General education is finally over. Several surgeries were performed, but Zhang Fan's goal was not achieved. It’s a pity that I didn’t even go home because of the amount of surgery. It’s not worth the gain.
After leaving the department, Zhang Fan was transferred to the Department of Cardiology. Originally, he wanted to continue transferring to surgery, but the medical office arranged for internal medicine, so there was nothing he could do. There's no point in going to Ouyang for this matter.
Ouyang would definitely not say hello to the medical office in advance for Zhang Fan, otherwise the dean would be too worthless.
The Department of Cardiology is on the Internal Medicine Building opposite the Surgery Building. The entire two floors are considered the largest internal medicine department. Ouyang was born in the heart, and there was also intervention in the heart, so there were many patients.
In the northwest region, dietary fat intake is high, there is a large base of patients with hyperlipidemia, hypertension, and hyperglycemia, and there are also many doctors in the department, more than 20 years old. The current department director is Ouyang's apprentice.
There is also a female director, Ren Li, who is in her forties. It is said that the only graduate student in the hospital used to work in a large provincial hospital. Because the departments of the provincial hospital were very competitive and the work was not comfortable, he was finally poached by Ouyang to the city hospital.
Ren Li is quite professional and pretty, but her emotional intelligence is a little low and she won't get into trouble. After she became director of the department, the department developed rapidly.
The number of doctors who are sent abroad to study is also the largest in internal medicine, and new technologies and papers are top-notch in internal medicine. Even junior doctors admire her. She is not independent in what she does, letting her abilities speak for herself, and her income is also tied to her abilities. He is a fair director.
The cardiology department is in the hospital in Chasu City, and the city hospital is considered the most authoritative department. Ouyang also gave her great support. During Lao Huang's era, almost all other internal medicine practices in Ouyang gave up.
He held on tightly to his heart, and often argued with Lao Huang in order to obtain more resource support. The establishment of the interventional department was actually specially made for Xin.
At that time, the city approved a special fund for health, and Huang was planning to establish an orthopedic disease research center. Ouyang strongly opposed it. She suggested setting up an interventional department.
For this matter, the two took the lawsuit to the municipal party committee. After half a year of wrangling, Ouyang finally won and the funds were used to establish an interventional department. Lao Huang has always been worried about this, and has never equipped the interventional department with backup forces.
Ouyang was also stubborn and forced Ren Li and the others to develop their hearts and involvement. After the development of interventional medicine, the income increased dramatically, and many young doctors wanted to join the practice.
Ren Li specially set up a entrance examination. But no, absolutely not. She has Ouyang's support, and the hospital has no good solution. In a technical unit, technology is king. If you are not good enough, if you can't get in, they won't want you. There's really no way to tell.
Zhang Fan's scalp felt numb after entering the department. Cardiology is not like surgery. There are also older people, but almost all of them are old people. Those who use crutches, those who sit in wheelchairs, those who walk with help, all stagger and look dangerous.
Surgery and internal medicine are almost two systems. Although in the same hospital, apart from consultations, there is generally not much communication. Zhang Fan went to the operating room every day and was not familiar with the internal medicine doctors.
He became famous in surgery, but few people knew him in internal medicine. Here, he is just a junior doctor, a resident doctor who transferred to another department. The privileges of surgery are gone, let alone respect.
The system has not yet opened the internal medicine department, so he can only rely on his own liver. There are two girls in the circle. One is from gynecology and the other is from pediatrics. They are all scheduled to practice internal medicine.
Zhang Fan was assigned to Ye Jing, an attending physician. He is in his thirties and unknown in cardiology. A department only has so many backbones and only a few positions. If you don't fight for it and work hard, you won't have much chance.
Ye Jing's husband is a civil servant and has a good income. She had no idea about the business, it was just a job. Her main thoughts are at home. Taking good care of her children and serving her husband are her pursuits.
It’s understandable that they are all ordinary people. This is what most people think. However, in technical units, if you don’t work hard, you will only end up as a marginal figure. Zhang Fan is a doctor assigned to the Department of Surgery, so he comes to the Department of Surgery as a soybean and has no hope of success. So he gave it to Zhang Fan.
On the first day after entering the department, I met the dean for ward rounds. There are almost more than fifty doctors, nurses, doctors in training, intern students, and people from the medical office.
In this regard, many nurses did not participate because there was a large amount of liquid to be mixed and they were unable to participate.
Internal medicine ward rounds are not like surgery. Surgery is very clear. What kind of operation should be done? If it cannot be found through examination, then perform laparotomy. The most discussed aspect is the technique and who performs it.
As for internal medicine, we must first discuss the mechanism, disease classification, and medication types. Which drug is better to use, how long to use it, at what dosage, and whether there are any contraindications.
Ouyang has not given up her work since she became the dean, and is still studying. She also asks questions during ward rounds, and questions doctors who are attending, transferring, intern, or receiving further training on the bed. The doctor in charge is also responsible for reporting the condition. Whether the treatment plan is suitable or not should be discussed at that time.
If it is not suitable, a suitable treatment plan must be customized on the spot, which cannot be completed in one morning.
They couldn't finish the inspection half way through, so they continued their rounds at noon. Doctors who are in poor health will never be able to endure it. I can't even stand still, why should I take the time to revise the doctor's orders for the day.
Zhang Fan didn't have much of a problem, but several medical students and advanced students were a little overwhelmed because they had never encountered such high-intensity rounds and occasionally stood secretly against the wall for a while. Because they are still holding cases in their arms. Although it is a plastic clip, it is heavy even if more than a dozen cases are stacked together.
Ouyang's questions were very professional and detailed, and junior doctors who often asked him were speechless and unable to answer. She was quite strict and would ask the superior doctor to answer on the spot. If the superior doctor could not answer the question, she would immediately turn to the book without any mercy.
When she made rounds, the doctors were extremely nervous. It was really uncomfortable to have her scolded in front of the patient in the ward.
During today's ward rounds, Zhang Fan was not asked any questions. Zhang Fan was assigned to the Department of Surgery. She might not be able to answer. She didn't understand the relationship between Zhang Fan and Li Xiao, so she gave Li Xiao face and kept Zhang Fan from getting off the stage.
Old Mrs. Ouyang is not tall, but she has the aura of being the dean, which puts a lot of pressure on everyone. In addition, she was very strict, which made several transfer students tremble with fear, and her aura was overwhelming.
After the ward check, there are still many disease processes to record. Today is the grand round, and both the doctor in charge and the subordinate doctors carry notebooks with them to record the oral medical orders given by the superior doctor on the spot.
Then it needs to be reflected in the cases. Internal medicine cases are much more demanding than surgical cases. For example, in an orthopedic car accident, it is very simple, the car accident caused the bone to be fractured. The time, place, person, and degree of injury are all OK.
Internal medicine is not good, it must be refined from the onset, whether it has been treated, what kind of treatment, how effective it is, whether it is aggravated, and whether there are any complications. Have you been taking medication regularly?
Internal medicine cases are very particular about wording and tone. Words such as "ok", "fair", "good", etc. are used in different places. If you use the wrong words, Ouyang can kill you with his fingers.
Medications are also complicated. There are only a few types of surgical medications, antibiotics, hemostatics, and blood-activating drugs. Don’t use some albumin, some plasma, or some energy. Just dose according to consumption.
Internal medicine is not good. The same type of medicine varies greatly among individuals. Some people can use it while others cannot.
It is very easy to master internal medicine. Three months is enough for a resident to stay in the department, but it is difficult to master it. First of all, the basics must be solid. From physiology to pathology, from embryogenesis to biochemistry, you must be familiar with it and be able to use it.
If you only read books when you encounter a disease, you are just an entry-level doctor. By analogy, a good physician can analyze your physical condition from your taste. He can have a general understanding of your physical condition just by looking at your face.
In order to reach this level of internal medicine, no one can study, think and summarize in a down-to-earth manner for more than ten years, without even thinking about it.
