In the urology department, Zhang Fan has more patients and his skills have been demonstrated. There is no reason for others to take Zhang Fan's patients. Lu Shuyan was a big help, otherwise Zhang Fan would have really had to work overtime to do it alone.
Zhang Jingshu had nothing to do during the day and was very bored staying at home. Zhang Fan enrolled her in a driving class and learned a driving license. This year, there seemed to be more private cars in the city overnight. From now on, driving can be considered a part of life. Skills, learn them as soon as possible while you have nothing to do now.
In the evening, as long as Zhang Fan has time, he takes Shao Hua and Jing Shu to look for delicious food in the city. Jing Shu is really a foodie, and her mouth is full of oil from eating naan pit meat and roasted lamb chops, but Zhang Fan and Shao Hua can't. , couldn't eat much, Jingshu didn't feel too angry even on such a hot day, she couldn't eat enough.
For kidney stones, the department admitted a special kind of kidney stone. Haimudula and his superior doctor performed intrarenal lithotripsy. The operation was very successful and the patient was about to be discharged from the hospital. But something happened the night before he was discharged from the hospital.
Zhang Fan is on duty, and Lu Shuyan is also there. Now that there are more patients, she also has to write medical records on the night shift. It was too late to finish writing the medical records, so I stayed in the nurse's lounge.
At three o'clock in the morning, ordinary people have already fallen into a deep sleep. Not long after Zhang Fan and Lu Shuyan lay down, there were too many patients. They pasted up test sheets, wrote down the course of illness, and changed dressings. There was a lot of work. There were two surgeries tomorrow, talks and signings. It didn't take long to finish.
Just as he was about to fall asleep, he heard the nurse knocking on the door, "Doctor Zhang, go check on bed 15 quickly. He is urinating blood. The amount of blood is not small." Zhang Fan stood up, grabbed his white coat and left the duty room.
There is a man in his thirties on the fifteenth bed. He is a stone patient of Haimudula. Zhang Fan quickly walked into the ward and saw that there was about 300ml of bleeding in the basin for washing hands. Because he is not Zhang Fan's patient, he doesn't know the specific situation. Zhang Fan quickly performed a simple physical examination, looked through the medical records again, and secretly exclaimed, "Bleeding in the kidney, probably a broken blood vessel."
"Hurry up and call Haimudula, and tell him that the fifteenth bed is urinating blood." After Zhang Fan explained to Lu Shuyan, he said to the family: "Don't worry, it is probably a small blood vessel that has ruptured, and you need emergency surgery." .I’m going to prepare the signature form, which will be signed by the family members later.”
The patient's wife was accompanying the fifteenth bed. Seeing this amount of blood in her urine, her face turned pale and she stood there at a loss, her lips trembling violently. Zhang Fan left the ward and said to the nurse: "Replenish fluids! Give hemostatic medicine. Follow the doctor's instructions."
Then, I called the imaging department. Although the amount of bleeding was not large, the intrarenal bleeding could not be solved with drugs, so interventional embolization was the only option.
The director of the imaging department also lives in the family home of the hospital. Zhang Fan felt something was wrong after making the call, and hurriedly called Wang Zongxu. If something happened to a patient, he had to report it to the superior doctor first. Zhang Fan called the imaging department directly, which was a bit irregular.
When Wang Zongxu heard this, he hurriedly said: "Hurry up and call the director of the imaging department to prepare for interventional embolization. I will be there soon. You need to make preoperative preparations first." Although Hela lived farther away, she still talked to Wang Zong Feeling ashamed, I entered the department. Zhang Fan and Lu Shuyan have already prepared for surgery.
Hela and Wang Zongwei knew as soon as they saw the patient's number that Zhang Fan's judgment was correct. It was probably that a small blood vessel in the kidney had ruptured.
"The director of the imaging department called and said that they are ready! Let us send the patient's case." The nurse on duty informed several doctors.
"Okay, send me the patient. All the signatures that need to be signed have been signed. Xiao Lu is on duty in the department, and a few of us will go and take a look." After Lao Wang said that, he set off first. The patient was escorted by junior doctors and nurses, so he didn't need to worry.
In the intervention room, Hela was extremely grateful to Zhang Fan and admired him very much. He had encountered this situation when he first entered the department. At that time, he thought it was a simple bleeding and did not pay attention to it. As a result, the patient went into shock. Fortunately, If the rescue is timely, it could save a life.
"Brother, thank you very much."
Although this is what Zhang Fan should do, Zhang Fan handled it in a timely manner, made phone calls, contacted superior doctors, contacted relevant departments, talked and signed, everything was done well, and he did a pretty good job.
"It's okay, you're welcome. It's all as it should be. But you're quick enough."
"Hey! I have to learn to drive and buy a car. It's really troublesome at the critical moment at night. I had to wait for a long time for a taxi, and the driver made me angry!"
The patient's condition was not a big problem because it was discovered in time and the operation was successful. After a few days, Zhang Fan slowly integrated into the environment of the urology department. They were all big men. When he first arrived, he couldn't understand the director's attitude towards Zhang Fan. Secondly, Zhang Fan was too young. With so many contacts, Zhang Fan can make everyone accept him, no matter in business or as a person.
"Brother, this is for hemostatic medicine (commission). You used two of them yesterday. You can keep the eight yuan." Hela wanted to give Zhang Fan money. Zhang Fan said with a wry smile: "Brother, you really look down on people. Ah, you can just take the money, and you have to pay a special trip, which is boring!"
"Hey! I don't know you yet!~ Okay, I understand. I'll treat you to mutton when I have a break in a few days."
Although the director of the department of urology goes to the outpatient clinic after holding the morning meeting in the morning, he seems not to care about the work of the department at all. In fact, he has already divided the management of the department among many people.
The person who manages drug rebates, collects equipment share, three deputy chiefs, and several attending doctors are all active. In this way, not only is he free, but the department can't find him because of money matters, and the doctors below are also busy. Can supervise each other!
Although this feels good, he can hardly bear much responsibility, but because of his character, he can only stop at being the director of the department. This society is really contradictory.
On Friday, Hella collected sick patients. The director admitted a patient with severe left hydronephrosis, which had lost the possibility of conservative treatment. The best treatment method was to remove the left kidney.
Originally, this kind of disease could only be done on Tuesday or Wednesday, because many examinations cannot be done on weekends. But the family member of this patient has a distant relative who works in the municipal party committee. They are typically not anxious before seeing a doctor, but extremely anxious after seeing a doctor. They think it is better to have surgery as early as possible. Their relative is a minor official in the municipal party committee.
Through various connections, a section chief from the Health Bureau finally made a special call to the director of the Department of Urology. What he said implicitly was that it would be best to perform the surgery on the weekend.
Under normal circumstances, Li Jianguo would never have surgery in advance. He would go for surgery before the examination was complete. What a joke! This was a huge risk, and he would never do it according to his cautious character. However, the section chief had some real power, and there was a possibility of promotion, so Lao Li urged the doctors below to do all the examinations that could be completed. over.
The director urged him urgently, and Hela accompanied the patient for a check-up. An attending doctor, sweating profusely, ran back and forth like a nurse to clear the various medical and technical departments. In this way, the routine inspections are completed, but there are still some special inspections that require time, and they cannot be done even if they are urged!
Li Jianguo looked at the examination results. The patient's vital signs were normal, he had no chronic diseases, and he was not too old. He said, "That's it. Arrange an operation tomorrow morning. Dr. Hela and Dr. Zhang will do another surgery tomorrow morning." Ben, and I performed this operation."
"Okay, Director." Zhang Fan replied.
