When Chen Wenqiang took Li Min to leave the provincial capital by express train, in the small conference room, it was the turn of Dean Shu to sit in front of the researcher and his assistant.On the side, there are also Secretary Tang who sat with him and Xiao Gao, the secretary of the Youth League Committee who was in charge of recording."
Dean Shu, let's talk briefly, what do you think of the anesthesia accident caused by your Dr.
Zhao the year before last.I hope to hear the truth from you. ”Dean Shu gave him a very formal answer with a straight face: "I regret it very much. ”Then the researcher looked at Dean Shu and waited for Dean Shu to continue.But he waited for a while, and he didn't wait for Dean Shu's next words.He had no choice but to speak, "Is that all you say?"
”Dean Shu nodded."
Accidents?
Was it really an accident?
Before that, Dr.
Zhao had not done general anesthesia. ”"Everybody has their first time doing it independently.""
It's the first time he's had such an accident, do you think it's justifiable?""
He's the attending physician."
If the conversation with Dean Fei made the researcher angry, and talking to a person like Dean Shu who was not contaminated with the fireworks of the world, he was so angry that he didn't know what to say."
There have been a lot of accidents in your provincial hospital in the past two years.The obstetrics and gynecology department died two women the year before last. ”In response to such sarcastic words, Dean Shu's eyes narrowed slightly, and he asked, "Do you know the cause of maternal death?"
”The researcher paused and said, "I don't know why. ”"Do you need me to tell you?""
You say.""
One case is a woman with congenital heart disease and gestational hypertension syndrome who is not suitable for pregnancy, and she is already on the verge of death in a primary hospital.There is also an example of "stopping". ”The researcher stretched out his hand to stop Dean Shu and said, "Do you mean to say that they deserve to die?"
”Dean Shu pursed his lips and remained silent."
If they don't deserve to die, then you're still blaming their deaths on accidents?"
Dean Shu suddenly smiled and asked, "What do you think of our provincial hospital compared to Union Hospital?"
”The researcher sneered: "You are delusional to compare with Union Hospital?
”"Then do you know the mortality rate in the Department of Obstetrics and Gynecology of Union Nursery?"
Dean Shu gave the researcher enough time to "think", and after waiting for him to shake his head, he said, "More than 3%."
This 3% is the average maternal mortality rate and the mortality rate for appendicitis surgeries.The year before last, when our provincial hospital was at its highest, twenty or thirty children were born in one day, and counting the case of congenital heart disease sent by the grassroots level, only two women died in the whole year. ”"You should be more demanding of yourself."
Dean Shu laughed silently, knowing that the laughter made the speaker uncomfortable, so he spoke: "Our obstetrics and gynecology department has surpassed the first Xiehe in the country.In the year before last.If you want to be 100% immortal, that is not something that can be achieved by human power at present.We are not immortals.Current medicine can't do that. ”Then he grabbed the man's mouth and said, "If you can do it, the Ministry of Health will have higher requirements for Union Hospital than you will ask for us." ”After an embarrassing silence, the researcher asked, "So, do you support this kind of accidental death in the clinic?"
”"I don't support it.""
Then what do you think your provincial hospital is doing?""
Good.""
And the anesthetic accident?"
This person is not coming to Dr.
Zhao, but to the provincial court.Dean Shu is still unsmuggled and unfazed."
Unexpected Chinese means unexpected.Do you know the incidence of anesthesia accidents?
Maternal mortality is exceeded.Our provincial hospital has done its best. ”"I heard that your Dean Chen has performed hundreds of craniotomys, and there has not been a single accident on the operating table so far.How did this work?
”The matter involved Chen Wenqiang, and Dean Shu's eyes couldn't help but turn cold.
*Dean Tang has worked with Dean Shu and Chen Wenqiang for many years, and she immediately noticed the change in Dean Shu.She looked at Dean Shu worriedly, coughed very lightly, and cleared her throat.Dean Shu glanced at her and nodded slightly.The investigator also noticed Dean Shu's mood changes, and he rotated the cap of the pen for a long time, waiting for Dean Shu's answer.But he didn't expect that Dean Shu just wouldn't speak.After he repeated the question, Dean Shu spoke slowly without emotion."
Because neurosurgery is more prone to accidents than other surgeries, Dr.
Chen is currently controlling the number of surgeries, even if the patient is scheduled for a month or two, he insists on only one operation a day, and reduces it to a maximum of four surgeries per week.""
Will this prevent accidents?""
I don't know.There are no immortals in the provincial court who can make predictions. ”Dean Shu, who is like an immortal, spat out ordinary words: "In clinical diagnosis and treatment, we have always tried our best first and then listened to the will of God.It is the so-called cure of the disease, but not the life. ”"Dean Shu, your thoughts are a little negative."
Dean Shu shook his head and disagreed with his statement: "I said earlier that I would do my best first.This is an absolutely positive and optimistic proletarian idea.Somebody dies.The more diseases that current medicine is out of nowhere.For example, rabies.Another example is myocardial infarction, which has a high mortality rate and is more acceptable to ordinary people.Even if it happens in the ICU, less than 50% of them can be saved, or even lower, but we will still do our best to rescue them. ”"What does this have to do with Dr.
Chen's neurosurgical craniotomy?""
Gliomas in neurosurgery, even if they have surgery, have a higher chance of recurrence after surgery, and the five-year survival rate of patients is also very low.But we didn't stop treating patients because of the high malignancy and low survival rate, which is what I said about doing our best.However, if the patient dies due to tumor recurrence and metastasis in the future, it is an objective existence that cannot save his life. ”The investigator unscrewed the cap of the pen and said: "But there have been no accidents in the neurosurgery department of your provincial hospital so far." ”"You're expecting an accident at the neurosurgery department?""
I didn't think so.Don't get me wrong.I've been researching the mortality rate of all your operating departments in the past few days, and I've found this, well, this is very prominent, very special. ”"Neurosurgery, there is no separate department at the moment.""
It's just that there is no single independent department in the form, and in fact the conditions for a single independent department have been met.I'm not wrong.By the way, Dean Shu, why is neurosurgery not an independent department?
”"There is a shortage of specialist doctors.""
Oh, that's right.This makes me even more strange.Let's go back to the question we just asked, the accidental mortality rate in neurosurgery.For example, the general surgery, orthopedics, and obstetrics and gynecology departments of your provincial hospital have had several accidents in a row, why is there no neurosurgery?
”"If you look at the number of neurosurgeries in the provincial hospitals, before the fall of '90, there were probably less than ten cases a year.""
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Why?""
These 10 surgeries were only done after Dean Chen returned from the south.In the past, when we encountered a craniotomy that required a craniotomy, we did not have a specialist, and we were all referred to the medical university. ”"So, you're saying that the reason for the absence of surprises is the short time it takes to perform specialist surgeries?""
It's related to that.""
Then let's go here today."
Dean Shu began to doubt the purpose of the researcher.What is this man going to do?
*The atmosphere of the small private room is very good.After learning that Chen Wenqiang had quit smoking, Director Qiu took the initiative to open two bottles of Wuliangye.Golden State Medical College is an executive vice president who has brought the secretary of the president's office with him.Also present were Director Qiu's deputy, the deputy director of the Student Affairs Office, Professor Cui, who will jointly recruit graduate students with Chen Wenqiang, and a deputy director of the Department of Neurosurgery of the School of Medicine.After recounting the friendship of the alumni and having a few drinks, the president toasted again and thanked Chen Wenqiang for his support to his alma mater."
You're welcome.Lao Qiu and I are classmates, and he spoke, as long as I can do it, I will spare no effort. ”Chen Wenqiang is very willing to hold Director Qiu on such an occasion.Another one who knows his own affairs and accepts an intern from the medical school, has significantly promoted and improved the medical quality of the provincial hospital.Director Qiu was very happy.Not only because Chen Wenqiang is willing to hold himself to speak, but also because Chen Wenqiang has done enough work to establish a qualified teaching point.From the dormitory of the intern students to the preparation of the canteen, from the assessment of the instructor to the usual internship teaching, all aspects have been implemented.These practical work, in terms of the feedback from the internship students, is that the life satisfaction of the internship site in the provincial hospital is the highest, and the students who practice surgery in the provincial hospital have higher test scores than the students in the surgery of the affiliated hospital of the medical school in the same period.This is his Qiu Wenyuan's solid work achievements!
In the newly opened internship site, the internship performance jumped to the main campus of the affiliated college, although some people later said that those students who went to the provincial college for internship were selected □□ after two examinations.For this sentence, Director Qiu did not hesitate to turn out the results of the examination of those who wanted to stay in the school and send graduate students to the affiliated hospital, and put them in front of the principal, and spoke with data."
The provincial court clearly said that we don't want the students who want to stay in the school and Baoyan to go over, and their grades are the best among the fresh graduates of our school.However, the results of the examination are not as good as those of going to the provincial institute for internship.It can be seen that the teaching strength of the surgery department of the provincial hospital is not worse than that of the surgery department of our affiliated hospital. ”In the face of data like Director Qiu, the principal naturally has to affirm the achievements of the provincial academy.To be honest at home, the provincial hospital is the only one that can elevate the Golden State Medical College among the internship sites that the medical school currently has.Other teaching points have to rely on medical schools to pull them out.Not only fame, but also the superposition of comprehensive factors.Especially the graduation assignment.Being able to assign students to work in a veritable provincial tertiary hospital in the provincial capital is a promotion for the students; For this year's enrollment work, they published the provincial institute as their teaching practice point in the enrollment brochure.What a face-saving thing, a lot of things that can prove strength.And Director Qiu has become the most valued person by several presidents of the medical school by virtue of the teaching point of the provincial hospital.A bright future is already beckoning to him.
*After the work of teaching sites and graduates was finished, Professor Cui, who was present, talked about Li Min: "Dean Chen, Li Min got such a high score in the exam, I am with you."
We rarely encounter such seedlings. ”The deputy director of the Department of Neurosurgery, who came with him, also said: "Even if there are students in our school who have such high scores, they will apply to the medical university or the capital and other places." ”Chen Wenqiang explained: "Our provincial institute is short of people, and last year, the daughter of a provincial leader was a graduate student, and Xiao Li was the second.If you hadn't provided the convenience of this joint enrollment, Xiao Li wouldn't have had a chance. ”Director Qiu smiled and said, "Li Min's luck is good, just in time." ”Director Cui asked Li Min: "Dean Chen, why didn't Xiao Li come to dinner with you?"
I'd like to meet her first.Capable neurosurgery girls are rare. ”Chen Wenqiang had no choice but to say: "Xiao Li is pregnant, she is afraid that morning sickness will affect everyone." ”Professor Cui nodded and praised: "It's good to be pregnant at this time."
When I enter the clinic next year, I will be relieved of my burden. ”The school secretary who came over joked: "Professor Cui, graduate students have to take a year off when they are pregnant."
How are you doing this?
”Professor Cui waved his hand and said, "The basic course of graduate students is to sit and read.Compared to the craniotomy of neurosurgery, one stop is just too easy for several hours.Dean Chen, Xiao Li has a good time, well, yes, nothing will be delayed.What subject is her lover?
It's internal medicine, right?
”"Her lover is a soldier, and she only came back from the front line in southern Xinjiang during the Spring Festival.I heard that you are stationed here in Golden State.It's a graduate student of Shijiazhuang Lu Zhi. ”The amount of information is a bit large, and Professor Cui said that it is a little unacceptable."
Soldiers.Neurosurgery is already very hard, why is she still married to a soldier?
This ......"
Chen Wenqiang said: "Fate is indescribable.Xiao Li, she loves people, he is definitely a first-class good young man, and he is also very good to Li Min, you will also like such a young man when you see it.His cousin is the director of the pathology department of our provincial hospital.said that he went to the military academy in 79 with the score of being able to go to Tsinghua University, and then became a regiment commander at a young age with military exploits.It's a battle hero. ”But Professor Cui still shook his head and sighed: "Why did she marry someone who couldn't help at all!"
”The deputy director who came with him said: "Dean Chen, my wife works in the obstetrics and gynecology department, and in those years, the two of us, alas, were busy and neither of us could take care of the children.In the end, I didn't delay my work, but I delayed my children's ......"
Chen Wenqiang said with deep feelings: "Yes, our profession can't take care of home if we take care of work."
At the beginning, my wife transferred from internal medicine to the physiotherapy room for the sake of my department.She and I were college classmates, and Lao Qiu, you know, her grades in school were also among the best. ”Director Qiu nodded, proving that what Chen Wenqiang said was true.Professor Cui said half-skeptically, half-expectantly: "Xiao Li should not give up halfway. ”The school secretary interjected: "She is alone with the child, can she still eat in the future?"
”"You don't have to worry about eating, housework, etc.After she stopped being hospitalized, the family asked a little girl to help.Her parents are both engineers, and they will retire in a few years, so they should come to the provincial capital to help take care of their children.In fact, not only our neurosurgery, but also the obstetrics and gynecology department also has a lot of workload, and we don't have the energy to do housework when we go home. ”"yes, yes.I love their obstetrics and gynecology department, and it is normal for two elective surgeries a day.Every now and then, add an emergency surgery, and the person is almost tired. ”When Professor Cui saw Chen Wenqiang mention the general hospital, he asked, "Dean Chen, how many beds do you have in the Department of Neurosurgery?"
What is the number of surgeries?
Is it saturated?
”"In the surgery season at the end of last year, there were almost four or five surgeries a week.After the Spring Festival, I changed to four times a week, and no longer had elective surgeries.With a design capacity of 66 beds, there are now more than 40 inpatients.The surgery has been scheduled for more than a month. ”"That's pretty good.That's a lot more than the number of patients in our hospital. ”"I think it's the geographical location of the provincial capital and the influence of the name of the provincial hospital.In our department, there are many patients from the following cities and counties.In addition, there are not many neurosurgery beds in the Affiliated Hospital of the Medical University, and they have to wait until two months later.Some patients were also shunted. ”"Then Dean Chen, how many doctors do you have?"
Chen Wenqiang smiled: "The interns from the last term are all back, and you can know if you ask."
I won't hide it from you, there are actually only me and Xiao Li in neurosurgery.After the Spring Festival, I borrowed two orthopedic doctors from the Department of Orthopedics, that is, the orthopedic doctors who had undergone craniotomy in the primary hospital. ”Professor Cui and his deputy director glanced at each other and understood the technical strength of the neurosurgery department of the provincial hospital.But he continued: "Four or five surgeries a week is not a small amount of surgery.Then Xiao Li's basic operation passed, right?
Has she ever had a craniotomy?
”"Xiao Li's surgical skills are absolutely fine, I let her start the surgery the year before last."
When Chen Wenqiang saw Professor Cui asking about this, he roughly reported a few of the surgeries that Li Min had done."
She underwent radical liver cancer surgery last summer; Then I also gave Director Shi of the Department of Thoracic Surgery of the Affiliated Hospital several cases of adult heart valve repair; She participated in the heart surgery of the Department of Pediatric Surgery.Our provincial hospital has done two cases of broken arm replantation after the year, and our provincial hospital is also ready to apply for the scientific and technological achievement award in the name of the hospital.In these two surgeries, Xiao Li is the main force of anastomosis blood vessels. ”"That's pretty good."
Professor Cui nodded frequently.Then he said regretfully, "Dean Chen."
If Xiao Li were a boy, you would have two surgeries a day, right?
”"No, it won't."
Chen Wenqiang replied with certainty: "There were not many cases of craniotomy in the provincial hospital the year before last.It is basically limited to emergency surgery.It's been too fast in the past year.The emerging department can't bear too many postoperative patients, and specialist nurses and special nurses can't keep up; I can't afford to risk an accident with surgery.Not to mention that I robbed the patients of the medical university, but it was indeed a tiger's mouth.Once an accident is caused by human negligence or other reasons, it may cause immeasurable and irreparable impact. ”Everyone present nodded cooperatively and praised Chen Wenqiang's caution.After saying that, the wine was drunk, and it was agreed that after the re-examination in the neurosurgery department tomorrow, the guests and hosts parted happily.Director Qiu sent Chen Wenqiang back to the guest house.() The distance is a bit far