My Medical Skills Give Me Experience Points Chapter 1393 553: The Terrifying "Numbered Hospital" Series—The Dark Horse of Second-Tier Hospitals (Part 2)

However, on the fifth day post-operation, the patient's temperature abruptly spiked above 39 degrees Celsius. Concurrently, the volume of fluid drained from the chest escalated, appearing notably turbid.

Following a collaborative discussion among physicians from the First Hospital, a strong suspicion of esophageal leakage post-surgery arose.

To ascertain this, the patient was administered methylene blue orally. The subsequent appearance of blue-tinged fluid in the chest drainage confirmed the esophageal leak with near certainty.

Esophageal repair procedures, particularly when addressing extensive tears, carry a significant risk of postoperative esophageal leakage.

This complication does not inherently reflect subpar surgical proficiency.

The First Hospital stands as a venerable institution within the city, its capabilities once considerable. In former times, it held a provincial standing comparable to the current prominence of Tuya Provincial People's Hospital, recognized as a leading medical powerhouse.

This institution experienced rapid expansion, evolving from the First Hospital to encompass a Sixth Hospital.

Presently, both the Sixth and Second Hospitals have faded into obscurity, victims of the relentless march of progress. Only the First, Third, Fourth, and Fifth Hospitals continue to operate.

Currently, the Fifth Hospital reigns supreme.

Much like Tuya and Xinxiang Women and Children's Hospital, it embraced bold reforms during the last developmental surge, markedly enhancing its overall strength.

Conversely, the First, Third, and Fourth Hospitals are hampered by rigid structures and exceedingly inflexible internal administration.

Hospital leadership, lacking foresight and ambition, became preoccupied with personal enrichment. They systematically appointed relatives to secure positions and later, the extent of illicit salary payments through connections remains unknown.

Crucially, insufficient emphasis was placed on nurturing clinical healthcare talent.

This represents a pervasive issue within any organization burdened by an archaic system.

With an abundance of individuals holding connections and numerous leadership roles, the actual workforce dwindles. Furthermore, these non-active leadership cadres, in their bid to assert dominance or secure greater benefits, impose stringent controls upon the clinical healthcare staff.

They exert control as if managing mere household servants.

Hospitals of this nature typically exhibit several discernible traits: support staff, administrative personnel, and redundant employees far outweigh the clinical healthcare professionals. It's common for one doctor to be nominally supported by two non-clinical staff members.

And each of these non-clinical staff members can arbitrarily impede the doctors' work.

Any minor infringement of their directives results in relentless suppression and constant scrutiny, making the doctors' lives exceedingly difficult.

It is hardly surprising that in such a punitive work environment, any doctor or nurse possessing even moderate skills would seek to escape. They would promptly tender their resignations and pursue employment elsewhere.

Those who remain are typically doctors and nurses adept at sycophancy and obsequious behavior.

The majority of these individuals dedicate their time and energy to currying favor with the leadership and exploiting opportunities. Their professional development often stagnates.

If such seasoned flatterers constitute a minor contingent within a clinical department, their impact might be negligible.

However, when an entire department is predominantly staffed by such individuals, the situation becomes critically problematic.

When talented newcomers arrive, they face immediate and systematic ostracization, effectively stifled. They are compelled to either conform and become assimilated or face exclusion. Incompetent newcomers who emulate the flattering tactics of these individuals find a path to survival.

Consequently, such hospitals often become functionally defunct.

Reports suggest that following the closure of the Second and Sixth Hospitals, relevant authorities sought to reassign their employees to other medical facilities. However, hospitals demonstrating ambition, such as Tuya Provincial People's Hospital and Provincial Children's Hospital, actively devised methods to prevent these individuals from joining.

To this end, a recruitment blacklist was instituted, meticulously maintained by the directors of major hospitals.

The medical staff from those two defunct hospitals effectively found themselves permanently blacklisted.

Within the province, at least, their professional prospects were largely nullified.

Any reputable medical institution, without exception, maintained rigorous barriers against their employment.

Subsequently, an event occurred that was both thought-provoking and rather ironic.

Following the dissolution of the Second Hospital, its former medical staff, having frequently collaborated with a private hospital, attempted to secure positions en masse at this private institution.

At the time, the administrator of this private hospital anticipated that recruiting a large cohort of clinical healthcare professionals would yield significant operational advantages.

Tragically, within a mere nine months, this private hospital was brought to its knees by the very group of opportunistic individuals it had absorbed.

On the day of its bankruptcy, it is said that the hospital's administrator wept bitterly in his office. The enterprise, a patrimony built by generations of his family, had been tragically dismantled under his stewardship.

Following that incident, medical staff from the Second and Sixth Hospitals found themselves permanently blacklisted, with no institution willing to offer them employment. Word has it that even those who managed to secure positions elsewhere through connections were eventually dismissed. A tarnished reputation casts a long shadow. The sheer infamy of these two hospitals instilled a genuine fear of mirroring their downfall in private medical facilities. Like a single rotten apple spoiling the whole barrel, the negative impact extended far. To this day, medical professionals associated with the First through Fifth Hospital factions still face significant prejudice.

The Fifth Hospital's ascent is attributed to its former dean's dedication and boldness in implementing radical talent reforms. During its most challenging period, it's rumored that at least three groups of hospital staff would submit petitions daily. Despite overwhelming opposition, the Fifth Hospital successfully completed a major staff overhaul after more than a decade of arduous effort, emerging revitalized and brimming with new life.

Tragically, this visionary dean was diagnosed with lung, liver, and intestinal cancer at just forty-eight years old – an incredibly devastating confluence of diseases. This grim reality underscored the immense personal sacrifice and unimaginable pressure he endured to salvage the Fifth Hospital.

His successor is a remarkably young woman. Having reportedly spent seven years studying abroad, she possesses extensive international experience in hospital management. Under her leadership, the Fifth Hospital has continued to push forward with reforms and introduced numerous innovative development strategies. Its growth trajectory over the past three years has even surpassed that of Tuya Hospital.

Some observers hail it as a dark horse, predicting that at its current pace, it could ascend to the ranks of the province's top-tier hospitals within a decade. The First Hospital, with its deep-rooted history and strong ties to governing authorities, remains a formidable presence. Whispers suggest that securing a permanent position at the First Hospital is exceptionally straightforward, and its employee benefits are famously generous.

For instance, while nurses at Tuya Hospital consider one day off per week a significant perk, actual practice often involves frequent night shifts. Conversely, nurses at the First Hospital enjoy a day off after every two working days, with night shifts occurring, at most, once a week. The allure of a stable, permanent position is also a powerful draw. Even with current emphasis on equitable pay, the disparity in benefits between contract and permanent employees is vast.

Furthermore, the disparity in retirement pensions is stark. Contracted employees typically receive only their purchased insurance, with monthly pensions generally ranging from two to three thousand yuan. Permanent staff, however, receive a pension equivalent to no less than 80% of their pre-retirement salary. This single factor alone compels many to forgo ambitious career advancement in favor of the security of a permanent role.

The motivation isn't necessarily immense wealth, but at least financial stability! This significant advantage also means the First Hospital retains a considerable number of seasoned experts, including many highly skilled physicians.

After meticulously reviewing the patient's data concerning a postoperative esophageal leak, Zhou Can began to contemplate the fundamental causes behind this surgical complication. Primarily, the possibility of the surgeon's inadequate skill leading to postoperative complications cannot be dismissed. Secondly, given the patient's spontaneous esophageal tear and its considerable length, it suggests an inherent weakness in the esophagus's resilience.

Certainly, while the esophagus's inherent toughness might not be exceptional, its elasticity is remarkable. The esophageal wall comprises inner circular and outer longitudinal muscle layers, approximately 2mm thick, with elastic fibers interspersed between them. The upper esophageal musculature consists of striated muscle, with the posterior portion lacking longitudinal fibers. The circular muscles at both ends of the esophagus are more developed, functioning akin to sphincters.

Theoretically, the esophagus can accommodate objects three times its diameter without issue. This is far from its functional limit. Under ordinary circumstances, it is virtually impossible to consume something substantial enough to cause an esophageal rupture.