My Medical Skills Give Me Experience Points

Chapter 1393 553: The Terrifying "Numbered Hospital" Series—The Dark Horse of Second-Tier Hospitals (Part 2)

However, on the fifth day after surgery, the patient's temperature suddenly rose to over 39 degrees, and the amount of fluid drained from the chest increased, and it was very cloudy.

After a joint consultation with doctors from the First Hospital, there was a high suspicion that the patient had developed esophageal leak.

So they gave the patient methylene blue orally, and found blue fluid leaking from the chest, essentially confirming esophageal leak without a doubt.

Esophageal repair surgery, especially when the tear is large, can easily result in postoperative esophageal leak.

It doesn't necessarily mean the doctor's surgical skills are poor.

The First Hospital is one of the well-established hospitals in the city, and its strength is not weak. In the past, the First Hospital held a position in the province similar to the current status of Tuya, Provincial People's Hospital, as the leading powerhouse.

It advanced rapidly, expanding from First Hospital to Sixth Hospital.

Currently, the Sixth Hospital and Second Hospital have disappeared in the tide of the times. Only First Hospital, Third Hospital, Fourth Hospital, and Fifth Hospital are still persevering.

The strongest is the Fifth Hospital.

Like Tuya and Xinxiang Women and Children's Hospital, it underwent bold reforms in the last wave of development, significantly enhancing its strength.

In contrast, First Hospital, Third Hospital, Fourth Hospital have rigid systems and very inflexible internal management.

The hospital leadership lacks vision and ambition, only focusing on their own petty gains, crazily inserting relatives into the hospital for secure jobs, and later, how many connections were drawing fake salaries, no one knew.

There is extremely little emphasis on clinical healthcare talents.

This is the common ailment shared by every organization with an outdated system.

With many connected personnel and many leadership cadres, the workers become fewer. And those non-working leadership cadres, to assert their authority or to extract more benefits, implement strict controls over clinical healthcare staff.

Desperately controlling them like they are household slaves.

These kinds of hospitals all have several obvious characteristics: logistics, administration, and idle personnel outnumber the clinical healthcare staff by far. One doctor might support two logistics or administrative personnel.

And each of them can crap and pee on the heads of the doctors.

Any slight disobedience leads to all sorts of suppression, making their life difficult, constantly checking.

Needless to say, in such a harsh work environment, any doctors and nurses with some skills would flee as far as possible. They would soon resign and switch jobs.

Those who remain are doctors and nurses skilled in flattery and bootlicking.

Most of these people spend their energy and time pleasing the leadership, being opportunistic. They almost never improve their professional skills.

If this kind of old slicksters occupies only a small part of the clinical department, it might not have much impact.

But when a department is almost entirely made up of such slicksters, the problem becomes severe.

When capable newcomers join, they are immediately subjected to rounds of 'beatings', suppressed to death. They either conform to these people and become assimilated, or are excluded. Inept newcomers who learn from these people to flatter and bootlick have the opportunity to survive.

Thus, this hospital essentially becomes wasted.

It is said that when the Second Hospital and Sixth Hospital closed, the competent authorities wanted to arrange jobs for the employees of these hospitals, placing them in other hospitals. In the end, Tuya, Provincial People's Hospital, Provincial Children's Hospital...any hospital with some ambition, tried every way to keep these people out.

For this reason, a recruitment blacklist was established, continuously held by the directors of major hospitals.

The doctors and nurses of these two hospitals are essentially blacklisted for life.

At least in this province, they are almost wasted.

Any decent hospital, without exception, keeps its doors tightly closed against these people.

Then something thought-provoking yet amusing happened.

After the closure of the Second Hospital, because the doctors and nurses of this hospital frequently collaborated closely with a private hospital, they tried to swarm into this private hospital.

At the time, the dean of this private hospital thought that recruiting a large number of clinical healthcare personnel at once could lead to a great effort.

As a result, in just nine months, this private hospital was directly brought down by that group of slicksters who swarmed in.

On the day it went bankrupt, it is said that the dean of the private hospital sat in his office and cried bitterly. The family enterprise built by his ancestors over generations was destroyed by him.

It was after this event that the doctors and nurses of the Second Hospital and Sixth Hospital were blacklisted for life.

No hospital was willing to accept them anymore.

It is heard that even those medical personnel who had entered other hospitals through various connections were cleared out.

A person's name, a tree's shadow.

The notoriety of these two hospitals was so bad that people were truly afraid of following in the private hospital's footsteps.

A rotten apple can spoil the whole barrel.

Even today, medical personnel from the First Hospital to Fifth Hospital faction are still discriminated against.

The Fifth Hospital was able to rise to prominence because its former dean was diligent and committed, implementing a radical talent reform in the hospital. It is said that at the worst time, at least three groups of the hospital's medical staff petitioned daily.

Despite the immense pressure, after a grueling effort lasting over a decade, the Fifth Hospital finally achieved a major talent overhaul.

Its appearance also rejuvenated, regaining a vibrant life.

Later, this dean was found to have three kinds of cancer at the age of only forty-eight: lung cancer, liver cancer, and intestinal cancer. Having so many cancers at once in one person is extremely terrifying.

It can also be seen how much effort this young dean put in to help the Fifth Hospital save itself, enduring unimaginable pressure.

His successor is a very young woman.

It is said that she studied abroad for seven years and has excellent experience in hospital management overseas. After taking over, the Fifth Hospital continued to deepen reforms, implementing many new development strategies.

Its progress speed over the past three years is even faster than Tuya's.

Some consider it a dark horse, believing that if it continues to develop at its current pace, it might join the ranks of top-tier hospitals in the province within a decade.

The First Hospital, due to its deep foundation and very strong connections with the competent authorities, is equally not to be underestimated.

There are rumors that working at this hospital is the easiest way to get a formal post.

Its welfare benefits are famously good.

For example, nurses at Tuya Hospital, being able to rest one day per week is considered quite good. In reality, night shifts are the norm for Tuya's clinical nurses.

However, the nurses at the First Hospital can rest for one day after working two days.

The chance for night shifts is, at most, once a week.

In addition, the temptation of a high chance of securing a formal post is significant. Even though equitable pay is promoted now, even if everyone earns the same salary, the gap in welfare benefits between contracted and formally employed workers is very large.

Furthermore, the pension after retirement is so distressing one can hardly breathe.

The retirement pension for contracted employees is just the insurance purchased, generally two to three thousand yuan per month is the majority. For formally employed workers, the retirement pension is no less than 80% of the pre-retirement salary.

This single line alone is enough to make many people prefer to have no significant development and hold onto their formal post tightly.

Not seeking great wealth, at least stability!

Also, because of this enormous advantage, the First Hospital still has quite a number of veteran experts.

Among them are some very strong doctors.

After Zhou Can finished reviewing the patient's data who developed esophageal leak post-surgery, he began to seriously consider the real reasons for the occurrence of postoperative esophageal leak in this surgery.

Firstly, it cannot be ruled out that the doctor's surgical skill was poor, causing postoperative complications for the patient.

Secondly, considering that the patient had a spontaneous esophageal tear, and such a long tear, it indicates that the esophagus's toughness was originally poor.

Certainly, the toughness of the esophagus is not originally good.

However, its elasticity is excellent.

The muscular layer of the esophagus is composed of inner circular and outer longitudinal layers, about 2mm thick, with elastic fibers sandwiched between the two layers. The muscular layer of the upper segment of the esophagus belongs to striated muscle, lacking longitudinal muscle fibers at the back. The circular muscle at both ends of the esophagus is more developed, similar to sphincters.

Theoretically, it can handle food three times thicker than its diameter without issues.

This is far from its limit.

Under normal circumstances, it's almost impossible to eat something that bursts the esophagus.