Chapter 906 - 447: Deputy Director Rivalry, Neglected

Chapter 906: Chapter 447: Deputy Director Rivalry, Neglected

Any doctor would find dealing with such a patient headache-inducing.

As the head of General Surgery, Director Bi is the leader of the department, but in this situation, he is bedridden and undergoing treatment.

The only option is to find someone to help.

Li Jingsheng has heard of Director He Qingzhi.

He has been deeply immersed in the field of General Surgery for many years, not only leading his own team but also holding a significant position in the operating room. He is capable of handling major surgeries of three or four levels and is also the deputy director and chief physician of the General Surgery department.

In terms of qualifications, he’s second only to Director Bi.

However, each doctor has different areas of expertise.

He Qingzhi specializes in surgical treatment in the gastrointestinal surgery field and has unique insights into hemorrhoid treatment.

If memory serves, the nickname ’Hemorrhoid Thanos’ refers to this very Director He.

These days, the office-bound population is massive. Sitting for long periods without exercising, coupled with the prevalence of smartphones, leads many to take their phones to the restroom, resulting in a high incidence of hemorrhoids.

Hemorrhoid surgery seems like a ’minor operation.’

But it’s not minor at all.

Especially for the treatment of some complex mixed hemorrhoids, it requires a lot of precision.

Most internal hemorrhoids can be treated by applying a ’binding ring’ to make them gradually fall off on their own.

However, there are also very complex cases.

Thus, the technical requirements involved remain quite high.

Market demand implies there is money to be made.

Many people don’t understand why Huaxi is so strong. Why is it ranked second?

Ultimately, it’s because their income-generating capabilities are strong, having already formed a scale effect.

Top medical talents are gathered there; the rescue success rate for critical and emergency cases should be the first in the country.

Some patients sent to other hospitals for treatment worsen as treatment progresses, seemingly nearing life-threatening situations.

But after being transferred to Huaxi, they are soon rescued, and the condition is stabilized, gradually transitioning to a general ward and even meeting discharge standards.

Some may not meet ordinary discharge standards but can meet transfer treatment standards.

What does this mean?

It means, after rescue and treatment at Huaxi, the patient’s condition has stabilized, no longer needing to occupy top-level medical resources, and can be transferred back to local hospitals for continued treatment.

Consequently, when returned to local hospitals for treatment, some unlucky ones suffer a recurrence of their condition.

Then they are in trouble again.

They have to return to Huaxi for rescue.

This is not about the hospital holding back but rather about local hospitals’ medical technology, equipment, and medication being incomparable to Huaxi.

There are indeed differences between hospitals.

While two hospitals may appear strong, encountering some complicated cases and critical illnesses will reveal disparities.

With exceptional hemorrhoid treatment skills, He Qingzhi managed to climb to the deputy director’s position in General Surgery.

Besides hemorrhoid treatment, he also has considerable insight into intestinal obstruction.

He has treated innumerable patients with intestinal obstruction through surgery.

Unknown why this time, he hit a roadblock.

If Director Bi were not ill, he could step in to save the day. Now that Director Bi is down, one of the two deputy directors of General Surgery is sure to compete, vying against each other.

Because everyone wants to remove the ’deputy’ title and become the full director.

Even a fool knows that Director Bi, suffering from a severe illness and due to his advanced age, has a high likelihood of retiring.

When the time comes, it will be an opportunity for the two deputy directors.

During Director Bi’s convalescence, the two deputy directors will inevitably engage in a struggle.

Open competition hurts harmony and doesn’t look good on the surface.

There’s a greater chance of hidden competition.

He Qingzhi originally intended to achieve more results, making his performance look better. Unfortunately, complications arose after the patient underwent surgery, and he is not skilled in diagnosing difficult cases.

Ultimately, to avoid the severe consequence of patient death, he had to seek help overnight from the convalescing Director Bi.

Facing such a complicated and severe case, Director Bi couldn’t manage remotely and had to turn to Li Jingsheng.

The greater a person’s capability, the greater their responsibility.

As Li Jingsheng’s medical skills improve and his relationship with Director Bi becomes closer, he gradually gets pushed to the forefront.

He was originally planning to have a good sleep tonight, but it seems destined to be a busy fate.

So he had to take a cab and rush to the hospital.

Upon arrival at the hospital, he headed straight for the inpatient department in the surgery building.

"Is Director He still here?"

Li Jingsheng asked the duty nurse.

"Oh, it’s Dr. Li. What brings you here looking for Director He so late?"

He is now somewhat of a celebrity at Second Hospital.

Quite a few of the young nurses recognize him.

These young nurses and some intern female doctors are rather sly, deliberately familiarizing themselves with him and then getting some perks when buying health supplements or during bone setting procedures.

For Li Jingsheng, this is also advantageous.

When others seek his help, naturally, they treat him with great friendliness and enthusiasm.

"Just something to take care of."

Li Jingsheng didn’t mention what it was about.

This detail shows his good character.

Since a patient treated by He Qingzhi has encountered issues, seeking help now certainly isn’t an honorable matter.

Li Jingsheng intentionally helps to cover for Director He.

At the very least, he won’t proactively spread the news.

"Director He should be in Room 11, bed 47; you can head over directly. If you’re looking for Director He’s help, I suggest you choose a better time; he is probably quite busy now."

The duty nurse kindly offered a reminder.

"Alright, thank you."

Li Jingsheng walked straight towards the ward.

Arriving at Ward 11, inside were several doctors and two nurses gathered around a patient bed.

This ward had a total of six beds, classified as a large ward.

Its cost is slightly cheaper.

Only twenty yuan bed fee per night is required.

Some patients with better family conditions or higher insurance reimbursement rates mostly choose double rooms or even single rooms.

The bed fee for a double room is 100 yuan per day.

The advantage is that there are only two patient beds in the ward, up to two patients can stay simultaneously.

The most expensive is a single room, 180 yuan per day, almost equivalent to hotel prices.

From the multiple levels and prices in the inpatient wards’ humanized settings, it can be seen that the Second Hospital’s reform has already achieved substantial results.

It’s not just one aspect, but reflected in many details.

Hospital services have become more humane.

The patient experience is also quite good.

Not all clinical departments of the hospital have undergone ward reforms; only some well-performing departments have prioritized enjoying this reform.

Because it requires substantial funding for refurbishing and rectifying wards.

Some departments with poor revenue and few patients received yearly haven’t yet been able to enjoy these reform measures.

"Ugh..."

The patient vomited violently, and the family members hurriedly held a basin to catch it nearby.

Several doctors watched from the bedside, frowning, not out of disgust for the vomit but out of concern for the patient’s condition.

Li Jingsheng glanced over; the fluid the patient vomited out was coffee-colored.

"Ooh... hoo..."

After vomiting, the patient appeared extremely anguished, lying in bed with a grimacing expression.

"Director He!"

Li Jingsheng called out.

A bald, round-faced, slightly chubby doctor turned to look.

Other doctors also glanced toward Li Jingsheng in succession.

"Ah, it’s Dr. Li, anything?"

"Yeah, something’s up; could we chat outside?" Li Jingsheng nodded.

"I probably don’t have time now."

Director He was quite vexed; had Li Jingsheng not had a significant standing within the hospital, he wouldn’t have used this tone for sure.

"Director Bi sent me."

Li Jingsheng had to add.

"Oh... Director Bi sent you! Okay, let’s talk outside!"

After a moment of surprise, Director He silently speculated about Li Jingsheng’s intention.

They stepped outside the ward, Director He looked at Li Jingsheng and asked, "Did Director Bi ask you to come help me?"

"Yes! May I look at the relevant patient materials and understand the patient’s condition?"

Li Jingsheng nodded.

"Okay, let’s go to my office."

Director He evidently did not think too highly of Li Jingsheng. One reason is youth, another is Li Jingsheng isn’t a General Surgery doctor, just a bone setting doctor.

In many doctors’ minds, Li Jingsheng is merely a ’rough work’ doctor.

Director He mainly agreed out of respect for Director Bi.

"You saw just now, the patient’s condition is very bad, urgently critical, having no urine from post-surgery until now, I can’t afford to delay much." Director He said, implying to Li Jingsheng that he didn’t have time for long accompaniment.

Truth be told, he never thought Li Jingsheng could solve the problem.

General Surgery doctors are mostly of this disposition.

Peking Union Medical College Hospital’s pride replicates in those General Surgery doctors.

It’s similar in every hospital; the stronger the department, the higher the pride. Truly ingrained in their bones.

Together with He Qingzhi reached his office.

It’s large!

Bigger still than Director Hua’s Orthopedic office. This is only a deputy director’s office, and already so grand.

Director Bi’s office, of course, is grander.

Li Jingsheng secretly exclaimed, prowess speaks volumes everywhere.

Orthopedics could only count as the Third Hospital’s third-tier department in the past, not weak nor overpoweringly strong. The office of the department director is decorated per third-tier standard.

General Surgery is the Second Hospital’s big brother, the strongest department, the deputy director’s office being grander than a director’s office elsewhere.

"Have a seat! Here’s the patient’s information."

Director He handed the patient’s materials for him to review.

The patient is very young, only twenty-one years old.

Hospitalized for acute intestinal obstruction surgery.

Preoperative symptoms were intense upper abdominal pain, without obvious cause. The pain felt like a stabbing knife, coming in waves.

Accompanied by vomiting, no diarrhea, stools formed.

No blood in stools, vomit material is normal gastric contents.

After abdominal puncture sampling, approximately 2ml of yellow fluid extracted. Preliminary diagnosis of biliary ascariasis, gallbladder perforation, acute peritonitis.

Due to ineffective medication treatment, exploratory laparotomy was performed.

Severe adhesions were found near the suspensory muscle of the duodenum, forming a band-like structure. Jejunum and ileum were edematous, thickened, and showed ecchymosis. Intestinal wall segmentally cyanotic, intestine dilated, cavity containing fluid, no intraperitoneal bloody exudate observed.

No perforation found in the intestines.

This is undoubtedly a classic intestinal obstruction.