Chapter 122 We eat and cry the devil and them (please subscribe!)
At present, China’s definition of surgical grade is from the perspective of trauma surgery, at least from the definition of fracture.
It is defined based on the surgical method and the location of the fracture.
There are not many definitions of Level II surgery.
To sum it up, there are just a few points.
Keywords: simple long bone fracture, non-intramedullary nail internal fixation.
Apart from this, there is no more strict and detailed classification.
The fracture must first be classified.
Once the type of fracture changes, the grade of surgery will increase.
For example, if a simple fracture turns into a complex fracture, or a fracture involving the articular surface, then the surgical level will be automatically upgraded to Level III surgery.
Similarly, the level of surgery is also related to the internal fixation method.
For a simple fracture, if you choose to use plates and screws for internal fixation, it will be a Level II surgery, but if intramedullary pins are used for internal fixation, it will become a Level III surgery.
This is a strict definition.
Wang Yongjin and others have been working in orthopedic trauma for so many years, so naturally they don’t need Zhou Cheng’s endorsement in front of them.
Moreover, this endorsement is really memorizing the textbook, and does not mean to take the blame for them.
However, they originally only wanted Zhou Cheng to fix the fracture of the medial malleolus with steel plates and screws and that would be it.
But what about Zhou Cheng?
he?
He he he.
Wang Yongjin had a grimace on his face and almost lost his balance, mainly because he was angry at Zhou Cheng.
He even thought about many reasons why Zhou Cheng would suddenly change the surgical method. Zhou Cheng even said to him that he was showing off his skills just now and deliberately made a small incision.
That's fine, Wang Yongjin is willing to stand up for Zhou Cheng and endorse Dou Chengpeng in front of his old face.
He said that with senior directors like us here, the young man might have been a little presumptuous, thinking that someone was keeping the whole story under wraps.
This makes sense. With superiors around, lower-level doctors have confidence. Isn’t this the case across the country? Isn’t it the same all over the world?
Can?
What Wang Yongjin never expected was that Zhou Cheng turned out to be?
In addition to his great skills, he also has a thorough understanding of the definition of orthopedic surgery level——
Then, think of ways to exempt yourself.
Medial malleolus fractures cannot be classified into simple and complex types. This is the specialized knowledge of orthopedics. Although this patient's fracture is simple, it still involves the articular surface, by definition.
Indeed, if plate and screw internal fixation is used, it is classified as a third-level surgery.
But the current guidelines don’t classify this so strictly. If you don’t tell us, we won’t sell you. Who can cause trouble for you?
What is Zhou Cheng’s current choice of internal fixation method?
It is screw internal fixation, which is an absolute level II surgery.
According to the current definition, it cannot be classified as a level III surgery.
If it is impossible to insert a screw, it is classified as a level III surgery, right?
Because, in terms of surgical classification, in addition to instructing doctors that their professional titles should be consistent with the surgical positioning, they should not skip surgeries.
It also has something to do with the pricing of the surgical method. To insert a screw and be charged according to the level III surgery is indeed a bit too much...
So, therefore, soso!
To sum up——
What Zhou Cheng did was not unreasonable or showing off his skills. Instead, he was trying to figure it out for himself from the bottom up!
He uses headless compression screws, which is strictly at the level of controlled surgery!!!
Today I am only authorized for Level II surgeries, and I will only perform Level II surgeries.
do you know?
He's controlling the surgical level -
What's the point of downgrading the operation?
This is a flaw in the current definition of orthopedic surgery levels by the expert team in China...
From another level, for the sake of safety, he first made himself invincible.
You want me to perform level II surgery, but the patient assigned to me is wrong...
But it doesn't matter. I have used my own strength to force the wrong patient to undergo level II surgery, so I won't cause you any trouble.
Wang Yongjin and others, who could understand what Zhou Cheng was saying, were really speechless.
I was confused by Zhou Cheng’s explanation in my heart——
Dou Chengpeng didn't quite understand, and turned to ask Wang Yongjin: "So? Director Wang? What level of surgery was this surgery just now?"
"Can't it be?" Dou Chengpeng didn't dare to say it. Although he was sure that the patient could not hear it, the patient was not under general anesthesia. If he listened to these things and reported Zhou Cheng, it would be absolutely doomed.
Everything done is wrong.
The resident doctor jumped over the rank and performed a level III surgery. When Dou Chengpeng heard this, his scalp went numb. Once word got out about the incident.
The Eighth Hospital is going to be famous.
It took Wang Yongjin a while to regain his composure, and he quickly shook his head and said, "No, no, no, Chief Dou, this is not a Level III surgery, this is an absolute Level II surgery."
"If screwing in can be considered a level III surgery, then it will be too easy for us orthopedic doctors to make money."
"I dare not say that."
He said this, but in his heart, he secretly classified Zhou Cheng's surgery as a level IV surgery.
Because although there is currently no definition in the Chinese guide, according to Luo Yun, it is estimated that the guides around the world do not have this definition, so from another level, it is a new technique.
However, the tools Zhou Cheng used were readily available, and he just happened to get into such a trap. Others couldn't say that it was a level IV surgery or a new surgery to trouble Zhou Cheng.
This young man.
Dou Chengpeng breathed a long sigh of relief and replied: "That's good, that's fine over there."
Then he looked at Wang Yongjin with a smile, and then changed the topic to business.
"Director Wang, how is the completion of this surgery? How should we rate it?" Dou Chengpeng was seriously asking for advice, and everything was still based on the directors of the Department of Orthopedics.
Anyway, if there is a problem in the future, it is them to look for.
"I think I'll give you ninety points first."
"Zeng Yi, Yan Haihan, what did you say?" Wang Yongjin did not dare to speak too fully.
There are many procedures required to develop and promote new techniques. We cannot make it too public at the moment. We need to get the procedures right before we promote them.
Otherwise, if Zhou Cheng is praised too highly in advance and something goes wrong while following the procedure, then Zhou Cheng will be harmed.
I also hope that Zhou Cheng will not be too proud, complacent, or even arrogant.
However, according to what Zhou Cheng has said so far, he is definitely not a proud and complacent person, but is stable to the core of a turtle.
Zeng Yi and Yan Haihan didn't dare to say anything, so they naturally obeyed. They agreed with Zeng Yi's statement: "I also think that if I give it 80 to 90 points, it will be regarded as a successful operation.
.”
Because I don’t know how, I dare not call the surgical process perfect. This is just caution.
Some clinical operations may seem fancy, but whether they are useful or not depends on the results of follow-up, rather than personal evaluation.
In the long history, many new surgical procedures have appeared, but they were all short-lived and caused many patients and doctors to pay a heavy price. This is how the Ethics Professional Committee was born...
Zeng Yi and the others did not dare to rashly go beyond this to learn how to do things.
We can only wait until we get Zhou Cheng's Level II surgical authorization, then think about the small incision open reduction and internal fixation that Zhou Cheng did today in detail, and then find a way to go through the Ethics Society approval and other processes.
"Then I'll listen to Director Zeng and give it ninety points." Dou Chengpeng also likes the beauty of adulthood.
Since both Wang Yongjin and Director Zeng Yi felt that this operation was done extremely well, they just talked about the key points of this operation during the analysis.
The joint surface is flat and the fracture line is hidden, which is a high-quality postoperative review performance.
After this, Cai Dongfan led Zeng Yi and others downstairs to rest.
Of course, while going downstairs, Cai Dongfan was asked by Yan Haihan and Zeng Yi to inquire in detail about Zhou Cheng's daily performance in the department.
Cai Dongfan said: "Xiao Zhou has always been a steady person."
"In the past two years, I haven't noticed anything unusual about him. Moreover, before he got the Level I surgery and operation authority I granted him, he never handled a single patient personally. All emergency patients were given to Luo Yun.
The call was made.”
When Wang Yongjin and others heard this, they immediately took a deep breath.
He said with some shock: "Then this young man is really calm."
Then Wang Yongjin turned to look at Zeng Yi, cursed and asked: "Zeng Yi, how are you? Is what I told you right?"
"In this world, most of the geniuses who can go further are walking within the rules and doing them well, and then they stand out?"
"Remember how frizzy and frizzy you were when you were with me?"
“I’ve just had a few level II surgeries and now I’m thinking about level III surgeries. Now I feel like I’m not up to the task, right?”
"Your efforts to raise your temper are not as good as those of a young boy in his twenties."
Zeng Yi was being scolded and immediately felt quite innocent. However, thinking of Zhou Cheng's incident, he muttered: "If that's not stable, that could be called vulgar."
Wang Yongjin immediately lectured: "What is obscene?"
"What is rashness?"
"Can you explain it to me in detail?"
Zeng Yi stopped talking and lowered his head in front of Wang Yongjin, not knowing how to refute.
Yan Haihan chuckled lightly on the side.
Zeng Yi glanced at Yan Haihan: "Do you think I only want to say these words to Zeng Yi?"
"You two are more courageous than Zeng Yi. Don't think that I don't know what you have done."
Yan Haihan suddenly felt that he had been innocently implicated again, and he quickly became honest.
Pretending to be a good boy, he immediately admitted his mistake: "Director Wang, what you are saying is that you were young and ignorant before, but you would never dare to do that now."
…
When Yan Haihan saw Wang Yongjin, Zeng Yi and Cai Dongfan chatting, he took the time to walk out of the smoking room, and then secretly called Yang Yifeng.
"Yi Feng, do you want to come to the operating room to observe it today?"
"We are performing an operation on Zhou Cheng from Director Cai's group that has been granted an exceptional level II surgical authorization, you."
Yang Yifeng was typing words at the moment, so he said: "Director Yan, I won't interfere. In fact, this kind of thing happens in our place from time to time, so it's not too unusual."
Yan Haihan really wants to say, I'm afraid this time is different from what you thought, and it's a little stranger than what you've seen.
But he no longer persisted, for fear that Ding Changle would come looking for him again.
…
In the operating room.
Luo Yun and Zhou Cheng sat obediently in front of the timing panel in the operating room. Luo Yun touched Zhou Cheng's arm and said in a low voice: "Get off the stage for surgery, don't do it like this, you will scare people to death."
.”
"Director Cai was sweating all over his back just now, but you were still there, getting high, as if nothing was wrong."
Zhou Chengze said innocently: "Okay, Teacher Luo."
"The following two surgeries are both simple long bone fractures. This is not a leapfrog surgery. I will not do anything haphazardly. I will follow the surgical procedure step by step."
"During the previous surgery, I was not afraid that the joint plane was involved and the patient would grab his pigtails. What if?"
"Teacher Luo, do you think so?"
The corners of Luo Yun's mouth twitched, and he really wanted to slap Zhou Cheng.
You almost scared us to death by mentioning this matter. Besides, why are you so cowardly?
If your temper were like this, and my teacher saw it, he would scold you so hard that your own father wouldn't recognize you.
I am still poisoned by rules and regulations, my thinking is imprisoned, and the first thing I think of when doing things is self-preservation.
At present, in quite large teaching hospitals, there is an unwritten saying: 30% of the cost is spent on food, 60% is for self-protection, and 10% is left for God's will.
The main reason is that I am scared by the current medical relationship. For patients who are difficult to deal with, even the surgeries that I know how to do will not be performed, so I will find another way to do it. Over time, some patients who are a little more sophisticated will not be able to do it.
No surgery was performed on him.
It depends entirely on the patient's own wishes. He can leave whenever he wants. If he really can't send him away, then he has to do it.
His own teacher was deeply disgusted by this attitude.
Of course, it’s hard to say much. At present, the quality of doctors across the country is inherently uneven. You can’t ask doctors from some lower-level hospitals to perform surgeries in the same way as doctors from Kyoto.
Nor can you expect doctors in towns and villages to have the level and knowledge of doctors in county hospitals and prefecture-level city hospitals.
Being conservative and prudent has always been the first principle recognized by everyone in the clinic.
This conservatism and prudence are not only reflected in the medical process, but also in the selection of patients.
It's all forced.
…
With complicated thoughts, Luo Yun touched the back of Zhou Cheng's head, sighed and said, "Yes and no!"
"I don't blame you, I can't blame you."
Zhou Chengcheng is a young student. He is a little unstable. If something happens, who will endorse him? Who will give him trouble?
All that was waiting for Zhou Cheng was to return to the regulatory training office, and even the regulatory training for several years was in vain. Can you blame Zhou Cheng for being too cautious?
Zhou Cheng responded with a silly smile...
While Zhou Cheng was laughing, An Ruobian and traveling nurse Nie Yali pushed the new patient into the operating room.
An Ruo, an anesthesiologist, dragged the bed in front of the patient, and Nie Yali pushed.
An Ruo just happened to see Zhou Cheng's smile, and she was immediately furious: He is really a devil, and he is still laughing and joking here leisurely!
This is the third one!
Big brother.
It was only a little after nine o'clock.
Our operating room has performed three surgeries, do you feel any guilt at all?
I'm almost exhausted from you.
Zhou Cheng naturally didn't know what An Ruo was thinking, but after seeing the patient being pushed in, Zhou Cheng quickly went to help transfer the patient from the gurney to the operating table.
Zhou Cheng is responsible for the legs that require certain techniques.
There is a fracture in the leg and there is no anesthesia yet. If someone other than a specialist comes to transfer the patient, it will cause the patient to die of pain. However, after the orthopedic surgeon performs traction, the pain will definitely not be completely avoided, but the pain will feel better than
It should be lighter when lying on the bed.
It is completely within the patient's acceptance range.
After Zhou Cheng transferred the patient, he sat down again and asked Luo Yun: "Teacher Luo, tell me, after I have obtained the Level II surgical authorization, can I routinely perform small-incision open reduction and internal fixation in the department?"
?”
This was the first time Zhou Cheng told Luo Yun the full names of the skills he knew.
Even though Zhou Cheng's current mastery of this technique is perfect.
Luo Yun knocked Zhou Cheng on the head: "You think so well!"
"The operation you just performed is an unconventional operation. Do you think it's not in the guide and you can keep going if you leave a loophole?"
"If you have to go through the process, you should first report to the medical department, and then go to the provincial ethics society for approval. Only after it is assessed that it is harmful to the patient's rights, can you carry out it regularly in the department."
"Now, you have to wait for who knows how long."
"I told you to hide and tuck what you normally do." Luo Yun cursed.
Zhou Cheng smiled bitterly and asked Luo Yun: "Teacher Luo, if I say that I am actually very proficient in the resection, internal fixation and chemotherapy of large bone tumors, the recurrence rate is as low as one percent, can you do it?"
"Fart." Luo Yun rolled his eyes immediately, but he also understood what Zhou Cheng meant.
Zhou Chengcheng scratched his head and said, "Yes, Teacher Luo, you also think I am farting. Even I feel like I am farting."
Zhou Cheng sighed with emotion!
In fact, he was afraid that Luo Yun would really believe him and then find a few patients to call the egg-laying bird.
Luo Yun then changed the topic and said: "If you have this idea, you have to say it. Only by saying it can Director Cai and I help you. If you have to wait for the right opportunity, then you can just keep waiting.
Just wait and see when you can go."
Luo Yun beat Zhou Cheng.
Zhou Cheng smiled and replied seriously, "I think it's good to wait."
At the same time, I thought silently in my heart, Teacher Luo, I am willing to just wait for the right opportunity.
This is related to Zhou Cheng's character. The reason why he has to improve every skill to perfection before he dares to use it in clinical practice. Zhou Cheng has his own considerations.
It's not about showing off your skills or shocking others.
Instead, he, Zhou Cheng, now has a plug-in called Simulation Copy. The plug-in can improve his skills to perfection, or even beyond perfection.
Then as a doctor, why can't he wait and improve his skills to perfection before using them on patients?
Zhou Cheng has never dared to forget that when he was ignorant in high school and entered university, he solemnly swore an oath that every medical student would take -
Health and life depend on each other.
When I enter the sacred medical school, I solemnly swear: I am willing to devote myself to medicine, love the motherland, be loyal to the people, abide by medical ethics, respect teachers and discipline, study hard, work tirelessly, strive for excellence, and develop in an all-round way.
I am determined to do my best to eliminate human suffering, help improve health, safeguard the sanctity and honor of medical skills, save lives and heal the wounded, work tirelessly and persistently to pursue, and strive for the development of the motherland's medical and health undertakings and the physical and mental health of mankind throughout my life.
I am determined to do my best to eliminate human suffering and help improve health!
Those few words convinced Zhou Cheng to take the postgraduate examination three times, and he still has this plan.
Zhou Cheng's family is not rich, but not poor. Even if he completes the formal training and then goes to graduate school, it will not be a big burden on his family.
can only say.
Do my best!
If there is really no other way, no opportunity, no conditions, then I will try my best.
If Zhou Cheng knows that he will never be perfect in his life, there is nothing he can do!
but?
You can reach the perfect level and it doesn't take long.
Zhou Cheng is willing to keep waiting like this.
Even a few more years, ten years, Zhou Chengdu thinks it's okay.
He is worthy of his profession as a doctor, worthy of his patients' trust in him, and worthy of receiving this simulated copy.
After reaching the perfect level, although you can still improve it, those things can be done later.
The medical technology I provide is already at the most perfect level in the world today. This is what I can do now and what the world can do. Although progress can still be made, I have not found the real direction yet, so I just
These can be provided.
My abilities are limited, but I have reached my limit.
Luo Yun only looked at Zhou Cheng smiling, and knew that he would definitely not be able to change Zhou Cheng's mind on the spot. If Zhou Cheng's mind could be changed so easily, he would not be called Zhou Cheng, and Zhou Cheng would not be able to
He had always been unknown before, so he could hold his breath.
"Stop talking about this and think about the next two surgeries."
"Your performance in the first two stations was almost..." Luo Yun suddenly couldn't find a word to describe it.
Zhou Cheng looked at Luo Yun with a strange smile: "Teacher Luo, is there a flaw?"
Luo Yun turned his head and glanced at Zhou Cheng: "Immaculate!"
MLGB, I'm talking to you about business, you poke my holes.
…
Finally, at nine twenty-three, Anruo, a little worker bee, diligently completed the anesthesia for the third operation, and then hurriedly sat down to rest.
After checking the patient's vital signs, which were quite intact, he immediately rubbed his wrists, then grabbed the ground with his toes and stretched his poor little feet.
His eyes watched as Zhou Cheng and the other devils walked boldly to the operating table again and began to disinfect and spread drapes.
Immediately afterwards, Cai Dongfan entered the operating room again.
Zeng Yi also came. He looked at his students and felt a little distressed, but he thought they were fine.
The reason why he agreed to undergo orthopedic anesthesia again was to exercise Anruo's resilience and state of mind.
At present, An Ruo's anesthesia skills are no problem for ordinary patients, but she has not been exposed to that kind of high-intensity anesthesia training. Just like herself, she worked in several operating rooms in succession before she established her current career as director.
.
If Anruo is a girl, he already loves Anruo quite a lot. At least he only treats her as a normal man, instead of being used as an animal like he did in the past.
In the third operation, the tibial fracture finally returned to normal, using plate and screw internal fixation.
In fact, this patient could choose a better intramedullary nail internal fixation, but the difference between intramedullary nail internal fixation and plate and screw internal fixation is not very big. And it was also so that Zhou Cheng could obtain Level II surgical authorization, so he did this
Arrangements are made.
Otherwise, once the internal fixation is replaced by an intramedullary nail, it will become a level III surgery.
However, when the visiting lady and the hand-washing lady were in place, Zhou Cheng finally took the initiative to pick up the round knife for the first time and cut in front of the patient's leg.
Then he shouted: "Teacher Luo, electric knife, tweezers."
Okay, it's finally routine.
When An Ruo heard this, the stone in her heart fell to the ground.
Normal internal fixation requires exposure no matter what, and then suturing. This period of time is enough for her to rest, and there are also internal fixations—
However, just as the stone in An Ruo's heart fell to the ground, it suddenly started flying again.
"Sister Yan, give me the steel plate!"
"Ahem!" An Ruo was immediately startled.
He stood up, looked at Zhou Cheng, and cursed in his mind, weren't you looking for an electric knife just now? Why was it just a steel plate?
Then, An Ruo saw that Zhou Cheng had made a two centimeter vertical incision, which could be sutured directly with at most two stitches.
At this moment, Zhou Cheng held a bone peeler in his hand.
The periosteum is being separated along the patient's tibia.
Although Liu Yan does not need to turn over patients, she has to wash her hands and prepare the instruments before each operation, and then counts and packs the instruments. There is a lot to do, and she is still out of breath at this moment.
"Here, steel plate." Liu Yan handed over a seven-hole one.
"Nine-hole ones, not seven-hole ones." Zhou Cheng replied directly without answering.
Liu Yan rolled her eyes: I gave you a seven-hole steel plate and asked you to make gestures. Just call it nine-hole.
Could it be?
After Liu Yan passed the nine-hole steel plate, Zhou Cheng actually stuffed the steel plate into the incision.
This is quite a routine open reduction and internal fixation of fractures, so although Cai Dongfan and Luo Yun frowned and felt that Zhou Cheng's pace was a bit fast, Zhou Cheng's movements were always methodical, as if their emperor was not in a hurry and the eunuch was.
.
When Zhou Cheng used bone peeling to separate the periosteum, he did an excellent job.
Therefore, the steel plate is completely embedded into the skin just right.
"Formula, prepare screws and depth gauge." Zhou Cheng looked at Liu Yan and ordered.
The tone seemed to blame Liu Yan for being too slow.
Liu Yan prepared these things for Zhou Cheng one after another, and then started to gasp a little. The pace was too fast and she couldn't keep up.
When it’s too fast to keep up, it’s natural to lose it…
Zhou Cheng placed the formula for the first locking screw of the steel plate very neatly and calmly.
Sounding - 6.2!
"Take the 6.4 locking screws." Zhou Cheng only glanced at it and said to Liu Yan.
Then, instead of returning the electric drill with the formula to Liu Yan, Liu Yan only handed the locking screw with the handle to Zhou Cheng...
Up and down the fracture line, Zhou Cheng spent almost seven minutes driving six screws.
He shouted politely: "Tourist, please push the C-arm machine."
Anruo has been standing all the time, her feet are a little numb, her hands are a little numb, and now her head is also a little numb.
This is really a devil——
So fast.
Although An Ruo doesn't know much about orthopedics, she has done a lot of surgeries and already understands the surgical procedures.
In this operation, Zhou Cheng did not skip all the steps, but still.
At eleven minutes, all the screw fixation operations were completed. Do we need C-arm fluoroscopy to declare that the operation is over?
What was wrong with me just now? Why did I have to go to see his operation obsessively without knowing how to sit down and rest for a while?
And because this surgery was quite satisfactory.
That's why the surgical procedure sheets prepared by Zeng Yi, Wang Yongjin and others finally came into use.
As soon as the C arm was seen through, Wang Yongjin once again acted as the commentator, and then Dou Chengpeng ticked the boxes one by one.
Finally, I forcefully found some minor flaws and gave it a score of ninety-eight points.
And he said with a smile: "Director Wang, Director Zeng, this resident doctor in your orthopedics department is very interesting. He completed three operations so quickly."
"This strength should not be underestimated."
"And Director Wang also said that the postoperative results of every operation are excellent." Dou Chengpeng said while taking pictures of the third patient's C-arm fluoroscopy results.
Although he kept saying that he completely believed Wang Yongjin's explanation, his action of taking pictures betrayed him.
But Wang Yongjin and others felt that it was understandable that Dou Chengpeng, as the chief of the medical department, would definitely find experts and professors from other hospitals to evaluate the postoperative C-arm fluoroscopy results. This is a common thing.
If it was only the orthopedics departments at the Eighth Hospitals who said yes, there might be suspicions of cover-up.
Just let him take the photo, and Wang Yongjin and others didn’t mention it.
Anyway, when these results are taken out, the Eighth Hospital will only gain face, but will definitely not be embarrassed.
…
So, the fourth operation continued step by step.
Ten twenty.
Four surgeries, all completed.
Wang Yongjin, Zeng Yi and others handed the score sheets to Dou Chengpeng, and then Zeng Yi said: "Chief Dou, you will have to work hard to handle the rest. Thank you, Chief Dou, for taking the trouble to visit our orthopedics department today."
Operating room, come and personally supervise our orthopedic work."
Dou Chengpeng collected the score sheets, tucked them into his armpits, shook hands with Zeng Yi, and said, "Director Zeng, Director Wang, you're welcome."
"I definitely don't dare to talk about guidance. We only serve the clinical departments, and the main opinions are your own. I just came here to be a witness."
With that said, Dou Chengpeng glanced at the operating room, where Zhou Cheng was helping the anesthesiologist and circulating nurse to transfer patients, and then lowered his voice and said:
"Director Zeng, I may not understand much about other aspects."
"But the speed of Dr. Zhou's operation today and the quality of the operation explained by Director Wang have greatly opened my eyes. I have never heard anyone say that except for ophthalmology, which department can completely complete the four-year operation in such a short time?"
For surgery.”
"I'm still involved."
"Therefore, I hope that this little Comrade Zhou can become our colleague."
Speaking of this, Dou Chengpeng licked his lips and said, "Of course, this is also my personal opinion. Just say it casually, Director Zeng and Director Yan, don't mind."
Dou Chengpeng was obviously interested in this, so he intervened more.
Zeng Yi immediately said: "Chief Dou, don't worry, we will try our best to keep Xiao Zhou in the department. However, everyone has their own ambitions. Whether Xiao Zhou agrees with him or not, in fact, it is not up to us as an orthopedics department.
Calculate."
The Human Resources Department is the final step in deciding who will go and who will stay.
Although Zeng Yi and Yan Haihan have the final say in most situations, until the last step, before everything becomes a certainty, everything remains unknown.
Then Cai Dongfan quickly said: "Chief Dou, let's have dinner together later and I'll give you a call."
"It's been really hard today. After this matter has been concluded, I'd like to thank you, Section Chief Dou, for giving me a call. It will give us a good idea of what's going on."
Cai Dongfan quickly raised the key points.
What if.
This matter has not been settled, and everyone's exchanging pleasantries has ruined today's arrangements.
You're welcome, things have to be done.
Dou Chengpeng said hurriedly: "This is natural. Since I came here personally, I will definitely pay attention to it. The results should be available soon. Director Cai, just wait for the good news."
"These few operations can fully demonstrate the strength of Dr. Xiao Zhou in our hospital."
Only then did everyone send Dou Chengpeng away.
Then Cai Dongfan sent Zeng Yi and Wang Yongjin out of the operating room, explaining to them that he had arranged a dinner and they must be there when the time came.
Then he returned to the operating room and said to Yan Haihan: "Director Yan, thank you for what happened today."
"If you hadn't supported the two patients, I really wouldn't have been able to do anything."
Yan Haihan said: "This is what we should do. Xiao Zhou is working hard for our department for welfare and development. Naturally, we cannot lose money to him. Back then, our director treated the three of us like this."
He was pulled up one by one."
"Although Xiao Zhou has obtained Level II surgical authority today, Cai Dongfan, you must pay more attention to the quality of the surgery and control the safety of the surgery."
"These things cannot be overemphasized."
Not to mention anything else, just today, Zhou Cheng brought so many patients to the department, and he felt that his decision was justified.
Just last night, the extra beds in the ward were completely full. This is the benefit that a well-known doctor can bring. He has his own halo and patient volume.
Moreover, Yan Haihan never thought of this before he decided to help Zhou Cheng.
Cai Dongfan nodded seriously.
The two walked out side by side, and then saw Min Chaoshuo and Pang Dingkun walking up to the operating room.
After seeing Yan Haihan and Cai Dongfan walking down, Pang Dingkun hurriedly asked: "Director Yan, which surgery is it?"
Yan Haihan attached great importance to Pang Dingkun, and Min Chaoshuo was also his student, so Yan Haihan also took good care of him.
But today, Yan Haihan felt that these two guys were simply acting like jerks.
Pang Dingkun was okay. After all, he performed emergency surgery yesterday, but what about Min Chaoshuo?
I deliberately didn't come to the operating room today just to avoid participating in Cai Dongfan's surgery because I was afraid of going on stage to help!!
How much did he miss out on?
I'm afraid Min Chaoshuo himself doesn't know much about it.
So Yan Haihan twitched the corner of his mouth, pointed at Min Chaoshuo and cursed: "The operation is tomorrow, you can see it when you come tomorrow."
"Or maybe have dinner before coming to the operating room?"
Yan Haihan was really angry. Min Chaoshuo had more than ten times the resources of Zhou Cheng. But did he live up to his expectations?
Yan Haihan became more and more angry as he thought about it, and now he even started to learn to be lazy.
Min Chaoshuo immediately turned pale and quickly lowered his head: "Master, I still need to change the dressings up there, and I also had emergency surgery in the middle of the night last night. So!"
Min Chaoshuo bit his lip.
Cai Dongfan was busy trying to smooth things over: "Director Yan, we were the ones who caused trouble to everyone yesterday. While our team was on duty, a patient suddenly appeared."
"Not to mention Chaoshuo and Dingkun, look at the people from our team, Yan Jun and Zhang Zhengquan, aren't they here too?"
"Fortunately, they are still here. These two people are not even seen now."
When Yan Haihan thought about it, he felt a lot better.
Zhou Cheng is not Cai Dongfan's real student, so Cai Dongfan is just lucky. And now, with Zhou Cheng emerging as the leader, his own department has solved the problem of patient volume at once.
Calculated in this way, the number and quality of patients that Zhou Cheng sent out for manual reduction before were far inferior to the number and quality of patients now!
…
In the operating room.
After Luo Yun stepped down, he invited Zeng Yi and said, "Director Zeng, let's go have a casual dinner together later. Director Cai has made arrangements."
Zeng Yi did not refuse: "This?"
"It's like I put a bowl in your orthopedics department. I go there every now and then to get food. I'm so embarrassed."
But there was no look of embarrassment on his face.
An Ruozheng walked out of the door. After hearing this, he said to Liu Yan angrily: "Sister Yan, I will order a few more dishes later. If I can't finish them, I will pack them back and eat them. I have to let Director Cai bleed some hard." .”
"The doctors in their orthopedics department are all devils."
Originally, Liu Yan was biased towards Cai Dongfan, but today, she was really exhausted again, so she unexpectedly nodded and said, "Yes!"
“I’ll order a few more dishes later. I’ll take them away if I can’t finish them all.”
"I also want them to buy two cups of milk tea."
"Drink one drink and lose another." Liu Yan was even more ruthless.
An Ruo touched the insignificant flesh on her belly and asked, "Sister Yan, I'll give you my milk tea and pour it out, okay?"
Liu Yan smiled: "It's okay if you let me drink it, why do you want me to pour it out?"
An Ruo blushed and didn't say that she was reluctant to part with it. She just found a reason and said: "I generally don't have the habit of wasting food!"
In fact, I was thinking in my heart that it is shameful to waste milk tea and food.
So it’s better to eat more later.
101.65!
But I am fat.
…
Zhou Cheng stretched himself on the timing panel in the operating room.
Then he waited for Luo Yun and Zeng Yi to finish speaking.
Then he followed the two people and walked out.
I was 'tired' from four surgeries in the morning. If Cai Dongfan wanted to treat him to a meal, he still had to pay for it.
On the way, Zhou Cheng asked Luo Yun: "Do you want to call Zheng Quan and Yan Jun together? Teacher Luo."
"Call them at 11:30 and let them rest a little longer. They were quite tired yesterday."
"I'm going to squint later." After Luo Yun finished speaking, he rubbed his eyes and then remembered that he had also been playing all night.
Looking at Luo Yun's hunched back from fatigue, Zhou Cheng's heart moved.
Teacher Luo Yun and the others were so tired just to get more rest for themselves. Du Yanjun and Zhang Zhengquan also unknowingly owed favors to them. It seems that they will have to pay them back slowly later...