Studying medicine is like this: day by day, accumulating progress continuously through practice.
Through Zhou Can’s efforts, the deep abscess cavity was once again cleaned thoroughly, then bit by bit separated and pletely removed.
"This was really dangerous, there is a small sinus here. Fortunately it was discovered, otherwise the patient might have been in serious trouble."
While excising the deep abscess cavity, Zhou Can discovered another sinus.
It’s small, but the depth is already quite significant.
During surgery, when encountering an abscess, as long as conditions permit, surgeons generally try their best to drain the pus and wait for the right opportunity to operate again.
This is because an abscess has a strong damaging ability to the surgical wound and surrounding tissues.
If the abscess is not pletely removed, it is very easy to have a secondary infection, or recurrence.
Even some unimaginable postoperative plications may occur.
...
Nearly an hour later, the surgery was pleted.
Looking at the gained experience points from multiple surgical techniques, Zhou Can felt very satisfied. More importantly, he successfully removed the patient’s ailment. As long as the patient is returned to the ward and cared for properly, barring accidents, they should recover quickly.
Many patients with such conditions experience a recurrence of tuberculosis, believing that tuberculosis is difficult to cure.
Actually, it’s more likely because the lesion wasn’t pletely removed, or residual cavities were left when closing the incision, or pre-op anti-tuberculosis treatment wasn’t sufficient, leading to active tuberculosis lesions elsewhere and infection with originally drug-resistant tuberculosis bacteria, ultimately causing a recurrence.
Treating such diseases, mutual trust between doctor and patient is crucial.
Besides, it’s important to have confidence; the surgeon has to be confident, and the patient and family should be confident too. As long as there is belief that the ailment can be conquered, most cases can be cured.
If a tuberculosis recurrence occurs, resulting in various doubts towards the doctor, a confrontational attitude forms.
In such cases, it’s remended to switch to another hospital, find another doctor for treatment.
Going back to the original doctor, since trust is lost, the doctor will be extremely cautious in treatment. It’s monly known as a defensive medical strategy.
"Thank you all for your hard work; as usual, I’ve ordered supper. Please have it before you leave, or take it home to eat!"
Director Xue Yan felt particularly happy seeing the surgery successfully pleted.
The Cardiothoracic Surgery department has gradually improved under her leadership.
In many people’s eyes, this is a miracle.
Back when Director Hu Kan suddenly passed away, Cardiothoracic Surgery was in a transition crisis. Coupled with Director Xue Yan’s lack of experience in leading a major department, amidst joint sieges from outside hospitals, she was in disarray and forced to perform high-risk cardiothoracic surgery, leading to a patient’s death on the operating table.
At that time, everyone feared Cardiothoracic Surgery would collapse.
Even the upper management of Tuya Hospital was already prepared for an emergency change in leadership.
In the critical moment, Zhou Can spared no effort to help Director Xue Yan and Cardiothoracic Surgery regain confidence and momentum, bit by bit creating today’s situation.
Deputy Director Zhang of Third Hospital will set aside his status and personally go to Tuya Hospital’s Emergency Department for a face-to-face meeting with Zhou Can, desperately trying to recruit him.
This is enough to show that now Tuya Hospital’s Cardiothoracic Surgery has regained its footing.
Although not as during its peak, Third Hospital, Provincial People’s Hospital, and Xinxiang Hospital must have felt enormous pressure.
Like with countries, when a neighboring nation grows stronger, its neighbors are sure to feel tremendous pressure.
True strength doesn’t require any publicity.
No matter how low-key, opponents can still sense your strength.
The number of cardiothoracic surgery patients in the province is just that many; after smaller hospitals absorb some cases, the rest bees the court of major hospitals.
When Tuya Hospital was in a bad situation last year, many Cardiothoracic Surgery patients were lost to other hospitals, which certainly benefited them.
Now, as Tuya Hospital Cardiothoracic Surgery rises again, attracting more and more patients, the big hospitals naturally notice their outpatient and emergency volumes decreasing little by little.
Each hospital’s cure rate and outpatient emergency numbers are not any secrets.
If one wants to check, it can be found easily.
"Zhou Can, want to chat a bit in my office?"
Director Xue Yan took off her gloves and mask and invited Zhou Can.
She knows Zhou Can is especially busy during the day, and only after surgery is there a chance to have a conversation.
Not here, but inviting him to her office indicates that what she wants to discuss isn’t something she wants others to know.
"No problem!"
Zhou Can readily agreed.
The two walked one after the other into Director Xue Yan’s office; she was about to make tea for Zhou Can, but he stopped her.
"We’re not outsiders; Sister Yan, no need to stand on ceremony. Just say what you need to say directly."
"Then I really won’t treat you as a guest, oh! I feel that the current strength of Cardiothoracic Surgery is quite good, the outpatient and emergency volumes increase every month, and the cure rate is also getting higher. So I want to make a wave of publicity to boost popularity, what do you think?"
Director Xue Yan suffered greatly last year; now, whenever there’s something major, she consults Zhou Can.
Back then, Zhou Can presented her three strategies, one of which was developing quietly, doing substantial work without worrying about fame and outpatient emergency volumes.
It was precisely this low-key ’accumulating grain and building high walls’ strategy that helped Tuya Hospital’s Cardiothoracic Surgery shake off multiple burdens, gaining the focus and determination to develop further.
"Too quiet for too long, Sister Yan, are you trying to soar?"
Zhou Can asked with a smile.
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