Zhou Cheng has always understood that real working hours are not like novels and scripts. Things develop one after another. After one thing is solved, another problem will follow.
A variety of things may happen at the same moment, beyond your imagination, without logic or correlation, and full of randomness.
Zhou Cheng didn't know about this emergency surgery, and no one informed him. As far as Changshi Traditional Chinese Medicine Hospital was concerned, Zhou Cheng was just an outsider, and he had to leave anyway.
Moreover, as far as Yu Lubin and others are concerned, Zhou Cheng's coming here is just for gold plating. At most, he brings new and major surgical teaching tasks. He is not a real member of the department and has to bear the responsibility for the so-called emergencies and tasks encountered in the department.
Responsibility requires concerted efforts.
Zhou Cheng listened carefully to their speech and probably understood what the situation was.
Injuries from a car accident, two cars collided together, resulting in two deaths and four injuries, and the people on both sides seemed to be inextricably related.
Of course, the deceased should be left alone, but after the injured were sent to the emergency and emergency unit, before the person arrived, the Changshi Traditional Chinese Medicine Hospital received a death order and had to revive the person.
What kind of relationship is this?
Lu Bin didn't mention it, but he knew that the person currently in Changshi Traditional Chinese Medicine Hospital was a young man, 27 or 28 years old, who was one of the drivers of the two cars. His life or death was uncertain at the moment. There was no big problem in his skull, but
The chest, abdomen, limbs, all the problems are messy.
Of course, it is inevitable that blood vessel problems are also quite serious.
Everyone discussed for a while, and then listed the various test results one by one. Lu Bin couldn't help but cast his eyes on Zhou Cheng: "Doctor Zhou, does Dr. Zhou have any insights into this patient's current disease condition?"
?"
Zhou Cheng glanced at Lu Bin unexpectedly, a little strange, and said to himself, Director Lu, you didn't call me over when the emergency happened, and then you went to the operating table three times without my knowledge.
Now at this time, what do you ask me for?
Am I to say that if it was the first time, there was still a slight possibility of limb salvage, but now after so long, both lower limbs are in pieces and there are blood clots, so the only option is to cut off the legs?
Zhou Cheng's eyes scanned the PPT up and down, and he said with a smile: "Director Lu, I don't know the basic condition of the patient now or when he was admitted to the hospital."
Lu Bin was also a veteran. Knowing that there was a bit of resentment in Zhou Cheng's words, he restrained himself and said, "Dr. Zhou, I'm just asking casually. Don't take it seriously."
"Dr. Zhou, you don't have to take on the task of emergency patients in our hospital. It's just that the current patient's situation is indeed quite complicated, so our department has launched this big discussion."
Lu Bin's seemingly casual question before was actually a little thoughtful, that is, if Zhou Chengdu said amputation, then he would have some outside help.
Who is Zhou Cheng? An expert from Shanghai and an instructor sent by the National Health Commission. Are his opinions official enough?
If he said there was nothing he could do and he had to amputate his leg, then it would definitely not be a big problem? Even if something goes wrong later and a medical malpractice appraisal is conducted, the appraisal expert team formed will also take Zhou Cheng's words and face into consideration
, reduce the responsibility for orthopedics!
"If Dr. Zhou has any ideas, you can still tell me." Lu Bin asked for advice sincerely.
Faced with Lu Bin's low-profile inquiry, Zhou Cheng knew that he couldn't put on a show, so he said: "Director Lu, I don't have much personal emergency experience, but as a general rule, if the injury lasts too long, and
If there is a blood clot problem, the possibility of limb salvage is very small."
"Of course, all this still needs to be combined with the patient's other specialties, etc., and specific issues must be analyzed in detail."
Let go of your own persona and return to your role as a doctor honestly. This is a rule Zhou Cheng has set for himself.
No one is perfect, and you always want to be a savior hero, but it also depends on your current situation and when you enter the market.
What Cai Dongfan said is right. Yesterday, Xu Kairan did not perform the surgery on his own, and it was not the first consultation. What could he do on his own?
The reason why people want to learn is not only to master more professional foundations, knowledge and skills, but more importantly, to learn to integrate them.
The same is true for this patient. When he participates, he has already missed the best opportunity. Then, he should not participate anymore, and he should not leave anything to say.
Knowing how to control the opportunity and how to assess the situation is the first step to truly become mature. If there is an opportunity, you will still have to contribute.
Lu Bin didn't get the answer he wanted, and felt a little disappointed. Of course, how Zhou Cheng answered was Zhou Cheng's freedom, and he couldn't force Zhou Cheng into anything.
"Dr. Zhou, today's surgery may be carried out by you and Deputy Director Qin Ming, led by lower-level doctors. I also have a more important emergency consultation surgery to participate in, so I don't know when it will be done.
"
"It's urgent, Director Quan, Director Tong, let's not waste any time, right? Let's do the ward rounds early. After the ward rounds, we can go to the operating room early and solve the problems we encountered today."
As the director, Lu Bin has the greatest responsibility. Of course, at this critical moment, no one will disobey Lu Bin. Whoever dares to exceed his authority will be held accountable.
…
However, after Zhou Cheng and others went to the operating room, Lu Bin and several directors gathered together.
Quan Zhuolin said: "Director Lu, this Dr. Zhou is very interesting. He is not very old, but besides being neither arrogant nor impetuous, he is a bit mature and not what a person of his age should have."
Being neither arrogant nor impetuous is a way of praising others. However, in addition to being neither arrogant nor impetuous, the more mature ability to deal with it is to assess the situation and not let anyone take advantage of it.
If Zhou Cheng doesn't say anything biased, then they all have to bear the responsibility themselves.
Lu Bin smiled and said, "Well, I figured it out yesterday. Yesterday, Dr. Zhou was approached by Xu Kairan on his first day at the outpatient clinic. Xu Kairan, a scoundrel, didn't even get any benefits."
"This is also the reason why I don't want to drag Dr. Zhou into the emergency room in the early morning. Xiao Zhou's ability to handle things is very smooth and he also has his own principles."
"If you get along with him, you will definitely suffer a loss."
Lu Bin carefully analyzed Zhou Cheng's firm rejection of Xu Kairan's request for leave yesterday. He still felt that Zhou Cheng knew his identity and was knowledgeable. He knew that the matter was none of his business and could hang it up in front of others
Xu Kairan said that there was nothing he could do.
Then, he is also an old fox. A genius who can openly admit his own shortcomings cannot be treated as an ordinary nerd or a cynical young man, otherwise he may be deceived.
Quan Zhuolin and Director Tong both frowned, obviously they were quite familiar with Xu Kairan's name.
"Then it depends on whether Dr. Zhou comes to our Chang City just to get gold plating or if he wants to do other things."
"If you can still keep a clear mind at this time, it's better not to mess with such people. Just like Fang Yun from Changshi No. 1 Hospital. Even Li Hongyang is having a headache now." Quan Zhuolin
An example was given.
Li Hongyang is the chief director of the Orthopedics Department of Chang City No. 1 Hospital. There has been a lot of trouble in Chang City recently because of a headache for a small doctor.
Changshi Hospital of Traditional Chinese Medicine would naturally not dare to follow suit if there was a precedent for such a thing. Moreover, this Zhou Cheng, whether it was his background, existing connections, or control over relationships, was far beyond what Fang Yun could compare to.
Lu Bin said: "Let's not discuss this matter. It is already in the past tense. I heard that Fang Yun has left Changshi again, so we still have to solve our own problems.
"
"Today, the result of our discussion is that although it is amputation, the two directors should know that the probability of this patient being able to leave the operating room is very low, but we cannot make mistakes..."
Quan Zhuolin and Tong Haimo both nodded solemnly.
A predetermined result is destined to be blamed in the end. This cannot be controlled by giving orders. Minimizing one's own responsibility is the right thing to do.
Some people can issue orders that violate medical principles and the limitations of current medical conditions, but the reality is not like this. If reality can be transferred by willpower, then there will be no such thing as birth, old age, illness, and death.
…
On the way to the operating room, Qin Ming politely explained yesterday's events to Zhou Cheng again. But he mainly helped Lu Bin speak.
"Dr. Zhou, the condition of the emergency patient yesterday was actually quite complicated. He had multiple ruptures of solid organs in the abdomen, gastrointestinal injuries, severe contusions on the chest, and hemopneumothorax."
"It is precisely because of these additional circumstances that Director Lu did not consider disturbing you, Dr. Zhou. Of course, in order to let Dr. Zhou have a good rest and prepare for today's surgery, it was also one of Director Lu's considerations." Qin Ming's face was filled with confusion.
Laughing, he looks like a little fox.
Zhou Cheng sighed inwardly, wandering left and right.
In fact, this patient is not hopeless. There is still a glimmer of hope to save his life, but Chang City should not be able to solve the problem. If Yang Yifeng and some great professors of general surgery and thoracic surgery can be brought together, then we can
Call him over.
It is not difficult to save people, and it is no problem to save limbs. Zhou Chengdu has this confidence.
But, everyone's choice and destiny are inherently different.
Yang Yifeng is not a little doctor who can be called upon to come and go. The same is true for Zhou Cheng. Now that he is here, his main task is to lead the team, research and investigate, rather than being assigned here and there by Lu Bin.
Although he was assigned, he could save one more person, but the reality did not allow it.
"I know, Director Qin, I can understand what you and Director Lu think. Thank you for your understanding." Zhou Cheng replied with a smile.
He felt that he was starting to become cold-blooded now. In the past, he would have watched a human life disappear from this world because he was not involved. Zhou Cheng would feel guilty.
But now, he didn't feel this way, and could only lament that it was a trick of fate.
"Dr. Zhou, it's best if you understand. Director Lu and I, including several directors, as well as the dean, and everyone in our hospital would like to express our sincere gratitude and welcome you to our hospital for guidance and teaching."
of."
"So, we will try our best to protect your rights and interests, Dr. Zhou, no matter what aspect it is." Qin Ming's expression was serious, showing his goodwill towards Zhou Cheng.
Zhou Cheng didn't say anything more and just continued to choose to do his own thing well.
Then, after quickly completing two surgeries and one manual reduction, Qin Ming finally volunteered to do a manual reduction of a fracture to try out the feel.
Zhou Cheng agreed. However, although Qin Ming had dabbled in manual restoration, it was limited. In the end, he only barely achieved functional restoration. Zhou Cheng gave a few more pointers. Although Qin Ming
Some corrections have been made, but the meaning is a bit missing.
Zhou Cheng then demonstrated once more to complete the reset.
After Qin Ming read it, he couldn't help but sigh again: "Dr. Zhou, this same idea, the same logic and operation, but the kung fu reflected in the feel is still different in the end."
"Dr. Zhou, your skills are really good."
"Thank you, Director Qin. Proficiency leads to mastery. If Director Qin practices more, he will definitely be able to reach my current level." Zhou Cheng said.
Qin Mingze continued to sigh and shook his head: "Dr. Zhou, in fact, there used to be an old Chinese medicine doctor in our hospital who did extremely good restorative techniques, almost miraculous. But this old man, after he retired, he
Back to my hometown."
"Because his children developed there, it's a pity that we didn't have time to pass on his techniques. I feel that Dr. Zhou's restoration techniques are not inferior to that of an old senior."
When Zhou Cheng heard this, his heart moved: "Director Qin, this old man, where is his hometown?"
"In Hubei Province, I don't know exactly where it is. You may have to ask Director Lu." Qin Ming naturally wouldn't know so many details. When Qin Ming entered the department, the senior was about to retire.
Although Qin Ming was a Ph.D. at that time, his professional abilities were actually limited and his exposure was not deep.
Zhou Chengcheng kept this matter in mind. He actually wanted to meet a few famous Chinese medicine doctors to discuss it, but there were not many who were truly proficient in bruises and injuries.
Zhou Cheng's contact with other aspects of Chinese medicine was not deep, so he really couldn't get in-depth advice.
Today's surgeries were not many in number and were very simple. Therefore, Zhou Cheng completed the surgeries and manual reduction at around one o'clock in the afternoon.
This speed once again amazed Qin Ming, and at the same time, he accompanied Zhou Cheng towards the locker room.
While saying: "Dr. Zhou, your knowledge and understanding of this fracture is really shocking. I never thought that the treatment of fractures can be treated in a pediatric manner."
Zhou Cheng looked at Qin Ming, and he probably knew that Qin Ming's professional skill level was above proficiency, not quite proficient, and very close to proficiency.
Moreover, Qin Ming is not particularly old, so he is also somewhat talented.
So he said: "Director Qin, trauma is the basis of orthopedics. Fracture is a major category of trauma. The difficulty depends on personal understanding. It is difficult, but it is not too difficult."
This is the key to perfection in surgical skills. Whether Qin Ming can remember it depends on his fate.
When Qin Ming was about to thank Zhou Cheng for his advice, Lu Bin walked from the dressing room to the operating room upstairs with a depressed look on his face, and happened to meet him halfway.
Lu Bin raised his head, looked at Qin Ming, then looked at Zhou Cheng, and calmed down all the emotions on his face: "Dr. Zhou, is the operation finished again?"
Qin Ming quickly replied: "Director, it's all done. Dr. Zhou's strength is still as good as ever, perfect and steady. Every operation has detailed pre- and post-operative plain film comparisons."
"I use it specifically to study." Qin Ming explained, covering himself because he wanted to hand these flat films to Lu Bin for review again.
Lu Bin's face became even more relaxed, and he turned around and followed Zhou Cheng downstairs: "Dr. Zhou, thank you for your hard work. The patients in the department have surgeries, but I, the director of the team, have been delayed. I'm really sorry."
Hearing this, Zhou Cheng smiled and said, "Director Lu, you are doing it for the surgery and for the patient. We all work hard."
Zhou Cheng was not greedy for success, nor did he say he was relaxed. Everyone was serving patients, so how could he be relaxed?
Qin Mingze quickly asked: "Director, which patient is the last?"
"I couldn't save him. He developed heart failure during the operation. Rescue efforts were ineffective and he was pronounced dead. The injuries were too serious."
"Furthermore, I heard that only one of the six people in the car accident yesterday survived."
"But if you report it, I guess..." Lu Bin did not continue.
The number of deaths in a car accident at one time cannot exceed a certain quota.
The topic was too sensitive, so Zhou Cheng and Qin Ming were sensible enough not to mention it again, but Lu Bin said with emotion: "Actually, both sides of the family are rich, and both sides are speeding towards each other. Jiu Mengzi..."
Well, an unconventional rich second generation like Zhang Zhengquan is really refreshing and refined. Zhou Cheng also felt emotional in his heart.
We agreed to go out for dinner together, and Zhou Cheng didn't refuse.
The three of them went to find a secluded place to compare prices without calling the junior doctor.
During the dinner, Lu Bin truthfully explained to Zhou Cheng and Qin Ming the basic situation of today's emergency rescue failure, and then did not delve into it further.
Then, Lu Bin changed the subject and asked Zhou Cheng: "Dr. Zhou, do you have any thoughts about the Xu Kairan incident yesterday?"
"Judging from the results of yesterday's mediation, I guess this Xu Kairan will not let it go!"
Zhou Cheng didn't understand what Lu Bin was trying to test him by asking. However, Zhou Cheng had already made a decision in his heart: "Director Lu, I have limited knowledge, average ability, and can't do anything. I can only
Just do your best and listen to fate! You can’t say you have any special ideas.”
Whether it is appropriate to expose this matter, and who will expose it, not only depends on whether Xu Kairan commits suicide, but also depends on whether there is a villain to punish him. Zhou Cheng will not be a villain, nor does he want to be.
But if Xu Kairan really has any physical problems, then we have to dig deeper into the depth of this matter. Is Xu Kairan's post-operative pain to such a degree fake or real?
Still half-truth and half-false, this is actually a topic worthy of in-depth discussion.
Regarding Xu Kairan's affairs, they were all hearsay. Zhou Cheng couldn't help but believe it, but he couldn't believe it completely. What kind of confidence did this guy have to become such a rogue like he is now? Is he just greedy for profit?
After Zhou Cheng finished speaking, before Lu Bin had time to speak, his phone rang again. After Lu Bin answered the call, his expression suddenly changed. Then he stood up immediately without having time to explain to Zhou Cheng and Qin Ming: "I
I have to go to the hospital, Qin Ming, please accompany Dr. Zhou and send Dr. Zhou back."
"I have to go to the medical department now."
Zhou Cheng and Qin Ming were both stunned, but they didn't say much. The patient was gone, and the discussion of death cases was a matter of basic principles. In this process, the division of responsibilities was also a key part. As for what Lu Bin could do
Orthopedics cannot be allowed to evade responsibility. It depends on Lu Bin how to mediate.