Since 1981 Health School

  Chapter 536 Discussion on medical records of the whole hospital

  The next morning, Dean Chen, who was feeling the bliss of **** life, went to the office humming Yue opera again, but was robbed halfway.

   Several surgical directors planned to discuss with the dean before going to work.

  Jin Peilin, director of the First Surgery Department, fired the first shot.

  When Chen Qi went to surgery for an internship in 1981, Jin Peilin was the director, so he was the oldest in qualification, second only to Zhu Huoyan in surgery. Chen Qi still respected him when he saw him.

   "President Chen, did I ask you to betray Ge M? I remember that you were a surgeon, right? Why do you always focus on internal medicine recently? Is it because internal medicine is where your wife is? Are you partial to internal medicine?"

   Yan Chengzhi, Director of the Fifth Department of Surgery, was also beside him with an unconvinced face:

"Dean Chen, you have been in office for 2 months, right? Except for the occasional rounds of the dean, you have never been to the surgery to investigate and work, and you have not brought any new technologies to the surgery. Are you helping the Department of Internal Medicine to poach the corner of our surgery?"

"That's right. Originally, the problem of the digestive system requiring surgery was the business of our surgery department. Now, what kind of endoscopic treatment are you going to do? It can be cured without surgery? Isn't this digging into the corner of our surgery department? .”

  Shen Zhemin, Director of the Third Department of Foreign Affairs, was originally a gentle person, but now he is in a hurry.

   "If this continues, our surgery department will have no business in the future?"

   "Then what should we do? The dean of the surgery actually eliminated the surgery?"

   "It's unreasonable, hey, I'm so angry that I can't sleep at night."

  The old directors talked to each other, and a group of elementary school students also complained about their grievances. By the way, they denounced the dean as a surgical traitor, which made Chen Qi dumbfounded.

  In fact, the reason why Chen Qi didn't do anything to the surgeon for the time being was because he didn't know what to do.

  The age of these old directors is there, basically they are all over 50 years old. This age has passed the best golden age for surgeons.

  After the age of 50, all aspects of the human body's mechanisms are declining. It is possible to do some traditional operations, but it is difficult to maintain high-tech operations, because your hands will shake and your eyes will blur.

  To take the simplest example, a good surgeon must be motionless while holding a scalpel.

  If older surgeons use the scanning camera of later generations, hold the scalpel forward and hold it forward, and the photo scans, and the scalpel shakes into a ghost image, then it will not work.

   Not everyone is as awesome as Professor Wu Mengchao. It is really hard work for people to perform surgery until their hands and feet are deformed.

  The scalpel is starting to shake, how do you do laparoscopic surgery?

  Laparoscopic surgery is not enough for you to understand the theory. The most important thing for a surgeon is to do it, which is not comparable to those PPT experts.

  Like Chen Qi's practice of laparoscopy in his previous life, it was very strict.

  Generally, the right hand and the right hand each hold a joystick, and then use the joystick to complete a series of difficult movements.

  Such as "plum blossom pile", "catch beans", "lingboweibu", "delivery service", etc., are all basic skills.

   To explain, the "plum blossom pile" is to clamp small glass **** one by one with the operating rod of the cavity mirror, and then put them on the vertical pole, just like the plum blossom pile in martial arts novels.

  It takes a lot of effort to hold the glass marbles with chopsticks, they are not slippery, and they will fall if you are not careful, not to mention the operating lever, which needs to be fast and stable.

   This not only exercises the doctor's hand speed, but also tests the doctor's stability. Older doctors can't stand it at all.

   "Grabbing beans" is to pick up a small glass bean with the joystick, switch to another joystick in the air, and put it on the plate.

   "Lingbo Weibu" is a surgical wire clamped between two operating rods, which have to pass through small holes.

   "Delivery service" requires two operating rods to separate the rubber bands, and then prepare to put them on different rods and so on.

   This is just the basic skills. It is easy to say, but difficult to do. Once you pass this level, there are still more difficulties to overcome.

  For example, if it is more difficult, your doctor holds two operating rods in his left and right hands, and uses the clips at the front of the rods to peel raw eggs.

  The requirement is that you peel off the eggshell without damaging the egg membrane.

  This exercise is difficult to do with bare hands, not to mention relying on two poles to operate, which not only tests the doctor's technique and gestures, but also tests the doctor's patience.

  The other thing is to give you a grape, then cut a knife on the grape skin, and ask you to sew it up with the joystick.

  Some instructors are even more perverted, asking you to sew dumpling wrappers, and some ask to sew tofu. You can’t do it, but if they can do it, they can become famous doctors.

  This kind of practice or operation is not something that ordinary medical students can learn. Not everyone is dexterous, with no shaking of hands or blurred eyes, and decisive and quick movements.

  Unsuitable medical students can only be assigned to internal medicine or other departments, and have no chance with the most profitable surgery.

   What's more, these old directors in their 50s? How to let them learn?

  If Chen Qi tried his best to introduce the latest laparoscopic surgery technology of this era to Yuezhong People's Hospital, and then lead a group of small doctors to do it, leaving these old directors aside.

  Chen Qi can also imagine what kind of bad consequences will happen.

  When all the old surgical directors and old doctors opposed Chen Qi's promotion of new technologies, there was only one consequence, that is, laparoscopic surgery could not be promoted at all.

   Then Chen Qi will also be caught in a series of troubles such as endless wrangling, litigation, and being reported, and finally exhausted physically and mentally.

  Don't doubt the surgeon's courage and ability to make trouble. There is nothing in this world that these rough men can't do, only you as the dean can't think of it.

   Don't look at the group of old directors in front of you who are all smiling. Once they turn their backs, the dean's face is worthless at all. Instead, he, the so-called dean, will be punished to death.

  So Chen Qi can only appease, not engage in confrontation, let alone follow his own ideas regardless of anything.

"Hey, hey, I'm not convinced that I'm a betrayal. I'm a traitor. When Mr. Zhu came to visit me for endoscopic surgery that day, I told him that the future trend of surgery is minimally invasive. Then it’s a knife at every turn, but it’s changed to stabbing a pipe.”

  Jin Peilin was in a hurry:

"We don't care whether you stab the knife or the tube. Since you have become the dean and placed all the hopes on everyone, we surgical directors want to do a lot under your leadership. The result is good, you It's just helping those lip-smacking people in the internal medicine department."

  Surgeons and physicians don't understand each other. This is a long-standing tradition in the hospital, and no one agrees with the other.

  Chen Qi argued a bit awkwardly:

   "Isn't there too many things to do? I have to do everything. Look at the emergency department I founded. Doesn't it help you transport a large number of surgical patients every day? You feel your conscience and say, has the business increased to a certain extent recently?

The key is that I haven’t figured out which disciplines to focus on in our hospital’s surgery department. After all, the surgeries we can perform can be performed by brother hospitals in the province, even the second hospital and the fourth hospital. The fees of the Second Hospital are a bit cheaper than ours. "

  Director of the Second Department of Surgery, Liu Chuanpin snorted coldly:

   "Don't talk about competing with brother hospitals. In our People's Hospital, the internal medicine department is going to compete for the surgery business. Let us live in the future."

  Of course Chen Qi could understand the eccentricities of these old directors, but he was not afraid, anyway, Mr. Zhu Huoyan helped him calm down this group of rough surgeons.

  However, in order to dispel the "arrogant attitude" of the surgeons, Chen Qi still decided to give them a blow.

   "Just now, I have just received a patient. His disease is ultimately a problem of the digestive system, but it also involves the respiratory system, circulatory system, facial features, nervous system, etc. The symptoms are many and the condition is very complicated.

Now the cause of the disease has been found out with great difficulty, but the drug treatment is ineffective. Everyone is at a loss as to how to treat it. Everyone has their own ideas. I decided to hold a big discussion on the medical records of the whole hospital tonight. PK in internal medicine to see who is more confident. "

  Jin Peilin smiled contemptuously:

   "Digestive system? Either the intestines or the stomach, there is nothing that can't be solved with one knife. If one knife is not enough, we will come to two knifes to ensure that the medicine will cure the disease!"

   "Old Jin is right, taking medicine doesn't work, so of course the only option is surgery."

   "Physicians are only good at bragging. What diseases can they cure? I will participate in this seminar tonight."

  The old directors of the surgery were talking about it for a while, and they were ready to beat the physicians to the ground and defend the honor of the surgery.

  Chen Qi chuckled: "Success, that's the deal."

  After getting off work at 5 o'clock in the evening, clinicians from various departments went to the large conference room one after another.

  This is the first "hospital-wide medical record discussion" in the history of Yuezhong People's Hospital, and everyone is full of curiosity. Of course, the old doctors are curious, and the young doctors just want to lose their skills and steal their fists.

  Chen Qi had already sat on the rostrum early, and Zuo Liwei, the chief of the medical department, was sitting next to him, and there was another vacant seat next to him. I don't know who to sit for.

   This is not a formal occasion, Guo Yuanhang is unwilling to sit on the rostrum, but sits with the surgeons talking and laughing.

  Seeing that the time is almost up, Zuo Liwei said softly to Chen Qi beside him:

   "Dean, most of the doctors have come. I made a list, but some doctors still refuse to participate in the discussion of medical records in the whole hospital. Should I write down the names of those who didn't come?..."

   "No, this kind of academic conference in the future will be entirely voluntary. Come if you want, and don't come if you don't want to. If you have such a good learning opportunity, don't take it seriously. After all, they will suffer personally. Let's start."

  Chen Qi patted the microphone on the table:

"Everyone, please be quiet. Let's delay everyone for an hour today. Let's have a big discussion on the medical records of the whole hospital. This case is a disease that was recently received by the sixth internal department. The condition is very complicated. The disease involves multiple disciplines, and the patient also went to the capital. And the top hospitals in Shanghai.

   It can be seen that the complexity of this case can be regarded as an intractable disease. Today, we have a hospital-wide discussion. Doctors from all departments are here. We are equivalent to a hospital-wide consultation, working together to see if we can come up with the most reasonable treatment plan.

  In addition, through this medical record discussion, our hospital must form a good learning atmosphere and continuously improve its academic and clinical standards. As for those who don't come, they won't be able to catch up with the hospital in the future, and don't cry when they are eliminated or laid off. "

  When Chen Qi said this, all the doctors below were suffocated.

  They have only heard that there are not enough doctors, but they have never heard that doctors will be eliminated or laid off. What kind of show operation is this?

  Then the people below were talking a lot, and the venue immediately became buzzing.

   This is not because Chen Qi is scaring people. Most of the people who can work in the People's Hospital are the top doctors in the Vietnam region, but no one can deny that there are still many parallel imports.

  For example, when Chen Qi graduated, the People’s Hospital’s 4 admission places were all given to urban students, and none of these students entered the top 20 of the class.

  In addition, there are also some employees who came in from their parents. Using the network of their parents, they actually mixed into the clinical departments to see patients.

  It’s okay for the township hospital to do this. As the highest-level people’s hospital in Vietnam, it also does the same. Chen Qi really took a breath when he found out.

  So what Chen Qi meant was to slowly marginalize this group of people within the hospital, withdraw them from the clinical departments first, and expel them.

  Of course it's not just doctors, the huge administrative support staff in the hospital is the key to Chen Qi's use of the knife.

   Otherwise, if there are 100 establishments, this group of people will account for 70 people, but the real medical staff will only account for 30 people. Is this a hospital or a nursing home?

  Anyway, the end of the 1980s and the beginning of the 1990s were a special period when the iron rice bowl was broken. Chen Qi also wanted to take advantage of this wind to clean up some employees who didn't work and only took money, and didn't play tricks at all.

  Who said regular workers cannot be fired? The time has not yet come.

   Sure enough, when Dean Chen used the most gentle tone and uttered the most ruthless words, all the doctors sat up straight, and some doctors who did not bring paper and pens were also busy borrowing pens to take notes.

  No one wants to be eliminated.

"Okay, let's start today's discussion of medical records. Comrade Ma Xiaona, a doctor in charge of gastroenterology, will come up and tell us the specifics of this case. Two questions, one is whether you agree with the final diagnosis, and the other is The second is how to treat it.

I hope that everyone will listen to Dr. Ma's case explanation with questions, especially the old directors of the surgery department. I will ask some questions later. Specifically, how do you plan to treat this case in the surgery department and how the internal medicine department will treat it in front of everyone. Face to face comparison to see whose plan is better. "

  Old Guo was in the audience, and joked softly to Zhu Huoyan who was sitting next to him:

   "This boy, I thought that when he came to the People's Hospital, he would definitely develop surgery first. I didn't expect that he was going to beat surgery first. It seems that the picture is not small. You, the director of surgery, don't you have any objections?"

  Zhu Huoyan smiled lightly, and replied indifferently:

"Chen Qi discussed it with me a long time ago, and I agree with his approach. He wants to replace the current batch of old directors with a new generation of doctors. He can only destroy the confidence and dissatisfaction of these old directors first, so that he can introduce New technology will make it easier."

  Old Comrade Guo sighed: "Chen Qi is the sun at eight or nine o'clock in the morning, we are really sunset..."

  (end of this chapter)