The Provincial Hospital is a large comprehensive tertiary hospital parallel to Yunhua Hospital.
In a little more internal terms, they are actually provincially managed top-tier hospitals.
Hospitals have a siphon effect.
Everyone wants to go to the best hospital, and leaders are no exception.
Therefore, high-level hospitals managed by the province will receive the greatest support from the provincial health finance, high-level tertiary hospitals managed by the city will receive the greatest support from the city’s health finance, and county-level tertiary hospitals will receive the greatest support from the county’s health finance. If there is a tertiary hospital in the county...
In this atmosphere, the Matthew effect is particularly evident in hospitals. The strong get stronger and the weak get weaker. The better the hospital, the more advanced equipment it can get and the retention of excellent doctors.
Among the 1,300 tertiary A hospitals in the country, there are only 44 commissioned hospitals, such as Xiehe, Xiangya, Huaxi, Zhongshan, Fudan, etc., that are steadily higher than the provincial and Yunhua hospitals.
In this regard, Huo Congjun, the director of the emergency department of Yunhua Hospital, and Qi Zhenhai, the chief physician of the emergency department of the provincial hospital, are both outstanding in the medical field of Changxi Province.
In particular, both of them are good at burns, so they have more "communication" with each other.
However, formal out-of-hospital consultation procedures are complicated, that is, special public events such as factory explosions, or cadre health care tasks, are easier to facilitate.
Qi Zhenhai was very concerned about this opportunity, checked the room in the morning, and only underwent one operation, then put on his luggage and went straight to Yunhua Hospital.
He was rated as chief physician at the age of 40, which can be said to be young and promising.
He also deliberately dressed himself young. When old-school doctors ruled the world in white coats all the year round, he would wear shirts and trousers whenever he left the hospital.
The only thing to worry about is that the wrinkles on his face are increasing day by day, and his body, which has not been exercising, is obviously getting fatter. If he doesn't pay attention, his belly will stick out. If he wore a white coat like the director of the department, he could still cover it up, but Qi Zhenhai didn't want to do that.
Too old-fashioned to highlight his young and promising side.
Now, the thing that bothers Qi Zhenhai the most is the department director.
Hospitals are not like government agencies, and the promotion channels are very narrow. Unless the director of the department is promoted to vice president, or transferred or poached away, he will always sit in the position of director of the department until he retires.
Some department directors have even become vice presidents, and they are unwilling to leave the position of department director, so that the young and promising department directors have been doing it for 20 years, and the doctors below are overwhelmed.
Qi Zhenhai couldn't wait for the director of the emergency department to step down, so he actively promoted the establishment of a burn center, hoping to become the boss independently.
This extra hard work probably also deepened his wrinkles, so that when he saw Huo Congjun, he couldn't tell that there was a 10-year age difference between the two.
"I was thinking about having a case discussion sometime, and then I received a consultation call from your Yun doctor. I will also bring over the cases received by this hospital, and let's have a look together." Qi Zhenhai was talking about the medical cases assigned to the provincial government.
The factory explosion was a tragedy for the injured workers and the damaged factory. For Qi Zhenhai, it was a rare opportunity. If he could prove his position in the field of burns, it would be easy to set up a burn center.
"If there is still time after the consultation, we can discuss it in private." Huo Congjun didn't mean to be polite.
Let's take a look together? I'm afraid I want to show off.
Huo Congjun glanced at Qi Zhenhai from the corner of his eye, and thought, "We'll see if you still want to show your face later."
"Go in, it's almost time." Huo Congjun had no interest in chatting, he just said hello and returned to the conference room.
At this time, the small doctors in the department were all sitting around with chairs, and gave up the big conference table in the middle.
Huo Congjun chose the far corner directly opposite the door, and sat down with great determination.
The other two chief physicians and four deputy chiefs sat on either side, and the atmosphere of the seven experts in the large department was immediately revealed.
Qi Zhenhai didn't take it seriously either, he casually found a chair in the middle and sat down, and asked the accompanying resident doctor to put the medical records in front of him, and asked with a smile: "Director Liu from the Army General Hospital hasn't come yet?"
"The patient on his side is in some condition and is already on the way." Dr. Du was in charge of the contact and explained.
Qi Zhenhai smiled and said, "Then wait a minute, this factory bombing is quite serious, and it will be tried in three sessions."
Huo Congjun didn't say a word, and the other doctors couldn't speak, and the atmosphere was awkward for a while.
Qi Zhenhai tore his clothes indifferently, covered his unrefined belly, and waited quietly.
Hospitals like Yunyi or Provincial Hospital don't like consultations outside the hospital, so the environment for consultations has always been bad.
In contrast, the out-of-hospital consultation initiated by the tertiary hospitals at the county and city level, on the contrary, because of the disparity in status, has the meaning of asking for help and showing weakness, which is more interesting.
Of course, the current county-level and city-level tertiary hospitals are too lazy to conduct out-of-hospital consultations through formal channels. Everyone contacts and invites foreign aid in private. Anyway, they have to pay money, and the procedure is less and easier.
"Oh, I'm sorry, I'm late, I'm late." The sound of opening the door disturbed the air in the office.
An old doctor with a square face came in, with an old-fashioned stethoscope hanging on his chest like a pocket watch.
Huo Congjun got up to greet him, and asked: Director Liu, is the patient treated well? "
"Declared dead." Director Liu's expression didn't change.
Ling Ran sat in a small corner and turned to look at Director Liu.
It is normal for people to die in large hospitals. Modern people seldom end their lives peacefully at home. After all, they have to go through the gate of the hospital before giving up completely.
However, Director Liu's understatement is still rare.
Among the doctors sitting in a circle with their backs against their desks, the attending doctors had the most peaceful expressions, while the young residents had different expressions. Some of them were accustomed to what Director Liu said, while those were senior residents. Inadvertently getting used to it, it was a junior resident who had just finished training, and what's more, they didn't care about the conversation in the conference room at all.
"Everyone is here, let's start." Huo Congjun sat back in his seat and opened the medical records.
After years of improvement, the consultation system has procedures.
Especially the out-of-hospital consultations are meticulously similar to university military training. Its importance is also equivalent to university military training - extremely troublesome, seemingly useful and useless, but the superiors often like to check this work.
Dr. Du got up and turned on the projector, and began to read T.
Huo Congjun turned his chair around, squinted his eyes, and listened in a half-sleeping manner, not caring about other people's gazes.
Qi Zhenhai was excited, his eyes were wide open, and he was constantly thinking about it.
Director Liu was doing routine work, his eyes were distracted, and he didn't care about things that were one-third of an acre away from him.
"The situation is like this. The burn area of the two critically ill patients is relatively large, but they are basically under control. What needs to be paid attention to now is not to repeat it." Huo Congjun is more like a doctor's order to the doctor under him.
This attitude has set the tone for today's out-of-hospital consultations.
Qi Zhenhai couldn't help being a little disappointed, how could he perform well if he wasn't seriously ill.
"Patients with 80% of the burn area should not be taken lightly." Director Liu paused and said, "There must be someone to follow at all times. I suggest that you allocate manpower."
"Dr. Du has been arranged to take charge of this case..." Huo Congjun said.
"Too old to follow." Director Liu said bluntly: "For burn patients, complications occur all the time. 80% of the burn area, heart failure, kidney failure, shock, toxemia, anything can happen , Find a younger attending doctor, it is best not to change, on duty for a month, see if you can save both of them."
The factory explosion is the focus of the city's attention, and the direction of consideration should be careful and comprehensive, and the cost is second.
Huo Congjun froze for two seconds, nodded and said, "Okay, we will arrange it later."
Huo Congjun and Qi Zhenhai present are both emergency specialists, and they have made great achievements in burns, but when it comes to specific details, they are not as good as Director Liu, who has been in charge of the burn surgery for many years.
Director Liu himself was very indifferent, and said: "The more people died under his control, the more thoughts he has. What I did today is that the pulmonary embolism was discovered too late. At that time, heparin should have been prescribed directly... Forget it, let's not talk about it." Let’s save it for the death discussion. Well, Lao Huo, then I’ll go back if it’s okay?”
"Don't tell me, it's not easy to come here, let's talk about a medical case." Huo Congjun coughed, and saw Dr. Du picked up the remote control and released a video.
It was the video of Ling Ran inserting one hand into the patient's abdomen.