"Chief Physician Wang, sorry for troubling you." Huo Congjun received Chief Physician Wang Haiyang from the Hand Surgery Department at the elevator.
Wang Haiyang was a slightly skinny old man. The bones in his cheeks and arms were clearly visible. He seemed to be only around eighty pounds, which was very much in line with the weight of an internet celebrity.
As a former orthopedist, he felt that he was forced to choose the Hand Surgery Department with such a weight. He could not even move the legs of a fat man who weighed two hundred pounds.
Wang Haiyang showed a familiar smile on his face, which had not been skinned. He smiled at Huo Congjun and said, "I'm not used to your eagerness. I didn't expect you to smile so beautifully when you're asking for help."
A few attending physicians followed Huo Congjun and came over to be the background. They lowered their heads and smiled.
Huo Congjun coughed and laughed. "Isn't it because you're here? I'm happy. Don't rush back tonight. Let's have a drink … "
"Don't mind me. Your flattery makes me feel guilty. Alright, let's not go to the meeting room. Let's go to the ward." Wang Haiyang could see that Huo Congjun really cared about the case at hand.
"Ah, that's so embarrassing. After all, I'm here to ask you for a consultation. I didn't even drink water …" Huo Congjun's fake politeness could be smelled from three meters away.
Wang Haiyang chuckled and said, "Let's go to the ward. It'll save everyone some time."
"Alright, then let's go to the ward." Huo Congjun was too lazy to go to the meeting room to look at the powerpoint. He turned and said, "Go and call Ling Ran. Let him come to the observation room."
The observation room in the Emergency Department was equivalent to the ward in the inpatient department. Normally, the observation room only accepted patients who needed to be observed for a short period of time. But in practice, it was not so easy. The most common patients were those who could not be cured, could not recover, and could not go home. Some patients could stay in the emergency room for a year or two.
Huo Congjun had always been annoyed by these old patients who treated the emergency room as a nursing home. But this time, he made full use of this situation and quietly opened up a few small emergency cubicles. Nominally, they were used to expand the number of beds in the observation room, but in reality, they were used as additional wards.
The Medical Affairs Department pretended to come and inspect him once, then turned a blind eye and let him go.
When Wang Haiyang entered the ward, he saw four beds and a few simple rehabilitation tools that were exactly the same as those in the Hand Surgery Department. He almost laughed out loud.
"Fortunately, I'm the one who came. If Director Jin saw this, you'd be so angry that you'd laugh." Wang Haiyang didn't hide his sarcasm at the two department directors.
As a chief physician, if he did not seek to improve himself, he could indeed do as he pleased.
In fact, if Wang Haiyang were an associate chief physician, it would have been impossible for him to come to the Emergency Department and help Huo Congjun's patients, who wanted to steal his business. To the doctors in the Rival Surgery Department, Wang Haiyang was purely supporting their enemy.
However, Wang Haiyang did not care.
His relationship with the department director, Jin Xi, was already very strained. Almost every department director and chief physician had an unknown conflict. Wang Haiyang did not expect to sit in the position of a department director, nor did he expect to be assigned to another department. Besides, he could no longer climb up the ranks in terms of skills. Therefore, Wang Haiyang, who led a treatment group alone, had long since let go of himself.
Huo Congjun had been in Yun Hua Hospital for many years, and he knew too well about the matters between doctors. He smiled and said, "The Hand Surgery Department still has patients left in the Emergency Department. What do you think? Can't I take in patients that Jin Xi doesn't want? Do I have to let you guys pick first? That doesn't make sense, right? "
Wang Haiyang chuckled and did not answer.
Picking patients was a long-standing problem between the Emergency Department and specialized departments.
According to regulations and the normal hospital model, after the Emergency Department took in a patient, the patient would be transferred to other departments after resuscitation or simple treatment.
However, regulations were regulations, and implementation was implementation. In a situation where the better the hospital was, the more congested it would be. Other specialized departments did not want to take in all the patients in the Emergency Department, and they would make all kinds of requests.
As a result, the referral system could easily turn into a selection system.
Specialized departments were not willing to take in patients who were difficult to treat and easy to die. For example, patients with terminal cancer could not be operated on, and their lives were in danger at any time, so specialized departments were not willing to take them in. Specialized departments were also not willing to take in elderly patients with chronic diseases. For example, patients who were infected at an advanced age would have relapses after they were cured, and they would not dare to leave even after they were cured. They would press on the bed until the department's bonus was deducted.
For an elite department like Yun Hua Hospital's Hand Surgery Department, the patients they treated were no longer limited to the area around Yun Hua or Changxi Province. They received patients from all over the country because of their reputation. When there was a sufficient number of surgeries, the Hand Surgery Department would inevitably select patients. Patients who fit the research direction of the department directors were the first priority, followed by patients who had mature treatment plans, and they could also be treated in time. Other than that, they would observe whether the patients were easy to deal with and their ability to pay.
From the department's perspective, the amount of money they could get from treating a patient was very little. A normal case would only get one to two to three thousand RMB, and cases that cost more than ten thousand RMB were very rare. However, if there was a patient who owed medical fees, the deficit could reach hundreds of thousands of RMB. The performance of a department would be deducted to the point that the doctors would doubt their own lives, and being beaten up was something that normal people would avoid.
For patients who did not fit the interests of the department and the hospital, the department would naturally avoid treating them as much as possible. Some patients would leave because of this, and some patients would stay in the Emergency Department for various reasons.
Huo Congjun's act of blocking the thunder for other departments had now become his leverage.
Just as he said to Wang Haiyang, the Hand Surgery Department could choose patients, and he could also choose not to transfer patients. Everyone had their own opinions, and there was no such thing as right or wrong.
"This is the patient, right?" Wang Haiyang changed the topic and came to the bed.
The patient's family quickly got up to greet him, and was persuaded by Doctor Zhou to go to the corner of the ward. A group of Emergency Department doctors in white coats surrounded the bed.
When a department director went on an inspection tour, it was necessary to have a grand scene, and the doctors could also gain experience from it. Of course, what everyone was most curious about now was whether Ling Ran's M-Tang technique would work.
"The patient is Ma Wenhua, a forty-two-year-old male. He was sent to the emergency department of our hospital because of a car accident. The head CT scan was negative, and there were fractures of different degrees in his cervical spine and limbs. There was bleeding in the abdominal cavity. The first stage of the surgery lasted for three hours. The flexor tendon of his left hand was injured, and he received the M-Tang technique at the same time …" When Zhao Leyi said this, he glanced at Ling Ran before he continued to talk about the patient's medical history and medication.
Wang Haiyang listened quietly without any expression on his face.
For him, these were all background factors. Huo Congjun invited him here mainly to look at the hand sutures.
Therefore, Wang Haiyang's gaze quickly locked on Ling Ran.
He had never seen Ling Ran before, but Huo Congjun had said that he was the most handsome one, and Wang Haiyang remembered it. At this moment, when he looked to both sides, he easily found his target.
When Zhao Leyi saw this, he obediently ended his introduction and retreated behind Huo Congjun.
"How did you suture this? Just tell me the steps. "Wang Haiyang knew that Ling Ran had not received systematic training, so he deliberately did not let him say the lines he had prepared.
Ling Ran himself did not think too much about it. He took two steps forward and said, "I chose the first loop suture at the dorsolateral side of the proximal end of the tendon. After locking the first loop knot, I inserted the trocar vertically through the tendon, and the needle came out six millimeters dorsolateral side of the distal end …"
As he spoke, he pointed at the back of the patient's hand and gestured.
Wang Haiyang had actually never performed the M-Tang technique before. He usually used Kessler and double Kessler. He had mastered Wilms, which was a little less specialized. Usually, he performed hand replantation surgeries. His success rate was quite high, and he personally felt a sense of achievement.
Relatively speaking, Wang Haiyang did not like the M-Tang technique, which was more complicated. Although the success rate was increased by ten to twenty percent based on the data, and the score of the hand function assessment could also be increased by ten to twenty percent, the burden on the doctors was more than doubled.
However, Wang Haiyang still knew the famous M-Tang technique in the Hand Surgery Department very well. He had even seen Tang Jinbo's live operation.
As Wang Haiyang listened to Ling Ran's explanation, he corresponded the knowledge points in his memory. After listening for a while, he felt that he seemed to understand a little more.
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