Xiao Ke was dismissed, as if he had lost a grain of sand in the sea.
Only scattered small waves were splashed, which did not affect the normal operation of the department.
Xiao Ke is just a chief resident. Although he is very capable, there are many people who can replace him in emergency surgery.
If a great doctor like Ren Min or Tong Zheng suddenly leaves, it will be very damaging.
Xiao Ke's departure gave residents who had worked for three to five years a chance.
Hospital positions are a carrot and a pit. When positions are vacant, the talents below will have the opportunity to take a further step.
Resident doctors who are qualified to compete for positions are starting to work hard.
Neither Zhao Yuan nor Sun Liang had much idea about this position.
One is an intern who has not yet been admitted, and the other is a resident who has only been full-time for one year. They are not eligible to compete for this position.
A hospital looks like an enterprise, but in fact its management structure, personnel appointments and dismissals are not as flexible as those of an enterprise.
There are relevant regulations for the recruitment and promotion of talents. If you want to get an exceptional promotion, you must perform convincingly.
Take Zhao Yuan as an example.
He secured two 100-level purification operating rooms from the Chai Group for the hospital. The hospital had no way to directly convert him into a full-time employee, but held a rather special employment agreement signing ceremony.
Sun Liang and Liu Juanjuan have been discussing who will serve as the chief resident next. Zhao Yuan is not familiar with his colleagues in the hospital, so he has no say.
However, from their discussion, Zhao Yuan could probably understand who among the many resident doctors had backgrounds, who had strength, and what their camps and positions were.
Zhao Yuan is no longer a newbie here.
He had nothing at the time and put all his energy into the operation.
This decision seems to be correct so far.
He used his advantages to gain the appreciation of Xie Changtian and others, and also laid a solid foundation for himself to stand firm.
However, Zhao Yuan is very rational and clear-headed. To reach his ultimate goal, it is not enough to just accumulate the number of surgeries. He also has to manage connections.
Xiao Ke's hostility gave him a sense of urgency.
Although Xiao Ke was defeated by himself, Zhang Ke, Li Ke, and Wang Ke would appear soon.
Zhao Yuan is not afraid of competition, but he must be wary of someone making a sudden attack in the dark, so he needs to arm himself in all aspects.
A patient came to the emergency room who was bitten by a poisonous snake. The wound on his leg was severely ulcerated.
The patient's screams due to pain attracted the attention of Zhao Yuan and Sun Liang, and they came to the treatment room together.
"Brother Lun, do you need help?" Zhao Yuan and Deng Lun are already very familiar with each other.
Deng Lun waved to Zhao Yuan, "You're just in time! Look, I've just been injected with snake venom serum, but it doesn't seem to have much effect."
Zhao Yuan carefully checked the location of the wound, with a solemn expression on his face, "The knee has blackened necrosis, the wound tissue is necrotic and infected, and it is combined with knee compartment syndrome. If the toxin spreads further, toxic shock is very likely."
Sun Liang was puzzled at the side, "What kind of snake is so poisonous?"
Deng Lun sighed, "The patient is a fruit farmer. After pruning the fruit branches on the farm, he was about to pack up his things. Suddenly a slender black shadow attacked him. The light was not good at the time, so I couldn't see clearly what kind of snake it was, but judging from the symptoms,
Look, it should be a cobra, and it will have to be sent to the Microtrauma Orthopedics Department for further treatment."
"I just heard the nurse say, is it possible to have an amputation?" The patient's voice was hoarse, and his tone was full of despair.
Deng Lun told the truth, "We are an emergency surgery department and are responsible for early emergency treatment. The specific treatment plan will be determined after diagnosis by other departments."
The patient cried loudly and tried to hit the injured area on his knee with his hands.
Zhao Yuan had quick eyesight and quickly held him down to avoid being impulsive and aggravating his condition.
"I can't have my legs amputated, I can't become disabled. The whole family is counting on me. In order to contract the orchard, I owe the bank several million. I have invested in it for the past two years. I finally got a good harvest this year. I see the light of day.
.My parents are very old and in poor health. One of their two children is in first grade and the other has just entered kindergarten. If I collapse, the family will collapse."
Sad cry...
The middle-aged man's despair instantly filled the entire disposal room.
The mind is full but the strength is not enough.
For doctors, there is nothing more painful than this.
Deng Lun took a deep breath. According to the patient's current condition, the antivenom was ineffective, which meant that the snake venom was still raging in his body. If his limbs were not amputated in time, the snake venom would spread throughout his body.
In order to save his life, amputation was the last resort and the only option.
Losing the car to save the handsome man is a helpless move, but it is better than having nothing.
Zhao Yuan remained silent, still analyzing his condition.
Suddenly, he raised his head, his eyes clear, "Brother Lung, although the patient's condition is serious, it has not yet reached the point of amputation. There is another possibility that the patient was not bitten by a cobra, so the snake venom serum is not suitable for the disease."
Deng Lun's heart skipped a beat, "Do you know what kind of snake venom it is?"
Zhao Yuan nodded slightly, "It should be the King Cobra."
Deng Lun thought carefully: "Tell me the reason!"
Zhao Yuan pointed to the bite wound on his knee and explained patiently, "The big teeth of the king cobra are longer than those of the cobra, and they are sharper. Judging from the wounds, the snake that attacked him not only bit open the skin and muscles, but even
It has reached the bones. In addition, the venom of the king cobra must be combined with the cobra plus bungara antivenom to be effective. Just using the anti-cobra serum has little effect."
"I didn't expect you to do research on snake bites."
Deng Lun thought Zhao Yuan's analysis was very reasonable, and quickly asked the nurse to collect the bungara antivenom.
He also doesn't want to see patients become disabled.
Zhao Yuan's knowledge reserve comes from another period of life.
When he was maintaining peace in Africa, local people were often attacked by venomous snakes, so he had considerable experience in treating snakebites.
There is no special serum for king cobra, so it must be treated with two serums from cobra and bungara antivenom.
The patient has been injected with serum, and everyone is observing the effect.
Time passes slowly.
Originally, many people questioned Zhao Yuan, but it turned out that Zhao Yuan was right!
The situation has improved significantly.
Zhao Yuan once again showed his magic.
Deng Lun was filled with emotion, "If you hadn't reminded me in time, I might have destroyed a family."
Zhao Yuan smiled modestly and said, "I just had a flash of inspiration. Your trust in me is very important."
Zhao Yuan did not take credit at all, which made Deng Lun even more fond of him.
Deng Lun thought to himself, the difference between excellent doctors and ordinary doctors lies in that aura!
The patient is then taken to the operating room.
His skin was ulcerated and tendons were exposed on his knees, so he needed skin and soft tissue defect repair surgery.
Zhao Yuan and Deng Lun performed this surgery together, and Zhao Yuan was responsible for the most critical part, the skin repair.
Zhao Yuan used a superficial inguinal circumflex iliac artery flap, freed it, and transplanted it to cover the defective wound.
The whole process was as smooth and precise as ever...
After walking out of the operating room, it was time to get off work.
Zhao Yuan unexpectedly did not work overtime, so he hurriedly packed up his desk and rushed to the underground parking lot.
A white BMW honked its whistle, and Zhao Yuan listened.
Chai Jing got off the driver's seat, took out a suit and shoe box from the trunk, and handed them to Zhao Yuan.
"Put it on. If it doesn't fit, go to the counter to change it now!"
