Director Zeng, I am working with you now. You can make your own arrangements. I will obey the arrangements."
Wang Yongjin knew very well that although he was the old director, after he had retired, he should no longer interfere with the department's affairs, especially to compete with Zeng Yi.
Such decentralization is extremely detrimental to the development of the department.
After hearing this, Zeng Yi stood up immediately and replied: "Mr. Wang, you are joking. The development and stability of the department will require a lot more hard work for you, old man."
Then he said: "This is the temporary arrangement. Starting from today on duty, patients from the emergency department will be sent to our Orthopedics Department. Everyone should disperse first and go do your own thing! The operation should be performed."
Zeng Yi finished the order with determination.
Although Li Changhong had all kinds of explanations in his mind, he could only swallow them back helplessly, and just muttered in a low voice that Zeng Yi was meddling in his own business.
In the process of leading people out, Wang Yaoxiang from the team immediately stood next to Li Changhong and complained: "Director Li, isn't Director Zeng's arrangement today deliberately torturing us front-line consulting classes?"
"With all the regular training in our department, where can we find any techniques for resetting joint dislocations? Doesn't this just put us in the general hospital?"
"What are you thinking?"
"Not to mention joint dislocation, which has never been done in the department before, and it doesn't cost much, so why go through this muddy water?"
"Director Zeng, isn't he too idle?"
The voice is very low, but the complaints are not small.
Li Changhong said: "Don't talk nonsense now, I will go and talk to Director Zeng later."
"It happens that our team is on duty today. Please don't leave the department until you get off work. I think Director Zeng will definitely cause problems if he does this."
…
After everyone left the shift room, Zeng Yi took the initiative to walk outside the door of Wang Yongjin's office and knocked gently on the door.
Wang Yongjin, as the retired chief director of orthopedics, has completed the handover with the current chief director of orthopedics, but he returned to the hospital to continue leading the team.
It would not be appropriate for him to retire to an ordinary office.
The director's office was naturally given to Zeng Yi.
So they tidied up a utility room again and gave it to Wang Yongjin as his office.
"Please come in!"
After hearing Wang Yongjin's agreement, Zeng Yi pushed the door open and walked in. Then he saw Wang Yongjin gathered around the desk very simply, arranging two potted plants.
When Zeng Yi came in, he didn't say much greeting. He just said: "Zeng Yi, there are cups under the table, tea on the table, and boiling water in the hot water kettle. Get it yourself."
Zeng Yi nodded naturally and made a cup of tea for himself and Wang Yongjing, then pushed it to Wang Yongjin who had already put the potted plant on the balcony and sat down again.
He explained seriously: "Director Wang, today's matter was actually decided on the spur of the moment by me and Yan Haihan from the Second Department of Orthopedics."
"So I didn't report to you in time, but we have considered it carefully and believe that this is beneficial to the development of our orthopedics department."
"because."
Before Zeng Yi finished speaking, Wang Yongjin took the initiative and said: "Since you young people think this is good for the development of orthopedics, go ahead and implement it."
"If you need me, you can inform me to help. As for the rest, you don't need to report to me now."
"I am sixty-eight this year. I will officially retire in two years and will no longer be in the ward."
"Old." After Wang Yongjin finished speaking, he blew the floating tea leaves, then took a slow sip of the tea, then slowly left it in his mouth to taste it for a while before swallowing it.
When Zeng Yi heard Wang Yongjin's words, he couldn't help but look at the teacher in front of him again - Wang Yongjin.
After he entered the department, he was enlightened, taught, and passed the position of director to his teacher Wang.
I still vaguely remember that when I first entered the department, Wang Yongjin was just an attending physician who was about to be promoted to associate professor. At that time, he was still scolded by the old and old directors.
More than ten years ago, Wang Yongjin was still busy working on the development and division of orthopedics in front of hospital leaders and at orthopedic academic conferences in Hunan Province——
But now, Director Wang is about to enter his seventies, and he is leisurely and indifferent.
Time is really not forgiving.
However, although Wang Yongjin felt that there was no need to report, Zeng Yi still respected the old man Wang Yongjin very much. It can be said that Wang Yongjin is the only person left in orthopedics who can treat fractures from the atlas of the cervical spine to the toe.
Although a wide range of surgeries does not mean good skills, the orthopedics ward used to be like that. No distinction was made between departments or patients. When patients came, as long as they were orthopedics, whether they were spine or fractures, they were all treated.
Need to see a doctor.
This is the characteristic of the Eighth Hospital's predecessors in the simplest era - omnipotence.
"Director Wang, you have worked hard for orthopedics all your life. I don't dare to work harder on you. I just want to report to you that there are arrangements and rules for what we are doing now. This matter." Zeng Yi wanted to explain again.
.
"Then I know, you have all grown up."
"We, husband and wife, will only drink tea today. This tea is quite good."
"I don't know when the flowers I'm taking care of will bloom." Wang Yongjin smiled and looked at the potted plants placed on the windowsill to bask in the sun, with a little anticipation in his eyes.
…
After Zeng Yi left Wang Yongjin's office, he scratched his hair.
This was the first time that he felt that old director Wang Yongjin was really old. Now that he had ideas in his mind and wanted to discuss them with him, he didn't want to get involved anymore. In the future, he would no longer have anywhere to report to.
It's up to him to decide everything.
Including what the development of orthopedics will be like, it is closely related to him, the chief director of orthopedics.
After Ke Zengyi returned to his office, he began to make plans again.
This Cai Dongfan is usually very quiet.
I didn’t expect that he would actually be very capable when it comes to causing trouble.
Even Professor Ding Changle from the Shonan University Affiliated Hospital called him personally to tell him that manual reduction is indispensable in routine orthopedic treatment.
We cannot abandon these basic things simply for the sake of department transformation and pursuit of surgical volume.
At first, Zeng Yi felt it was a little baffling, but he found out after asking around.
What a guy, Cai Dongfan calmly invited Professor Zhong Hua from the Hospital of Traditional Chinese Medicine to perform a consultation surgery on reduction in the department, and then also invited Professor Ding Changle to perform a teaching surgery on intramedullary nailing.
Zeng Yi didn't know exactly when Cai Dongfan got in touch with Professor Ding Changle, but he had asked Professor Ding Changle several times to come to the Eighth Hospital for consultation surgery, but Professor Ding Changle declined because he was too busy.
In fact, the relationship hasn't reached that point yet.
Now, Ding Changle called specifically to explain that he wanted him to allow manual reduction, which was in line with the department's re-establishment of the characteristics of a traditional Chinese medicine hospital.
It can also contribute to the development of the department and improve its reputation among patients.
In this way, although the number of surgeries is relatively small, it will improve the reputation of patients and attract more patients.
This can lay a solid foundation for the development of new techniques and new businesses in the department.
In addition, if you can catch up with Ding Changle by the way, whether it is sending him to further study in the future, asking Professor Ding Changle to come over to do more consultations and surgeries, or to treat his difficulties, it will be very beneficial.
Benefits.
What's more important is that Cai Dongfan actually had a heated fight with Ding Changle under his nose. It must be that Cai Dongfan has something outstanding that Ding Changle appreciates.
If you don't build the platform of orthopedics and just let Cai Dongfan follow Ding Changle in his promotion, then the final result can only be that Cai Dongfan is separated from the Eighth Hospital.
If you cannot provide a platform for talents to attract them, you are forcing them to leave.
After considering all the factors, Zeng Yi had no choice but to discuss with Yan Haihan and decided in advance to abandon the matter of resetting the technique in the department first.
——
Li Changhong quickly found Zeng Yi. After entering, he gave Zeng Yi a cigarette and then asked: "Director Zeng, in our department, there is no need to follow the trend and perform manual reduction of joint dislocation, right?"
"The current volume of patients in our department is still acceptable. This kind of thing is asking for trouble, but it has no benefits, actually?"
Zeng Yi looked at Li Changhong and sighed inwardly.
There are many rumors in the department that you, Li Changhong, will take over as the next director of the Department of Orthopedics, but this matter has not even been mentioned yet. Now you are starting to plan these things, right?
What do you know?
However, since Li Changhong asked, the doctor below must have responded.
He said: "Director Li, you should think more about this matter yourself. Yan Haihan came to me yesterday and said that he saw our department performing surgery on lower limb fractures."
"This is one of them."
"Secondly, Yan Haihan also asked, they are doing dislocations of lower limb joints and upper limb joints. We don't care about it. If we don't care, they will be sent to the orthopedics department. Do you think we should do it or not?"
Li Changhong's face suddenly turned green and red——
He was secretly having lower limb fractures, and Yan Haihan actually brought it up in front of Zeng Yi?
Why are you so busy?
Why don't you think carefully about why patients with lower limb fractures are willing to come to me for surgery instead of going to your department?
Trick people behind their backs and make snitches?
Zeng Yi saw the change in Li Changhong's expression and continued: "Moreover, Director Li, the department is doing manual repositioning of joint dislocations in the upper limbs."
"The benefits to you are not small."
"Didn't Wang Yaoxiang of your group win the second prize in the joint surgery competition for young doctors last year? Is this award just for him to hang on the wall of honor?"
"Nowadays, none of the old guys in our department have a background in joint surgery. You must have an idea of who is responsible for the manual reduction of joint dislocation."
At the same time as he said this, he began to observe Li Changhong's reaction.
As expected -
Li Changhong immediately calmed down and said, "Director Zeng, I understand."
"Don't worry, I will resolutely obey the arrangements of the department and your decision, Director Zeng!"
"I won't let you down."
After saying that, Li Changhong turned back and walked out quite decisively.
I smiled like a flower when I walked out. Director Li has paved the way for me. I am still making irresponsible remarks here. It really shouldn't be done.
Why didn't I think of going to this level?
What benefits are important on the road to becoming a director?
But in the director's office, Zeng Yi kept shaking his head and sighing after Li Changhong left.
This Li Changhong is quite capable, and the people he brought out are also leaders among the new generation of orthopedics.
It's just that I'm too eager for quick success, and I won't be able to afford it early if there is no profit.
After hearing the superficial information, I thought it would be beneficial to him, so I turned around and asked no more questions.
Eyesight and eyeliner are not a problem when a director leads a team, but if he wants to carry the banner of orthopedics, he still lacks a bit of courage and foresight.
At the same time, I was thinking to myself——
Cai Dongfan usually doesn't show off his talents, let alone ask for credit.
In the muffled voice, things are being done that are beneficial to the development of the department, and all parties are taking the lead to set up connections.
What a pity, why did Director Huang take him to the Second Department of Orthopedics back then?
…
At noon, around 11:30, Li Changhong was called into the department by Wang Yaoxiang.
After seeing Li Changhong, he said with a slightly serious expression: "Director Li, at about 10:40, a patient with wrist dislocation came to the department."
"I took MRI and CT scans of the patient, and the diagnosis was confirmed, but I tried to reset it twice, but I couldn't get it back. I can only give you a hard time."
After saying that, Wang Yaoxiang muttered again: "Director Li, why do you think Director Zeng is doing this? The total cost of resetting a dislocated joint is only two to three hundred yuan, and the material cost of plastering is only about four hundred yuan."
"
"If our doctors can get thirty or forty of them, it's astonishing."
"I don't know what kind of trick this is."
As Li Changhong walked, he pondered: "When we were divided into two departments of orthopedics, we focused on spine and upper limb trauma, while they divided into lower limb trauma and joints."
"You also know that there are not many patients with simple lower limb fractures in their department."
"Our department is dealing with lower limb fractures, and Yan Haihan from the Second Department of Orthopedics found out about it!"
"From now on, patients with lower limb fractures should no longer be admitted to the department. The rules remain the same."
Wang Yaoxiang smacked his lips, and his expression changed slightly: "Is Director Yan well fed? They don't have any patients in the department, so they don't look for their own reasons, so they come to trouble our Department of Orthopedics?"
"They also don't think about why the patient is willing to stay in the first department of orthopedics for surgery instead of going to the second department of orthopedics?"
"They are capable, too?"
Li Changhong glared at Wang Yaoxiang and said, "Don't talk when you shouldn't! Director Huang, the director of the Second Department of Orthopedics back then, left his job just for the development of the Second Department of Orthopedics. It's not easy to create the current family business."
"Don't talk nonsense——"
"Although I also think Director Zeng's decision is a bit too wild, but since the department has made this decision, we must strictly implement it."
"But?" Wang Yaoxiang still wanted to argue. If you have the ability, just rely on your ability to snatch patients. Why are you making such a fuss?
"Shall we see the patient first?" Li Changhong changed the subject.
"And Director Zeng said that the reason why the department agreed to treat this joint dislocation was mainly because it valued you. Didn't you participate in a joint surgery competition for young doctors last year and win the second prize?"
"It's not enough to hang medals on the wall and keep them at home."
"This is a good opportunity for you. Do you understand?" Li Changhong patted Wang Yaoxiang on the shoulder and spoke sincerely.
Wang Yaoxiang's expression became a little strange.
My second prize?
My second prize?
My medal is an honorary medal that can be obtained by participating. In fact, there were only a few people participating in the competition that time.
From the first prize to the second prize, everyone can take one. I just use it to spread the prizes to friends to support the occasion.
…
Half an hour later.
Li Changhong, who is not a joint surgeon, had some sweat on his forehead and began to curse in his heart.
Director Zeng, there is no need to deal with this patient anymore, why don't you come and treat it yourself?
So he could only call Zeng Yi directly on his mobile phone, explain the matter clearly, and finally said: "Director Zeng, this patient is a bit troublesome. I reset it twice, and Wang Yaoxiang also reset it twice, but it couldn't be solved."
After Zeng Yi received the call, he quickly came to the department.
After carefully looking at the patient's plain radiograph, he turned to Wang Yaoxiang and asked, "You can't handle this kind of dislocation?"
I began to wonder in my heart whether it was the right decision for me to rashly pursue the relationship between Cai Dongfan and Ding Changle.
Wang Yaoxiang lowered his head and said nothing.
Zeng Yi said nothing more and did not press Wang Yaoxiang. If Wang Yaoxiang had his way, Li Changhong would not appear in the department.
Li Changhong's expression changed for a while and then he said: "Director Zeng, you can't blame Xiao Wang. We have never had such a patient in the department. Xiao Wang has also not suffered from joint dislocation for many years. What kind of thing can he do after a year or two?"
My hands are also raw."
"In this case, we can only admit him to the hospital first, and then find a way to discuss surgical reduction with the patient and his family."
"I still think that before rashly engaging in joint dislocation in the department, we need to think carefully about it."
Zeng Yi said: "You go and calm down the patients and their families first. I'll make a phone call first."
…
Five minutes later, Zeng Yi walked out of the office.
Li Changhong came up with a slightly cold face and said with a puzzled expression: "Director Zeng, the mood of the patient and family members is not easy to comfort."
"They just insisted that if manual reduction couldn't be done, why didn't they explain that surgery was necessary before? I've been in pain so many times now. Isn't the pain in vain?"
"If you want to have surgery, schedule the surgery as early as possible."
"Why do you have to torture them several times before telling them they need surgery?"
Zeng Yi covered his forehead tiredly and asked, "Didn't we communicate clearly with the patients and their families before? Did Wang Yaoxiang make any guarantee in front of the patients and their families?"
"How is that possible?" Li Changhong immediately said with confidence.
"Before starting the manual reduction, it was clearly explained that if the manual reduction failed, the only option would be surgical reduction, but the patient and his family did not accept the need for surgery."
"I just thought that the dislocation was a minor problem, and I was still cursing and saying that if I had known that things could be handled by the Second County Hospital, I would not have come to our place." Li Changhong also felt a little resentful toward Zeng Yi at this moment.
The underlying meaning of the words is, Director Zeng, let me just say it. Joint dislocation in the department will cause trouble. It is unscientific and does not respect reality. Don’t you believe it?
Look, there's trouble now, right?
Zeng Yi closed his eyes for a moment and said, "Wait a minute, I called Cai Dongfan. Someone from their team will come over. Luo Yun from their team is a joint surgeon, and he was also the first to work in the orthopedics department.
People who tinker with manual reduction of joint dislocations.”
"Let's deal with this patient first, and then we'll talk."
Li Changhong also knew something about Luo Yun. Although Luo Yun was not outstanding in other aspects, his joint reduction technique was basically his specific label.
"Then let's wait and see?"
"Luo Yun needs to solve this patient's problem."
…
After a while, when Zhou Cheng arrived at the first ward of the Department of Orthopedics, he found that all the big guys from the Department of Orthopedics were there.
After entering, he first greeted Zeng Yi, Li Changhong, Wang Yaoxiang and others one by one. He also announced his identity.
Then he explained the purpose of his visit: "Director Zeng, Director Li, Teacher Luo just called me and said that there is a patient with joint dislocation here. Teacher Luo was driving and was blocked on the road and was delayed. It will probably take a while, so he asked me to come Let’s take a look first.”
After hearing Zhou Cheng's words, Zeng Yi didn't speak yet!
Li Changhong pulled Zhou Cheng into the nearest shift room on the spot and shouted to Zhou Cheng: "Go back and tell Cai Dongfan. If he wants to curse, just call me, Li Changhong."
"Isn't it necessary to send you here to spread this message?"
"You can also help me pass on a message to Cai Dongfan, saying thank you for your hard work. He has also called Luo Yun back. He no longer needs to come to the Department of Orthopedics. I don't dare to trouble him. We don't have such a pretentious person in our department."
When Zhou Cheng heard this, he touched his head in embarrassment and took two long swallows of saliva.
"Teacher Zeng? I'm not." He turned to look at Zeng Yi. Naturally, it was not good to just turn around and go back without even seeing the patient.
Zeng Yi pursed his lips, feeling angry but calm as he said: "Xiao Zhou, go back to Corey. Thank you for your hard work. This matter has nothing to do with you. Go back to your shift."
After saying that, Zeng Yi and Li Changhong immediately turned around and walked out.
Throwing Zhou Cheng a very decisive and decisive look from behind...