Doctor of Healing

"Yes." Director Bai gave an unambiguous answer in front of his old friend, "Being the vice president is also in charge of the clinic."

"But after all, he is the vice president. Dean Sun is still a few years away from retiring. When the time comes, you and Zhao Jixiang will compete for the chief dean. Are you confident?"

"I don't want to think about it for the time being. The problem is that I am also responsible for the messy things after I am in charge of the clinic." Director Bai said, "So I will make up for the shortcomings of the hospital first. Intervention surgery, not earning money and still eating thread, what the hell? of."

"By the way, Lao Bai, I heard that the collection shelves of the First Attached Hospital are moving fast?"

Director Bai nodded, "The centralized procurement is not easy to get off the shelf, and the operation time has been extended by at least half an hour. There is no profit, and it has been unsalable. Our hospital is okay, and the directors of the Department of Circulatory Medicine have given me face."

"What about the attached hospital? I don't know the details."

"50% of the operation fee will go directly to the operator, and the operator will allocate it." Director Bai said, "I have already applied to the hospital for this matter. In the future, Xiaoji will have 50% of the operation fee for surgery and interventional surgery. "

"!!!"

Director Liu was stunned.

50% of the operation fee is almost negligible if it is a surgical operation, but the operation fee for interventional and catheter operations is still very high, about 4000-8000 yuan per operation.

With Jixiang's hand speed and surgical proficiency, ten surgeries a day...

Director Liu is not envious, he is not envious of Ji Xiang because of this small amount of money.

But Director Liu was very worried. He felt that Jixiang was getting farther and farther away from him.Just like Colonel Wang who first discovered Jixiang, he has faded out of sight now.

"I……"

【Whenever I am sad, I am also drenched by heavy rain, and flowers bloom from the mud...】

Director Bai's phone rang.

Director Liu smiled and said, "Every time I hear your cell phone ringing, I think that every time you get blamed, you deserve to be the director of medical affairs, awesome!"

405 - A Big Pot

"Director Sui." Director Bai answered the phone.

Director Liu pricked up his ears and listened carefully to Director Bai and the other party.

Director Sui briefly reported the medical history—the patient underwent left total knee arthroplasty under spinal anesthesia 8 hours ago.

Before the skin incision, the pneumatic tourniquet was inflated to stop bleeding, and the tourniquet was used for 90 minutes. During the operation, the tibial plateau and distal femur were routinely cut, and the posterior joint capsule was released. No abnormalities occurred during the operation, and the operation was successfully completed.

After the operation, the dorsalis pedis artery pulse was not felt. Director Sui touched the posterior tibial artery, but he did not feel the blood vessel pulse.

After waiting for about 15 minutes, touch again to confirm, but the pulse is still not touched.

The skin temperature of the extremity far from the left knee joint was significantly lower than that of the opposite side. Director Sui speculated that the popliteal artery may be damaged and occluded.

So Director Sui urgently asked the Ultrasound Department to perform vascular ultrasonography, which showed that the blood flow spectrum of the left anterior and posterior tibial artery and dorsalis pedis artery was not detected, the blood flow spectrum of the distal artery disappeared in the popliteal fossa, and the proximal detection was normal.

Knee replacement surgery, postoperative popliteal artery occlusion, Director Bai listened quietly.Not only him, but even Director Liu could hear the problem.

No wonder Lao Bai wanted to plan ahead. It is estimated that Director Wang of the Department of Vascular Surgery did not dare to move.

"Director Bai, Director Wang wants to administer thrombolysis, and he needs to be consulted for thrombolysis?! If we wait any longer, the patient will have to amputate, amputate!" Director Sui roared angrily.

"Understood." Director Bai said lightly.

"Director Bai, I want to apply for a consultation with the whole hospital." Director Sui Tuqian said, "You can come here. With you in charge, the Department of Vascular Surgery dare not say such a fucking thing."

"Consultation in the whole hospital, I'll go right away. Are you in the hospital?"

"I dare not leave." Director Sui complained, "Director Bai, the patient won't survive tomorrow's dawn."

"Understood." Director Bai hung up the phone.

"Hey." Director Liu smiled, "I guess Director Wang didn't dare to do it. It's the easiest way to put a catheter for thrombolysis, but the effect is so bad... That's a matter of orthopedics. You will have to take over this big pot in the end." .”

Director Bai curled his lips and dialed the phone.

"Xiaoji, it's me." Director Bai said, "Orthopedics, consultation, you come right away."

he said in a commanding tone.

"Director Bai, I'll be there in 10 minutes." Ji Xiang replied without hesitation.

After a brief exchange, hang up the phone, Director Bai stood up, "I'll go back and have a look."

"Old Bai, no matter what you say, you are the director. You have to be responsible for this matter." Director Liu said.

"No one." Director Bai was also very helpless, "Look for Xiaoji to take a look, if you can solve it, you can solve it. If you can't solve it, I will discuss it with the attached hospital."

"Let's have a look together."

Director Bai glanced at Director Liu, "Dazhi, don't think too much about Xiaoji. I'm not joking. After three years of regular training, he can stay in our hospital for one and a half years."

"Then you still need to apply for an intermediate certificate for Jixiang."

"Didn't I think that it would be the best if Jixiang could help bring out the Department of Vascular or Interventional Surgery in one year?" Director Bai smiled, "It's also a whimsical idea, but I think it's possible. As for Can you keep Ji Xiang? Stop dreaming."

"Hey, that's not necessarily true." Director Liu knew what Director Bai meant, but he still said with a straight neck.

When the two returned to the hospital, Ji Xiang had already changed his clothes and was looking at the medical records in the doctor's office.

"Xiaoji came very quickly." Director Bai said.

"My home is closer." Ji Xiang looked up, smiled gently, and then looked down at the medical records.

"Director Wang, Director Sui, let's have a meeting now, and you can talk about your opinions." Director Bai said straight to the point without being verbose.

"Director Bai, sit down." Director Sui moved a chair and placed it in the innermost corner, facing the door of the doctor's office.

This is Director Bai's habit. Ever since the death of an ENT doctor in Harbin, he has been sitting facing the gate.

It is the safest place to have a bird's-eye view of the entire venue.

After Director Bai sat down, he glanced at Director Wang and Director Sui, "Talk about the situation first."

"Director Bai, I can take out the patient's thrombus." Director Wang said first, he made an assumption that Director Bai took this kind of words as fart.

"However, the local blood vessels need to be stented, but the patient has just undergone knee replacement surgery, which is a contraindication for stenting."

"So I suggested a catheter for thrombolysis. But Director Sui said that he was worried about future troubles, so he insisted..."

"Is there no problem with thrombolysis alone?" Director Sui immediately interrupted Director Wang of the Vascular Department, and said anxiously with 12 unhappy, "The speed of thrombolysis is so slow, what should we do if the patient's lower limbs are necrotic!"

Director Bai felt tired when he heard the quarrel between the two of them.

But this is the normal state of the clinic, neither Director Sui nor Director Wang is willing to take the blame.

This job is a bad job, whoever takes over will be in trouble.

If I were the director of the vascular department, I probably wouldn't accept it.

But this is a hospital, and it is impossible to have a [-]% problem-free situation, and there are always many bad things.

"I probably glanced at the medical records, Xiao Ji, tell me your opinion." Director Bai knocked on the table and said to Ji Xiang.

"Remove the bolt without removing the bracket." Ji Xiang was slightly startled, as if he was distracted before answering Director Bai's question, but answered immediately.

"Doctor Xiaoji, don't talk nonsense." Director Wang of the Vascular Department scolded, he was a little contemptuous, but even more flustered.

As for why, all the doctors present seemed to understand except Ji Xiang.

"Then get ready for surgery." Director Bai made a final decision.

"Director Bai, I don't want to do it. The patient has contraindications to surgery." Director Wang of the Vascular Department said directly.

For this kind of big pot, he would rather pay Director Bai later than carry it himself.

"Xiao Ji, are you sure?" Director Bai asked.

"Yes." Ji Xiang replied.

"I'm not going to be an assistant." Director Wang of the Vascular Department hid completely.

Director Bai raised his eyebrows, glanced at Director Wang of the Vascular Department, and took out a blue notebook from his pocket with a smile.

"This is……"

"Extraordinary, I will give you the intermediate certificate of the intervention subject you applied for."

"!!!"

"!!!"

"!!!"

Director Sui, Director Wang of the Vascular Department, and Director Xu Leyu were all stared at in front of their eyes.

I have passed the examination for the doctor's certificate. It seems that the certificate has not yet come down. Director Bai went to apply for the intermediate certificate for Ji Xiang?And looking at Ji Xiang's expression, he didn't seem to know about it.

"Xiao Ji, to tell you the truth, this patient is a difficult patient." Director Bai said frankly, without deliberately hiding it from Ji Xiang, "If you don't want to take the blame, I'll go to the provincial expert group for consultation. But the time ..."

"Director Bai, the surgery should be fine." Ji Xiang picked up the intermediate certificate, looked at it twice and asked, "It seems that the attending physician can't do level 4 surgery."

"Who said that?" Director Bai said blankly, "If you can take it off, you will have surgery now."

Chapter 406 The surgery was completed after chatting for a while

"Go!" Ji Xiang said with certainty.

Director Wang of the Vascular Department stared blankly at the small blue book in Ji Xiang's hand. He also had the intermediate certificate, but he had already thrown it in an unknown corner.

It's just that sometimes I miss the young face on the intermediate certificate, so Director Wang of the Vascular Department will look for it when he has time, but it's useless to him.

But as far as Ji Xiang is concerned, a regular trained doctor who has just passed the professional medical examination is barely qualified to practice medicine and cannot perform high-level surgeries.

This intermediate certificate is very important.

The intermediate doctor's certificate was obtained earlier than the doctor's certificate. Director Wang of the vascular department has never seen such a thing.

He wanted to say something, but he swallowed the words again.

Director Bai has already found a scapegoat. If he disagrees with him, don't take the responsibility on himself in the end.

Director Sui was already in a hurry. After the operation, the color of the patient's lower limbs became worse and worse, and the naked eye was visibly progressing towards necrosis.

Although preoperative explanations were made with the patient's family members before the operation, and the postoperative thrombosis was also the focus of the explanation, but once something happened to the patient's family members, they lost their minds long ago.

Director Sui knew that at this time, the preoperative explanation was too rigid to be used as a butt wipe, and it was basically useless.It would be best if Chief Bai is willing to stand up and take the blame. As for whether Ji Xiang lives or dies in the end, it has nothing to do with him.

He immediately took the patient to the interventional catheterization room for surgical treatment.

As for whether the patient will have other complications after the operation... As long as Director Bai takes over, it will be a problem in the hospital. Even if there is a problem and the board falls, he can save himself

"Director Liu, the little guy you brought out is really capable." Director Wang of the Vascular Department saw that Liu Zhi was there, and probably knew that this guy was with Director Bai, so he said to Director Liu.

"Hey, it's okay." Director Liu was not worried, but smiled.

"But the little guy is really crazy." Director Wang of the Vascular Department said contemptuously, "Director Bai told the truth, and he was going to blame him, but he actually said 'yes'! He really deserves to be the number one Gui Peisheng in the country."

No. [-] in the country, this adjective is indeed accurate. Ji Xiang won the No. [-] in the country in the exam, and everyone in the medical field in the whole hospital and even the entire provincial capital knows it.

But at this moment, Director Wang of the Vascular Department said it with countless jokes.

Director Liu was unhappy when he heard it, and glanced at Director Wang, "Jun Yan, what you said."

"Isn't it clear that Keng Jixiang, I... well, there is a problem with the intima of the blood vessel after the thrombus removal, and a stent-graft must be inserted. Dazhi, you know what is contraindicated in surgery, this is it!"

"Xiaoji said it can be done, so it can be done." Director Liu tried his best to keep his tone calm, "The last one said no, the grass on the grave is as tall as a person."

"Tch, who is it?"

"Boss Qin Chuqin, the daring boss of the devil city." Liu Zhi said coldly.

"..." Director Wang of the Vascular Department was speechless.

In addition to surgical operations, the vascular department also performs interventional operations, whether it is thrombectomy, thrombolysis, or stenting, all of which are part of it.

So he remembered that Qin Chu wanted to accept Ji Xiang as a student, but he was depressed by Ji Xiang until now. He probably didn't have a good life for a few years.

Grass on the grave... Director Wang of the Vascular Department recalled the patient's situation, and said affirmatively, "Even if Dr. Xiaoji can remove the thrombus, the patient will definitely have problems three days after the operation."

"Yan Jun, is it because you can't make it through the surgery?" Director Liu was really impatient, and he said something with a smile.

"..."

Director Wang of the Vascular Department was silent for a moment.

"Xiaoji's level has been demonstrated during the last heart transplant, don't worry. You... what we can do, Xiaoji can do; what we can't do, Xiaoji can still do."

Although Director Liu replaced you with us, Director Wang of the Vascular Department still felt extremely uncomfortable when he heard this.