Surgery Godfather-Chapter 1691 - 1220: I’m Not Finding Fault with You
Many top hospitals in Europe and America actually receive a lot of their income from global patients, which in turn helps lower medical costs for their own citizens, with foreign subsidies offsetting domestic expenses.
"Take care of this after you’re discharged. You need plenty of rest during your hospitalization." Yang Ping worried that he would push himself too hard, like he did while solving problems a few days ago, staying up all night. For Adams, staying up all night now was a terrifying thought that could easily lead to life-threatening situations.
Adams twisted his neck: "Professor Yang, rest assured, I now go to bed early and wake up early, living a regulated life. By looking at the test results over the past few days, those data curves are continuously improving. I see a bright prospect. You’re right; I don’t need to know the details, just that the rain won’t penetrate my skull. Now I see the hope that K Therapy is bringing me."
Saying this, Adams once again took out a large notebook, each page of which was a curve chart.
"I’ve made a curve chart for each test result so I can visually observe its trend. The situation is very optimistic. Looking at these curves, I can sleep peacefully without needing sleeping pills." Adams pointed at those curves and said.
Actually, this isn’t anything profound. Nurses often create temperature curves to observe temperature change trends. Adams’ curves are similar to these temperature curves, except he’s approaching his various parameter changes with a mathematician’s perspective.
"My pain has improved a lot compared to before. It’s truly amazing how, in just a few days, there can be such a good effect. I can feel that the pain is significantly reducing." Adams turned his head to look at the pain score chart on the wall.
For tumor patients, especially in the late stage, the most affecting factor of life quality is pain, so pain treatment for tumors is also a specialized field.
K Therapy fundamentally killed a large number of his tumor cells, easing the pain at its source. How many tumor cells were killed, Adams? He couldn’t intuitively feel it, but he could feel the pain intuitively.
So the relief from pain gave him great confidence, and it also vastly improved his quality of life.
For someone troubled by pain, even a little relief constitutes a huge improvement in quality of life.
"This is my story. I can share it with everyone and provide it to doctors and nurses as research materials. It might be somewhat useful to your experiments because it’s a patient’s various experiences with experimental therapy from their own perspective. I’ve written it in great detail with both objective and subjective accounts. If you need it, feel free to take pictures or make copies." Adams took out another notebook from the drawer beside the bed and handed it to Yang Ping.
Yang Ping took the notebook. It was almost filled, merely recording his medical experience at Sanbo Hospital. Yang Ping casually flicked through a few pages and was shocked by Adams’ excitement, prompting him to look through more than ten pages.
This notebook is extremely valuable, not only helping with improving hospital medical procedures but also significantly aiding experiments. Such detailed, rigorous, and patient-perspective records haven’t been done by any patient before.
"Make copies and photos of Mr. Adams’ notes; they help us greatly. Thank you, Mr. Adams." Yang Ping handed the notebook to Dr. Li beside him.
Dr. Li promptly went through it and then passed it around to several doctors.
"Thank you; it’s my duty. I thought about it for a long time. I should fulfill my responsibility as a volunteer, and I think I can achieve what others haven’t, writing my treatment experience with precise and subtle penmanship. Regardless of whether I can recover, I can leave something valuable behind." Adams said confidently.
"I’ve also done a little thing to help you, but I haven’t finished it yet, so it’s still a half-finished product." Adams magically took out another notebook.
Just how many notebooks does he have, and how much work has he done? His work efficiency is indeed high.
"This is my study on the workflow in the ward. After studying it, I found many areas that need improvement. I reviewed the entire workflow from a mathematical perspective and discovered that optimizing it according to my suggestions would double your work efficiency and greatly reduce error probabilities. I’m sorry, please, don’t misunderstand; I’m not finding fault in doctors’ and nurses’ work. I just want to identify some process inadequacies and improve on them. Your doctors’ and nurses’ work is already excellent." Adams handed this notebook to Yang Ping.
Yang Ping looked over it. The notebook currently wasn’t very long, only a few dozen pages. He understood the work pattern and flow of the entire ward, not involving medical technology, but purely work process, highlighting numerous issues with a red pen, such as redundant work, connection breaks, potential errors, and so on.
True to the form of a mathematician, he thoroughly analyzed work patterns and processes from a mathematical perspective, pointing out many outdated aspects, and offered suggestions for improvement, but for now, he hasn’t presented a systematic improvement plan.
"For example, your shift changes and mode, patient examination arrangements, medication delivery, intravenous fluid procedures, duty arrangements, and so on..." Adams highlighted temporarily identified issues.
When something is elevated to an extremely professional level, it certainly provides a completely different perspective.
"Dr. Deming’s theory advanced Japanese quality control into a world-leading position. I think this is no big deal. Trust me, give me some time, and I can create a medical management theory that can help your medical management reach a world-class level. I need time, more in-depth understanding of how the entire hospital’s medical activities operate, and more time for detailed and in-depth observation and analysis. Clearly, observing one ward is insufficient; I will continue to work hard." Adams didn’t want to just talk idly, he was serious in his demeanor.
And judging from his notes so far, the problems he had noticed were indeed significant, and his proposed improvement directions were very scientific. Yang Ping believed he indeed had the ability to establish a world-class medical work model.
"Work models are crucial. Random, crude, and outdated work models only waste time, increase the probability of errors, burden doctors and nurses more heavily, and render medical equipment and services extremely inefficient. We never thought the model was the problem. In medical work, we can confidently say, this current management level is like a workshop style; it’s not just you, it’s the same in the United Kingdom. The efficiency and quality of work are low because no one has realized this problem. For more than a hundred years, we’ve been doing things this way; what’s wrong with that?"
"Earlier, factory management also faced this question. Now you see, the gap between advanced and backward management in different enterprises is significant, and hospitals are no different. Hospitals have scientific management methods fitting their operations. We must break away from this workshop-style management, similar to how factory production management is extremely professional and scientific, moving towards lean management. I’m not deliberately finding faults but aiming to help improve models, so I must relentlessly point out as many faults as possible."
"For example, arranging the various examinations for all patients in the hospital. You don’t have a scientific model; there should be an algorithm that calculates patients’ annual, monthly, weekly, and daily various checks, designing a scientific distribution model allowing patients to rationally use various equipment together, rather than in disarray. Regarding emergency exam arrangements, how exactly do you reserve emergency equipment? Is it a separate allocation or by queuing? You don’t have a scientific mode, it’s very casual, and this waste is dreadful."
Adams spoke more and more passionately, while Yang Ping listened very earnestly. He was right; these matters were previously unnoticed and weren’t treated as a science to be studied.
