Zhou Jun's idea is very realistic. After all, the Fourth Central Hospital mainly focuses on emergency care. Although it has Ningyuan Medical College as its backing, its extracardiac strength is indeed slightly weaker than other hospitals. Although autologous transplantation is relatively easier than allogeneic transplantation
, but after all, the operation is extremely difficult. Patients may generally choose to go to the capital or Shanghai for elective surgery instead of receiving treatment in Ningyuan.
Even if you really want to stay in Ningyuan for treatment, the extracardiac strength of the Second Hospital is obviously much stronger than that of the Fourth Central Hospital. Even if you do, it will basically not be the turn of the Cardiac Surgery Department of the Fourth Central Hospital.
This is the result of having no foundation. Sun Lien sighed. Although Ningyuan Medical College is quite good, the Fourth Central Hospital has only been established for eight years and has not fully formed its own talent training system and echelon. The current director of Xinwai
Although he has rich experience, he mainly specializes in emergency surgeries such as myocardial infarction and cardiac repair. He does not have much experience in difficult non-emergency surgeries. If this kind of abdominal cardiac ectopia requires surgery, it will not just be removed from the stomach.
It is as simple as removing the heart and returning to the chest. The aortic vein must be formed, the traction surgery to leave a place for the heart must be done, the circulation must be maintained after stopping the heart beating, and the pacing must be restarted after the heart blood vessels are sutured. In short, a
There are too many things that can go wrong in the entire operation. For the patient and the patient's family, the best option is to choose elective surgery at a more capable hospital.
"What are you guys doing squatting at the door with a sullen look on your face?" A familiar voice rang. Sun Lien looked at the source of the sound and suddenly said with joy, "Director Liu! Are you back?"
Liu Tangchun was wearing his own clothes and had a non-woven shopping bag in his hand. The bag was full of things, and the size was quite large. But Sun Lien couldn't tell what they were.
The old man nodded towards Sun Lien, put the things in his hands on the ground, and came over with a smile to watch the film in Zhou Jun's hand. "Ah, ectopic heart?"
Zhou Jun nodded. He was also a little unprepared for Liu Tangchun's sudden appearance. The old man came over to watch the film with a nonchalant expression. He actually didn't know whether he should hand the film to Liu Tangchun or not.
"It's not even chest and abdominal sex, it's abdominal sex." Liu Tangchun looked at the pictures on the CT scan and exclaimed, "I haven't been here for a few days, and such a big business is here again?"
"Teacher Liu." Zhou Jun finally reacted. Regardless of whether Liu Tangchun is still the deputy director of the emergency department or not, he is still his teacher. Isn't it normal for students to ask their teachers for help when they have questions they don't understand? "What do you think about this patient?"
Can we do anything with the people in our courtyard?"
"What can't be done?" Liu Tangchun's view was different from Zhou Jun's. "Old Tong has been doing extracorporeal surgery for decades. If he can't do this surgery, there won't be many people in Ningyuan who can do it.
"
Tong Chunlai is a veteran of Xinwai. Since he is not from the Ningyuan department, there has always been some estrangement between Xinwai and other departments. But this does not prevent Liu Tangchun from showing high appreciation for Tong Chunlai. He graduated from the Second Military University
Tong Chunlai became the son-in-law of Ningyuan. After changing careers, the cost of living in Shanghai was too high, so he eagerly followed his wife to Ningyuan. Although he did not hold a teaching position in the medical school, all the students in Ningyuan Medical College were willing to
Compared with other cardiac experts who came to work under him, Lao Tong has a very big characteristic: he is easy-going.
Lao Tong is an out-and-out good-natured person. He doesn’t want to offend anyone, and he doesn’t like to compete with others. If a student is unfavorable material, Lao Tong will let the student continue to be his second assistant. If he doesn’t feel like it,
If the student is suitable, Lao Tong will not use any dirty tricks to force people to transfer to another department. Based on his own observations, he will contact the dean of the department that is suitable for the student, and then let them recruit the student.
Of course, Liu Tangchun's good impression of Tong Chunlai does not come from the cooperative attitude of "if you want to poach a corner, you can do it". At least not entirely for this reason. As the deputy director of the emergency department and the real leader in actual operation, Liu Tangchun and various other departments
The directors are all common in Changshu. In addition to Zheng Guoyou and Lao Liu who are old friends for many years, Professor Li from the Department of Hematology and Director Wang from the Department of Pediatrics have a good relationship with Lao Liu. But except for these directors who have personal relationships with each other,
The person who has the best relationship with Liu Tangchun is Tong Chunlai.
"It's not a big problem for Lao Tong to undergo this operation." Liu Tangchun emphasized his opinion again, "Have you called the thoracic surgeon for consultation?"
Sun Lien shook his head.
"Then don't scream yet." Liu Tangchun shook off the CT image on his hand, "The blade didn't hurt the lungs. Judging from the shape of the handle, it should be a fruit knife, right? There is no blood groove on the fruit knife. As long as you don't pull out the knife rashly,
His pneumothorax won't be very serious. Even if it needs to be removed, we can do it ourselves and won't trouble anyone outside the chest."
"Then..." Zhou Jun said hesitantly. The doctor on duty for the extracardiac surgery must be a second-line doctor who is not capable of performing total heart ectopic surgery right away. The less experienced second-line doctors may not even be able to design a surgical plan. But now, Director Tong will be sent to him immediately.
It seemed a bit inappropriate to call the hospital. This was not an emergency surgery. To have the director of the department sneaked back from home late at night for an elective surgery was not to treat the director as a leader.
"I'll go talk to Old Tong." Liu Tangchun waved his hand. He knew what his usually serious disciple was worried about. "But you..." He tapped Zhou Jun's head with his finger, "This
You have to open your mouth when it's time to open it. What should I do if I'm too hesitant and delay the patient?"
Those who should be coached were being coached, and those who were being coached were being coached. Everything seemed to be the same as before.
"I'll borrow this kid for now." Just when Zhou Jun seemed to be about to fall into some unexplainable melancholy, Liu Tangchun smiled and grabbed Sun Lien's back collar, and then carried Sun Lien all the way to the small meeting with no one around.
room.
"Teacher Liu..." Sun Lien is much taller than Liu Tangchun. Rather than being carried here, it is better to say that he has been matching Liu Tangchun's pace all the way. Seeing Liu Tangchun dragging him to a place where there is no one around, Sun Lien
He knew that Lao Liu probably had something to discuss with him alone.
"There may be some changes regarding your enrollment." Liu Tangchun ignored Sun Lien's words and said directly to himself, "Although I am still your tutor, after you enroll, you will have to follow Zhou Jun in the first year."
Sun Lien didn't understand what Liu Tangchun meant, "With Senior Brother Zhou?"
"You kid can climb the pole very quickly." Liu Tangchun rolled his eyes at Sun Lien, who sat down on his seat, "I'm going to Africa next month."
"Africa?" Sun Lien took out his ears to confirm that he heard correctly and said with a surprised look on his face, "Why are you going to Africa?"
Liu Tangchun spread his hands and said, "What else can we do? Go lead the medical team."
The Medical Team to Aid Africa is an aid project that has lasted for more than 40 years. It is organized by the Chinese government and dispatches domestic doctors to poor areas in Africa to provide medical services to the people there.
It is actually quite difficult for domestic doctors to join the medical team aiding Africa. As an aid project, only doctors with professional titles above that of attending doctors are eligible to sign up and undergo review. After passing the review, doctors as volunteers will be dispatched to
He went to several friendly countries in Africa. The medical team would rotate only every two years. In other words, within two years, Liu Tangchun would have to go to the poor areas in the interior of Africa and work hard for two years.
"Why?" Sun Lien was anxious. Even if Liu Tangchun had serious leadership responsibilities in the previous handling, suspension for self-examination would be the most severe punishment. How could Lao Liu, a chief physician in his fifties and about to turn sixty, be demoted?
The reason for going to Africa? Especially when he thought that this might be related to his misdeeds, Sun Lien became even more anxious. "How can there be any reason for this? No, I have to go to Dean Song..."
"Sit down!" Liu Tangchun slammed the table, "Why are you looking for Dean Song? To ruin my good deeds?"
"That's Africa!" Sun Lien said anxiously, "There is no water or electricity, the language is different, and the food is different. Teacher Liu, you are getting old again..."
"Hey?" Liu Tangchun threw an empty paper cup on the table directly onto Sun Lien's head, "Can you still be my master?"
Sun Lien shook his head and said anxiously, "Teacher Liu, it was me who caused the trouble. Even if Dean Song fires me, I have nothing to say. But I asked you to go to Africa..."
"I've already said, that's my good thing." Liu Tangchun laughed angrily, "Are your ears clogged with shit? I asked my grandfather and grandma to go to the medical team!"
"Ah?" Sun Lien was completely dumbfounded.
Since the 1960s and 1970s, foreign aid medical teams have gradually changed from "state-assigned tasks" to "mobilized participation" tasks. However, Chinese people have strong rural sentiments and find it inconvenient to leave their hometown to live and work in other domestic cities.
What's more, they have to go to Africa for more than two years? It is precisely because of this that the medical teams aiding Africa have gradually begun to receive a lot of preferential treatment. Although the foreign aid subsidy of US$2,000 a month is actually possible.
The salary is not as good as that of department directors or even attending doctors, but the subsequent priority administrative promotion and huge honors are very attractive to many doctors.
This is especially true for doctors like Liu Tangchun who have worked in the army. He does not need any administrative promotion priority. Anyway, in the three-acre land of the Fourth Central Hospital and Ningyuan Medical College, old Comrade Liu
Walking sideways is basically no problem. But honor is what he wants to strive for most.
"It's not just because of these benefits." Liu Tangchun explained with a smile, "It just so happens that I have taught several students in Tanzania before, and they are still working in the medical system there. This time, I went over to meet them and catch up with them.