Director Shi watched the people on the eleventh floor follow Dean Chen, and then looked at the black heads in the office, and suddenly felt emotion and heroism in his heart: the cardiothoracic surgery at this time last year was exaggerated to say that there was only one prototype, and this year it will be completely decent and can take off at the right time.Under him, there is Pan Zhi, the attending physician, who graduated from the medical university for six years.Both the basic knowledge and the basic operation are very solid.Many people look at his still beautiful young face and mistakenly think that he is a bully.But after a year of contact, Director Shi felt from the bottom of his heart that the appearance and reality of Pan Zhi's person were completely different things.- He knows how to make trade-offs and advance and retreat better than those old fritters who have been soaked in society for ten or twenty years.It seems that judging the situation and observing words and emotions is already an instinct that he has melted into his bones.And the tenacity, seriousness, ability to endure hardships, and diligence in his character are not inferior to Li Min in any way.He is just worse than the proud Xie Xun and Li Min in terms of talent.But Pan Zhi's comprehensive ability should be objectively evaluated above Xie Xun and Li Min.If those two were defenseless against Pan Zhi, it was not impossible for Pan Zhi to sell those two.After working in a department for half a year, Director Shi consciously understood the reason why Chen Wenqiang put Pan Zhi in cardiothoracic surgery: Pan Zhi can only have a chance to get ahead if he gets rid of the shrouded shadow of Xie Xun's talent aura.Even if he is promoted to chief physician and retires at the age of 65, even if there are still fifteen years to go, Pan Zhi at that time happens to be his most suitable successor.If he didn't get to the top of the ranks, Pan Zhi, who was just in his early forties, would be able to take over thoracic surgery, which was the best time for a surgeon.This made Director Shi feel relieved that he had a successor, and he also gave birth to the helplessness of the years urging people to grow old.Under Pan Zhi, there is Zheng Qiang, the hospitalized president, who graduated only two years later than Pan Zhi.But in all aspects, it cannot be compared with Pan Zhi.A lot of the time, it's a push to move, and if you don't push, you don't move.One word: lazy.Two words are super lazy.There is no illusion of being unconvinced, not inferior to others, and there is less down-to-earth effort.If you don't change it, you will inevitably fall into mediocrity in the future.Then there are Qin Zhang and He Yong, who graduated from medical school last year.Qin Zhang is a pity......
He Yong brought it by himself, and it was average, no matter his height or personal effort, he was not suitable to stay in his own cardiothoracic surgery, which has relatively high requirements.Looking at He Yong, Director Shi was suspicious.Chen Wenqiang fixed He Yong in the thoracic surgery department because he had the idea of stuffing He Yong to the urinary side in the future, right?
If the urology department can be independent in three or five years......
In the past few years, if you don't use Lao Yang, Xiao Huang, and He Yong well, and let them share the prize money from thoracic surgery, it will be too much to do.Thinking of urology, Director Shi's gaze fell on Yang Weiguo.He had to admit that there was truth in that sentence: a woman is a school that can train different men.Dr.
Yang, who has lived with Director Luo for 11 months, now knows what to do......
It's hard to put into words.Although Yang Weiguo failed this year's foreign language exam for the deputy senior professional title, Director Shi believes that he should pass next year.Director Luo, Director Shi thinks that if Dr.
Yang didn't have such a skin, he really wouldn't be worthy of Director Luo, a strong associate professor.Director Shi was like a lion patrolling his subjects, and his eyes fell on Xiao Huang, who had already decided to do urology, Huang Hong, who graduated a year later than Zheng Qiang, but his work attitude was more serious than Zheng Qiang's, and he was much more active in doing things.It's just that the personal operation is still a lot worse, and the personality is rough, so you can only polish it slowly.If you polish it carefully for half a year, you can let him take over as the general hospital.* "Ahem. ”Director Shi cleared his throat, and when everyone's eyes were focused on his face, he spoke: "Today, Qin Zhang is here in our department, He Yong is also here after the rotation, and Miao Yuesheng, a newcomer who has been rotated to our department.Xiao Miao interned in our department last semester, and everyone is familiar with him.Now the eight doctors in the department, Xiao Miao follow me to count a group, our department is full of 63 beds, and we can no longer mention the old tune of more patients, fewer doctors, and high work pressure in the future. ”Everyone understands this truth, and when Director Shi's eyes swept it, the listeners were very convinced and sincerely nodded vigorously.This made Director Shi feel very comfortable.So he continued."
So, given the current total number of beds and the number of clinicians, I would like to adjust the number of clinicians' beds first.First of all, Dr.
Zheng, the general manager of the hospital, you brought an intern, and you still have to take the bed.But I would like to remind you that even if our department is full of 63 patients, you have to take the overall responsibility for hospitalization, and you have to know the specific situation of each patient.If you can't, you'll continue to do the total hospitalization next year.Do you understand?
”"Understood!"
Dr.
Zheng subconsciously immediately blurted out these two words.Then he immediately noticed that the dog days were not hot, and his back immediately climbed into a chilly feeling.Because he believed that Director Shi would not lie to himself.If you don't do well, it is entirely possible to become a general inpatient when the time comes.At this time, he regretted that in the past six months, he had not managed all the patients on both floors like Li Min.Oh mom, if you manage two floors, you will be hospitalized for half a year; Manage one floor well, just do it for a year.If it is not managed, it will be postponed for half a year......
Dr.
Zheng regretted in his heart, at this time, he had already turned into a river.Because in the past nearly a year, he has already figured out Director Shi's temper.Smile on the surface, hello, hello, hello, everyone, no one can say that he is not good.But he is a smiling King Kong, if you don't do what he asks, he can put away his smiling face at any time and turn into a terrifying angry King Kong.As a result, Dr.
Zheng could only cater to Director Shi's temper, like a primary school student named by the head teacher, and replied loudly: "Director Shi, don't worry, I will take on the responsibility of the general hospitalization and do a good job in the general hospitalization." ”Director Shi nodded with satisfaction.Then he looked at Dr.
Yang and said, "Old Yang, although you and Xiao Huang are urology majors, but in the absence of separate urology, you two should participate in the daily diagnosis and treatment of thoracic surgery patients.In my cardiac surgery and thoracic surgery, everyone has to be able to do the specialist work in cardiothoracic surgery and urology. ”This is nothing less than a blessing from heaven for Dr.
Yang and Xiao Huang.But it was different in the ears of Qin Zhang and He Yong.Qin Zhang is happy that there are more worlds, and Xiao He's hard work has expanded to the unknown.Pan Zhi has followed Dr.
Yang to many urology surgeries, and now he personally manages urology patients?
What to do - Guanbei.The director has spoken, is there room for his own doubts?!
Dr.
Zheng is numb, and he has to take care of all patients anyway.He wanted to ask Director Shi privately, did he not have to participate in neurosurgery and burns?
And Miao Yuesheng just finished his internship, and he felt that it didn't matter.Dr.
Yang immediately expressed his position on behalf of Xiao Huang: "Director, don't worry, we will do a good job and manage every thoracic surgery patient." ”This is the cleverness of Dr.
Yang: in terms of personal friendship and privacy, Director Shi Leishi must be held in the workplace.Director Shi also gave Dr.
Yang a big smile.He said, "Lao Yang, you have a lot of experience.Corey is a young doctor, and I need your help to pay attention, help fill in the gaps, and do Corey's job well. ”This is Director Shi reciprocating the favor and promoting Dr.
Yang in front of everyone.But Dr.
Yang is qualified.He is a senior attending physician and has been in trauma surgery for several years, if he is willing to help Director Shi solidly, the courage on Director Shi's shoulders will naturally be a little easier."
Okay, I will."
Dr.
Yang agreed repeatedly.* "Now we have 63 beds in the department, and the regular number of beds is 60 if you don't count the intensive care unit.My opinion is divided as follows: I, Lao Yang, Xiao Pan, and Zheng Qiang, the total hospitalist, have nine beds per person.Then Xiao Huang, Xiao Qin, Xiao He, each of you has eight beds.What do you guys think?
”"Okay."
A string of affirmative sounds.Yang Weiguo pressed himself and didn't say the question of whether Qin Zhang and He Yong could manage the 8 beds.He was determined to see He Yong more, as for Qin Zhang, if that kid dared to take the lead, he had to be prepared for the possibility of falling behind."
Xiao Zheng, you have readjusted the beds in a while, and these existing inpatients are evenly distributed to each person.In principle, I should continue to manage my existing patients. ”"Yes."
Dr.
Zheng replied very respectfully."
Lao Yang, the patient in your hand is going to hand over the part, regardless of whether it is chest or urinary.There are less than 40 patients in our department now, and each person is only in charge of five or six. ”"Okay."
Dr.
Yang agreed very happily."
Xiao Zheng, you remember to arrange the order of the doctor who re-accepts the patient and assigns the bed, and according to the order I just said, it is written in black and white, and handed it to the head nurse, so that the nurses in charge of the class will be divided according to the order, and no one is allowed to pick the type of disease or the patient.""
Yes."
Director Shi was satisfied with the new rules.Seeing that everyone had no objections, he continued to arrange the work: "According to the requirements of the internship plan, the seven interns in our department are two weeks in thoracic surgery, two weeks in urology, and two weeks to go to the neurosurgery department on the eleventh floor.How do the ten of them rotate, Xiao Zheng, you ask Li Min to do it according to the previous example.However, in the junior college class, no matter what the content is in the internship, ten students have to listen together.You have to do this job well. ”"Yes.""
Alright, that's all for this morning.Just one requirement: each of us must teach seriously, pass on the torch, and not be ambiguous.Pan Zhi, you push the patient, I'll go to the operating room first. ”"Yes.""
Xiao Miao, you and the intern" Director Shi didn't remember the name of the intern he brought, so he had to point with his hand and say, "You two will follow Dr.
Pan to the operating room in a while." ”"Yes."
A string of "yes", such an answer made Director Shi satisfied.Isn't it just to give up the Affiliated Hospital of Golden State Medical College to come to the provincial hospital in order to have your own independent kingdom?
Free novels bring you joy and joy ---> storyskyline.net
He went to the operating room with his head held high with his head held high and full of ambition.In the office behind him, Pan Zhi shouted Miao Yuesheng, took two interns, and called the nurses on the disposal shift to give preoperative medication to patients who urgently needed surgery, and prepare a flat cart to push patients to the operating room; Dr.
Yang and Xiao Huang began to discuss the bed with Dr.
Zheng; Qin Zhang, He Yong and five interns stood a little farther away from the three of them waiting for the results.Anyway, which patient is divided is new to Qin Zhang and He Yong.Moreover, Director Shi has asked the general inpatient to discharge the order of the management bed for new patients, so it all depends on the will of God what kind of diseases can be managed in the future.This is the fairest way for newcomers to allocate beds and establish the order in which new patients are assigned.Director Shi's openness made everyone admire.The five interns gathered together, but they were actually divided into two groups, three from Golden State Medical College and two from Linhai Medical College, and the strangeness made them restrained.Director Shi set the style of everything in one word, which also made them admire and yearn for it.Director Shi of the Department of Thoracic Surgery is too handsome.
*The Department of Thoracic Surgery has only one operation this morning, and it is Pan Zhi's patient.The surgeon is Director Shi, and the first assistant is Pan Zhi, and the students led by Pan Zhi have to follow the tube bed, so naturally he can also go on stage.The rest were the students led by Miao Yuesheng and Director Shi.Director Shi ordered: "Xiao Miao brushes his hands to disinfect." ”This arrangement is also reasonable, Miao Yuesheng is a rotation doctor.As for the interns brought by Director Shi himself, they can go into the operating room to visit the operation on the first day of entering the department, well, it's not bad.The students who followed Director Shi were moved by Pan Zhi to stand in the corner."
You stand here and watch Dr.
Miao's disinfection action, so as not to get in the way.Being out of the way in the operating room is the most basic requirement. ”The student nodded again and again, wanting to say that he had a surgical practice manual printed by the provincial hospital, but Pan Zhi had already left with the intern he wanted to manage.Pan Zhi told the interns he brought as he walked: "You follow me, you follow me what I do."
Just one request: use your eyes to see, ask me when you have any questions, don't get in the way on the operating table. ”"Yes.Mr.
Pan. ”When Director Shi saw Pan Zhi enter the operating room, he settled the two intern students first, and his eyes were satisfied.He folded his elbows in his hands and carefully looked at the CT scans inserted in the reader, and was slapped on the shoulder."
Old Shi, you face each other."
It was Director Liang who spoke.Director Shi turned around and saw Director Liang standing behind him with a smile, and his son Xiao Shi standing two steps away from Director Liang, looking at Miao Yuesheng with a side face.This stupid boy, can you stand in that position?
Sure enough, it is not possible to practice in a teaching point in a foreign field.Whether it is a newcomer or an old director, even Dean Chen stands there, and he has to be eaten by the patrol nurses who are walking back and forth and busy working.He pulled Director Liang by the hand, hurriedly beckoned to his son, and said, "Come, let's stand this way and get out of the way." ”The three of them stood aside, and Director Shi asked, "Lao Liang, what surgery did you have today?"
”"Radical gastric cancer resection.Take your little stone to the stage in a moment.If you don't do the basics, you can start a small stove for your child at night. ”"Lao Liang, please."
Director Shi bowed his hand to Director Liang.Director Liang smiled: "It's easy to say."
Your patients?
Is it esophageal cancer?
That's not a great location. ”"yes, I guess it's going to be hard.This is Pan Zhi's patient.How did you get here?
It's almost nine o'clock. ”"We had a bit of an accident with anesthesia over there.The patient cries and refuses to 'be stupid'. ”？
Director Shi's eyes widened, and the doubts on his face made Director Liang want to put a question mark on his face."
The patient refuses to have general anesthesia and must be awake during the operation.Hell M.I don't know where he heard the news, he was operated on under general anesthesia, and he fell asleep, and he would be more or less stupid when he woke up.!
”Director Shi stretched out his hand and patted Director Liang's shoulder to comfort: "The forest is big, and there are all kinds of birds."
Let Lao Zhou deal with him. ”"Lao Zhou went.I didn't take a small stone to brush my hands, and I watched you face you through the door glass.Let's go, let's brush our hands together. ”"Okay."
Director Shi and Director Liang are in the front, and the young and tall Little Stone is in the back.The three of them met Li Yanran at the sink."
Uncle Liang, Uncle Shi."
Li Yanran was the first to speak.Then she nodded slightly at the small stone that followed, and the girl was a little embarrassed."
Hmm.Which one is on today?
”"Ophthalmology.""
Good.Hurry up and go. ”Director Liang spoke.He glanced at the young man and the eldest girl beside him, and the unexpected encounter made both of them a little excited and shy.This is what a person who is engaged in should look like.Li Yanran walked away.Director Shi and Director Liang began to brush their hands, and Xiao Shi took a step slower to keep up with the movements of the two."
What do you think?
Small stones. ”Director Liang asked.Xiaoshi withdrew his gaze and said, "I didn't think about anything." ”Director Shi smiled dumbly.knew that Director Liang's son was funny.He smiled and said, "Do you remember the steps of radical gastrectomy?"
”"Yes.""
Do you dare to rob your Uncle Shi's position?""
Don't dare.""
Lao Shi, how do you teach children?
It's the first day of work.Xiao Li has been dormant for two months. ”"If he can catch up with Xiao Li, I can wake up laughing when I sleep."
Director Shi looked yearning.The one who is a father doesn't want his son to become a dragon."
Wouldn't it be better to catch up with Xie Xun?"
Director Liang held back a smile."
yes."
Director Shi's mouth should be yes, thinking in his heart that although Xie Xun has finished his promotion to deputy high school, he still has some chances to be missing according to Li Min."
Then Xie Xun hooked Lao Cheng for two years before he touched the scalpel."
Director Liang smiled evilly.Director Shi was stunned for a moment., after two years of hooking, he hasn't been pressed, so Xie Xun is really a genius!
But his own son, although he practiced at home and taught himself, he, alas!
It's not as dexterous as Li Min's ten fingers.- If you really pull the hook for two years, it will be wasted."
Lao Liang."
Director Shi's mind flashed, and he greeted Director Liang with a smile."
Free novels bring you joy and joy ---> storyskyline.net
What's the matter, you say.Don't be polite to me.Who is with whom?
”Director Liang took the brush dipped in soapy water and began to move the brush on his hand.The tips of the hands, the tips of the fingers, the dorsum of the fingers, the palms and backs of the hands, the inner and outer sides of the forearms, and the elbows are ten centimeters......
Every bit of skin is completely in accordance with the requirements of the textbook, and there is no vague brushing.Director Shi held back for a moment, but still said the truth in his heart: "You still teach Xiaoshi as an ordinary child."
Don't compare him to Xie Xun and Li Min. ”"Okay.Since you said that you don't compare with them, then I won't compare.When the time comes, don't blame me for delaying the genius. ”This old thing!
I was waiting for myself here.Director Shi laughed and said, "The stubborn stone can also carve flowers in your hands, not to mention the jade of my family." ”"You're not ashamed."
Director Liang teased him."
Well, I'm not ashamed.I'm not playing with you, what do you have to say?
”Director Shi's attitude was very serious.Director Liang, I have never seen such a person praising his own children.It's the small stone that brushes their hands next to them, and they are a little embarrassed by their father's explanation.* The operation that didn't have much suspense, it was difficult to do, and it was over at half past twelve at noon.Director Shi asked the anesthesiologist to send the person to the ICU, and then took Pan Zhi and the patient's family to the Sihai Restaurant for dinner.Pan Zhi, who drank two bottles of beer at lunch, blushed slightly, and took the intern to the ICU to write the operation record after the meal.Originally, there was no need for this patient to be sent to the ICU.But Director Shi said in the operating room: "The ICU is air-conditioned, the nurses are on guard one-on-one, where to stay for two days, it is more comfortable than in our department, and there is a doctor who is the best at first aid 24 hours a day, so we can rest assured." ”Pan Zhi was very obedient, but he thought privately in his heart that this may not be the reason.When he returned to the department after writing the operation record, Director Shi called him to the director's office and said, "Xiao Pan, I don't know if you noticed?"
The patient's family is more difficult.Let's put people in the ICU for a few days after surgery, if there is anything bad about the prognosis, do we have enough reasons?
”Pan Zhi suddenly realized, I have to admire Director Shi, high!
That's high!
It's too high!
Even if the patient has an anastomotic leak like the previous one and eventually dies, the premise that he or she will be admitted to the ICU after surgery should be easily accepted by the family.What a good explanation.Who is to blame for being so heavy?
Pan Zhi felt that he had learned another trick from Director Shi."
Then director, should we give him supportive therapy first?""
Up.Nutrition keeps up, and the chances of healing after surgery also increase.I was discharged from the hospital a few days early, and I saved everything. ”"Yes.Then I'll adjust the doctor's order in the evening. ”"Hmm."
It's a normal working day.But it wasn't until Pan Zhi returned home that he realized that today was not a normal day for him.
*At 4 p.m., Li Min summoned 10 interns from the 11th and 12th floors to give a lecture according to the needs of her work.The first content is aseptic operation, and then there are the precautions for going to the operating room.Yang Yu, Lu Kaiwen, Miao Yuesheng, Qin Zhang, and He Yong all stood behind the interns and listened.Li Min was sweating profusely, and the small fan in her hand really didn't have much effect.She still has to write a board book, and she has to wipe her sweat with gauze, and she writes a few lines, and she doesn't care that the fan is Xiao Jiang's, so she directly holds the fan and chalk in her right hand, and fans the wind without writing.The small folding fan opened and closed, and after a while, it was stained with a lot of chalk ash."
Teacher Li."
The intern's team leader raises his hand and asks to speak."
You say.""
Before we came out, the school gave us a manual for surgical practice."
The group leader approached Li Min and showed Li Min the booklet in his hand.Li Min opened it and looked at what he had written, breathed a sigh of relief, and said, "You have this booklet, so I don't have to repeat it." ”She threw away the chalk, stretched out her hand and pointed at Kevin and Miao Yuesheng and said, "When you were interning, I also talked about these things.Come, come, you two ask questions according to this booklet, and you ten answers. ”The group leader looked embarrassed and hurriedly explained to Li Min: "Teacher Li, this was sent before we got into the car yesterday, and we haven't had time to see it yet." ”The two students from Linhai Medical College raised their hands: "Teacher Li, we don't have one." ”Li Min thought about it and said, "That's it, the two of you read a copy."
Read the first chapter in turn.Then ask questions.It starts with you. ”She gestured to the boy closest to her.The ten interns only brought six manuals, and the one in Li Min's hand, she handed over to Lu Kaiwen and Miao Yuesheng."
You two watch them read, almost change people, and then ask questions
.
"() The distance is a bit far