My Medical Skills Give Me Experience Points Chapter 1461 - 584: Competing for Top Domestic Hospitals, Difficult Troubles Ahead (Part 2)
Previously on My Medical Skills Give Me Experience Points...
How do you compare the two?
Director Lou revealed that there will be three permanent positions available this year, and many people became as excited as if they got a shot of adrenaline, their faces flushed with excitement.
No matter if male or female, as long as they don’t have a permanent position, their eyes all showed a wolfish hunger.
"Rest assured, as long as we continue to work hard, united as one, the stronger the Emergency Department becomes, the more resources like permanent positions, Associate Professorships, and Full Professorships we can secure. Everyone’s life will get better and better."
Drawing grand visions, this is a skill every leader naturally acquires.
Without painting a few grand visions, it’s hard to mobilize everyone’s enthusiasm for work. The department would only become lethargic, eventually declining and falling into oblivion.
An organization or department with vitality must have a good leader skilled at motivating employees.
"Now announcing the list of judges for the Emergency Department’s operating room, temporarily selecting three judges who will score each surgery. These three are outstanding in surgical capabilities, just and upright, ensuring the maximum fairness and impartiality in scoring. The first judge is Dr. Xu Chen, the second judge is Dr. Zhou Can, and the third judge is Dr. Cui Min. Please all medical staff cooperate with the three judges in the scoring work."
Being chosen as a judge certainly means having new power, enhancing one’s status in the department and operating room. But it also occupies the rest time of the three.
It’s the first time Dr. Cui has taken on a position akin to leadership, appearing very excited and enthusiastic.
He perhaps didn’t expect to be selected as a judge.
In terms of experience, he’s far behind Fu Chachun.
Being chosen as a judge this time, even though just the third judge, still makes him extremely satisfied. It’s a huge encouragement for him.
In contrast, Zhou Can and Dr. Xu seemed much calmer.
"Now announcing the third matter: Last night I attended a meeting with Dean Zhu at the bureau. The higher-ups have recognized Tuya Hospital’s development in recent years. However, they have set new requirements for us to align with the first-tier hospitals in the country and strive to elevate our comprehensive ranking further. After returning, Dean Zhu set a goal for the hospital to break into the top ten nationally within three years, with specific requirements for each clinical department."
"Besides improving the rescue success rate by another 5%, the Emergency Department also requires at least ten SCI papers and domestic core medical journal papers a year. As we have internal and surgical inpatient beds, the number of difficult cases we tackle cannot be less than 180 a year."
The high requirements set for the Emergency Department are quite intimidating.
Doctors kept their heads down, silent.
It’s a joke; who dares to promise these requirements?
Currently, the only people capable in the Emergency Department are Zhou Can and Dr. Xu, even Director Lou and Deputy Director Han are somewhat mediocre in medical technique and scholarship.
At least they’re far from top-level.
"I understand that these requirements are quite challenging, but if we are willing to work hard, I believe we still have hope of achieving them. Let’s all work together, meeting adjourned!"
Director Lou noticed the morale was somewhat low and didn’t impose any mandatory requirements.
...
A week passed in a blink of an eye.
The female patient in bed 1 recovered some sensory function in her left foot’s third toe after a second surgery. However, the flexion function is still not restored.
One must admit, this is quite unfortunate.
However, Zhou Can is confident in his surgical skills.
He always felt that the nerve anastomosis he performed on the female patient was successful. Even if the nerve function isn’t fully recovered, most of it should be.
When the patient was completing the discharge procedures, she was noticeably disappointed with him.
He reassured the patient to consciously strengthen the exercise of the left foot’s third toe once the wound has healed considerably. She could devote part of her time daily to artificially massage the third toe, assisting its movement.
After nerve anastomosis, unlike blood vessels and intestines, where you can verify success quickly as long as necrosis doesn’t occur.
Because nerve cells cannot regenerate, the healing time, and recovery time are very long.
Moreover, exercise is crucial to help them slowly recover.
It’s often seen in hospitals that some patients with lower limb paralysis are encouraged to stand and walk, supported by family or undergo rehabilitation training at recovery centers after surgery.
This is to help the body gradually regain motor functions.
Some patients who were declared by doctors as impossibly able to stand again grit their teeth and persist in daily strenuous training. Eventually, they create medical miracles, successfully recovering.
For example, a certain martial arts star is a typical example among them.
Zhou Can is hopeful about the nerve anastomosis of this female patient. If she regains nerve function in her third toe, Zhou Can can continue to take on similar nerve anastomosis surgeries in the future, delving deeper into research.
When conditions are mature, he will attempt surgery again to help the paralyzed patient treated by Dr. Xu.
If he indeed cures the noble patient someday and helps Dr. Xu rid of the shackles, it would be the best way to repay Dr. Xu.
That day, Zhou Can, after work, rated each surgery as usual.
He identified problems, marked them out timely, and then gave a low score for any that failed to meet standards.
For example, in a subcutaneous abscess debridement surgery performed by Dr. Tang Wannian, he ruptured one of the patient’s venous blood vessels during the debridement. Since the vessel was relatively large and belonged to a fairly important venous return vessel, it was inappropriate to handle it with rough electrocoagulation for hemostasis.
Instead, it should be sutured and repaired.
Dr. Tang Wannian, for convenience, electrocoagulated the vessel directly, leading to significant edema in the patient’s lower limb post-surgery.
This was a display of irresponsibility.
Zhou Can marked it impartially and passed it to Dr. Xu for unified handling.
Such irresponsibility or avoiding responsibility actions are numerous.
At least two-thirds of the doctors in the operating room repeatedly fail to correct their mistakes, even after being penalized by Dr. Xu.
Especially this attending physician, Tang Wannian, who has a master’s degree and is among the few highly educated individuals in the operating room.
Dr. Xu, Cui Min, Fu Chachun, and Zhou Can all have undergraduate degrees.
Only the young people brought in later all have master’s education.
There are currently no doctoral students among the surgical doctors in the Emergency Department.
People are quite realistic; doctoral students are not willing to enter the Emergency Department at all.
Therefore, Tang Wannian has always been proud.
Concerning the surgery rating, Tang Wannian and some other doctors likely resist it.
No one likes being tightly managed.
Performing surgery with attention to every detail is challenging. If you are not careful or responsible, various issues easily arise.
After completing the ratings for all surgeries of the day, Zhou Can sent them to Dr. Xu’s email and didn’t intervene further.
The next morning, after ward rounds, Zhou Can overheard Dr. Xu sternly reprimanding Tang Wannian and others in the office.
"Tang Wannian, you’ve had issues with surgeries every day recently for the past week. Yesterday alone, there were problems in four surgeries. Can you actually do it, do you still want to work or not?"
Dr. Xu typically wouldn’t say such weighty words unless extremely angry.
"Who can guarantee a surgery won’t have any issues at all? Some minor issues do no harm, why take it so seriously! Besides, can you ensure the surgeries you do are 100% problem-free?"
Tang Wannian responded blandly.
First, let’s clarify that Tang Wannian isn’t a mediocre doctor eliminated from other departments.
He’s currently in his early forties, a senior attending physician, striving to attain the Associate Professorship. This year, his prospects of achieving it are promising.
When it comes to surgical abilities, Tang Wannian ranks middling to above average.
In academic and research areas, he’s also middling to above average.
He’s not top-notch, but certainly not at the bottom.
He joined the Emergency Department at Director Lou’s invitation. Apart from having an aloof demeanor in his work attitude, possessing a relatively haughty disposition, he’s excellent in all other areas.
For the Emergency Department’s operating room, such talent is very valuable.
Therefore, even though he repeatedly errs in surgeries, Dr. Xu hasn’t been willing to suspend his surgery privileges.
Given that Fu Chachun has had his surgery privileges suspended for a week, leaving only three attending physicians in the Emergency Department, staffing is quite tight. Further suspension would leave only Dr. Xu and Dr. Cui for attending duties.