Back in 2002 as a doctor

Three-level ward rounds, on the surface, the three-level doctors, the director, the responsible attending doctor, and the doctor in charge of the bed, constantly check and fill in the gaps.

But in practice, this rule has become a sharp weapon to marginalize a doctor, making it easy for people not to have surgery.

Wang Chengfa's face became even more gloomy, and he suppressed the anger in his heart.

The ward rounds are written in shifts, and there are few chronic operations in the chest department, so it is more like a physician who spends his time writing medical records during the day.

"Congwen, you will be in charge of the consultation from now on."

After returning to the doctor's office after the rounds, Li Qinghua and Zhou Congwen said.

"Yes." Zhou Congwen was very clear about Li Qinghua's arrangement, and it was all a routine operation.He simply responded and didn't care too much.

As for what Li Qinghua will do in the future, it is obvious that Wang Chengfa is probably worrying about pulling his hair out at this time.

It's strange to say that since Li Qinghua came, there have been a lot less emergency departments. Zhou Congwen thinks that Li Qinghua is really a fateful person, and the nurses are definitely willing to be on duty with him.

Two days later, Li Qinghua contacted Chen Houkun and decided to come for surgery on the weekend.He went through the hospitalization procedures for himself and asked Zhou Congwen to manage the bed.

He went through the hospitalization procedures in person. Before going through the procedures, he had already greeted the hospital and asked for two weeks of leave.

During this time, the chest department was handed over to Zhou Congwen, the responsible attending doctor.

When he came back with the hospital bill, Li Qinghua met a middle-aged man pushing a wheelchair in the elevator, and a 20-year-old girl was sitting in the wheelchair.

I got off the elevator on the same floor and came to the same ward.

Huh?Emergency room?Li Qinghua handed the hospitalization notice to Zhou Congwen, and then said with a smile, "Congwen, I think a patient with spontaneous pneumothorax has come up."

"I'll go and have a look." Zhou Congwen said lightly.

Walking out of the doctor's office, a wheelchair was parked outside the director's office. The door was open. It seemed that it was a patient who came to see Wang Chengfa.

Zhou Congwen turned his head slightly, he was not worried about what Wang Chengfa was going to do, but was feeling another thing - Li Qinghua's life is really good.

When he was in town, there were very few emergency departments.

In the previous life, Li Qinghua's special physique alone would have been enough to make Zhou Congwen look at him with admiration and get the resources that other people worked so hard to get.

Zhou Congwen, who has climbed up step by step since he was a doctor, hates the emergency department from the bottom of his heart, so he loves Wu as much as Wu, and hates Wu as much as Wu.

"Go to the disposal room." Wang Cheng's voice came out, and Zhou Congwen stood in the corridor and watched quietly.

Wang Chengfa came out and glanced at Zhou Congwen, his eyes were full of hatred.But he didn't say much, took Zhou Congwen as air, and took the patient's family and the patient to the treatment room.

"Hehe, you don't need to sign for an emergency, isn't that the rule here?" Li Qinghua just walked over, and he asked with a smile.

"Yes." Zhou Congwen said, "You are a patient, go and lie down safely. By the way, will Director Zhu Jun come on the weekend?"

"do not know."

Speaking of Zhu Jun, Li Qinghua's expression was a bit complicated.But the complicated emotions are fleeting, and I have embarked on another path, so I naturally have to concentrate.

"By the way, Congwen, I want to record the whole operation." Li Qinghua said with a smile, "I contacted my friends from the TV station, and you can help me tell them the rules of the operating room."

"Huh?" Zhou Congwen frowned.

Full video?Why?

Li Qinghua smiled slightly, "To develop a new technology, one must come up with something to convince the patient and the patient's family. Is there anything more convincing than the operation video of me, the 'director'?"

Zhou Congwen knew that things were not that simple, and Li Qinghua was really tight-lipped.However, his reason is also very good, at least it will have a very profound impact on the future work.

A patient came, and when the doctor explained his condition, he "swiped" and immediately took out the surgery video, telling him that our director and the patient had the same disease, and this is the surgical method he chose.

Indeed, no words are more convincing than actual actions.

Chapter 0215 God-given opportunity

"Pick up the bill, emergency surgery." Wang Chengfa said in a deep voice.

It's just that today is different from the past. After he finished speaking, he felt that the atmosphere around him was different from usual.

On weekdays, when Wang Chengfa said something, there must be echoes around him, but today when he said that he would have an operation, no one responded.The head nurse sat in the nurse's station with her head down as if she was writing homework documents, as if she didn't hear it.

As for the other doctors... only Li Qinghua and Zhou Congwen were there.

Wang Chengfa was already out of anger, but beneath the anger was a sense of loss.

Since ancient times, it has been with the red top and the white. How many high-ranking people can't bear the loss after retirement, so that they become depressed and sick.

This is an inevitable law, and Wang Chengfa is no exception.

Seeing that no one was paying attention to him, and the nurse didn't run over to call the doctor on duty today, he felt dissatisfied, snorted coldly, and strode towards the doctor's office.

When passing by Li Qinghua, Wang Chengfa gave him a sideways glance, full of provocation—I'm going to have an operation, what can you do!

But Li Qinghua didn't seem to see Wang Chengfa, but chatted with Zhou Congwen with a smile.

"Congwen, I need to trouble you for post-operative care. At least you have to watch me by the bedside when I wake up." Li Qinghua said solemnly.

"What? I'm afraid something might go wrong." Zhou Congwen asked with a smile.

Li Qinghua nodded, "I am worried about all kinds of problems, so I will trouble you anyway."

"I can wake up completely in 2 hours. By the way, do you want to try to go home 6 hours after the operation without closed thoracic drainage?" Zhou Congwen asked with a smile.

Li Qinghua was dumbfounded.

Zhou Congwen's proposal was unreliable to the extreme.

This kind of ambulatory surgery has already taken shape in the previous life. Wedge cutting for small pulmonary nodules has almost become an outpatient surgery in high-level tertiary hospitals, which is completely different from the current emphasis.

Seeing Li Qinghua's stunned expression, Zhou Congwen understood what he was thinking.

Li Qinghua has never experienced it due to historical limitations. Although he has watched the demonstration surgery, it is definitely not possible to apply the day surgery method to him.

"Just kidding, I will always sit on your bedside. By the way, you just tell sister-in-law that she is in charge of cooking." Zhou Congwen said lightly.

"Ah."

After explaining the matters related to the operation, Li Qinghua went to his ward with a smile, and became a "patient" with peace of mind, turning a blind eye to Wang Chengfa's provocation just now.

Wang Chengfa strode into the doctor's office, arranged for Liu Di to assist him in the closed thoracic drainage, and then submitted the operation notice to the operating room.

Liu Di complained in his heart.

Although the invisible confrontation between the old and the new is subtle, everyone understands what's going on.But it can't be done at the moment when the old director just lost power... This kind of thing can't be too obvious, it's too ugly, Liu Di is not this kind of person.

Liu Di pinched his nose and performed closed drainage with Wang Chengfa. When delivering the notice, he sneaked into the ward and found Li Qinghua.

"Director Li." Liu Di said timidly.

"Xiao Liu, what's the matter?" Li Qinghua was wearing a hospital gown, sitting on the bed in a private room very formally, reading a foreign language material.Seeing Liu Di coming in, he showed a gentle smile, put on his shoes and moved a chair for Liu Di.

"Director, I won't sit down anymore. I have something to report to you. I just received an emergency call." Liu Di was a little embarrassed, but the matter was difficult and he had to report it.It's hard to be a human being caught in the middle, Liu Di's voice is getting smaller and smaller, it's as small as a mosquito humming.

"Oh, I'm on leave." Li Qinghua said with a smile, "I'm going to have an operation in the next few days, if you have anything to discuss with Congwen."

Being blocked back by Li Qinghua neither soft nor hard, Liu Di was a little at a loss.

"Okay, go get busy, don't delay the patient's operation."

After being kicked out, Liu Di felt that he was in a bad mood.

what is going on?Why is Director Li not angry at all?Did he really concentrate on preparing for the operation?

Impossible, if you concentrate on surgery, you won't promote Zhou Congwen as the attending doctor in these few days.But why didn't he even answer Director Wang's provocation?

With question marks in his mind, Liu Di tiptoed to find Zhou Congwen.

"Congwen, Director Wang asked me to submit the operation notice, can you sign it?" Liu Di whispered.

"Sign?" Zhou Congwen smiled slightly, "Three-level ward round system, emergency patients have to report to the superior doctor, Wang Chengfa didn't tell me at all. I haven't seen the patient, why do I have to sign?"

"..."

Seeing Liu Di's bewildered look, Zhou Congwen smiled, "Just kidding, it's not a problem for Wang Chengfa to cut a bullae, since he wants to do it, you can ask him to sign it. By the way, remember to call me if you have any questions." Just do it."

Liu Di regretted it.

I shouldn't have come to the chest department.

Although the Department of Circulatory Internal Medicine is busy and tiring, the director is about 40 years old, and the relationship is relatively easy to maintain.It's like a chest department, it's a mess, and I can't be a human being between Director Wang and Director Li.

Forget it, let's do the surgery first, we can't just leave the patient there.

Wang Chengfa had been waiting for Li Qinghua to lose his temper, but Li Qinghua was quiet on the other side of the ward, making no sound at all.

He didn't come on stage until the little doctor had finished disinfecting and let the itinerant nurse call. Instead, he went to the operating room with Liu Di.

To Wang Chengfa's surprise, everything was quiet. Li Qinghua said the rules early in the morning, and he didn't fight back as if he didn't see him.

Wang Chengfa felt a little uneasy, but he calmed down after entering the operating room.

There must be no problems with the operation. Bai Long, who was sitting in the corner, immediately watched Liu Di make preoperative preparations, recalling the patient's condition in his mind.

Patient, female, aged 21 years.He weighed 49kg and was 170cm tall. He was admitted to the hospital because of chest pain and tightness in the right side for 12 hours.

Closed drainage of the right thoracic cavity was performed 2 years ago for spontaneous pneumothorax.The hospitalized chest X-ray showed: right side pneumothorax, 90% of lung collapsed.

It is a typical spontaneous pneumothorax, and a large amount of gas is drawn out after the drainage is performed.Although the patient was very scared, the family still insisted and persuaded the patient to undergo surgery to avoid future troubles.

The operation was simple, and Wang Chengfa thought about it many times, but couldn't find a reason for the failure.

As long as the patient's operation went well, Wang Chengfa thought that God couldn't stand it, so he gave himself a patient to slap Li Qinghua in the face.

As for Zhou Congwen... When Wang Chengfa thought of that young face, the corners of his mouth rolled down to his ears.

Let Zhou Congwen be the responsible attending doctor, how dare he take care of himself?Give him two more guts and he wouldn't even dare to fart.

A group of brats, against the heavens!

And it's all because of him!Wang Zhiquan lost a lot of money, and finally lost his job, Wang Chengfa thought bitterly.

After Liu Di was disinfected, he started laying out the bills, and Wang Chengfa went to wash his hands and went to the stage.

Do you want to have surgery yourself?They deserve it too!

Chapter 0216 Accident?

It seemed that it was really God's blessing. After the anesthesia was over, Wang Chengfa went on stage for the operation, and it went smoothly.

Even the use of thoracoscopy is much easier, not as harsh as it used to be.

After one-lung ventilation, the bullae located in the lower part of the upper lobe of the right lung appeared on the TV screen of the thoracoscope. It was dusty and had a huge difference in color from the pink lung lobe.

Wang Chengfa's depressed mood began to improve. Such a smooth bullae resection is rare.It's like taking an appendectomy, and the appendix popped out with a "bang" after opening the retroperitoneum.

Clamped, cut, and probed again, there were no other bullae.After all, she was a young man, and she was a woman, so the color of her lungs looked much more pleasing to the eye than those old smokers.

After flushing, Wang Chengfa said to the anesthesiologist in a happy mood, "expand the lungs."

The anesthetist Liu Wei said with a smile, "Director Wang, today's surgery went well."

As he spoke, he began to inflate his lungs.

Manual breathing rapidly inflates the lungs, the frequency is 20 breaths/min, and the pressure is 15-20cmH2O. The anesthetist Liu Wei is of a good level, and the control is very good. Both the frequency and the pressure are under control, and there are no mistakes due to small talk.

Everything is under control.

"Director? Not in the future." Wang Chengfa said mockingly.

"Li Qinghua, isn't he going to have an operation?" Liu Wei hesitated for a moment, and instead of addressing Director Li, he still called Li Qinghua. "Everyone said he was here for the elderly."

Wang Chengfa snorted coldly, "I just broke the rules and promoted Zhou Congwen as the responsible attending doctor, what the hell. A young doctor who has just graduated for two years is not even the attending physician, so what qualifications does he have to be the responsible attending doctor?"

"..." Liu Wei was astonished.

This promotion is too scary.

The third hospital is actually not very formal. For example, the title of director of the Department of Neurology is not deputy senior or senior high, but the title of director when the attending physician is commissioned.

There are still some similar examples, but everyone knows that the background of the family is hard.What can Zhou Cong diploma?Isn't his family from the countryside?

Why did he climb to the top as soon as the new director came, and was approved by the new director to overcome all difficulties and become a responsible doctor.

Liu Wei asked suspiciously while his lungs swelled, "Responsible attending doctor? Are you kidding me?"

"It was only a few days after the announcement." Wang Chengfa snorted coldly, "I see how he has the face to lead me."

"Haha, Director Wang, you're overthinking. How could a little doctor lead you?" Liu Wei yelled, and glanced at the monitor and thoracoscope TV screen.

Manual breathing lasted for about 3 minutes, and no other ruptures in the lungs and bullae were found.The operation went well, and both the operator and the anesthesiologist breathed a sigh of relief.