Back in the car, Zhang Fan was also very nervous. He drove away without even saying anything. The two girls in the car were also a little tired. They might be worried or thinking about something, but no one asked. After going to see someone off, Zhang Fan returned to the dormitory at night and stared at his phone in a daze. Afraid of the message coming and afraid that the message would not come, I fell asleep in a daze.
When there is nothing to do, it is boring; when there is something to do, things happen one after another. In the middle of the night, a phone call woke Zhang Fan up. He saw that the caller was Director Chang of Chalke County Hospital. This county is the farthest away from Chasu City, more than 200 kilometers away. Moreover, it has a high altitude and a small population. Zhang Fan has only been there once, and Kang Hua is the second-in-command at Chalke.
The equipment of Chalke County Hospital is the best among the surrounding counties, because the counterparty supporting their hospital is Shekou City No. 1 Hospital, a hospital in a big economic city, and a few million dollars is nothing.
But the environment in Chalke County is too harsh. During the hottest days of summer, it sometimes snows suddenly. Hail, heavy rain, and heavy snow often occur one after another throughout the day. Almost all the people in the county are public employees, and there are also a small number of migrant workers.
This county is directly connected to neighboring countries, and security in the county is taken over by the border police. The county hospital has five floors, with one floor each for internal and external women and children, and one floor for administration and outpatient clinics. It is better in summer, with a little more people and more merchants coming to collect medicinal materials and mountain goods from other places. It is located in the center of the county and can be seen Go to one or two restaurants. When winter comes, many residents in the county go to Chasu City. Jingbul immediately disappeared without a trace.
The county hospital has a small number of surgical staff, with a total of four people, including one director and three deputy directors. There is no way, the director and the deputy director both have department management fees, and there are only four people in total. It doesn't matter who is allowed to be in charge, so we can simply make an equalization and share the department management fees equally among everyone.
They usually deal with ordinary bumps and bruises. If it's a little more serious, the family members will go directly to Chasu City with the patient number. The surgeries they can encounter are all emergency operations, and they are ones that ordinary vehicles dare not pull. Kind of disease.
There is no good way to send seriously ill patients to county hospitals. There are 120 hospitals in Tuxian County, equipped with doctors and nurses, which can send them to the urban area as quickly as possible. In most cases, they are sent halfway, and the patient will not be able to survive until they reach the urban area. , the person has no signs of life. The county is too far from the city, and the roads are not easy to walk. It is mountainous and cliffy. Summer is better. In winter, except for large shuttle buses, only army vehicles are left.
Those who can perform acupuncture are usually either directors or deputy senior officers, and they are quite old. It is such a long distance, and the road conditions are not good. No one is willing to go even if they are offered two thousand, let alone one thousand.
Ever since the director of surgery at Chalke County Hospital tentatively invited Zhang Fan. They were all concerned. Not only did Zhang Fan come quickly, but he also performed the operation well. The most important thing was that after the operation, the doctor at H County Hospital split the cost in half.
This is a good thing. You have to go to work every day, and it would be better if you have extra money, so the four of them are much more active. In the past, they directly pushed the slightly more serious patients to the city hospital without even looking at them.
Now I am so enthusiastic that I am trying to find a way to keep the patients in the hospital. They put together several surgeries and asked Zhang Fan to perform them. One surgery was divided into 500 yuan and four or five surgeries in a month. The hard work fee was more than the bonus. The indirect acupuncture of Zhang Fan also improved their service. quality.
"Hey! Director Chang, what's wrong?"
"Teacher Zhang, our department has a patient transferred from the emergency department. He is male, in his forties, and fell down after drinking. He was fine in the morning, but he developed shock symptoms at night. Color Doppler ultrasound reported hemorrhage in the abdomen. It is initially estimated to be splenic rupture. . How about you come and take a look? The patient’s family is in good condition, and they have asked for an expert, and the cost is easy to negotiate. "
The matter of acupuncture is the same as that of the author of the starting point. The author cannot stop updating, and this acupuncture cannot be easily rejected.
Zhang Fan checked the time. It was past three in the morning, so it would take three hours to leave immediately. "Director Chang, replenish fluids to correct the electrolyte disorder and correct the shock. I'll leave now."
"Okay, Teacher Zhang, the preoperative preparations have already begun." When he heard Zhang Fan agreed, his tone became much more cheerful. Normally, doctors from big hospitals would not come in this situation.
Zhang Fan got up, wiped his face with cold water, and sent a message to Director Chen, Chen Qi. It was not his team that would collect patients on Monday, and he might not be able to make it back in the morning, but with Wang Yanan, there would be no problem.
Without a strong body and a strong mind, it is best not to become a surgeon. After a few years of poor health, the best outcome is to suffer from neurasthenia and become a marginal member of the department. If you have bad luck, then~~~~.
Zhang Fan picked up a steamed bun and a pack of milk before going out. He had to replenish some. He would probably have surgery when he got there, so he wouldn't have time to eat. Moreover, this kind of exploratory surgery is very time-consuming.
At six o'clock in the morning, Zhang Fan arrived at Chalke County Hospital. The hospital was very empty and cars were parked casually. Zhang Fan parked the car and hurried to the operating room. "Director Chang!" Zhang Fan called out to Chang after entering the operating room.
The surgeons were all there, and they quickly stood up and greeted Zhang Fan. For this kind of surgery, no one is willing to miss the money.
"Teacher Zhang, take a drink first. Let me introduce the situation to you. This is the color Doppler ultrasound result. You can take a look." As he spoke, Lao Chang took a copy of the Doppler Doppler ultrasound to Zhang Fan. The nurse in the operating room had already poured a glass of water and handed it to Zhang Fan.
"Thanks!"
"Mr. Zhang, the situation is like this. The patient was sent to the emergency room yesterday afternoon with slight abdominal pain. In the evening, he developed shock symptoms. After rehydration, the pulse could not be felt."
"Spleen rupture. Where are the other laboratory tests?" After reading the list, Zhang Fan knew what was going on and asked Lao Chang, "How did you discuss it with your family?"
"A laparotomy will be performed and the spleen will be removed if necessary. The family members agreed and signed."
"Okay, let's start the operation." The operation is really not difficult. After opening the abdomen, you can find the bleeding point, identify the size of the bleeding wound, and perform the corresponding surgical treatment!
As far as these few sentences are concerned, a medical student who graduates from university and has less than ten years of experience in general surgery will definitely not be able to do general surgery, and he must be in a hospital with triple B or above, otherwise he will not be able to perform several surgeries a year. No chance to practice.
Why the three directors of the county hospital didn't leave here? Most of them were coveting the comfort here when they were young, or it was due to family reasons. As I grow older, it is impossible to leave. I have to wait until retirement and use my retirement salary to visit private clinics. I dare not leave now because I have no skills and no psychological confidence.
After the operation, under normal circumstances, the surgeon has to go to the ward to see the operated patient and meet with the family members.
In the past, Zhang Fan did not have a certificate, so this meeting was usually done by someone else. This was the first meeting after getting a certificate, and Zhang Fan went to the ward.
"This is Dr. Zhang from the city hospital. He is very skilled. If it weren't for him, the situation today would be difficult to say. It would be too dangerous." Lao Chang introduced Zhang Fan to his family members. Exaggerating the crisis of the situation is to ask for more money.
The patient is a small leader of a forestry farm in the county. In other places, forestry farms generally have poor economic performance, but for some reason, here it is a particularly popular unit, and everyone in this small place knows him. The family members were very polite. When Zhang Fan was about to leave after reading the patient list, one of the family members spoke. Zhang Fan was too young and couldn't hold it back. The family members were a little unhappy.
"My brother only came to the county hospital for treatment because of a stomachache. As a result, you treated him for several hours. Not only did he not get better, but it got worse. In the middle of the night, he told us that it was no longer possible and that he needed surgery. We also needed to call in an expert. We all agreed. Yes, but a young boy came here, do you think we are so fooled!"
Lao Chang and his colleagues were too poor in skills and were not respected by others. The family members were not deliberately looking for trouble, but they just complained that the county hospital did not make a clear diagnosis yesterday afternoon and then reported him to be in critical condition. They were really frightened. Now the experts invited He doesn't like looking like a freshly graduated student. Zhang Fan is not afraid of this matter, but it is too troublesome.
When the family members said this, Chang couldn't hold on. This patient number was stopped by the emergency department. They were not the first doctor to treat the patient, and there were other patients and family members in the ward. He was also the director after all. So he said angrily: "I asked you to transfer to our department yesterday afternoon. If you didn't transfer, your condition would not be good at night. We actively contacted the doctors from the higher-level hospital and rescued you for half the night. Now it is safe, but you are not happy about it." . If you can, don’t come to the county hospital.”
As soon as this was said, the other party's family members were not happy. "What the hell, you didn't ask for skills, you just asked for money." said a female family member.
"Say it again!" Old Chang became anxious.
There were many family members, and they gathered around Lao Chang and Zhang Fan, pushing and shoving them. When Zhang Fan saw that this was not going to work, he quickly said to the family member who was the first to complain: "If you have something to say, please tell me. If you are not satisfied with the treatment, you can have a third-party appraisal done. Who is your patient?"
"You don't care who I am." He felt something was wrong again, and said in a vicious tone: "I am his cousin, and this matter is not over today." After saying that, he started to call.
Although Lao Chang was not very skilled, he had been in the county hospital for many years, and many people asked him to transfer to another hospital or help him read the examination sheets, and he was also very bad-tempered. "If you can't stop, get out! What's wrong is very serious."
"Ouch! Why is this guy like this?" Zhang Fan felt extremely helpless.
After a while, the director of the county hospital came. The patient's cousin was a section chief of the county party committee and had some power. Even if the director didn't come, it wouldn't work.
"Chen Yuan, it's not that we are unreasonable. Your doctor has no quality at all and just told us to get out. Is the hospital private to him? There must be an explanation today."
In fact, this matter needs to be explained to others properly. As a result, Lao Chang collapsed. "Let's go to the office to talk. We won't affect the patients here."
"I must apologize, and I suspect this expert is a liar! He can't leave. When will my cousin recover? When will he leave? If he can't recover, I am very familiar with the police in the county." In fact, he did not doubt Zhang at all. Fan's identity, but things have become like this. If he doesn't cause some trouble, he won't lose face.
His cousin was going to recover in less than a week. Why didn't Zhang Fan leave? He wasn't in a hurry. He wanted to see what the director of the county hospital said first.
"Director Chang, what you said is wrong. We are a hospital and must be responsible for the patients. Please apologize to the patients and their families. Dr. Zhang, you see things are like this now. How about you observe me for a few days?" A subordinate , a small doctor in the city, of course he has to be biased towards his family members.
"Apologise! Don't even think about it. I'm right. If you can, let the police catch me." After saying this, Chang slammed the door and left. For this matter, it was impossible to fire him, and the patient had also undergone surgery. He had nothing to fear and could just leave.
"Look, what kind of attitude does it take to become a doctor? The county hospital cannot improve its technology because there are too many people like this." The patient's cousin turned red with anger.
Lao Chang left, but Zhang Fan couldn't leave. He had performed the surgery on this patient, and he had to solve the problem. "Your brother has a ruptured spleen. He was in shock at the time. There are medical records and examination sheets. If you have any questions, you can go to the hospital for identification. I can cooperate at any time. I did the operation. If the county hospital hadn't invited me, I wouldn't have come. The patient pressed Under normal circumstances, I can recover with treatment. If there is a problem, I can come to the county hospital at any time. It is unrealistic for me to stay here."
"I don't care, we didn't invite you."
The dean looked at Zhang Fan and said, "How about I call your dean Ouyang and ask for a few days off for you?"
This is a bit bullying. Zhang Fan got angry and asked his sick cousin, "Do I have to stay? What if I leave?"
"You can't leave. We have a bunch of people outside. You should think about it carefully. Don't be unable to deal with it in the end."
"Hey! Please tell me which unit you are in." Zhang Fan sighed helplessly.
"From the county committee."
Zhang Fan ignored them and took out his phone to call Tang Jingjing. Zhang Fan didn't want to trouble others, but this man and the dean just bullied him for being young. Lao Chang and the others had no choice but to take advantage of Zhang Fan.
"Sister Tang~~" As soon as Zhang Fan mentioned the matter, Tang Jingjing said immediately: "Give him the phone, and pay attention to your own safety and don't conflict with them. The leader is still resting. I will report as soon as I get up."
"No need, Sister Tang. If you can solve it, do me a favor. If you can't solve it, report it to the leader."
Zhang Fan gave the phone call to his cousin, who was a family member. His cousin said: "What are you doing? What are you going to do? You still have reason to do it. I won't answer the phone. It's useless to call anyone. You must be responsible to the end."
"Then wait! I'll be there soon." After speaking, Tang Jingjing hung up the phone.
The dean started to get confused. People entering the official career had too many things to consider. Although it was a little late, Zhang Fan could not be offended to the end, "Actually, the operation has been completed and the patient has passed the critical period. The county hospital can also provide care. Do you think it's Dr. Zhang?" When he saw Zhang Fan ignoring him, he smiled a little awkwardly.
Zhang Fan sat on the chair and closed his eyes to rest. After more than 200 kilometers, he rushed to the hospital and rushed to the operation. After the operation, he encountered this bad thing again, and he was a little tired.
