The Enhanced Doctor
Chapter 1436: Where There Are People, There Is the Martial World
Chapter 1436: Chapter 1436: Where There Are People, There Is the Martial World
(Thanks to Yimeng Xiaocao and the book friend 20190103175520212 for the encouragement with the monthly ticket)
"Comrade Old Wu, the situation with your orthopedics department is probably like this, right? Don’t make it difficult for the two of us, okay? If we could really open up to hire more people, the two of us wouldn’t stand in the way."
Liu Banxia said helplessly.
"Director Liu, it’s not that I’m being greedy. Think about it, if we were to set up a separate floor for orthopedics. So many wards need to be taken care of, plus emergency care, I’m really worried that we won’t be able to handle it." Wu Mingyu said.
"Let’s not talk about other issues, just give us two more attending physicians, then even if we wanted to rotate shifts, it would be difficult. Add another two, the number of nurses has already been compromised."
Chen Xuehai rolled his eyes, "No wonder this guy insisted on dragging me here, it’s really worrying. I will do my best to fight for the numbers you need."
"But let’s make it clear, if we’re hiring two, it’s surely doable. Hiring four, we’ll have to see what’s the hospital’s attitude."
"Our emergency center is ultimately under the hospital’s leadership, and this time we also need the hospital to provide some funds to support us. So we need to be mentally prepared; we might not get what we hope for."
"Director Chen, is it really that difficult? Isn’t it that the two of you want to cut costs a little?" Wu Mingyu asked with a frown.
"My dear brother, do you think the two of us would hold back the growth of our emergency center?" Liu Banxia said with a bitter smile.
"To be honest, Old Chen’s information is definitely more reliable. I’ve actually heard from Director Jiang that some people already have opinions about the hospital’s investment in our emergency center."
"While it’s true that our emergency center has achieved quite a lot, the support from the hospital has also been substantial. They’re currently still supporting the construction of pediatric surgery, which is bound to make some people envious."
"But the biggest reason is that our emergency center is currently operating at a deficit." Chen Xuehai took over the conversation.
"We’re not outsiders, and this is the real problem we are facing at the emergency center now. Maybe when our emergency center truly becomes profitable, it can shut some mouths."
Upon hearing this from Chen Xuehai, Wu Mingyu understood.
Struggles are everywhere, the seemingly glorious emergency center is quite good internally. But externally, it might be scrutinized closely by some people.
The second hospital appears peaceful, and people give thumbs up when mentioning the emergency center. But what’s the real situation? It’s a fact that the emergency center has consumed a large amount of funds in the past two years.
You might say that hospitals are places to heal and save lives, so they shouldn’t focus too much on money because lives are more important than money.
But such reasoning is somewhat one-sided. If we keep losing money and bankrupt the hospital, what will so many healthcare personnel eat and drink?
The situation at the emergency center is somewhat peculiar; not every patient who comes for treatment pays upfront. Some patients from sudden accidents are already in life-threatening situations, so you have to save them first.
Many things, indeed, depend on the perspective from which they are explained.
From a development perspective, creating an orthopedics department for the emergency center is surely an opportunity for strengthening the emergency center, as there are many orthopedic patients.
But from another angle? The turnover cycle for orthopedic patients is too long, economically, it’s not favorable.
Overall, it might not be necessary to create a large orthopedics department at the emergency center.
If this involves some competition within the hospital, it adds more unpredictability to the situation.
"Don’t overthink it, you can mention it to Teacher Wang later too." Liu Banxia spoke again.
"Even the director is surely trying his best to fight for it, but indeed, our funds are somewhat insufficient. Because the people we hire can’t be complacent; those we hire have to be capable."
Wu Mingyu nodded, "What you said makes me understand, we can only do our best and leave the rest to fate. There are many things beyond our control."
This counts as his venting, he hadn’t really considered this aspect before.
"Actually, I think it’s okay, approve a few positions, and we can set up wards within that scope." Liu Banxia said with a smile.
"At the very least, even if we can’t fully staff it this year, we have a chance next year. The key is they’re already planning to expand orthopedics, it’s just a matter of sooner or later."
"Moreover, I don’t think Director Xu will just stand by; if it truly needs to be discussed, one word from the old man, and who would dare say it doesn’t work?"
"You’re not trying to get me to give the old man a heads-up, are you?" Wu Mingyu asked warily.
"What are you thinking? Am I that kind of person?" Liu Banxia said, amused and helpless.
"Moreover, the situation this time might not develop the way we imagine, we’ll just wait and see. We’ll prepare plans and submit documents, but how much the hospital can approve is still unknown."
"You understand the situation; judging by past practices, there’s bound to be some obstacles. It’s just a matter of how big or small the obstacle will be. We have no clue now, so I can’t give you definite news."
To be honest, talking about this matter gives him quite a headache.
Recently, the emergency center has been running smoothly, achieving results one after the other, making him feel somewhat "arrogant." It seems that handling things at the emergency center is always straightforward.
But things are never that simple.
As the saying goes, where there are people, there is the martial world. Especially in a complex environment like a hospital, it’s not as straightforward as the emergency center.
"Anyway, I’m not handling this; you two try your best," said Ming Yu.
Liu Banxia nodded helplessly, "The key still lies in the director’s effort, but even if the director gets involved, it’s unlikely everything will go smoothly."
"By the way, how’s the patient I helped with traction the other day? When is the surgery? The bone didn’t pierce the skin later, did it?"
"No, it didn’t. We still need to wait another day or two for his swelling to subside, which would lead to better surgery outcomes," Ming Yu replied.
"Orthopedic surgery windows are usually long. As long as it’s not an open fracture, our principle is to operate when outcomes will be best, helping recovery to be faster as well."
"Honestly, your judgment was accurate last time, and you handled it promptly. Fractures like these, if not managed carefully, can easily lead to secondary damage."
"That’s pretty good. Are there any other things we should be cautious about with him?" Liu Banxia asked curiously.
"Currently, there’s nothing else; mainly, we need to focus on the post-operation period," Ming Yu replied.
"With this kind of fracture, the broken bone has scraped the tissue at the front of the tibia, potentially leading to blood clots and necrosis during recovery, which might require a second surgery."
"That serious? If it necrotizes, that would be pretty tricky to handle," Liu Banxia said, frowning.
"There’s no way around it; the tissue layer at the front of the tibia is very thin. The broken bone is quite sharp, and it’s likely already grazed it during transport. The severity of the injury is uncertain," Ming Yu explained.
"But it’s not a big issue either. If skin necrosis occurs, it just means a longer recovery time. Moreover, if there’s a blood clot, making a small incision for drainage can greatly improve the situation."
"Fracture injuries are precisely annoying because of this; areas with more muscle tissue are easier to manage, but the tibia is worrying."
"Alright then, I won’t stick around with you two. Orthopedic patients generally recover slowly, and there might be issues during recovery that need frequent attention."
"Alright, you go get busy, we’ll try to think of solutions for the rest," Xuehai nodded.
Ming Yu didn’t say anything further and left the office directly.
"Old Chen, what do you think the chances of success are?" Liu Banxia asked curiously.
"Who can say for sure? Our emergency center should actually keep a low profile for a while. But of course, you can work on achieving more. We’ve been lacking in the cardiothoracic department," Xuehai replied.
"If we hadn’t spent so much here over the past couple of years, it wouldn’t matter. Orthopedics is a major department, very important too. It’s not as urgent as pediatrics or pediatric surgery, but skilled people aren’t easy to find."
"But it’s not a big deal. Actually, I thought of saying earlier that you’re also a reserve team member for orthopedics. I think you should step up; adding another department wouldn’t hurt."
"Friendship ended."
Liu Banxia threw a remark and dashed outside.
Really didn’t want to take on so many troublesome tasks; he’s already swamped as it is. Next, he has to assess six youngsters in NOSES surgery and also go out for support. Where’s the time for anything else?
If it weren’t for his mentor wanting him involved, he wouldn’t have wanted to take part in the orthopedic expansion. It’s truly exhausting, and not easy to manage.
Being in charge is nice, but there are so many matters to handle; it gets less pleasant.
Certainly, he won’t be like some corrupt elements, hoping for matters to arise. The more there is, the more benefits they extract.
Precisely for this reason, Zhou Shuwen confidently entrusted the orthopedic expansion to him and Chen Xuehai.
There are significant interests involved here; one slip and mistakes will be made.
Stepping outside, Liu Banxia glanced around, and truly felt assured; he only needed to focus on surgeries.
It also made his recent days a bit more comfortable.
But it’s not just his medical skills that are improving; everyone is. It’s simply that his starting point was relatively low, making his results seem somewhat substantial.
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