The director outside the brain, Yu Bin, has already gone to study. The Qin family girl keeps her word and does not delay in doing things. Although Qin Nuo is still in the hospital, she has already implemented the training matters. The three people who are training are all studying with top experts in China. The amount of surgeries is large, so there is no need to worry about running out of surgeries. The results of the training will depend on it. their own understanding. You can only rely on the master to guide you through the surgery, and the rest is all up to you to understand.
Li Hui didn't go out to play during his wedding vacation, so he gave his wife peace of mind at home to have the baby. It is said that the admission has been finalized and Ouyang has signed it. Just waiting for him to enter the department after his marriage leave.
Zhang Fan is not in a hurry to decide on a specialty. He is not worried at all that a graduate student will affect his decision. His current level is orthopedic surgery. Let alone a graduate student, even the director of a provincial tertiary hospital may not be better than him. . There is enough money at home to not panic. Changing departments is not a waste of time, but a systematic study of a medical system. Many things that cannot be written in books can be understood and discovered when changing departments.
Shao Hua also started to struggle and bought a lot of information books. There is still a big difference between accounting in the financial industry and corporate accounting. I really have to admire Shao Hua for this. The foundation of the university is really good, and the reading effect is good.
Liu Zhaoyun, the deputy director of the brain, is an old frontier person. Born on a farm, he is considered a second-generation farmer, and his situation is quite similar to that of the Shao Hua family. His ancestral home is southern and he graduated from Suhang Medical College. When I graduated, I looked down upon the local county-level hospitals in Suzhou and Hangzhou, so I returned to the urban hospitals in the frontier areas. After more than ten years, the county-level hospitals around Suzhou and Hangzhou are no longer comparable to the top-level hospitals in the frontier areas.
Many of his classmates who stayed in the surrounding counties of Suzhou and Hangzhou later went abroad to study abroad. There are several doctors from the Royal College of Medicine in the United Kingdom. This is the difference in regional development.
I don’t know if he has ever regretted it. He has lost the opportunity to reach the top in the medical field. He is just an ordinary doctor, doing outpatient clinics and surgeries, and then waiting to retire, take care of his old age, and take care of his grandchildren. And many of his classmates have already shined in various medical forums. Now he doesn't even have a chance to participate! The organizers would not think of hospitals in remote areas and would not invite them even if they thought of them!
Don't talk about dedication, just talk about skills, he will definitely regret it. If he talks about dedication, his role on the frontier medical front is not necessarily worse than some of his classmates. He has been on the front line of medical treatment for decades and countless lives have been saved.
The brain surgery room is not too big in the hospital because it is too difficult. Thanks to Yu Bin, the director of the Department of Neurosurgery, he attaches great importance to the development of medical technology and dares to let go of subordinate doctors. Therefore, the development of the department is pretty good. There are three deputy chiefs, four attending chiefs, and one chief and one chief director are all full chiefs.
Zhang Fan entered the brain surgery department with the transfer list. Zhang Fan received by Liu Zhaoyun. Doctors in the surgical system of the city hospital are all familiar with Zhang Fan.
"Dr. Zhang, Director Yu told me when he left that you should let me take you when you come to the brain surgery department. You don't need to participate in changing dressings and writing medical records. You can follow me to the outpatient clinic and surgery. If the surgery is certain, You can apply for the position of chief surgeon with me." Liu Zhaoyun received Zhang Fan in his deputy director's office.
"Okay director, I listen to you."
"I won't be on night shift. After you get familiar with the department, you will be on duty to take care of the patients independently. Taking care of the patients independently is the fastest way for young doctors to improve. You must set your mind and quickly enter a working state outside the brain."
"OK!"
The department of brain surgery already has a graduate student who graduated this year admitted to the department. Xia Huadong is also a god. My undergraduate major was Chinese and Western medicine, but when I took the postgraduate entrance examination, I didn’t know why I got admitted to the Frontier Medical University. From then on, I became farther and farther away from traditional Chinese medicine!
His girlfriend was admitted to the Banking Regulatory Bureau of Chasu City last year, and he came to her as soon as she graduated. Because he was a master of science and technology, tea was very scarce in the market, so he was given a settlement allowance of 100,000 yuan after entering the hospital. The young man is also a good person. He respects the senior doctors in the department and quickly integrated into Shenwai.
At the Monday morning meeting, after Liu Zhaoyun explained the daily work of the department, he took Zhang Fan and Xia Huadong to the outpatient clinic. These two young men are both amazing. One is a person who has already established his position in orthopedics, and the other has a master's degree. The other doctors with less qualifications really can't help them.
The knowledge outside the brain is too complicated and trivial. Zhang Fan still can't open the second-level brain outside. Now the technology outside the brain is only the deputy director of the top three in the region. But the advantage is that you practice a lot in the system. Practice makes perfect. After repeating an operation thousands of times, you will definitely become awesome.
Most of the patients in the outpatient clinic are elderly. The weather in the frontier is cold, so the dietary habits are very high in fat and they like salty food, which makes cardiovascular and cerebrovascular diseases very common. As the country's medical system improves, there are more and more elderly people. In addition, people in the northwest drink alcohol fiercely, resulting in a large number of accidental deaths of cardiovascular and cerebrovascular patients.
If you have high blood pressure or not, no one will worry about your blood pressure at the dinner table. Many people emphasize that drinking alcohol is not a good idea before eating. If you have high blood pressure, after drinking, there will be people who specifically advise you not to drink. .
After a week, Zhang Fan became familiar with the department's working procedures and began to treat patients independently. The folk customs on the frontier are fierce, and sometimes just inappropriate words can lead to fights. People are often beaten to the point of being beaten to the point of bleeding, and skull injuries are common.
The winning party is responsible for the medical expenses and goes to prison for re-education, while the losing party lies in the hospital, where life is worse than death. The first brain patient Zhang Fan admitted was injured in a fight.
The sick man is not very old. He is in his twenties, which is when his blood boils. He beat three people in a bar without losing. His skills are quite impressive, but in the end he was knocked down by a beer bottle.
I came to see a doctor with panda eyes and nosebleeds. However, his life is good. He only suffered a mild fracture of the anterior cranial fossa, which is considered a mild brain injury. He can go home and rest after being observed for one night.
As a result, the guy was unwilling and said he had a severe headache and needed to be hospitalized. Zhang Fan took another look at the X-ray and CT scan, and once again confirmed that it was a mild craniocerebral contusion.
After asking about the medical history, Zhang Fan had to lament that this guy's bone density was too hard. He was unconscious for a few minutes after such a violent blow, and there were no obvious abnormalities in the nervous system and cerebrospinal fluid examination. Based on this kind of injury, the family members After explaining it, you can actually go home and observe.
But he couldn't do it and had to be hospitalized. "Your injuries don't meet the standards for hospitalization. I won't be able to treat you even if you're hospitalized." Zhang Fan said, unable to laugh or cry.
"Brother, just let me be hospitalized. I'll just lie down. You can prescribe expensive medicines and prescribe expensive tests. It's really a headache. If you don't take care of me, I'll do it later. Lie down in your office!" The young man was very naughty and pestered Zhang Fan like brown candy.
Zhang Fan somewhat understood what he meant. This kind of patient is very troublesome if not handled well, and the headache symptom is a subjective symptom, not a physical sign. People say a headache is a headache. The doctor cannot identify it, and it must be reflected in the medical record.
Then take it back. Zhang Fan was on duty. He came to Zhang Fan with half a bag of bananas that were about to turn black. Zhang Fan wouldn't take them anyway. This guy wasn't embarrassed either. He just sat on the stool in the office and rubbed it with Zhang Fan. Ji, he wanted Zhang Fan to examine him from beginning to end, and do all the examinations that the hospital could do.
The most shameless thing was that he even had to check his sperm. This is pure nonsense. Zhang Fan ignores him. He has a brother on the left and a brother on the right. Anyway, he just can't let you work with peace of mind.
"You can't do anything even if you ask me. The most I can do is a brain examination and injury-related examinations. I can't do other examinations. And it's just a fight. Why are you injecting albumin?"
"My brother, you don't know. They stepped on my penis and it's a little swollen now. You don't believe that I took off my pants to show you. I'm not married yet. Can you be responsible if something happens to me?" ?”
"Even if you step on it, you won't do this test. Just do a color ultrasound. Don't even think about it. I won't lose to you. This is nonsense."
"Don't worry, they are all caught and can't run away. Someone will pay for the medicine! If you give me the protein, I won't lose. I will take it out and sell it. Then we will share half of it."
"You are six and I am four!"
"Brother, you are 70%! No more!"
Zhang Fan is really speechless. This guy is just a piece of meat. He can't be nice anymore, otherwise it will be endless. "If you are making such nonsense, I will discharge you from the hospital." Zhang Fan said seriously.
"Okay, okay! You must be honest! But brother, you have to get that color Doppler ultrasound done for me. It's really swollen."
"Hurry back to the ward and lie down!" Zhang Fan is really impatient!
This was the first time he met such a person, and he was really speechless. The parents of the young men who beat him came because the children had been arrested by the police. They served him delicious food and drinks every day, hoping that he would not pursue the matter and that the two sides could resolve the matter privately.
Several of the patients outside the brain are in very serious condition. The most severe one has been in a coma for a week and relies on nutrient solution to survive. The cost of medicine and treatment in one day is more than 6,000, and the patient's family cannot support him for more than a few days. , you may give up treatment at any time. In this kind of disease, it is really impossible to predict the time when the patient is awake based on vital signs.
Maybe I won't be able to wake up forever, and maybe I will open my eyes the next morning. The patient could only endure it like this, and the patient was in great pain. Within a week, if his family members had not been turning him over frequently for massage, he would have developed bed sores long ago. If you get special care, the price will be even more expensive!
The family is in even greater pain. Not to mention the daily cost, a turning massage requires two young adults. They are too old to turn the patient over, and the doctor can’t tell if the patient can’t wake up. For an average well-to-do family, if they persist in doing this for two months, they will be able to destroy their family fortune.
"If you want to continue treatment, prepare to sell the house!" These were the original words of the attending doctor. But looking at my loved ones lying on the bed getting thinner day by day, I really couldn't bear to say the word "give up".
But what can be done? The family really has no extra funds. If they want to continue, they have to sell the house. Looking at my son who is not yet married, I think of my wife’s laughter and laughter in the past, and how they rubbed their temples together when they were young, and my wife sheds tears! Cover your mouth! Crying so hard that my heart breaks!
Even if you cry, you can't cry in front of the child. The child is already very difficult. How much money can a repairman make? Looking at the child's cracked hands, the wife sits on the bedside and talks to the unconscious husband, "Am I sorry?" I'll stay with you. You take one step first. When the child gets married, I will follow you. You must walk slower and wait for me in front. I will come later. We will not feel cold down there if we are together. ! You are usually fine, how could it be like this!"
"Doctor, let's give up treatment and remove the tube! Really! Let's remove the tube! It's all my fault! Old man! You blame me!" The old lady was holding on to the bed leg and was already out of breath crying.
But no matter how painful it is, she still needs to sign the abandonment of treatment form, sign her name with trembling hands, and her relationship with the patient is: husband and wife. A young couple comes together all the time, what is heartbreaking, this is, her heart is broken, she feels that his hope of survival has been cut off and cut off by her!
Doctors and nurses began to remove various infusion channels and remove breathing masks. The old lady's dry lips gently kissed the old man's forehead, and tears fell on his prominent cheekbones. "It doesn't hurt! Just bear with it! It'll be quick! If you have any resentment, just blame me!" "A tear fell from the old man's eyes sunken deep into his high cheekbones!
"Woo! Woo! Woo!" The old lady hugged her lover and sobbed! Life ends! Heartbeat stopped! The electrocardiogram drew a straight line. it's over! No ifs, no do-overs! The only ones left are the unconscious old woman and her unknowing son who is still working overtime to make money!
On Zhang Fan's second night on duty, the phone at the nurse's station rang urgently!
