Human laziness is quite terrifying. Zhang Fan, who had just graduated, once traveled around a provincial capital city on his bicycle. In less than two years, he could no longer do without a car.
Zhang Fan went to the hospital first in the morning, and then went to Ma Wentao's hospital to see Wang Yongyong at noon. Wang Yongyong is recovering well and the swelling in his knee joint has begun to subside.
Cousin Shao Hua's newsstand has also opened and business is good. The good pasta made by my cousin is also put to use. She steams a basket of steamed buns in the morning. Because the ingredients are sufficient and clean, the doctors and nurses in the hospital buy them from her. Day by day, the couple's faces became rosy. In this world, money is the backbone of a person, and life without money is really difficult.
Usually, my cousin goes to the newsstand and does some odd jobs outside. The couple are both good people. Zhang Fan is busy and Shao Hua is also not idle. It is common to work overtime in the bank. The physical work at home is directly contracted by my cousin. You can't even do it. This is how it is between relatives, courtesy is exchanged, and the closer we go, the closer we get.
The gastroenterology department of the city hospital has never improved. The old director was poached by Ma Wentao after he retired. The director who was poached from outside is no longer working in the department, and a lot of patients are slowly being lost. Whether the technology is good or not depends on the public's reputation. If problems occur once or twice, the reputation of the gastroenterology department will not be good, and there will be many complaints.
Ouyang didn't have any good ideas. There was no good mature doctor to replace him for the time being. The doctors who applied were either too demanding or their skills were not up to par.
On Tuesday, a special patient came to the gastroenterology department. She was a female. She was admitted to the hospital with intermittent vomiting and dizziness for three days. The director who was hired has been flirting with Chasu City Traditional Chinese Medicine Hospital recently, because the Traditional Chinese Medicine Hospital has already offered a price, as long as he goes to the Traditional Chinese Medicine Hospital. , let him become the vice president, and now he uses this as a weight to bully Ouyang. Either give them official positions or increase their money.
The deputy director of a municipal tertiary hospital cannot be made by the director alone, and it is impossible to increase money. What is the income level of other doctors! The offer is too high, what should others do? Ouyang didn't agree, so the director of the gastroenterology department began to work like a foreigner without working hard, and he had already negotiated terms with the traditional Chinese medicine hospital.
The female patient who came here was very special. All the examinations were normal, but she suffered from nausea, vomiting, and dizziness. The doctor in charge of the gastroenterology department had no choice but to make the first diagnosis of electrolyte imbalance. Then he reported the patient's condition to the medical office and applied for a hospital-wide general consultation.
This kind of consultation is not the usual consultation between departments. This is a consultation with experts from the whole hospital on this case. This level of consultation must be signed by the dean, and the medical office takes the lead in coordinating the time of experts from various departments.
Ouyang is also an internal medicine expert. After seeing the case, she was also very surprised. All examinations were normal, but the patient's vomiting symptoms did exist.
On Tuesday afternoon, experts from various departments gathered in the gastroenterology ward for a general consultation in the hospital. Experts from various disciplines were very puzzled at the end of the consultation, as no abnormalities were found. Discussion after discussion leads to no good conclusion.
"Why don't we invite the experts from the traditional Chinese medicine hospital to take a look. This disease should need treatment." The new director of the gastroenterology department said at the expert meeting. He is a spectator who is not afraid of big troubles. He has a good place to go. He no longer regards himself as a doctor at the city hospital.
The city hospital has been suppressing the traditional Chinese medicine hospital since its establishment. Only the traditional Chinese medicine hospital invites experts from the city hospital for consultation. No city hospital invites the traditional Chinese medicine hospital for consultation. Ouyang cannot afford to lose this person.
But there is nothing good to do at the moment, Ouyang's face looks ugly. Although difficult and complicated diseases are also available in grassroots hospitals, the total number is not large after all. The new director of the Department of Gastroenterology was the deputy director of the Provincial Hospital. He couldn't tell it, but he thought about it. After bringing the patient to the Traditional Chinese Medicine Hospital, he would contact his former colleagues and make sure he was admitted to the Traditional Chinese Medicine Hospital. Fired the first shot.
Ouyang didn't want to, so he tried to persuade Ouyang with words, "It's not strange to see invisible diseases. Even in provincial hospitals, there are times when we can't be sure, but we can't do it behind closed doors. If we are not responsible for anything else, even if we are responsible for the patient's health, we should Brainstorm ideas.”
His words were so high-sounding that Ouyang couldn't even utter a rebuttal. Could it be that he said: It's no good and I can't afford to embarrass people! Or do you still look down on the experts from traditional Chinese medicine hospitals? Just when he was in a dilemma, the director of the hospital office stood up to answer the phone. After Ouyang took a look, he said, "Let's discuss it again. Maybe there is something we have overlooked."
"Haha!" What a sarcastic laugh!
There is no rule to turn off the phone during internal leadership meetings in the hospital. This is a special unit. There may be critical patients or emergency surgeries at any time, so the expert director will not turn off the phone.
This sarcastic laughter was a naked slap in the face, a slap in the face of the entire hospital's doctors. When faced with interests or official positions, some people really have no scruples.
After answering the call, the director of the medical department opened the door and whispered a few words to Ouyang with a smile. After Ouyang listened, he turned to look at the director of the medical department, who nodded affirmatively.
"There is no need to invite experts from other hospitals for consultation. The city hospital is the hospital with the highest medical level in Chasu City. The patient's number has been clearly diagnosed. You, a provincial expert, do not focus on diagnosing and treating patients, but only think about borrowing external help. I think You are no longer suitable for the work in our hospital. From now on, our agreement is over!" The municipal hospital cannot diagnose and treat patients in the gastroenterology department. Ouyang cannot get angry because of this. Now that it has been solved, even if he files a lawsuit with the municipal party committee , Ouyang is not afraid. What Ouyang said was sonorous and powerful.
The director of the Department of Gastroenterology who was hired was a talent introduction system. He made trouble because he wanted Ouyang to let go and let him go to a traditional Chinese medicine hospital. Because only the city hospital has the establishment to introduce talents, and no other hospitals do. In this situation, it's not that he doesn't look down on the public hospital, but that the city hospital looks down on him. Even if he went to a traditional Chinese medicine hospital and was only a vice president, would the expert who was kicked out still be considered an expert?
"Can you let me learn from this expert's method?" He knew very well that the hospital's experts were all here, and it was impossible for the experts to be inferior to lower-level doctors! So I’m not worried at all, “This is a double act.”
"Okay!" Ouyang said disdainfully.
Time moved forward. When Zhang Fan returned to the department, he found that the director of the oncology department was not there, so he asked the transfer doctor: "Why are you so free today? Where is the director?" Because Zhang Fan went to do acupuncture in the morning, and he had to inform the director when he came in the afternoon. .
"Boss, the director has gone to attend a general consultation in the hospital!~" Zhang Fan's special status means that in the eyes of the transfer doctors, Zhang Fan is already an outlier from the team.
"Haha, don't bully me! Which department has the serious illness?" Zhang Fan didn't care. If he even cared about other people's words, he wouldn't be able to survive.
"Gastroenterology! Zhang Fan, you are not busy all day, please help me with something." The transfer doctor is a female doctor. She graduated a year later than Zhang Fan, but she entered the hospital in the same year as Zhang Fan. With a little bit of good looks, she is quite popular among young people.
Today, the other doctors in the department were busy, so she was free, so Zhang Fan asked, but the results were endless, and Zhang Fan regretted it.
"Oh! Big things and narrow shoulders may not be able to help you!"
"Look at your timidity. There are too many medical records. I just took a break. Look, my fingers are swollen. Please help me write some medical records." As he spoke, he put his fingers in front of Zhang Fan's eyes. , the fingers are slender and green-white, and a faint fragrance comes to your nostrils. With her charming demeanor and big watery eyes, it’s no wonder that many people are pursuing her.
How could Zhang Fan have the time to write her medical records? If Zhang Fan had not lived a difficult life in college, he might have been confused by her experiences in the past two years after graduation. Especially in the past two years, Zhang Fan had seen too many things. The person is sophisticated, so her Taoism is still shallow.
"Oh! I remembered, I left something at the door!" A lame reason, but the best reason. It is estimated that this girl will never confuse Zhang Fan again in the future.
Zhang Fan turned around and went to the Department of Gastroenterology. Old Hu from the Department of Gastroenterology is now considered the backbone of the department, and each director is more bizarre than the last. Now he is leading the ward rounds in the Department of Gastroenterology.
"Brother Hu, isn't this a general consultation? Why didn't you attend?" Zhang Fan said with a smile. That is to say, you can only joke like this because you have a good relationship with Lao Hu. Otherwise, you would not dare to say this. Being able to participate in the general consultation of the whole hospital is at least a deputy. At a high level, Lao Hu is the chief physician.
"Well! I have finished expressing my opinion! The dean thinks what I said is reasonable!"
"Believe it or not!"
"You bastard, you know your brother is not qualified yet, why are you teasing your brother?"
"miss you!"
"You are getting more and more slippery! Where is the simple Zhang Fan from before! How long has it been since we last met!" Although we are both in the same hospital, we are really busy and we have never met each other.
"Aren't you busy? Why are you sick today? There's such a big battle." Zhang Fan asked after making a few jokes.
"A patient with vomiting! All examinations are normal, but he is vomiting intermittently." Old Hu said.
"This is weird! Brother, take me to study?"
"Wait for me a moment while I type this conversation. You take a look at her case first," Lao Hu said.
After Zhang Fan sat down, he looked at the patient's medical records. Female, forty-five years old, office clerk. She denied any history of injuries or acute or chronic diseases. He denies a history of drinking and taking drugs, and denies any family genetic history.
Zhang looked through the examination items in the case again, and found no abnormalities in blood routine, biochemistry, chest X-ray, and brain CT. Because I haven’t seen the patient Zhang Fan, I can’t see anything special.
"Let's go, I heard that you are getting director-level treatment now." Lao Hu teased Zhang Fan on the road.
"What kind of director treatment!" Zhang Fan asked in confusion.
"Pretend, everyone in the hospital knows it. You don't have to be on duty and you don't have to write medical records. Isn't that still a director level?"
"Uh! That's what you said!" Zhang Fan was helpless. There were always people who were unconvinced, but people who don't suffer jealousy are mediocre. Zhang Fan didn't pay attention. He did whatever he had to do.
"This is the patient. Look, he is vomiting intermittently." Lao Hu pointed at the female patient in the single ward.
Because I needed a general medical consultation and the patient’s family members had spoken to someone, I stayed in a single room. After entering, Zhang Fan found that the patient and his family members looked bad.
The patient and his wife are both civil servants in the urban area. The husband is in the Education Bureau and the sick unit is in the Disabled Persons' Federation. Although they are not leaders, Chasu City is such a big place, so they can find some connections anyway, and they have been hospitalized for several times now. Damn it, my condition has not improved at all. I asked the bedside doctor, but the bedside doctor couldn't tell me anything. He hadn't even seen the director in the past few days, so he looked bad.
"This is Dr. Zhang from our surgical department. He's here to give you a look." Lao Hu introduced.
"No need to bother, we have already contacted the Affiliated Hospital of Di University. We will be transferred to the hospital tomorrow." The patient's husband said in a not very good tone.
"No trouble, this is what we should do." Zhang Fan pretended not to understand, and said to the patients and their families with a smile on his face.
He didn't want to hit the smiling person, and they couldn't leave Chasu City, so they couldn't offend the city hospital doctors too much. "Then let's take a look! Even the director of your surgery department didn't notice anything."
A common problem among educated people is that they are extremely angry, but they just can't keep their face down. Even if I don't want to, I can only let Zhang Fan check it again.
On the way here, Zhang Fan kept putting his hands in his pockets to warm them up. This is a matter of doctor's quality. There are many reasons for vomiting, but most of them are problems with the digestive tract or brain. Zhang Fan started with a physical examination from the abdomen.
There were no problems with the liver, gallbladder, kidneys and spleen, and the abdomen was soft without any tenderness or rebound pain. "Have you eaten any special food recently, such as mushrooms or something like that?"
"No!"
Zhang Fan started to check his brain and found that all nerve reflexes were normal. What was the reason? "What circumstances would make your vomiting worse?"
"It's just that when I'm a little tired at work, I feel so nauseous that I'm so dizzy that I can't stand up."
"What does the eldest sister do? Do you have any hobbies?" Zhang Fan asked with a smile. Zhang Fan's attitude was so good, his tone was sincere, and his attitude was gentle, and the patients who unconsciously began to cooperate slowly. Zhang Fan already has the skills of a mature doctor to contact patients.
Zhang Fan understands their feelings. People will get angry and anxious when they are sick and there is no clear diagnosis yet. You can't argue with them just because of this.
"I'm an office clerk. I don't have any hobbies."
"What's the main content of your work? What do you do during your free time at home?"
"Yeah! It's just some literary work. At home, I just do cross stitch and so on."
"Oh! Have you done a cervical spine X-ray?" Zhang Fan asked Lao Hu.
"Done!"
"Here is the film!" Zhang Fan was serious and responsible. Even if the diagnosis could not be confirmed today, the family and the patient would not say anything. The patient's husband took out an X-ray from the cabinet.
Zhang Fan looked at the X-ray and found no problems. "Strange!"
Zhang Fan said to the patient again: "Sister, lie down and I will check your cervical spine again."
Zhang Fan began to check the cervical spine. When he touched C4, Zhang Fan made a surprised sound, "Hey!" After the system orthopedics was upgraded, the rehabilitation treatment of the orthopedics was also upgraded.
Basic orthopedics covers general orthopedic diseases, while upgraded orthopedics is more specialized. Although it is not the highest level of orthopedics, it is already relatively specialized. In the future, the medical settings of the system will also be very special, requiring doctors to basically After mastering all the diseases in the second stage, the content of the third stage can be opened.
Zhang Fan's current highest-level subject is orthopedics! The main reason is that the pit of general external education is too deep! Zhang Fan hasn’t climbed out yet~!
