Remove the leave and report to the medical department. Zhang Fan took a month off, which made several newcomers in the medical department particularly envious. I have never seen a young doctor take a month's leave, which is not a wedding leave.
Urology! Zhang Fan was transferred to the urology department. The urology department of a regional tertiary hospital is a geriatric department, and 80% of the patients are prostate diseases. The corridors were full of old men running around carrying urine bags. As long as the urine can be excreted, there are no other problems with this disease.
The older a person gets, the harder it is to lie down. Zhang Fan looked at the corridor full of old men wearing hospital gowns and holding urine bags chatting together, as if they were chatting with bird cages in the park! If you can raise your voice twice, it will become a park!
When I was young, I peed three feet against the wind, ten times in one night. I felt that I had reached the pinnacle of mankind and looked down on all the heroes! But don't be happy too early. Retribution will come when you are sixty or seventy years old. The stronger a man is in that aspect, the more serious the prostate problem will be when he is old. When you are young, you can urinate for half an hour. When the prostate rebels, it is not uncommon for you to pee for an hour.
The stronger you are when you are young, the more severe the blockage will be when you are old. It is related to male hormones, and of course it is also related to living habits, such as holding urine for a long time and sitting for a long time. There are very few female patients in the urology department in the city hospital, and almost all female patients go to the gynecology department.
Director Li Jianguo is an old director who entered the hospital with Ouyang. He was in love with Ouyang in his early years, but later they broke up for unknown reasons. Now he is very embarrassed. He doesn't go to meetings if he can. He doesn't see Ouyang if he can. The surgical system and the urology department are the most supportive of Ouyang. Whatever orders Ouyang gives, the urology department takes the most seriously.
Because urology has not been separated from general surgery for a long time, the three deputy senior officers below the director are also one or two years apart in age. They all do their own thing. Lao Wang is dissatisfied with Lao Chen and fights for sick patients fiercely. Li Jianguo didn't care. As long as there were no problems, he was happy for the doctors below to fight among themselves.
The doctors below were not very clear about Zhang Fan's rescue of the soldiers, but those at the director level knew it clearly. Zhang Fan took the admission form and reported to Li Jianguo.
In the director's office, Li Xiong was very polite to Zhang Fan, which was not the usual attitude a high-ranking director would have towards a resident doctor.
"Dr. Zhang, we are finally here for urology! What do you think, should we organize a team to do it ourselves, or make an agreement with the doctor first. I don't care about the patient's condition, and I don't do many general surgeries. I heard from other departments that in You are led by the director in the surgery department. How about you go to the outpatient clinic with me every day?"
"Look at what the director said, I'm just a new recruit. I can do whatever you tell me to do."
"Haha! You! You are more thief than a monkey if you stick on your hair. It seems that you want to work alone. That's fine. Anyway, you have a certificate. You can also be on duty to collect patients. This time, there are four transfer doctors, so we can only give If you are the only one, you will suffer a little more. You cannot give more, otherwise the doctor below will not be happy!" Lao Li said it nicely and did a good job. It’s really a great face to be able to have the resident doctor bring along the transferring doctor to open another group.
"Director, I listen to you." Zhang Fan was particularly happy to be able to operate independently. At the morning meeting, when only the head nurse and the doctor were left, Director Li said: "All the transfer doctors in front have arrived in the department. Dr. Zhang has something to do and will be a few days late. However, Dr. Zhang already has a practicing certificate and has good surgical attainments. It’s very high. Each of the three attending doctors will bring a transfer doctor, and the extra one will follow Dr. Zhang. Let Dr. Zhang also set up a team and follow Lao Wang. Lao Wang, please pay more attention.”
Lao Wang, Wang Zonggui, the youngest among the deputy senior officials, is usually relatively reserved, so Li Jianguo handed over Zhang Fan to him.
"Director, no problem." Lao Wang said, and then said to Zhang Fan: "Doctor Zhang, if you are not sure about the patient's number, just ask me directly. You're welcome."
"OK."
The other deputy senior officers had no expressions, but the attending physician below was a little unhappy. One more person to lead the team would mean one more person to take care of patients, and one more person to share bonuses with them. If the transfer doctor performed well, he would be given some money. , not a single bad performance. Therefore, Zhang Fan bypassed the role of transferring subjects and directly led the team, which made them very dissatisfied!
The director has said it. Although the doctors below do not dare to object on the surface, there are many things going on in private. First of all, several attending doctors were unconvinced and they were all transferred to other departments and hospitalized in the same way. He led the team only after he was promoted to attending physician. Zhang Fan led the team just because he entered the department. A person who was transferred to another department did not write medical records or change dressings. What was there to show off?
Zhang Fan really doesn't care about this. It doesn't matter if the other party can't figure it out. Gradually, he gets used to it. We can unite as much as possible. If it doesn't work, forget it. I don't expect them to be of any help.
There were two boys and two girls who transferred to other departments, and together with Zhang Fan, there were five of them, and there was exactly one more transfer student. Zhao Zipeng also came to the urology department. He really wanted to follow Zhang Fan, but he couldn't control this matter. Finally, a girl was given to Zhang Fan. The little girl looked gorgeous and wore light makeup. She looked like she could not be oppressed. None of the other attending doctors wanted her.
Zhang Fan doesn't care, it's already good to be in a group alone. The girl's name was Lu Shuyan, and Zhang Fan was frightened to death when we talked about it. Ouyang Te recruited her as a graduate student in gynecology, because she was going to be a gynecologist in the future, so she came to the urology department just to get to know her. She is one year older than Zhang Fan. .
There is no way to give orders. They also have professional certificates and are highly educated. Lu Shuyan didn't care, she just came to take a look and go through the motions.
"Zhang Fan! What kind of relationship do you have? You are so awesome. You lead the team when you enter the department. You didn't look at the other attending doctors. You are so angry." After checking the room, she and Zhang Fan started chatting as they had no sick cases for the time being. !
"Uh!" Zhang Fan couldn't say anything. You can’t say that your level is high!
The first day was Zhang Fan's night shift. Because there was no illness, Lu Shuyan went home early. There are many emergency rooms in the urology department at night. Many old men are embarrassed to say that they can't urinate, and they only tell their families after they can't hold it in at night.
In the emergency department, the emergency doctor is very familiar with Zhang Fan. "Director Zhang, are you here to inspect the public situation again?" Xiao Li, who works in the emergency department, teased Zhang Fan. In hospitals, there are not many people who want to be emergency doctors, and they are all forced to do so by hospital leaders.
"Director Li, you are so polite. I came as soon as you called me. You even said that I was inspecting the public sentiment and wanted to save face!" Zhang Fan also teased him.
"I didn't catheterize this urine, otherwise I wouldn't bother you. Just take a look." Xiao Li, who was in the emergency department, catheterized the urine for a long time, but it didn't go in. The old man was anxious, and he had no choice but to call the urology department.
Zhang Fan's scalp was numb as soon as he entered the treatment room. The old man's triangular eyes were hanging open, he was blowing his nose and staring, and he was on the verge of breaking out. After taking another look at the items on the treatment cart, Zhang Fan was even more depressed. Even the guide wires were used.
The guide wire for urinary catheterization is just a piece of iron wire. I can’t say what size the wire is, but it can enter the urethra anyway. "How many times have you guided?"
"Three times, the guide wire that was put in the last time didn't go in! The old man didn't cooperate. He also had a bad temper and glared at me." Xiao Li said quietly.
Zhang Fan stepped forward to see if the old man was worried. His bladder was as big and round as a rubber ball. Xiao Li had been working on it for more than half an hour. It hurt and swollen. He had to hold in his urine to prevent it from exploding. Otherwise, look at it. It's possible to hit someone with the old man's face.
"Uncle, this catheter probably won't work anymore and I'll need an ostomy."
"I don't care whether there is a fistula or not. Please release the urine for me quickly. Hey! I'm suffocating myself!" The old man's wife stood aside and didn't dare to say anything. She probably let the old man scold her.
I had to catheterize several times, but the urethra was already swollen, and even Zhang Fan couldn't catheterize it. "Get ready to make a fistula!~" Zhang Fan said to Xiao Li.
In a short time, the nurses in the emergency department prepared materials and surgical instruments.
"Doctor Zhang, please be careful. This old man has a bad temper. He scolded his wife several times in a short period of time. The same goes for Xiao Li. He didn't call earlier when he couldn't be guided in. This made people suffer." The nurse in the emergency room whispered to Zhang Fan.
"Okay, sis."
After local anesthesia and lidocaine injection, a small incision is made with a scalpel, a fistula is created, a urinary catheter is inserted, and sutures are sutured. After draining half of the urine, Zhang Fan turned off the urine catheter switch. "Hey! Hey! Young man, why are you locked up? I still have a lot of urine and I'm holding it in too much."
"Old man, you can't put too much. Please wait a little longer. Your prostate is too serious and you need surgery. Otherwise, you will still be unable to urinate in the future."
"Isn't this enough? Why do we have to do surgery?"
"Don't leave this urine bag in for too long, or it will cause infection."
"It's all nonsense, let's talk about it later." The old man peed half of his urine to regain his energy, and his tone was unusually harsh.
"Uh! You have to change the dressing regularly, otherwise you will get infected."
"I know. I'll come find you tomorrow! It's killing me." After saying that, he took the old lady and left.
The next day, the old man really came. He didn't look for the director or other doctors, so he looked for Zhang Fan. Zhang Fan had already gone back from get off work, so he had no choice but to come to the department again.
"I told you to come today, but you got off work without waiting for me! This is not good, young man."
"Yes! Sir, let's go to the hospital. I'll give you an operation after the examination."
