"Hello, Teacher Du. Hello, I am Zhou Cheng, yes, I am the internship supervisor of the Department of Orthopedics." After Zhou Cheng left the office, he received a call from the Clinical School.
Shonan Medical College affiliated to Shonan University has basic medical school, first clinical school, second clinical school and third clinical school.
The Affiliated Hospital of Shonan University is the First Clinical School. After the third year of undergraduate studies, students will be divided into different clinical schools. Teacher Du is the head of the Academic Affairs Department of the First Clinical School. He is responsible for the internship rotation of undergraduate students.
Zhou Cheng himself was not particularly clear about his position in the Department of Orthopedics. Only after asking Professor Lei Zhong did he find out that the Department of Orthopedics now attaches great importance to him and directly nominated him as the internship supervisor.
Another associate professor of joint surgery is the director of residential training.
"Isn't this possible? Teacher Du, we already have twelve interns in the trauma surgery department, and we can't add any more. There are more than forty interns in our orthopedics department, all from different universities."
"Yes, there are also those from Hengnan University."
"I'm sorry, Teacher Du, we take internship rotation very seriously, and we don't mean to make things difficult for interns." Zhou Cheng apologized quickly!
During the period of being an attending physician, if there are teaching requirements, they will be judged by the Academic Affairs Department of the First Clinical College. If they fail, they will be rejected by one vote and the promotion to associate professor will be delayed again!
Associate professor is a teaching title, which is different from deputy chief physician. Zhou Cheng wants to climb up, so he must take responsibility for such things.
"Yes, yes, I will ask the professor of orthopedics. We will conduct self-examinations internally and lead teacher rounds, and records will be kept in each ward!" Zhou Cheng hurriedly assured!
After hanging up the phone, Zhou Cheng felt a little tired.
Although the hospital is doing it for its own good, it is indeed a bit overwhelmed by adding so many burdens at once.
But after working, wherever there is easy work, you still have to carry it.
Currently, Shonan University Affiliated Hospital has a total of five wards.
There are five general hospitals including trauma surgery, hand surgery, orthopedics, joint surgery, and sports medicine. Zhou Cheng is the CEO of the trauma surgery department.
Therefore, Zhou Cheng also needs to contact the bosses of several other wards to ask them to arrange and plan the ward rounds for professors and interns.
Zhou Cheng did not call Professor Lei Zhong directly, but went through a large group of internal employees of the Department of Orthopedics. He found the WeChat accounts of several bosses, and was finally pulled into a small group.
After forming a group, Du Yanjun walked in: "Brother Cheng, tomorrow's surgery is scheduled. Do you want to check it out?"
Shonan University Affiliated Hospital has separate operation days.
Monday and Wednesday are Professor Ding’s surgery days. Thursday is Cai Dongfan’s surgery day, and Tuesday and Friday are Professor Wang Yunfa’s surgery days.
Cai Dongfan's group has the fewest patients, so there is only one surgery day a week, and all patient surgeries must be properly arranged throughout the week.
Emergency surgery is performed through the emergency surgery channel and is not included in this list.
Even if it is an undergraduate teaching matter, it is still urgent. Arrangements for surgery still need to be confirmed. Zhou Cheng took the information and took a look.
During the previous ward rounds, the hospital beds in the group were already full, and the patients assigned by Professor Ding Changle and Wang Yunfa were all awaiting surgery.
"No problem, just arrange it according to this, Yan Jun, thank you for your hard work. I should have arranged these things." Zhou Cheng returned the surgery schedule to Du Yanjun.
During the ward rounds, Zhou Cheng had already been told about the surgical method, anesthesia method, approximate cost of the surgery, etc. that he wanted to check.
Du Yanjun is now a professional doctor and a follow-up to the general hospital, so he will assist Zhou Cheng in doing this.
"Brother Cheng, this is what I should do. We are brothers, and you have to protect us." Du Yanjun cast a special look at Zhou Cheng, which contained extraordinary meaning.
"Don't talk about it outside. I will call you on stage for the emergency surgery later as appropriate. Go and tell your junior brother that he is the doctor in charge of the bed. He has to follow the rules and first come, first served. There is nothing we can do about it."
"Although now we
The team has a general resident, but the department still has to make overall arrangements for learning opportunities. I will arrange a class for emergency surgery. If someone is unwilling to come, for example, the resident training in other departments is not willing to come for emergency surgery.
"
"You can just call Zhong Yue to make up for it when the time comes." Zhou Cheng explained to Du Yanjun patiently.
"Okay, I understand, Brother Cheng, then you get busy first." Du Yanjun also knows that Zhou Cheng is very busy now.
After Du Yanjun left, Zhou Chengcai once again sent a message in the group: "Thank you Brother Liang for bringing me into the organization. Let's get together with some brothers when we have time."
"Xu Liang, who is this? The boss of the Second Department of Orthopedics?" Another person named Liang Yongping spoke.
Only then did Zhou Cheng see that he had not changed his remarks. He first introduced himself: "Brother Ping, I am Zhou Cheng from the Second Department of Orthopedics. I am the new chief resident this month. Please take care of me in the future."
"@Orthopedic First Ward Liang Yongping, Brother Ping, this is the great Zhou Shen who drove Yi Feng to the Vascular Surgery Department. Just what you just said is worth four glasses of wine."
"@ Past events are thrown away: My little brother Hu Ganggang, I want to pay my respects to the Great Zhou God. The Great Zhou God can call me Xiao Hu or Xiao Gu. If that doesn't work, you can just call me Xiao Cang." A person noted as Hu Ganggang from the Fourth Ward of Orthopedics
, made a fuss in the group very enthusiastically.
"Xu Liang, Third Ward of Orthopedics: My fault, my fault, I just followed Director Lei during the ward rounds and I didn't dare to make a mistake. I saw the Great Zhou God added me as a friend, so I quickly pulled him in. I couldn't give him anything.
Please explain."
"I'm O, I've been arrested again"
The message was not even finished, but everyone knew that this was what it was like to be caught playing with a mobile phone, so the message was sent out quickly and accepted the criticism.
"Zhou Cheng, Second Ward of Orthopedics." Zhou Cheng also changed his remarks in accordance with the group rules.
"Brother Liang, Brother Cang, Brother Ping, Brother Lei, it's like this. I just received news from the Academic Affairs Department of the First Clinical College. Within a week at the latest and two days at the fastest, they will come to our Orthopedics Department to check the teaching round records.
.
"Everyone, hurry up and make up for it. Don't leave it empty!" Zhou Cheng also specially clicked on each one one by one.
"Damn it! How did you find out that our surgery department is here? I haven't written for half a year. @ Orthopedics Second Ward Zhoucheng, thank you, God Zhou. If there are similar examinations in the future, please be sure to shout in the group." Orthopedics Department
Zhang Lei from the fifth ward was shocked.
"The Department of Surgery is here for the teaching inspection. Are they so idle? It's the beginning of school season, so there is no organization to start school?" Liang Yongping started to complain in the group.
"Master Zhou, you should be the internship supervisor of our orthopedics department now. I must take more care of things like this in the future!"
"Everyone should call me Xiao Zhou." Zhou Cheng said politely.
"The only person who can restrain a madman is a great god. Don't be polite, Great Zhou..."
"Zhou Cheng from the Second Ward of the Department of Orthopedics: The emergency call has come. See you later, brothers."
"Good luck all around!"
Liang Yongping from the first ward of Orthopedics withdrew a message.
"Good luck to you God!"
From Zhou Cheng's side, the call for emergency consultation really came, but he was still looking at the information in the group.
After Zhou Cheng was connected, he immediately put the mask over his head, arranged his name tag, and walked outside the department.
On the way, a resident trainer from the department came over and asked: "Mr. Zhou, can I take a leave? I have no surgery scheduled for tomorrow, but I have to leave early today and come back in the afternoon to change the dressings and other things. I have already handed it over to the patient."
"
"Okay, what's the matter?" Zhou Cheng nodded and agreed.
"My father has come to the hospital for a medical check-up. I'll go down and take him with him." Zhu Pei's voice was not very good, and his expression was a little disappointed.
"If you need help, please call me or send me a message on WeChat. You can go and do your work. It's also important to accompany your family to see a doctor." Zhou Cheng understood very well and said hurriedly: "I have to go to the emergency clinic now. If you have any questions, I'll wait for you later."
Call and say. "
Zhou Cheng walked toward the elevator and then sent another message to Du Yanjun: "Yan Jun, please check the medical advice of Bu Linchen from Professor Wang Yunfa's group. If necessary,
If you want to correct him, help him correct it. His father came to see a doctor and took a leave of absence."
"Then ask Zhongyue to contact him. If there is any operation to change the dressing, please help me."
"Bu Linchen is a resident trainee from another department. He doesn't have any seniors, but we still need to take special care of him."
What Zhou Cheng sent was a voice message, but what Du Yanjun sent back was a message: "Okay, Brother Cheng. I have already made arrangements, and Zhong Yue has already contacted you."
"Thank you for your hard work!" Zhou Cheng could only make such an arrangement by demolishing the east wall to make up for the west wall.
When a resident doctor asks for leave, he should contact the chief resident within one day, contact the resident training supervisor for more than one day, and contact the resident training office for more than three days. These are the rules of the hospital!
Soon, Zhou Cheng saw that in the group of general residents, all the chief residents of other departments responded, and Zhou Cheng felt relieved.
Although he is the internship supervisor of the Department of Orthopedics, the teaching rounds for interns in each subspecialty are arranged internally by the department. The chief resident is in charge. He has to notify them in place, and he cannot go to other wards to check whether others have done it.
Lead teaching rounds.
As long as there is information and records on the registration form for teaching ward rounds, it is enough.
He wanted to arrange it sincerely.
When he arrived at the emergency department, as soon as he entered, Zhou Cheng knew that he was in trouble today and would not have the chance to catch up on his sleep.
The people in the emergency department are re-bandaging people urgently!
The reason why it was bandaged again was because the doctor following the 120 car had already bandaged it once. The doctor in the emergency department was handing over the situation with the people in the emergency department.
It is a severed limb of the forearm, and the broken limb has been stored in a storage box.
"Have you called the hand surgery department? This severed finger is usually part of their department's business?" Zhou Cheng asked hurriedly. This needs to be clarified.
Regardless of whether it is night or day, the orthopedics ward should actually deal with amputated limbs and fingers.
Li Keke yesterday was because he was an employee of this hospital. When the call came to him, Zhou Cheng couldn't ignore it.
"Mr. Zhou, I called Mr. Liang from the First Department of Orthopedics. He said that amputated limbs belong to the Second Department of Orthopedics. In the past, Mr. Zou, who was in the Second Department of Orthopedics, was not skilled in the business, so he went to the First Department of Orthopedics."
"Boss Zhou, you are on duty now. It is your turn to amputate the limbs. They are mainly responsible for such delicate parts as broken fingers and toes."
"That was indeed the case before." explained one and a half Mediterranean in the emergency department.
"Is that so? Okay!" Zhou Cheng felt relieved when he heard this sentence.
Whether it is an emergency or a regular clinic, if there is a mistake in business allocation between different departments, problems can easily arise. Zhou Cheng does not want the professors in the Department of Orthopedics to think that he is robbing them of the source of their disease.
But even if the people in the emergency department said so, Zhou Cheng would still have to call and ask Ding Changle later.
Zhou Cheng walked up and started asking the patient's family members: "How long have you been injured? Who are you?"
The injured person was a woman. It seemed to be a mechanical injury. The severed end was hastily bandaged and bandaged to stop the bleeding. Currently, large-scale active hemostasis has stopped, and only the severed end is bleeding.
He is in extremely poor spirits and is being ruled out for emergency injuries such as neurosurgery, general surgery and thoracic surgery, and is ready to be sent to the operating room for emergency surgery at any time.
"I was injured for two or three hours. I went to three hospitals, but no one dared to accept me. This is my wife."
"Doctor, you must take my wife in. My brother is an associate professor in your hospital. I will ask him to do the surgery later. You just need to give me a bed." The person who spoke was a
A man in his thirties.
Either he was afraid of his wife, or he loved his wife. After saying this, he heard his wife moaning and ran over quickly.
"Doctors, please hurry up. The issue of paying money is not a problem. You send me to the operating room first, and I will pay the money right away. It doesn't matter if you see the money and then do important operations, but if you want me
The wife cured the hand. "The man held the woman's healthy hand and looked distressed.
The doctor in the emergency department explained: "Brother, this is not a matter of money.
For the sake of life safety, we don’t want to find other fatal problems during the operation, which would be troublesome. "
"Although it seems that there are no other parts injured, we still need to be cautious. Can we wait for the doctors from the Department of Neurology, Thoracic Surgery and General Surgery in our hospital to do a simple physical examination before making a decision?"
Such a severed limb injury, because the injury is clear and the diagnosis is clear, is one of the super emergency surgeries, so it is generally not a waste of time to do a CT scan.
However, because of this, there may be some potential damage that goes undetected.
Having learned many lessons, no one dares to be careless anymore.
Zhou Cheng also walked over: "Brother, don't worry. We have checked your wife's condition again. Come over here and we will sign."
"Everything is subject to authority. Let's pick out the key points and sign them directly later to save time. It's up to you."
However, this elder brother was still on the phone and booed Zhou Cheng.
"Doctor, as for the signature, I can sign it right away. I'll call my brother. He's an associate professor at your hospital and also a specialist in orthopedics. I'll ask him to do the surgery. Just arrange the surgery and hospital bed for me.
OK?" The middle-aged man called once, but the other party didn't answer.
Then he didn't continue to struggle and calmed down for a moment: "He is Associate Professor Ningling of your Department of Orthopedics. You know him, right? Professor Ning is my cousin. He will definitely perform the surgery on my wife himself."
The middle-aged man's words stunned Zhou Cheng.
Zhou Cheng thought that since the other party was a relative of Associate Professor Ningling from the first ward of the Department of Orthopedics, he explained again: "Generally speaking, emergency surgeries like this are handled by the general hospital."
"Currently, I am in the second ward of the Department of Orthopedics, which is the general resident of the trauma surgery department. I am responsible for the replantation of severed limbs. Are you sure you don't need me to go on stage to deal with it? Do you strongly request the associate professor of our department to come?"
"If this is the case, you have to sign and confirm, and I will contact other associate professors for you."
The man waved his hand and said, "Don't worry, I'll call the doctor myself. You can take me to the operating room and leave me alone. Thank you, brother!"
"Really, you don't even need to contact the associate professor, I can call and sign by myself!"
"I also know it's not easy for you." This man seemed to be very familiar with the hospital's rules and procedures, and everything he signed was extremely professional.
"I and my family refuse surgical treatment by a chief resident-level doctor and strongly request treatment by an associate professor. We will bear all consequences at our own expense."
"Ning Yilong. Relationship with the patient: husband and wife!" The man wrote two lines of large characters generously, without Zhou Cheng's guidance. It should be more than the first time for such a thing to be done.
Zhou Cheng took a photo directly and kept it as a record. He quickly contacted the emergency operating room in the operating room, and then borrowed the computer in the emergency department to type in three copies of the information.
The first is the informed consent form for emergency surgery, the second is the notification form for the use of special materials during the operation, the third is the notification form for the emergency patient’s admission condition, and the fourth is the authorization letter from the patient’s family. The person named Ning Yilong signed it generously.
…
Another emergency patient came to the emergency department, one with an amputated lower limb. Zhou Chengcheng quickly asked the emergency department to send Ning Yilong's wife to the emergency surgery channel. At the same time, his call to his cousin was answered...