medical simulator

Chapter 109 If you want to curse someone, just call! (Please subscribe!)
The first ward of orthopedics should be handed over early!After the on-duty doctor and the on-duty nurse finished the routine shift in the department.

Zeng Yi, the current chief director of the Department of Orthopedics, said: "From today onwards, our Department of Orthopedics will be responsible for the manual reduction of upper limb dislocations, and we will also select some patients for manual reduction of fractures."

"Patients that the doctor on duty can't figure out will call the front-line consultation team. If the first-line consultation team is not sure, the directors of each group will come and deal with the patients in person."

When Zeng Yi said this, everyone in the department looked at each other in astonishment.

Li Changhong even interjected directly: "Director Zeng, we assigned this joint surgery department to the second department of orthopedics, and Yan Haihan and the others took care of it? Why does our department suddenly engage in joint dislocation manipulation?"

Every day, tertiary first-class hospitals have third-line shifts, which are first-line on-duty shifts, and there are doctors on duty in the wards 24 hours a day.

The first-line consulting class is composed of attending physicians and associate senior physicians, who are responsible for dealing with patients who cannot be handled by the on-duty physicians at any time.

The director of each group is in charge of the second-line consultation class and handles the problems that cannot be solved by the first-line consultation class.

The reason why Li Changhong said this was because what Zeng Yi said just now directly touched his interest in rest.

If you encounter regular patients on weekdays, most of the first-line consultation classes are taken care of, unless it is extremely rare that he is needed to come forward, and it is only once or twice a year, which is normal.

But if the department also brought over the dislocated bones and joints of the upper limbs, then the number of times he came to the department would not be less.

Zeng Yi glanced at Li Changhong, did not reply, but first opened his mouth and explained to Wang Yongjin: "Director Wang, you are not counted among the on-duty personnel for this arrangement. The second-line consulting class when you are on duty will be organized by me. Share it with Chang Hong."

There are three groups in the first department of orthopedics, led by Zeng Yi, the current director of the first department of orthopedics, Li Changhong, the chief physician, and the former director of the department of orthopedics——

Chief Physician Wang Yongjin.

Wang Yongjin has already retired and was hired back to lead the hospital. He is also well-known in Hunan Province. He is one of the veteran signs in the Department of Orthopedics who are still active in the clinical frontline.

And the seniors of Wang Yongjin's generation have either completely retired, or only a few of them are sitting in outpatient clinics.

At such an old age, it is naturally not easy for Wang Yongjin to get involved in the work of being on duty, which is also a kind of respect for the seniors.

Wang Yongjin has a thin figure, wearing an old-fashioned shirt, and his hair is meticulously combed to the side. Sitting there, he didn't want to talk much.

But Zeng Yi turned the conversation to him, but Wang Yongjin still said politely: "Director Zeng, now I'm working with you, you can arrange it yourself, I will obey the arrangement."

Wang Yongjin knew very well that although he was the old director, after he had retired, he should stop meddling in the affairs of the department, especially to fight with Zeng Yi.

Such decentralization is extremely detrimental to the development of the department.

After hearing this, Zeng Yi immediately stood up and replied, "Mr. Wang, you are joking. The development and stability of the department requires a lot of hard work from you, old man."

Then he said: "That's the temporary arrangement. From today on duty, patients from the emergency department will be sent to our department of orthopedics. Let's leave first and go do your own thing! The surgery should be done."

Zeng Yi finished the order firmly.

Although Li Changhong had all kinds of opinions in his mind, he could only swallow them helplessly, and only muttered in a low voice that Zeng Yi was meddling in his own business.

In the process of taking people out, Wang Yaoxiang from the group immediately leaned beside Li Changhong, complaining: "Director Li, isn't Director Zeng's arrangement today intentionally torturing our front-line consulting classes?"

"Where do the regular training in our department have the manual reset of joint dislocation? Doesn't this directly put us in the general hospital?"

"What do you think?"

"Joint dislocation, not to mention that I haven't done it in the department before, and I don't have much money. Why are you in this muddy water?"

"Isn't Director Zeng just idle?"

The voice is very low, but the complaint is not small.

Li Changhong said: "Don't talk about it, I'll talk to Director Zeng later."

"It happens that our team is on duty today, so please don't leave the department before you get off work. I think there will definitely be problems if Director Zeng does this."

……

Zeng Yi took the initiative to walk outside Wang Yongjin's office after everyone left the shift room, and knocked lightly on the door.

Wang Yongjin, as the retired senior orthopedic director, has completed the handover with the current orthopedic director, but returned to the hospital to continue leading the team.

It would not be appropriate for him to retreat to an ordinary office.

Naturally, the director's office had to be given to Zeng Yi.

So they tidied up a utility room again and used it as Wang Yongjin's office.

"Please come in!"

Hearing Wang Yongjin's consent, Zeng Yi pushed the door open and walked in, and then saw Wang Yongjin sitting around the desk very simply, arranging two potted plants.

When Zeng Yi came in, he didn't say hello, but said, "Zeng Yi, there are cups under the table, tea on the table, and boiling water in the kettle. Make it yourself."

Zeng Yi naturally nodded and made a cup of tea for himself and Wang Yongjing, then pushed it to Wang Yongjin who had already put the potted plant on the balcony and sat down again.

Seriously explained: "Director Wang, today's matter was actually decided by me and Yan Haihan from the Second Department of Orthopedics just temporarily."

"So I didn't report it to you in time, but we have considered it carefully and thought it would be beneficial to the development of our orthopedics department."

"because."

Before Zeng Yi finished speaking, Wang Yongjin took the initiative to say: "Since you young people think this is good for the development of orthopedics, go ahead and implement it."

"If you need me, you can tell me to help. As for the others, you don't need to report to me now."

"I'm 68 this year, and I will officially retire in two years, and I won't be in the ward anymore."

"I'm getting old." After Wang Yongjin finished speaking, he blew on the floating tea leaves, then slowly took a sip of the tea, and then slowly left it in his mouth to taste for a while before swallowing it.

Hearing Wang Yongjin's words, Zeng Yi couldn't help but reconsider the teacher in front of him——Wang Yongjin.

After he entered the department, he was enlightened, taught, and passed on the position of director to his teacher Wang.

I still vaguely remember that when I first entered the department, Wang Yongjin was only an attending physician who was about to be promoted to a deputy high school, and he was still being scolded by the old director at that time.

More than ten years ago, Wang Yongjin was still working on the development and division of orthopedics, in front of the leaders of the hospital, and at the orthopedics academic conference in Hunan Province——

But now, Director Wang is about to enter his seventies, and he is idle and careless.

Time is really unforgiving.

However, although Wang Yongjin felt that there was no need to report, Zeng Yi still respected the old man Wang Yongjin very much. It can be said that Wang Yongjin is the only surviving orthopedic person who can fracture the phalanx from the cervical spine to the atlas.

Although the wide range of operations does not mean that the technology is good, but the former orthopedic ward was like that, regardless of department or patient. I have to see you.

This is the characteristic of the predecessors in the simplest era of the Eighth Hospital - omnipotence.

"Director Wang, you have worked hard for orthopedics all your life, and you don't dare to work harder on you. I just want to report to you that there are arrangements and rules for what we are doing now. This matter." Zeng Yi wanted to explain again .

"Then I know, you've all grown up."

"My father and I will only drink tea today. This tea is quite good."

"I don't know when the flowers I take care of will bloom." Wang Yongjin laughed, looking at the potted plants on the window sill basking in the sun, with a little expectation in his eyes.

……

After Zeng Yi left Wang Yongjin's office, he scratched his hair.

This is the first time he feels that the old director Wang Yongjin is really old. Now that he has thoughts in his heart and wants to discuss with him, he doesn't want to get involved anymore. In the future, he will have no place to report. It's up to him to decide everything.

Including what the development of the orthopedics department will be like, it is closely related to him, the chief director of the orthopedics department.

But after Zeng Yi returned to his office, he began to calculate again.

This Cai Dongfan usually does not show any signs of leakage.

Unexpectedly, he really has a hand in making things happen.

Even Professor Ding Changle from the Affiliated Hospital of Shonan University personally called him and said that manual reset is indispensable in the routine orthopedic treatment.

These basic things cannot be discarded simply for the transformation of departments and the pursuit of surgical volume.

At first, Zeng Yi felt a little confused, but only after inquiring about it.

What a guy, Cai Dongfan calmly invited Professor Zhong Hua from the Hospital of Traditional Chinese Medicine to perform a consultation operation on reduction, and then he brought Professor Ding Changle to perform a teaching operation on an intramedullary nail.

Zeng Yi didn't know exactly when Cai Dongfan hooked up with Professor Ding Changle, but he had invited Professor Ding Changle several times to come to the No. [-] Hospital for consultation and surgery, but Professor Ding Changle was too busy to decline.

In fact, the relationship has not yet reached that point.

Now, Ding Changle made a special call to explain that he should allow the existence of manipulation reset, which is in line with the characteristics of a Chinese medicine hospital in the department.

It can also help the development of the department and gain a reputation among patients.

In this way, although the number of operations is relatively small, it will increase the reputation of patients and attract more patients.

In this way, a solid foundation can be laid for the development of new techniques and new businesses in the department.

In addition, if you can catch up with Ding Changle by the way, then whether it is to send someone to study in the future, invite Professor Ding Changle to come over for more consultation operations, or treat his difficulties, it will be very beneficial. good.

What's more, Cai Dongfan had a heated fight with Ding Changle under his nose. It must be that Cai Dongfan has something special and was appreciated by Ding Changle.

If I don't build up the orthopedics platform, but just let Cai Dongfan follow Ding Changle to ascend, then the final result can only be that Cai Dongfan is separated from the eighth hospital's wall.

You can't provide a platform for talents to attract them, which is forcing him to go.

Considering all factors, Zeng Yi also had to discuss with Yan Haihan, and decided in advance to throw out the matter of resetting the technique in the department first.

-

Li Changhong quickly found Zeng Yi, lit a cigarette for Zeng Yi after entering, and then asked: "Director Zeng, in our department, there is no need to follow the trend to reset joint dislocations, right?"

"The current patient size in our department is still acceptable. This kind of asking for trouble, but it's not beneficial, actually?"

Zeng Yi looked at Li Changhong and sighed inwardly.

There are many rumors in the department that you, Li Changhong, will take over as the next director of the orthopedics department, but you haven't written anything about it yet, so you're already thinking about these things now, right?

What do you know?

However, since Li Changhong asked, the doctor below must have responded.

He said: "This matter, Director Li, you should think about it yourself. Yan Haihan came to me yesterday and said that he saw that our department was performing operations on lower limb fractures."

"It's one of them."

"Secondly, Yan Haihan also asked, they are doing lower limb joint dislocation, upper limb joint dislocation, we don't care about it, and if we don't care, we will send it to the second department of orthopedics. Do you think we should do it or not?"

Li Changhong suddenly blushed and became uncertain——

He was doing the lower limb fracture in secret, but Yan Hanhan actually brought it up in front of Zeng Yi?
Why do you have so many things?

Why don't you think about it carefully, why do patients with lower limb fractures want to come to me for surgery instead of your department?
Trick people behind their backs, make small reports?
Seeing the change in Li Changhong's expression, Zeng Yi continued: "And, Director Li, in the department, the dislocated joints of the upper limbs are reset."

"It's not a small benefit to you."

"Wang Yaoxiang from your group, didn't he win the second prize in the joint surgery competition for young doctors last year? Is this award only for him to hang on the wall of honor?"

"Nowadays, the old guys in our department don't have a background in joint surgery. You have to know who should handle the joint dislocation reset."

While saying this, he began to observe Li Changhong's reaction.

As expected——

Li Changhong immediately turned his expression away, and said, "Director Zeng, I understand."

"Don't worry, I will resolutely obey the department's arrangement, and I will also obey Director Zeng's decision!"

"You will certainly not be disappointed."

After finishing speaking, Li Changhong turned around quite resolutely and walked out.

When I went out, I burst out laughing. Director Li paved the way for me. I'm still making irresponsible remarks here. I really shouldn't.

Why didn't I think of going to this level?
What kind of benefit is it important to be on the road to becoming a great director?

In the director's office, Zeng Yi kept shaking his head and sighing after Li Changhong left.

This Li Changhong, ah, has the ability, and the people brought out are also the leaders of the new generation of orthopedics.

It's just that I'm eager for quick success and instant benefits, and I can't afford it early without benefits.

Hearing the surface, he felt that it was beneficial to him, so he turned around and didn't ask any more questions.

Eyes and eyeliner, when a director leads a team to do things, there is no problem, but to carry the banner of orthopedics, there is still a lack of courage and vision.

At the same time, I was thinking to myself——

Cai Dongfan, on weekdays, doesn't show off his mountains and dews, let alone invite credit.

In the muffled voice, they are doing things that are beneficial to the development of the department, and all parties are leading the way.

It's a pity, why did director Huang take him to the second orthopedic department?

……

At noon, around 11:30, Li Changhong was called to the department by Wang Yaoxiang.

After seeing Li Changhong, his face was a little heavy and he said: "Director Li, at about [-]:[-], a patient with a dislocated wrist came to the department."

"I took MRI and CT for the patient, and the diagnosis is confirmed, but I reset it twice, but I couldn't reset it. I can only work hard for you."

After finishing speaking, Wang Yaoxiang muttered again: "Director Li, why do you think Director Zeng is doing this? The total cost of repositioning a joint dislocation is only two to three hundred yuan, and the material cost for plastering is only about four hundred yuan. "

"It would be great if there were thirty or forty in the hands of our doctors."

"I don't know what kind of god this is?"

While walking, Li Changhong mused: "When we were separated from the second department of orthopedics, we focused on spine and upper limb trauma, and they divided lower limb trauma and joints."

"You also know that there are not many patients with simple lower limb fractures in their department."

"Our department deals with lower extremity fractures, and Yan Haihan from the Second Department of Orthopedics found out about it!"

"In the future, patients with lower limb fractures should not be admitted to the department. The rules are still the rules."

Wang Yaoxiang smashed his mouth, his face changed a little, and he said: "Is this Director Yan fed up? There are no patients in their department, and they don't find their own reasons, so they come to trouble our orthopedics department?"

"They also don't think about why the patients would stay in the first orthopedic department for surgery and not go to their second orthopedic department?"

"They have the ability, too?"

Li Changhong glared at Wang Yaoxiang, and said, "Don't talk when you shouldn't! Director Huang of the Second Orthopedics Department was separated for the development of the Second Orthopedics Department alone. It is not easy to create the current family business."

"Don't chew your tongue—"

"Although I also think Director Zeng's decision is a bit too aggressive, but since the department has made this decision, we must strictly implement it."

"But?" Wang Yaoxiang still wanted to refute. If you have the ability, you should use your ability to rob the patient. Why make such a fuss?

"Should I see the patient first?" Li Changhong changed the subject.

"And Director Zeng said that the reason why the department agreed to do this joint dislocation is because they value you. Didn't you participate in a young doctor's joint surgery competition last year and won the second prize?"

"It's not enough to have medals on the wall and in the house."

"This is a good opportunity for you. Do you understand?" Li Changhong patted Wang Yaoxiang on the shoulder, speaking earnestly.

Wang Yaoxiang's expression became a little weird.

My second prize?
My second prize?
My medal is a medal of honor that I can get after participating. In fact, there were only a few people who went to the competition that time.

From the first prize to the second prize, everyone can get one. I just use it to post to Moments to support the stage.

……

After half an hour.

Li Changhong, who was not a specialist in joint surgery, had a little sweat on his forehead, and began to curse in his heart.

Director Zeng, there is nothing to do with this patient, why don't you come here yourself?

So he could only call Zeng Yi's cell phone directly, explain the matter clearly, and finally said: "Director Zeng, this patient is a bit troublesome. I reset it twice, and Wang Yaoxiang also reset it twice, but it still couldn't be resolved."

After receiving the call, Zeng Yi hurried to the department.

After carefully reading the patient's plain film, he turned his head to look at Wang Yaoxiang, and asked, "You can't handle this kind of dislocation?"

I began to doubt in my heart whether it was the right decision to rashly rub the line between Cai Dongfan and Ding Changle.

Wang Yaoxiang lowered his head and said nothing.

Zeng Yi didn't say anything more, and didn't force Wang Yaoxiang to ask. If Wang Yaoxiang had a way, Li Changhong wouldn't appear in the department.

Li Changhong changed his expression for a while and said, "Director Zeng, you can't blame Xiao Wang for this. The department has never taken over such a patient. Xiao Wang hasn't had joint dislocation for many years. If you leave it for a year or two, what kind of patient?" And the hand was born."

"In this case, we can only be hospitalized first, and then find a way to talk to the patient and his family about the surgical reset."

"I still think that rashly dislocating joints in the department should be considered in the long term."

Zeng Yi said: "Go and appease the patient and family first, I'll make a phone call first."

……

Five minutes later, Zeng Yi walked out of the office.

Li Changhong approached him with a slightly cold face, wondering: "Director Zeng, the mood of the patient and his family members is not easy to appease."

"They insisted that if the manipulation cannot be done, why didn't they say that surgery is necessary? Now that it hurts so many times, isn't it just a waste of pain?"

"If you want to have an operation, arrange the operation as soon as possible."

"Why do you have to torture them several times before telling them that they need surgery?"

Zeng Yi covered his forehead tiredly, and asked: "Didn't you communicate clearly with the patient and family members before? Could it be that Wang Yaoxiang made any promises in front of the patients and family members?"

"How is it possible?" Li Changhong immediately vowed.

"Before starting manual reduction, I have explained it clearly and clearly. If manual reduction fails, I can only switch to surgical reduction, but the patient and family members do not accept surgery."

"I just think this dislocation is a small problem, and I'm still cursing and saying that the second county hospital can handle things, I knew I wouldn't come here." Li Changhong is also a little bit complaining about Zeng Yi in his heart at this moment.

The underlying meaning in the words is, Director Zeng, let me just say it, joint dislocation in the department will cause trouble, it is unscientific, and it does not respect reality, don't you believe it?

Look, there's trouble now, right?

Zeng Yi closed his eyes slightly, and said, "Wait a little longer, I called Cai Dongfan. People from their team will come over. Luo Yun in their team is a joint surgeon, and he was the first to work in the orthopedics department. People who fiddle with manual reduction of dislocated joints."

"Let's deal with this patient first, then let's talk."

Li Changhong also has some understanding of Luo Yun. Although Luo Yun is not outstanding in other aspects, his practice of joint reset is basically a special label for him.

"Then wait and see?"

"Luo Yun should take care of this patient."

……

After a while, when Zhou Cheng arrived at the first ward of the orthopedics department, he found that all the bosses of the first orthopedics department were there.

After entering, he greeted Zeng Yi, Li Changhong, Wang Yaoxiang and others one by one.And self-declared his identity.

Then he explained the purpose of coming: "Director Zeng, Director Li, just now Teacher Luo called me and said that there is a patient with joint dislocation here. Teacher Luo was driving on the road and was delayed. It will take a while, so let me I'll take a look first."

After hearing Zhou Cheng's words, Zeng Yi didn't speak yet!
Li Changhong pulled Zhou Cheng into the nearest shift room on the spot, and yelled at Zhou Cheng in a low voice: "Go back and tell Cai Dongfan, if he wants to swear, call me Li Changhong directly."

"There's no need to send you here to spread the word?"

"You also help me to pass a word to Cai Dongfan, just say that he called Luo Yun back because of his hard work, and he doesn't need to come to the Department of Orthopedics. Don't dare to trouble the old man. There is no one in our department who puts on such a show."

When Zhou Cheng heard this, he patted his head in embarrassment and swallowed two mouthfuls of saliva.

"Teacher Zeng? I'm not." Turning his head to look at Zeng Yi, it's not good, so he turned back without even seeing the patient.

Zeng Yi pursed his lips, feeling angry, but said in a stable mood: "Xiao Zhou, you go back to the department. It's hard work for you to make a trip. This matter has nothing to do with you, go back to your shift."

After finishing speaking, Zeng Yi and Li Changhong immediately turned around and walked out.

Throwing Zhou Cheng a very resolute and decisive back...

(End of this chapter)