"The patient was admitted to the hospital with dizziness, nausea, and vomiting for three days. After thorough examination, no obvious abnormalities were found in various examinations. After a physical examination, the attending doctor Hu Zengxiang and I accidentally discovered that when the patient lowered his head, the muscles at C4 of the cervical spine were tense, and there were paroxysms. Sexual soreness, combined with physical signs, the diagnosis is clear, compensatory hyperplasia of the inferior longitudinal fasciculus compresses the vertebral artery." Technical unit, technology is king, although Zhang Fan said it very euphemistically, whether it was accidental or discontinuous, he took care of everyone's face, in fact this It's just a comparison of who is more professional, but you have to have an attitude.
After introducing the diagnosis process, the director of the Department of Gastroenterology said: "Don't talk nonsense. This patient is not a symptom of cerebral hypoxia and ischemia. There is no change in the curvature of the cervical spine in the X-ray. Do you understand? ?”
"Why are you talking nonsense? The physical signs and physical examination are consistent with the symptoms." Zhang Fan didn't know the situation. Out of respect for the habit of superior doctors, Zhang Fan spoke politely.
"Zhang Fan, don't worry, tell me what you think. Director Chen is no longer a doctor in our hospital." Ouyang said.
"Oh! In fact, this is very simple. The patient's ligaments are slightly to the left than ordinary people. Although the years of working at the desk and lowering the head have not caused the deformation of the cervical spine curvature, the ligaments have become compensatory and thickened. If it is not corrected in time, If so, it is estimated that the cervical spine will definitely be deformed in the future."
"It's nonsense. Even imaging studies don't support it. What do you know? Do you think it will thicken if you say it will thicken?"
"First of all, there is no MRI of the neck in the examination of this patient, only X-rays. Can the ligaments be seen in the X-rays? How to support it if you can't see it? Second, the hyperplasia of this thickness is probably caused by MRI. You can also see Don't come out because you are unprofessional." The rude remarks made Zhang Fan angry again and again. But what Zhang Fan said is correct. It's hard to tell that the growth of this thickness is not caused by the spine.
"What a joke! What do you, a young resident, know?" Then he walked to the bedside and said to the patient: "I am the director of gastroenterology at the Affiliated Hospital of Di University. I think your disease needs further examination. I can help you contact more doctors. Advanced examination." After saying this, he felt that the patient would agree immediately even if he was not grateful.
"Oh, no need! The level of the city hospital is not bad." After Zhang Fan had a correction treatment, the effect was obvious, and the patient was not stupid. She knew the effect best, so she directly rejected the director's proposal.
When Ouyang and the doctors at the hospital heard this, smiles appeared on their faces. This patient number was so impressive that it directly made the director of the gastroenterology department who had rebounded unable to step down.
"Uh! You should think about it. Your symptoms are very serious. Don't delay. It will be too late to regret if a minor illness turns into a serious illness!" Although he didn't know what happened, he had already reached this point and could only continue. .
"We also have the examinations from the provincial hospital, and we will give you a complete examination later!" the director of the medical office said again.
Both the patient and the patient were puzzled, "What's going on? Why is it suddenly so popular!" The couple looked at each other, and they could see the disbelief in each other's eyes.
They were a little shaken. They were ordinary people. They had never received such attention. They were a little frightened. "How do you feel? How about we go to the bird market?" The husband asked his wife with some doubts.
"I don't know either!" The wife was not sure.
"Look, don't be fooled by them, you'd better go to the bird market." The director of the gastroenterology department was so proud that he crushed a hospital by himself!
In fact, this is not about his superiority, but a competition between higher-level hospitals and grassroots hospitals. This has also been a headache for the medical community in recent years. Patients do not trust grassroots hospitals, and for more serious illnesses they go to provincial hospitals, even the capital and Shanghai. Then these large hospitals are doing basic work, which leads to dissatisfaction among patients and hospital doctors.
Who is to blame for this problem? I can't answer it!
"It's okay to go to a higher-level hospital. Higher-level hospitals are more professional. I won't force you to receive treatment. But let's put it this way. How many times have you vomited in a day since you got sick?" Zhang Fan did not reject the patient's idea. At this time, he became more and more opposed. The more it makes the patient feel that something is wrong.
"It must have been about twenty times!" the patient thought for a moment and said.
"Now there are two ways to determine your disease. One is to do an MRI now. But even if you do it, some people may not be able to understand it. Even though I am a doctor from a higher-level hospital, I guess I can't survive. Come here. Fishing in troubled waters." The director of the gastroenterology department wanted to speak, but Zhang Fan didn't give him a chance, and then said: "Although the second one is time-consuming, it is still considered the gold standard. It is now three o'clock. According to your usual number of vomiting times, In other words, symptoms of discomfort appear once an hour on average. Starting from now on, if you still have vomiting symptoms before ten o'clock in the evening, I will send you to the bird market at my own expense."
Zhang Fan is absolutely sure. He has been suffering from liver disease for two years. If he is not even sure about this, why are he still messing around? Just take off his white coat! Moreover, this director has repeatedly said that Zhang Fan is a nonsense person? How do you look like a cook! "
The patient is not happy. She has been vomiting in the past few days and is upset. Now some people are laughing at her for being uneducated. This is really a pain point for her. In recent years, college students have become less interested in it. As a high school student, she has a bit of low self-esteem in the workplace. Now when she comes to see a doctor, the doctor even laughs at her. Can she bear it? cannot!
If a middle-aged woman breaks out, it is really not something that ordinary people can resist. In public, she will be called a cook, and the director of the gastroenterology department will turn yellow.
"If you keep talking nonsense, be careful and I will file a complaint against you!" Then he smiled at Zhang Fan and said, "It's really good. I can feel it myself. I used to be dizzy if I was even a little excited, but it was really refreshing just now! "Not only the director of the gastroenterology department, but also her husband's face was wrinkled into a rag!
"How did you treat it?" the director of the gastroenterology department asked reluctantly. He could also see that the patient's condition had really improved. Just in the morning, a sluggish woman was now like a congested vixen. He doesn't look like a sick person! This time it’s a shame! ~
Just when Zhang Fan was about to speak, Ouyang said: "This is an internal matter of our hospital, so I won't bother you. Please send it. Your file will be sent to the talent center later!"
Even if he can't continue his career in gastroenterology, Ouyang will not compromise. A woman as strong as a man will compromise with him! He really thinks too much. I guess the matter of him going to the Traditional Chinese Medicine Hospital is going to go south! If Ouya could just let it go, he wouldn't be Ouyang anymore.
In the dean's office, Ouyang pointed to the sofa opposite her office and said, "Sit!"
After Zhang Fan sat down, he wanted to explain. Ouyang waved his hand and said: "This is a small section, I won't say more. But you have to know that you are no longer an ordinary doctor. Your future will definitely not stop here. How far you can go in the future depends on you. How self-disciplined you are. What your skills lack now is training. If you can achieve self-discipline that others cannot achieve, I believe there will be a place for you in the Chinese medical community in the future."
"I got it! Dean." Zhang Fan didn't intend to explain anymore. He also understood Ouyang that it was not easy for a director of a tertiary hospital to be so confidant to you. First of all, this hospital is not her family or her personal property. Yes, the hospital believes that technology is king, but it does not mean that the hospital cannot continue to operate without someone. She is a woman who can shoulder the pressure of the former director and develop a department into a famous figure that can be ranked in the entire province. There is no false person under the great reputation!
And to make a simple analogy, when Zhang Fan is the chief surgeon, if the assistant does not follow him as the main surgeon and has his own intentions, the operation will not be possible. The hospital as a whole has its own rules and regulations for its operation.
The dean will give you face and say a few words to you. If he doesn’t give you face, he will suspend your operation. You have nothing to do. You can’t win no matter where you sue. An organization and a system must first maintain its own operating rules. It will not be because of Changes due to a genius. Unless this genius can overthrow this system, otherwise, one sentence, lack of obedience, can directly deny you. Don’t believe it, especially this kind of national medical system, you are awesome, try it. . Isn’t Lao Zhongniu? This is way too far.
No matter how awesome you are, if you want to get along with your physique, you must first be submissive, not to mention other things. Today, people say a few things about you. You think you are awesome, so you throw down your white coat and leave. What about tomorrow? What if we meet a tougher leader again?
Yes, you can go to private hospitals and earn a lot of money, countless money, but for a person who owns a system, money is no longer the most important thing. In the health system, no matter how powerful or talented an individual is, there is no platform behind him. Nothing will happen. Let’s not talk about other things, let’s just talk about anti-cancer drugs. Pfizer stopped them as soon as they were told and stopped selling them! The country of China is great, but what can you do to me?
The future medical system will pay more and more attention to individualized differentiation. This goal and concept can only be achieved on a national platform. Let’s not talk about whether you want to stand out or not. You must first be able to survive in your physical constitution. You can’t even survive. Go down and talk about development.
The collective is a group that destroys individual will. Unless you have begun to lead the collective and you really can't obey, then leave the public hospital and go to a private hospital or open a clinic of your own! You can work as long as you want, whether you want to sleep or not, no one will care about you, so if you want to stand out in any organization, you must first be able to get along. If Zhang Fan was really a prominent person, he would not come to the frontier and go directly to the south. !
Also, this leadership concept varies from person to person. When it comes to county hospitals, it is mainly based on profit. After all, a county hospital is limited in size. But municipal hospitals are different. There are people of all colors, and the leaders have their own leadership characteristics. Ouyang is a strong lady. She is already in the position of the dean whether she is convinced or not. Whether it is reasonable or not, she This is the way of management. Hitting and giving benefits will never make you feel at ease. She just wants you to tame her. This is a method. There is no right or wrong, only what works well and what doesn’t.
"Well! You have a good attitude. You are still young and have many roads to walk. I have never seen geniuses, but how many can really shine? So now you not only have to hone your medical skills, but also establish a To get a correct world view, read more autobiographies of celebrities. Although there are exaggerations, they will inspire you a little. The quota for the top ten outstanding young people in Chasu City has been reduced, and you are the only one in the medical system. Remember not to be too small. What a loss!" Ouyang said the last words as he stood up.
"I know! Dean!" Zhang Fan also stood up and said, and then said a little bit loudly: "What exactly is this quota for?"
Ouyang almost hit him with a tea cup, "Honor! Do you understand, this is an honor, the recognition of you by the municipal party committee, the hospital, and the people. Do you think this honor is not as important as the milk gift box?" These words were a bit heartbreaking. .
Zhang Fan quickly admitted his mistake! The more developed the economy, the smaller the government. But places like the border are different. People's sense of honor and discipline are quite strong. When it snows heavily, both adults and children go to the streets to clear the snow. When the cotton matures, college students and fourth grade students must participate in cotton picking activities and must pick a certain weight every day. of cotton, which you might scoff at and call them stupid.
Let’s talk about the militia. On the border, there is no army within 500 kilometers of the national border. There are only armed police and no heavy weapons. This is a contract signed between China and other countries. There is actually a lot of turmoil between countries. Whenever something big happens, what should we do if we don’t have enough troops? It is impossible to mobilize troops. Our country, China, will lose face! I am also a superpower after all!
With an order, you go and take a look at the border. You will see teams all in green military uniforms with no epaulettes or firearms. Each one has a uniform shovel handle. Large trucks took to the streets one after another, and there were not even a few million, but an army of over 100,000 people rose up. If a war really breaks out, weapons will be issued directly. These people are usually either farm workers or employees of various units. They are usually ordinary people, but they set a time for training every year. Serious training, live ammunition and death quota!
Special places pay more attention to people's obedience and discipline. Moreover, hospitals also attach great importance to doctors' obedience and discipline. Obedience and discipline are not to mention qualities. These things are the product of power. But how can a place like a hospital not pay attention to discipline and obedience? No, when the epidemic comes, there is no usual training. Doctors and nurses take off their white coats and run away!
Why don't military hospitals be disbanded or reduce their staffing? This is the last line of health defense reserved by the country for the people or for the country! At critical moments, these people can be sacrificed at any time~! Don’t believe it yet! I'm not trying to argue, this industry is too special and you can't bear the slightest grievance, so don't do it, even sick people will make you angry to death!
