The provincial hospital was a large-scale tertiary Grade A hospital that was on par with Yun Hua Hospital.
To put it in a more professional way, they were both provincially managed tertiary Grade A hospitals.
Hospitals had a siphoning effect.
Everyone wanted to go to the best hospitals, and the leaders were no exception.
Therefore, the high-level hospitals managed by the provincial government would receive the greatest support from the provincial health finance. The high-level tertiary Grade A hospitals managed by the city would receive the greatest support from the municipal health finance. The tertiary Grade A hospitals at the county level would receive the greatest support from the county health finance. If there was a tertiary Grade A hospital in the county …
In this atmosphere, the Matthew effect was particularly obvious in hospitals. The strong became stronger, and the weak met the weak. The better the hospital, the more advanced equipment it could get, and the more excellent doctors it could retain.
Among the 1,300 tertiary Grade A hospitals in the country, only 44 government-managed hospitals, such as Peking Union Hospital, Xiangya Hospital, Huaxi Hospital, Zhongshan Hospital, Fudan Hospital, and so on, steadily outperformed the provincial hospital and Yun Hua Hospital.
In this regard, the department director of Yun Hua Hospital's Emergency Department, Huo Congjun, and the chief physician of the provincial hospital's Emergency Department, Qi Zhenhai, were the best in the medical field of Changxi Province.
In particular, both of them were good at treating burns, so they had more "contacts" with each other.
However, formal out-patient consultation procedures were complicated. Only special public events like factory explosions or staff health care missions were easier to facilitate.
Qi Zhenhai valued this opportunity very much. After a ward round in the morning, he only performed one surgery, then changed his clothes and went straight to Yun Hua Hospital.
He was just forty years old, and he was already a chief physician. He could be said to be young and promising.
He also deliberately dressed himself young. During the time when the old-fashioned doctors wore white coats all year round, he would wear a shirt and trousers whenever he left the hospital.
The only worry was that the wrinkles on his face were increasing day by day. His body, which lacked exercise, had obviously put on some weight. If he was not careful, his belly would stick out. If he wore a white coat like a department director, he could still cover it up. However, Qi Zhenhai was not willing to do so.
He was too old-fashioned, and he could not show off his young and promising side.
Now, the one who troubled Qi Zhenhai the most was the department director.
Hospitals were not like government agencies, and the promotion channel was very narrow. Unless the department director was promoted to associate hospital director, transferred, or poached, he or she would continue to sit in the position of department director until they retired.
Some department directors even became associate hospital directors, but they were unwilling to leave the position of department director. As a result, some young and promising department directors had been in the position for twenty years, and the doctors under them could not even breathe.
Qi Zhenhai could not wait for the director of the Emergency Department to retire, so he actively promoted the establishment of the Burn Center. He wanted to be independent and become the boss.
This extra hardship had probably deepened his wrinkles, so much so that when he saw Huo Congjun, he could not even tell that there was a ten year age difference between them.
"I was just thinking about when I should do a case discussion when I received a consultation call from Yun Hua Hospital. I'll bring the cases from our hospital over too. Let's take a look at them together. "Qi Zhenhai was talking about the medical records that were assigned to the provincial hospital.
The factory explosion was a tragedy for the injured workers and the damaged factory, but for Qi Zhenhai, it was a rare opportunity. If he could prove his position in the field of burns, it would be easy for him to set up a burn center.
"If there's still time after the consultation, we can discuss it in private." Huo Congjun did not intend to be polite.
Let's take a look together? He probably wanted to show off.
Huo Congjun glanced at Qi Zhenhai from the corner of his eyes and thought, 'Let's see if you still want to show your face later.'
"Let's go in, it's almost time." Huo Congjun was not in the mood to chat. He only said goodbye and returned to the meeting room.
At this time, the young doctors in the department placed their chairs and sat around the room, leaving the large conference table in the middle for them.
Huo Congjun chose the far corner that was directly opposite the door and sat down in a grand manner.
The other two chief physicians and four associate chief physicians sat on both sides. The dispirited atmosphere of a large department with a total of seven experts was immediately displayed.
Qi Zhenhai was not bothered. He simply found a chair in the middle and sat down. Then, he asked the resident doctor who came with him to place the medical case in front of him. He smiled and asked, "Department Director Liu from the People's Liberation Army General Hospital is not here yet?"
"His patient has some problems, and he's already on the way," Doctor Du, who was in charge of communication, explained.
Qi Zhenhai smiled and said, "Then wait. This factory explosion case is quite serious. It's going to be a joint hearing by the three departments."
Huo Congjun did not say anything, and the other doctors did not say anything either. The atmosphere was a little awkward for a moment.
Qi Zhenhai was not bothered. He tugged at his shirt to cover his not-so-elegant tummy and waited quietly.
Hospitals like Yun Hua Hospital and the provincial hospital did not like out-of-hospital consultations. Therefore, the environment for consultations had always been bad.
In contrast, out-of-hospital consultations initiated by tertiary Grade A hospitals at the county level were more interesting because of the difference in status. They had the intention of asking for help and showing weakness.
Of course, tertiary Grade A hospitals at the county level were too lazy to conduct out-of-hospital consultations through formal channels. Everyone contacted and invited external help in private. Since they had to pay, it was easier to go through fewer procedures.
"Ah, sorry, I'm late." The sound of the door opening disturbed the atmosphere in the office.
An old doctor with a square face came in. He had an old-fashioned stethoscope hanging in front of his chest like a pocket watch decoration.
Huo Congjun stood up and greeted him. He asked, "Department Director Liu, is the patient taken care of?"
"He's dead." Department Director Liu's expression did not change.
Ling Ran sat in a small corner and turned his head to look at Department Director Liu.
It was normal for people to die in large hospitals. Modern people rarely ended their lives peacefully at home. They had to go through the hospital before they completely gave up.
However, Department Director Liu's indifference was still very rare.
Among the doctors who sat in a circle with their backs against the desk, the attending physicians had the calmest expressions. The young resident doctors had different expressions. Some of them were senior resident doctors who were used to what Department Director Liu said. Some of them were junior resident doctors who had just finished their housemanship. Some of them did not care about the conversation in the middle of the meeting room at all.
"Everyone's here. Let's start." Huo Congjun returned to his seat and flipped open the medical record.
The consultation system had been improved over the years, and it had procedures.
Especially out-of-hospital consultations, which were meticulously similar to university military training. Its importance was also similar to university military training. It was extremely troublesome and seemed to be useful at the same time. However, the superiors often liked to check on this work.
Doctor Du stood up, turned on the projector, and started reading the PowerPoint.
Huo Congjun turned around his chair. He narrowed his eyes and listened as if he was asleep. He did not care about other people's gazes at him.
Qi Zhenhai was excited. His eyes were wide open, and he kept calculating in his heart.
Department Director Liu did his routine work. His eyes seemed to be looking at something, but he was not. He did not care about what happened outside of his territory.
"This is the situation. The burn areas of the two critically ill patients are relatively large, but they are basically under control. What we need to pay attention to now is not to have a relapse." Huo Congjun was more like a doctor giving advice to the doctors under him.
This attitude also set the tone for today's out-of-hospital consultation.
Qi Zhenhai could not help but feel a little disappointed. If there were no critically ill patients, how could he perform?
"We still can't let our guard down for patients who have 80% of their burn area." Department Director Liu paused for a moment and said, "Someone has to follow them at all times. I suggest that you assign manpower."
"I've already arranged for Doctor Du to be in charge of this case …" Huo Congjun said.
"He's too old, he can't keep up," Department Director Liu said bluntly, "Burn patients have complications all the time. 80% of their burn area, heart failure, kidney failure, shock, toxemia … anything can happen. Find a younger attending physician, and it's best if you don't change him. Put him on duty for a month and see if he can save both of them. "
The factory explosion was the focus of the whole city's attention. The direction of consideration should be to be cautious and comprehensive. Expenses were secondary.
Huo Congjun was stunned for two seconds before he nodded and said, "Okay, we'll make arrangements later."
Huo Congjun and Qi Zhenhai were both experts in the emergency department, and they had quite a lot of achievements in the field of burns. But when it came to specific details, they could not compare to Department Director Liu, who had been in charge of the Burn Surgery Department for many years.
Department Director Liu himself was very indifferent. He said, "The more people die under my hands, the more ideas I have. The one I had today was discovered too late. At that time, I should have directly prescribed heparin without caring about the outcome … Forget it, let's not talk about it. We'll talk about it when we discuss the death. Hmm, Old Huo, if there's nothing else, I'll go back? "
"Don't mind me. It's not easy to come here. Let's talk about another medical case." Huo Congjun coughed. Doctor Du picked up the remote control and played a video.
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