After dinner, Zhang Fan left first. It was really boring. Zhang Fan couldn't understand what they said. I can't participate, and it's boring to stay.
Say hello and leave first. Wang Qian saw Zhang Fan out and said before leaving: "Old Jiang has been cautious all his life. Just ignore him and come home to eat when you have free time."
As soon as the Spring Festival ended, Zhang Fan also passed away. It was time to transfer to general surgery. The general surgery department in the city hospital only separated out the liver, gallbladder and double glands, and the rest were in the first department of general surgery.
Zhang Fan checked the system and found that the operation process was not very advanced and it was still very early before the upgrade.
General surgery is a big classroom in the city hospital, with many groups of people. There are many people and things involved, and there is no harmony.
When Lao Huang was here, Lao Huang almost had the final say in general surgery, and the director's authority was not enough.
After Lao Huang left, several deputy directors of general surgery have grown up, and the current director is even more difficult to manage.
Zhang Fan entered the department and found that there was no one chatting in the huge department with no less than a dozen people.
In the department, not only is the relationship between the director and deputy director not good, there is also tension between the deputy director and deputy director.
It's not easy for lower-level doctors to work. They just work in the department. There is no need and they can't talk.
The three people who transferred to another department, including Wang Zipeng, looked at Zhang Fan with resentful eyes.
There is also a little girl who is said to have been admitted to pediatrics. She came to the surgery just for fun.
On the first day I came, I brought with me a medical record that had not been written and needed to be revised. It was clear that I was here to get acquainted with the patient's head.
The director of the department of general surgery knew at a glance that he had already decided on the department and didn't care at all about the transfer comments.
The director had no choice but to find someone to take her. He could just arrange for her to work in the Changbai shift, where she would be responsible for pasting the examination reports of admitted and discharged patients.
Then Zhang Fan and Wang Zipeng were directly assigned to their group. It was useless for other people to have opinions. This was the director's right.
There are four groups in the department, and each group has a deputy chief. At that time, Lao Huang's policy was to go hand in hand, but it turned out that he didn't have to worry. He could get on the stage if he was recruited at the level of director of general surgery, and he was very capable. As a result, the current director sat down He's too old, and a few high-ranking officials won't let him down.
The director of general surgery mainly visits outpatient clinics to collect patients. The current situation in the department is that it admits its own patients. The other three deputy senior officers all have their own specialist clinics. Zhang Fan estimates that if the director hadn't wanted to save face, he would have gone out of his way to separate the family. .
The three vice-presidents also wanted to branch out and stand on their own. It would certainly feel good to be the masters of the matter.
Zhao Quanping, the director of general surgery, is in his forties and in his prime years of work. The other three deputy chiefs entered the hospital almost a year or two behind him. They all have similar skills and are all accomplished.
Lao Huang could suppress them with his position as dean, but Zhao Quanping could not. He must also be depressed.
Zhao Quanping has three attending doctors, each taking care of their own patients and performing surgeries together.
Zhao Quanping is a director no matter what, so the life of the three of them is still very comfortable. Many patients do not go through the outpatient channel and come directly for the name of director.
Zhao Quanping did not say who Zhang Fan and Wang Zipeng were following, but they were in their group anyway.
There is almost no discussion in the morning meeting. They are all clichés. The three deputy senior officers are also stupid. As long as the operation is not sure, they will discuss it in the morning meeting and share the responsibilities. If there are no special cases, the morning meeting for general surgery will be held. air of gloominess.
The environment in the department was not good, and Wang Zipeng stayed on guard for fear of offending the old doctor.
Zhang Fan didn't care. He came to work, not to pretend to be a grandson. Do whatever you have to do, there is no need to be submissive.
Zhang Fan originally planned to increase the number of surgeries in general surgery, but when he saw the atmosphere, the idea of increasing the number of surgeries was shattered.
There were a lot of dressing changes, and the three attending patients treated nearly thirty patients. The three of them also knew Zhang Fan, so the task of changing dressings was left to Wang Zipeng.
Zhang Fan was embarrassed and helped Wang Zipeng change a few. Wang Zipeng refused to let Zhang Fan do it. He quietly said to Zhang Fan: "Boss, I have to perform well."
Zhang Fan understood and watched him change the dressing. There were three appendice surgeries in the morning. The director would not perform this kind of surgeries, so he treated them as the attending surgeon.
Li Hong is the youngest one who treats appendix, hernia, and simple intestinal obstruction.
Li Hong is also diligent, but his skills are improving too slowly. The other two doctors are not bullying him, but they also look down on him.
Li Hong was also a little discouraged. After five years as a resident doctor, he finally became an attending physician. However, so far, sometimes it took him a long time to find the appendix, and it was difficult to perform hernia patching, and it was difficult to tie deep knots for intestinal obstruction.
The nurse urged him and the doctor laughed. Sometimes he really wanted to throw away his white coat and quit working, but he just thought about it. What would he eat if he really threw it away?
Li Hong was washing and disinfecting his hands absent-mindedly. Wang Zipeng didn't dare to wash his hands too fast. He was not yet skilled in laying the sheets and was a little timid. He didn't dare to wash the sheets first and then lay the sheets.
The nurses in the operating room are very strict, and their aseptic procedures are not standardized, which can drive young doctors out of the operating room.
After Zhang Fan finished washing, Wang Zipeng quickly threw down his hand towel and followed Zhang Fan into the operating room. He wanted to study.
Li Hong didn't know what he was thinking. He was still brushing his hands when Zhang Fan shouted. He didn't react much and Zhang Fan didn't care about him.
Zhang Fan has now passed the test and is considered a formal doctor, but he just hasn't registered yet. But it was much better than before the exam. Li Hong was in a daze, but the anesthesia didn't wait for anyone, so Zhang Fan took Wang Zipeng directly.
Wang Zipeng looked at the operating door and said, "Boss, are you waiting for Teacher Li?"
Before Zhang Fan could say anything, the anesthesiologist spoke, "Can you do it? Tell me if you can't do it. The anesthesia is going to wear off soon."
Zhang Fan ignored the anesthesia, so he didn't believe it. All the patients were on the stage. He dared to bully the two junior doctors.
The main reason is that Li Hong is unsatisfactory and his skills are not good enough. People in the operating room are used to bullying him. When they feel unhappy, they will find some bad luck on him. He can be regarded as the Peaches among doctors.
When the operation started, Wang Zipeng's skill in holding the mirror was average, so Zhang Fan had to direct him at all times.
Just halfway through the operation, the anesthesiologist seemed to have woken up and asked loudly: "Where are your instructors? Two unlicensed people dared to perform the operation privately. I don't know how they died."
This time, Wang Zipeng was so frightened that he began to tremble, and Zhang Fan gritted his teeth in anger.
This anesthesia is just looking for trouble. He and his wife are divorcing. His wife found a young man and dumped him. He kind of hates all men younger than him.
If other anesthesiologists would not talk too much, this surgery is a general surgery. It is the director's right to arrange who does it, not the health bureau, so why worry about it.
But he couldn't do it. If he had to question him, he would do so with bad intentions.
Zhang Fan was really angry, and the mirror was already in his abdominal cavity.
You want to say, can't you lower your voice and slow down? You have to shout like a thief, for fear that others won't hear you.
Wang Zipeng felt weak. If he accidentally poked the mirror and pierced his intestines, something big would happen today.
Zhang Fan held Wang Zipeng's mirror steady with his hand. Although he had a good temper, he still had a temper. Shouting in the operating room was really taking human life as a child's play.
"Scream! Scream again! I will not wear this white coat today, but I will kill you with this scalpel without any problem." The voice was low and stern.
The anesthesiologist was stunned. He had never seen such a young doctor before. The young doctor who performed the operation was not smiling at him. He had a brother on the left and a brother on the right.
He wanted to talk back, but when he saw Zhang Fan's fierce eyes, he didn't dare to scream, and said weakly: "You have no proof, you are still reasonable."
Zhang Fan ignored his words and said directly: "I'm going to have an operation now. You give me anesthesia, otherwise we won't be finished today."
Even if he goes to the medical office, Zhang Fan is not afraid. Appendice surgeries are performed by residents. At most, the teacher is not around, but the teacher is washing his hands, so Zhang Fan is not afraid.
When he was selling instant noodles, he had seen a lot of these fierce-looking and soft-hearted products. He wanted to eat for free without paying, but Zhang Fan immediately paid the price obediently as soon as he tried his best.
Therefore, he knows very well about people like Anesthesia.
Zhang Fan dared to risk his life and give up this job because he was still young and could move bricks. He didn't dare to use this kind of anesthesia. An old man, if he really lost his job, he would die.
When Li Hong came in, Zhang Fan had finished his work. Anesthesia looked at Li Hong and then at Zhang Fan, and muttered: "It's becoming more and more unruly. I must talk to your director about it."
