Chapter 32: Chapter 32: The Small Appendix, The Great Spirit
Translator: 549690339 |
That day, after handing over her shift, Head Nurse Tian Xianglan suddenly said, The end of the month is approaching, and our emergency departments performance is likely going to be at the bottom again. Everyone, please make sure to follow up on patients hospitalization fees during this time. Many have incurred debts upon admission and have not yet paid. Our department definitely wont meet its targets, but we cant let the hospital leadership call us out again, right?
Also doctors, please conserve your medical supplies. Theyre money, you know. And those masks, can you not use a new one every day, like your home has a mine? And those swabs, dont just throw them out before they are fully used. Besides, add some alcohol and they can still be used! Its all money after all.
Lastly, theres the issue with outpatient fees. From now on, one appointment for one patient. You cant have one appointment for dozens of patients. The hospital is now implementing a policy of one identity card for one patient. Also, remember to charge for suture packs and dressing packs. This place isnt a welfare institution, everyone I wont mention names, but everyone please be attentive
Mm, the head nurse, as always, remarked that one doesnt know the cost of fuel and rice until they run a household.
As the steward of the department and in charge of the familys finances, Tian Xianglan also had a significant responsibility.
It may seem like the emergency department is the largest in the hospital, but it is also the poorest.
The emergency departments shift system is quite unique, varying from one hospital to another.
The daytime work is more tediouswriting medical records, rounding, treating patients, debridement, dressing changes. These activities had become a habit of life for a surgeon, as natural as getting up in the morning and washing ones face and brushing ones teeth. Not handling a scalpel or gauze for a day felt like something was missing.
Wang Qian came back from honeymoon, and his vacation in Hawaii had made the burly young man lose several pounds.
Chen Cang exclaimed with a sigh that apparently, a honeymoon could be a real workout.
Chen Bingsheng looked at Chen Cang and said, Today I have two appendectomy surgeries, and An Yanjun has one. I have talked to him, and asked you to do it, so give it your all.
Chen Gangs eyes lit up, and he said with a smile, Alright, boss! Thanks a lot.
Having surgeries to perform was a joyful affair for a surgeon.
How many surgeons entered a hospital and didnt get to perform a single surgery for days or even weeks, and even if they did, they were just passing instruments; so opportunities were very important.
Chen Bingsheng gave Chen Cang opportunities, even borrowing An Yanjuns surgeries for him.
Chen Bingsheng rolled his eyes: Cut the flattery, just practice hard. Strive to perfect the appendectomy during this period, and when they come for the inspection, youll handle the appendectomies. There will surely be no problems!
Chen Cang nodded, smiling and asked, Can you really make something special out of an appendectomy?
Chen Bingsheng sneered: You think appendectomy is simple?
Chen Cang curiously asked, Is it difficult?
Chen Bingsheng couldnt help but shake his head: A simple appendectomy is very easy; thats true. But what if the patient has various complications, or if the situation inside the abdominal cavity is less than ideal? How far can you go then?
Here at our Provincial Second Hospital, we mostly encounter routine cases. When I was studying at Shanghai Sixth Hospital, I witnessed dozens, even hundreds of difficult appendectomy cases.
Routine appendectomy is suitable for cases where the appendix mesentery is relatively easy to separate and the inflammation at the base of the appendix is mild. But what do you do when theres abnormal swelling at the base, necrosis, perforation, or severe adhesions of the appendix, making it impossible to free?
Several consecutive questions baffled Chen Cang.
Because he had never even considered these issues.
Chen Bingsheng sighed: There are so many problems in clinical practice; you cant let your guard down. Whats the difference between us surgeons and those who slaughter pigs? The goal of pig slaughterers is just to kill the pigif one stab doesnt do it, theyll stab again. But were different; were here to save lives.
Why do you think medical training requires five years of undergraduate study, three years of postgraduate, and still not be enough, with residency needed after graduation? Its because you have no idea how patients are going to fall ill!
Chen Cang was taken aback
Choose how to fall ill???
Chen Bingsheng sighed: This disease, like people, comes in all shapes and sizes. It doesnt follow the script of your textbooks, saying how appendicitis should be like this or that. Any disease can change based on the individual differences of the patient.
One person might get over a cold without any issue, while another might recover even without medication. One person, one constitutionsimilarly, one disease, one constitution.
Im telling you all this not for any reason other than to encourage you to settle down, to seriously study the science, to learn the skills thoroughly. Not to mention anything else, if you can actually get good at performing appendectomies this year, I will be very grateful!
Chen Cang couldnt help but ask, Boss, how would you define having done a good job with an appendectomy? I see that your and Director Lis appendectomies are quite similar. In fact, Director Li isnt even as fast as you.
Chen Bingsheng couldnt help but smile, looking at Chen Cang: What do you think is the difference between an average doctor and a famous doctor?
Chen Cang: Skill level? Technique? Detail? Or perhaps
Chen Bingsheng interrupted: Do you know what a cars airbag is for?
Chen Cang had an epiphany!
Chen Bingsheng: An airbag doesnt make the car look more beautiful, nor does it make it faster. However, only when you encounter a problem does the airbag show its true worth.
Masters and ordinary people dont seem very different in normal times; there might be some differences in detail, but you wouldnt notice. However, when you find yourself in a special situation, the gap between you and a master will become glaringly obvious. Director Li is that kind of person!
This is to tell you, whenever you have time, think more, ponder more, read more. A surgical doctor is first a general physician and then a surgeon. Got it? Youve just started with surgeries, you havent even mastered an appendectomy. These days, conventional appendectomies are rare, and laparoscopic surgeries are the norm. You need to step up the pace and catch up.
Chen Cang nodded, smiling: Alright, boss!
In the past two years, Chen Cang mainly dealt with some basic clinical operations such as suturing, debriding, and resuscitating, but he had rarely touched surgery itself.
Now Chen Bingsheng was essentially opening this big door for Chen Cang completely.
Chapter 32: Chapter 32: The Small Appendix, The Great Spirit
Continue reading 0n 0XN0VEL.MTranslator: 549690339 |
That day, after handing over her shift, Head Nurse Tian Xianglan suddenly said, The end of the month is approaching, and our emergency departments performance is likely going to be at the bottom again. Everyone, please make sure to follow up on patients hospitalization fees during this time. Many have incurred debts upon admission and have not yet paid. Our department definitely wont meet its targets, but we cant let the hospital leadership call us out again, right?
Also doctors, please conserve your medical supplies. Theyre money, you know. And those masks, can you not use a new one every day, like your home has a mine? And those swabs, dont just throw them out before they are fully used. Besides, add some alcohol and they can still be used! Its all money after all.
Lastly, theres the issue with outpatient fees. From now on, one appointment for one patient. You cant have one appointment for dozens of patients. The hospital is now implementing a policy of one identity card for one patient. Also, remember to charge for suture packs and dressing packs. This place isnt a welfare institution, everyone I wont mention names, but everyone please be attentive
Mm, the head nurse, as always, remarked that one doesnt know the cost of fuel and rice until they run a household.
As the steward of the department and in charge of the familys finances, Tian Xianglan also had a significant responsibility.
It may seem like the emergency department is the largest in the hospital, but it is also the poorest.
The emergency departments shift system is quite unique, varying from one hospital to another.
The daytime work is more tediouswriting medical records, rounding, treating patients, debridement, dressing changes. These activities had become a habit of life for a surgeon, as natural as getting up in the morning and washing ones face and brushing ones teeth. Not handling a scalpel or gauze for a day felt like something was missing.
Wang Qian came back from honeymoon, and his vacation in Hawaii had made the burly young man lose several pounds.
Chen Cang exclaimed with a sigh that apparently, a honeymoon could be a real workout.
Chen Bingsheng looked at Chen Cang and said, Today I have two appendectomy surgeries, and An Yanjun has one. I have talked to him, and asked you to do it, so give it your all.
Chen Gangs eyes lit up, and he said with a smile, Alright, boss! Thanks a lot.
Having surgeries to perform was a joyful affair for a surgeon.
How many surgeons entered a hospital and didnt get to perform a single surgery for days or even weeks, and even if they did, they were just passing instruments; so opportunities were very important.
Chen Bingsheng gave Chen Cang opportunities, even borrowing An Yanjuns surgeries for him.
Chen Bingsheng rolled his eyes: Cut the flattery, just practice hard. Strive to perfect the appendectomy during this period, and when they come for the inspection, youll handle the appendectomies. There will surely be no problems!
Chen Cang nodded, smiling and asked, Can you really make something special out of an appendectomy?
Chen Bingsheng sneered: You think appendectomy is simple?
Chen Cang curiously asked, Is it difficult?
Chen Bingsheng couldnt help but shake his head: A simple appendectomy is very easy; thats true. But what if the patient has various complications, or if the situation inside the abdominal cavity is less than ideal? How far can you go then?
Here at our Provincial Second Hospital, we mostly encounter routine cases. When I was studying at Shanghai Sixth Hospital, I witnessed dozens, even hundreds of difficult appendectomy cases.
Routine appendectomy is suitable for cases where the appendix mesentery is relatively easy to separate and the inflammation at the base of the appendix is mild. But what do you do when theres abnormal swelling at the base, necrosis, perforation, or severe adhesions of the appendix, making it impossible to free?
Several consecutive questions baffled Chen Cang.
Because he had never even considered these issues.
Chen Bingsheng sighed: There are so many problems in clinical practice; you cant let your guard down. Whats the difference between us surgeons and those who slaughter pigs? The goal of pig slaughterers is just to kill the pigif one stab doesnt do it, theyll stab again. But were different; were here to save lives.
Why do you think medical training requires five years of undergraduate study, three years of postgraduate, and still not be enough, with residency needed after graduation? Its because you have no idea how patients are going to fall ill!
Chen Cang was taken aback
Choose how to fall ill???
Chen Bingsheng sighed: This disease, like people, comes in all shapes and sizes. It doesnt follow the script of your textbooks, saying how appendicitis should be like this or that. Any disease can change based on the individual differences of the patient.
One person might get over a cold without any issue, while another might recover even without medication. One person, one constitutionsimilarly, one disease, one constitution.
Im telling you all this not for any reason other than to encourage you to settle down, to seriously study the science, to learn the skills thoroughly. Not to mention anything else, if you can actually get good at performing appendectomies this year, I will be very grateful!
Chen Cang couldnt help but ask, Boss, how would you define having done a good job with an appendectomy? I see that your and Director Lis appendectomies are quite similar. In fact, Director Li isnt even as fast as you.
Chen Bingsheng couldnt help but smile, looking at Chen Cang: What do you think is the difference between an average doctor and a famous doctor?
Chen Cang: Skill level? Technique? Detail? Or perhaps
Chen Bingsheng interrupted: Do you know what a cars airbag is for?
Chen Cang had an epiphany!
Chen Bingsheng: An airbag doesnt make the car look more beautiful, nor does it make it faster. However, only when you encounter a problem does the airbag show its true worth.
Masters and ordinary people dont seem very different in normal times; there might be some differences in detail, but you wouldnt notice. However, when you find yourself in a special situation, the gap between you and a master will become glaringly obvious. Director Li is that kind of person!
This is to tell you, whenever you have time, think more, ponder more, read more. A surgical doctor is first a general physician and then a surgeon. Got it? Youve just started with surgeries, you havent even mastered an appendectomy. These days, conventional appendectomies are rare, and laparoscopic surgeries are the norm. You need to step up the pace and catch up.
Chen Cang nodded, smiling: Alright, boss!
In the past two years, Chen Cang mainly dealt with some basic clinical operations such as suturing, debriding, and resuscitating, but he had rarely touched surgery itself.
Now Chen Bingsheng was essentially opening this big door for Chen Cang completely.
