Chapter 205 I’m just a melon-eater! (Please subscribe)
"The Orthopedics Department of the Ninth Hospital has a total of five departments. The sports medicine specialty is the Orthopedics District 2. The director of the Orthopedics District 2 is Professor Lin Ziyuan Lin. I am following Professor Lin Ziyuan Lin."
Ding Dian was not derelict in his duties. He still introduced the name of the director who was speaking to Zhou Cheng. But his voice was very low and his words were short, as if he didn't dare to interrupt.
Lin Ziyuan, the director of the ward, was standing in front and speaking with a stern expression. He didn't look tall, only about 1.6 meters tall. He was a little fat, and his tonnage was estimated to be 156. He looked a bit like a short, fat man.
Wearing a small stubble.
His hair is also styled quite casually. You can't tell that it has been combed deliberately, but it doesn't look like a chicken coop. The flesh of his cheeks is a little thick, and it is slightly protruding after covering the cheekbones.
Lin Ziyuan sat at the director's position at a square table, side by side with the head nurse. There were two other professors in the department, and the one sitting next to the professor was an associate professor, who was more focused on attending.
The remaining chief residents, doctoral students, interns, and training doctors can only do standing work.
Yes, here, even the chief resident of this hospital is only qualified to stand! All the nurses, except for the head nurse, are standing, which is completely different from the Eighth Hospital of Shashi.
There were about nine people sitting, but in the whole room, including the nurse, there were at least sixty or seventy people.
Lin Ziyuan said: "The professor responsible for the group is responsible for the teaching, and the teacher responsible for the teaching. Whoever gives the authority is responsible!"
"The routine sports medicine surgeries in our department are at least level III surgeries, so I hope that the professors or graduate tutors who lead the team will be meticulous and cautious in their clinical work in the future."
"If similar matters are rewritten in our department, then you will each have to take care of it. I said, if you really think that the surgery is simple enough or the students are strong enough, then report it directly to the Medical Department and let the Medical Department
Liaise with the Graduate Department.”
"The department and teaching staff came forward to organize the surgery authorization seriously!"
"Of course, I also know that before performing regular authorization, you need to practice in advance, which is a necessary risk. However, I have a rigid requirement here, that is, professional students must practice before performing an operation.
You need to have at least two hundred operations experience before you can get started!"
"Those with lower levels than this level, in principle, cannot perform surgery."
…
Lin Ziyuan's words made Zhou Cheng's heart fluctuate!
Co-author, in the No. 9 Hospital of the Magic City, the postgraduate surgeons and authorizations are as casual as eating and drinking? This kind of thing is the first time for Zhou Cheng in the No. 8 Hospital. He has done it in the Shonan University Affiliated Hospital and the Second Hospital.
, there are not many people who can get authorization!
You can tell the whole story at a glance. If we really calculate based on this, then the gap between Shonan University Affiliated Hospital and the No. 9 Hospital in Shanghai should be on the order of magnitude!
However, Zhou Cheng obviously does not have the time or opportunity to figure out these problems now.
Then he saw Lin Ziyuan, who looked quite honest, and said again:
"My thoughts are still the same as before!"
"Basically, the current talents in our department have doctoral degrees and have experience of going abroad. Most of them also have municipal or public-level projects! We are not lacking in software!"
"The equipment in our operating room is not to say the latest generation, but it is second only to the equipment we have seen abroad before. Even some instruments and equipment are more advanced than the units where we studied. In this way, we
In terms of hardware, there is no shortage.”
"In terms of the source of the disease, no matter which group we work on or which part we work on, there will never be a shortage of patients. How many patients do we have now? How many outpatient clinics do we have? How could we be short of patients under such circumstances?"
"However, the thing I still can't figure out is, if we are not lacking in any aspect, why are we not number one in the country or even the world?"
"This is an issue we urgently need to think about." Lin Ziyuan said, knocking on the table.
After Zhou Cheng heard this, he clicked his tongue a little and secretly thought that Professor Lin Ziyuan's ambition is too great. He has all the conditions and wants to be number one in the country or even the world. You look down on the talents of other hospitals in Shanghai and Kyoto.
Equipment?
Or do you think there are not enough sources of disease in other places?
But no matter how you put it, compared with Lin Ziyuan, Yan Haihan boasted that he had built the orthopedics department of the Eighth Hospital into a well-known tertiary hospital in Shashi City, and Lin Ziyuan kept saying that he was the best in the country and the world.
The span of time seemed a bit difficult for Zhou Cheng to accept.
After all, as far as Zhou Cheng understood No. 1 and No. 2, it was still the type of sports competition.
For example, if you are number one in Shashi, there is a slight chance that you will be number one in the country. This possibility is one thousand percent. The probability that you are number one in the country will be number one in the world is one thousand percent!
After all, you are making progress, your conditions are good, and other people’s conditions are not bad either, so you are not regressing!
This Professor Lin doesn't look as honest as he looks.
Lin Ziyuan continued to talk eloquently: "When all kinds of conditions are met, we should think about what is the difference between us and others??"
"I personally think that it is in this sub-specialty division that joint replacements abroad are now divided into knee and hip replacements in detail, and everyone only does knee or hip joints."
"In his lifetime, he will make 10,000 to 20,000 units, and 30,000 to 40,000 units. He will not think about anything else except knee replacement surgery all day long."
"Wei is familiar with it. These four short words are actually enough for him to do a lot of things, to collect data, to develop new surgical methods, and to think about how to improve the effect of surgery."
"When it comes to exchanges, the frequency of academic conferences held in our country is definitely no worse than that of any other country, and the quality of high-quality conferences is no worse than those outside."
"So, we definitely have the ability to solve the problems we are currently dealing with more professionally."
"The omnipotent doctor is just a product of an era, but it is definitely not a competitive product. Everyone wants to be omniscient and omnipotent, but why do you think about doing more before you have even mastered a subspecialty?"
"I still think it's better to do one part well, clarify it, and develop its characteristics first, and then think about doing other things."
"Is it good to be omnipotent? Is it good to practice general medicine? If you read a lot of books but don't know the true meaning of one book, you only need one true book to achieve righteousness!"
"We have read enough books. The knowledge of other subjects is not unimportant. We should read a lot of books, but we should also know the direction of our major. Don't be too small to be big. Being a doctor is not about talking nonsense with colleagues. Knowledge
Broad coverage can only represent your first impression in other people’s minds!”
"Why are you just asking for this first impression?"
…
However, Zhou Chengcheng heard Lin Ziyuan talking from above, and the people standing nearby started to murmur.
"Foreign medical insurance is basically free for people with medical insurance. Even if the operation fails, you can have it again. Domestically, it is at your own expense."
"The difference between free and self-pay determines the different feedback from patients and even society to medical workers after surgical complications occur."
"What's more, if you work in China and only do a certain part of the body, except for a few hospitals, can the doctor really make a living?"
"Not everyone can stay, but as a result, people's living standards have risen and people are starving to death..."
These were all muttered by lower-level doctors, and their voices were so soft that Zhou Cheng could only hear a few words in the crowd!
The professors and associate professors except Lin Ziyuan listened to Lin Ziyuan's chanting seriously, and seemed to be meticulous. But their eyes and backs didn't seem to take Professor Lin Ziyuan's words at all.
Whether it is a hospital or a doctor, the first thing that must be solved to survive in this society is to conform to the local conditions and the general environment.
The issue of more detailed division of sub-specialties is a general trend, which is good.
However, before the sub-specialties are further subdivided, whether the public needs such high-precision technology and whether it can accept it is a question.
Sometimes, the best is not the most suitable.
Whether the doctors in each group should delve into the most professional fields and delve into the dead end is a question that doctors across the country are thinking about and trying. If they really do it, it will take them more than ten or twenty years.
, the whole province or the whole country has started to develop this field.
There are no patients transferred to provincial hospitals, so where can they find patients? After more than 20 years of neglecting other sub-specialties, if they want to open up new fields, not to mention whether other sub-specialists can agree, even if they can agree, they are putting themselves at risk.
My whole life has become more narrow.
Because the medical system in foreign countries is different from that in China, both doctors and patients think differently. There is no need to spend money, patients have no financial pressure, and doctors do not have the pressure to increase the patient's financial burden. Therefore, before performing surgery
, the indications for surgery will be slightly wider.
It's like, if a person in his thirties or forties has a joint replaced, he can just replace it. Twenty or thirty years later, he can just replace it again. It doesn't cost anything anyway, as long as the patient is comfortable. But people in China don't.
I hope this happens. I just hope that after one operation, I will never have another operation in my life.
So I choose to endure it. I can't bear it anymore and come to the hospital.
Because I can't bear it anymore, I've spent a lot of money, and if you don't do it 100% well for me, I will feel more resentment in my heart.
This is actually the fundamental reason, but it is also the reason that no one in the medical industry dares to state openly. Only when this thing is taken on at the highest level can it be fundamentally improved...
…
Of course, other people's murmurs are other people's murmurs. As a newcomer, Zhou Cheng still listened to Lin Ziyuan's words seriously. It has to be said that whether Lin Ziyuan really thinks so, or he is just raising a flag.
That’s fine.
The ideological realm is still different. At least his vision and purpose are completely different from those of Yan Haihan, Cai Dongfan and others.
But we can’t say who is higher and who is lower.
Lin Ziyuan's goal is to improve the overall level and create a high-tech medical center in China.
The goal of Yan Haihan and others is to cure more patients, and they just have to do their best. Both of them have the right ideas, and there is no distinction between high and low realms.
As long as you are caring for the patient, you cannot be considered superior or inferior.
…
After the class was handed over, the professors of each group took their own groups to do ward rounds. This was no different from the previous ones in the Eighth Hospital, except that the size of the teams of different groups was far from comparable to that of the previous Eighth Hospital.
In terms of higher-level staffing, the team leader is Professor Lin Ziyuan, followed by an associate professor and an attending physician!
Each group has total hospitalizations!
It seems that there are total residents, but in fact they are responsible for the most people. Below are professional doctors, professional masters, training doctors, intern doctors, and regular training doctors. When divided into one group, there are more than a dozen people!
Ding Dian also told Zhou Cheng: "The total number of registered beds in our ward is fifty-four. There are no extra beds. Each person is assigned a maximum of two beds, usually one!"
"Except for the professor, associate professor, attending physician, and chief resident, who do not care about the bed, everyone else must participate in managing the bed and operating."
Ding Dian’s introduction made Zhou Cheng speechless!
Twelve people, managing seventeen beds, a typical situation where there are too many monks but too little food!
During the ward rounds, Lin Ziyuan led the team. Ding Dian introduced Zhou Cheng to Lin Ziyuan. Only then did the others notice Zhou Cheng. However, Ding Dian only introduced Zhou Cheng as her junior brother who would follow her for a while.
Everyone's performance UI just regarded Zhou Cheng as an ordinary graduate student or intern, without wasting too much time, and then the large team set off for ward rounds.
During the ward rounds, it is not a teaching round, so it is very fast.
However, during the ward rounds, Zhou Cheng discovered that all the bedside doctors here were as good as masters. In addition to reporting medical history and medical records, they could even answer questions about academic progress from Professor Lin Ziyuan and Associate Professor.
Related questions.
For example, right now, Lin Ziyuan is asking: "What are the classifications of this rotator cuff tear? Have you checked the latest research progress? What are the currently commonly used treatment methods and improved methods?"
Oh, such a difficult question, but I can answer it fluently!
This really shocked Zhou Cheng!
What kind of monsters are these?
…
Finally, when the ward rounds were over, Zhou Cheng even felt that he couldn't keep up with the ideas of the ward rounds. It didn't mean that he didn't know how to diagnose or treat. Even Zhou Cheng knew the corresponding treatment methods.
However, what Zhou Cheng knew was the classic and commonly used ones. Regarding some of the improvement methods answered by the bedside doctors, Zhou Cheng felt that they were simply blank. After carefully analyzing the answer points, he actually felt that some of these improvement methods were superfluous.
.
Some of them are quite amazing, and they suddenly open up their minds a little!
In the process of answering, Ding Dian went even further. In addition to putting forward conventional treatment methods and improvement methods, he also put forward his own understanding and which aspects he felt could be optimized.
After hearing this, Lin Ziyuan and others replied: "This is a good idea. Ding Dian, go check and see if there are any articles on this subject. If so, refer to it. If not, explore your own path."
"Next!"
…
"Senior Sister Ding, are you always like this during ward rounds?" After the ward rounds, Ding Dian also brought Zhou Cheng into the operating room as usual.
Ding nodded and said in a rather demonic voice: "The operation speed in the department is also very fast, so although there are not many beds in a ward, the patients who are hospitalized will basically be there on the second to third day.
Discharge, turnaround was very, very fast.”
"There is no such thing as a day operation here. There are six to seven sets of arthroscopes here, which is enough for three groups to take turns to perform surgeries."
"Moreover, many surgeries in sports medicine can be performed in outpatient operating rooms, so the patients who come to the hospital are all day surgery patients. They are not hospitalized for examinations in the hospital. Preoperative examinations are done before admission."
"The surgery is arranged on the same day of hospitalization, and the patient is discharged on the second or third day."
"So basically we will come into contact with new patients every day, and then three groups will conduct ward rounds on Mondays, Wednesdays and Fridays every week. Then the pace will be slower, but the content will be richer."
"So, here, those who don't read the literature are the monsters."
When Zhou Cheng heard this, he immediately clicked his tongue and asked, "Senior Sister Ding, how many beds are there in the ward?"
Zhou Cheng did some mental calculations and found out that a wave of patients are discharged every two or three days. Even if the department only has forty beds, there may be three to four hundred patients that can be treated in a month. The number of surgeries in a year, excluding holidays, is at least two.
Three thousand units.
The number of operations in the department is estimated to be more than ten every day.
"There are about fifty beds. There are no extra beds, but it doesn't matter. There are some relatively simple operations. After the operation, you will be observed for one night and then discharged the next day." Ding Dian's voice was still very magical.
It's not that Ding Dian did it on purpose, it's just that her voice was born like this, and it was like this when talking to Professor Lin Ziyuan and others.
Lolita tone, baby face, sometimes soft and waxy, sometimes relatively formal.
The sound seemed to have a relatively strong impact, making Zhou Cheng feel that the hairs on his skin were standing on end...
…
When Zhou Cheng stepped on the sensor door of the operating room, he heard the curses inside.
"You have to pay attention to adjusting the direction of the planer. The arthroscope is live. It is not a traditional scalpel. You need to rely on your hands to adjust the direction."
"No matter how you change hands here, can you turn the planer head inside? Do you want to break it or break the patient's joint capsule? Think about it, okay?" The one who cursed was Lin Zixiang.
Professor Lin!
He stood in Isuke's position, half annoyed, half preaching.
Associate Professor Du is now sitting under the control panel in the operating room. The operating time continues to clock above his head. The operation has been going on for about an hour and a half.
Someone opened the door. Lin Zixiang just glanced at it and continued to say to the little brother who was doing the surgery: "Don't look at others, just look at the surgery. This is your surgery, and you are the one doing the surgery!"
"If this patient does not undergo shoulder arthroscopy or general anesthesia, with your distracted attention, would you really dare to perform the surgery?"
Zhou Cheng originally wanted to see the specific process of this operation, but when Zhou Cheng turned his head, he saw basically except for Professor Lin Zixiang, the young man who was the surgeon whom he did not recognize, and another young-looking second assistant and hand-washing nurse.
Stand outside.
Everyone else found a place to sit down one by one. The circulating nurse and Associate Professor Du Kunning sat on stools. The anesthesiologist had a special sofa chair. After Ding Dian entered the operating room, he also found a seat on his own. It seemed that
I don’t want to touch Professor Lin Zixiang’s brow.
The other students either sat on the stepping stools or found a piece of green cloth spread out on the ground and sat down.
When Zhou Cheng saw this situation, of course he didn't dare to watch it at close range. He followed Ding Dian and stood next to where she was sitting, not daring to move. His eyes occasionally blinked, and his skin trembled as Lin Zixiang cursed.
Consciously nervous.
Lin Zixiang scolded him really fiercely.
Ding Dian moved his stool and said in a low voice: "The person who is performing the surgery now is the chief resident of our group, named Han Xiaoming. The second assistant is the chief surgeon of our group, named Lu Mo, the tallest one with fair skin.
!”
After Zhou Cheng nodded, he didn't have time to say thanks.
Professor Lin Zixiang fired again: "Can you remember something? I just made this mistake last time, and now I'm making it again. You have to think about it yourself, what should you do next? Point out your
Didn’t you sum up the mistake yourself and reflect on it?”
"You need to have a surgical idea, a complete surgical idea."
While he was cursing, Professor Lin Zixiang suddenly seemed to have seen something wrong. Then he immediately closed his eyes and didn't want to say anything. He lowered his tone and sighed helplessly: "Oh, forget it, Xiao Ming."
, please get off the stage first, you have to watch more!"
"You're not good enough to perform surgery alone."
Then, as soon as he turned his head, Lin Zixiang pointed in the direction of Zhou Cheng: "Ding Dian, wash your hands and come on stage!"
Ding Dian hurriedly walked to the operating room, and when he walked out, he touched Zhou Cheng!
Zhou Cheng quickly followed him out. He breathed a long sigh of relief. He thought Professor Lin Zixiang was calling him, Ding Dian, so it didn't matter.
I'm just a member of the public.
…
It’s time to get to the point, familiar territory, and it starts to feel fun. A plot must have ups and downs and foreshadowing, so take your time and you’ll feel more comfortable!