The surgeries are performed one after another, and the technique is improved bit by bit. Sometimes, when you feel that you are very well prepared, it turns out that it is completely different. Other industries may allow you to try it many times, but this is not possible in the medical industry. This industry requires too high a fault tolerance rate.
After performing an operation on a black man, Zhang Fan no longer needs to worry about the follow-up matters. There are people rushing to do everything. It seems that the doctors at the Hand and Foot Hospital have an even greater sense of crisis. In fact, this is not the case. The competition here is just a primary competition, and the real competition is still within the system. As a saying goes, it is easy to get along within the system but not easy to get along.
It's easy to live in, as long as you don't have too high requirements, and your end-point requirement for this career is retirement. It's really easy to live in. If you work as a monk for a day, and then keep a low profile, your whole life will pass. It is also very difficult to mix well. Although the degree of freedom in society is very high now, there are too many rules and regulations in the system to restrict you. Moreover, there are a large group of smart people gathered here, and the competition is very cruel. . There are different methods, and it is really not easy to rise within the system.
Zhang Fan's ability to survive this primary competition early was due to luck. For Zhang Fan, it was really an eye-opener. If Zhang Fan had stayed in a big hospital in a big city as soon as he had the system, Zhang Fan's growth would never have been as high as it is now. I guess I still have to do sutures, transfer departments, and write medical records now.
This special place gave Zhang Fan an environment to display his talents. When there is heavy snow and the mountains are closed, and the patient’s calls are unresponsive, having a doctor who can stand up is a life-saving straw for the patient. There is no such thing as being young or not. Then, in order to improve the medical level in the west, Zhang Fan made the Blue Bird trip. Therefore, Zhang Fan can be regarded as taking off at the forefront.
Many, many things, especially successful things, when you recall them carefully, there must be something special about it. The right time, right place, right people, this thing is really not just something you hear, but when you can understand this special thing, Maybe I am no longer young and youthful, so I can only remember it.
After the operation, it was only two or three o'clock in the afternoon. This point was also just when we were having lunch in Borderland, because the Hand and Foot Hospital was getting more and more famous. Although it was next to the Maternity and Children's Hospital, its reputation had begun to surpass that of the Maternity and Children's Hospital. People didn't talk about the Maternity and Children's Hospital, but they said it was the Hand and Foot Hospital. No matter where it is, a snack street specializing in selling food has gradually formed in the surrounding area. What was once a silent place has become a noisy place.
Monday's ward rounds, the difference between internal medicine and surgery can be understood from the ward rounds. During internal medicine ward rounds, some directors, especially those who are top academics, will ask a question about the principles of the disease, covering everything from physiology, tissue culture, and medical records. But surgery is different.
"This patient was admitted to the hospital yesterday. He accidentally fell and suffered a femoral head fracture." The resident doctor or attending physician reported the condition.
"Complete relevant examinations as soon as possible, and arrange surgery when vital signs are stable." This is the director.
It's as simple as that. It's not that surgery doesn't pay attention to principles, but that it's impossible to pay attention to principles. Most diseases in surgery are considered acute diseases, while most diseases in internal medicine are chronic diseases. Acute diseases have a beginning and an end, while chronic diseases often only have a beginning. Therefore, internal medicine must master the principles and then find ways to stop or slow down the progression of the disease.
If you want to find a surgeon, you should go find him early, before he performs the operation. If you enter the operating room, you will have to wait. Although Shao Hua knew that Zhang Fan was busy, she didn't know that Zhang Fan was so busy. After Shao Hua arrived at the unit in the morning, her colleague Bai Yintibu came to see her.
After Shao Hua finished handling the work at hand, she and Baiyintib brought her relatives to the hospital to find Zhang Fan. As a result, when I went to the department, there were only a few young-looking doctors, and no other doctors could be found. "Hello, could you please ask if Zhang Fan is here?" Shao Hua happened to ask Xiao Li. Everyone else in Zhang Fan's group had gone to surgery.
"Doctor Zhang is undergoing surgery." Xiao Li was too busy to talk.
"Please ask when he will finish his work."
"I don't know." This can't be blamed on Xiao Li. The number of people who come to the department to see a doctor in a day is not even 100 but 50, so he is not very enthusiastic. Besides, most of the people who could find the department were through the back door, and she wasn't very enthusiastic.
"Thank you." Shao Hua looked a little embarrassed. She turned to Bai Yintibu and her sister and said, "It's all my fault. I didn't agree with Zhang Fan yesterday. I'll call him."
"It's okay. Let's wait for a while. How can I blame you? I just told you this morning. Let's not call you now. We'll just wait." The doctors in the office were busier than the other and ignored them. , Shao Hua was too embarrassed to wait for someone in the office. Just sit on the stools outside the department with Baiyintibu and the others and wait.
After waiting for more than an hour, Shao Hua and the others did not see any doctor come to the department, but they did see several patients who had undergone operations being sent to the ward. Shao Hua looked at the a little irritable child and called Zhang Fan. This was the first time she called Zhang Fan while he was at work. "Hello, Dr. Zhang is performing an operation. Who are you and what do you need?" The person who answered the phone was a circulating nurse.
After mobile phones became popular, hospitals for a period of time enforced a rule that doctors were not allowed to bring mobile phones to surgeries, but this rule could not be enforced. As a last resort, it was stipulated that when a doctor performs an operation, the call must be transferred by a nurse.
"Hello, please tell Zhang Fan that I am Shao Hua. I have a patient who I would like to ask him to take a look at." Shao Hua broke into a cold sweat. She didn't expect that Zhang Fan and the others were so busy that they couldn't even answer the phone. .
"Doctor Zhang, a man named Shao Hua said there is a patient he wants you to take a look at." After holding the phone, the traveling nurse said to Zhang Fan.
"Tell her to wait." Zhang Fan said without raising his head, nor did he explain anything to the traveling nurse, because he was performing surgery!
But this time the roving nurse sounded much more polite, "Hello, Dr. Zhang said he can come out at noon. Please wait." The roving nurse explained specifically.
"Okay, thank you!" After hanging up the phone, Shao Hua explained to Bai Yintibu, and then continued to wait boringly.
"The doctor is really busy. You see, the doctor here has not been idle all morning." Baiyintibu was afraid that Shao Hua would be embarrassed, so he chatted with Shao Hua. In fact, Shao Hua was not embarrassed at all, nor did he feel that he had lost face. Instead, he felt a little sorry for Zhang Fan. He was like a criminal in the morning and didn't even have any freedom.
"Yeah, it's not easy to be a doctor."
In the operating room, Zhang Fan, Shao Hua, Xue Fei and Jiang Nini were performing an operation on a humeral fracture. Originally, three doctors were enough for the surgery, but Jiang Nini also wanted to experience it, so the number of surgeons became four.
After the circulating nurse hung up the phone, because she had some qualifications, she gossiped, "Dr. Zhang, who is Shao Hua? He sounds quite young to me."
"My partner!" Zhang Fan replied.
Wang Yanan answered: "What's wrong with Shao Hua?"
"It's okay, her colleague's child wants to see me." Zhang Fan probably stopped talking and continued to perform the surgery cautiously. Normally, Zhang Fan would always smile before saying anything when meeting people, but once he was undergoing surgery, he was as serious as a leader.
Zhang Fan didn't speak, but he couldn't stop others from gossiping. The surgery was not a big one, but the air pressure in the operating room that Zhang Fan made was extremely low.
"Zhang Fan, you have a girlfriend?" Jiang Nini said in surprise. Although the face is covered with a mask, you can imagine that this girl's mouth is open.
"Haha, what, do you have evil intentions towards our Zhang Fan?" Xue Fei didn't like having surgery with Zhang Fan. He was so bored that he didn't even say anything.
"No, no, I'm just curious." Jiang Nini explained quickly.
Senior doctors are still a little reserved about Zhang Fan's deeds, but among the newly admitted transfer doctors, Zhang Fan is a role model. He is extremely skilled and has already made a name for himself not long after entering the hospital. The most important thing is that he drives a luxury car to and from get off work. Although cars have become popular, the car driven by Zhang Fan is the best among all hospitals.
Because you are excellent, you will be noticed. Especially young girls and boys of this age are faced with starting a family and starting a business, and both men and women are actually making choices.
"Haha! It doesn't matter, he's not married anyway!" Xue Fei was here after all. When he heard this, he felt that the little girl was a little too stressed, so he looked at Zhang Fan and smiled. Did Zhang Fan hear their conversation? He heard it, but it didn't enter his mind. It's just meaningless noise that doesn't make any difference.
Shao Hua is Wang Yanan's classmate, and they have a very good relationship now. They are already considered best friends. As soon as she heard Xue Fei's words, she said: "Zhang Fan and Shao Hua are getting married."
"Aren't you not married?" Xue Fei and Wang Yanan loved to quarrel, and Jiang Nini grabbed the retractor and stopped talking.
"Stop the bleeding!" Zhang Fan got annoyed and raised his voice a little louder.
Zhang Fan stopped the two of them directly. The two were like enemies. They met early and bickered over nothing. Hemostasis, fixation, cleaning. The biggest and most serious complication of orthopedic surgery, especially fractures of large bones, is fat embolism. This complication is so serious that it cannot be prevented. All the doctor can do is flush, which is a comfort, and the effect is not obvious. , it’s really hard to say.
"Gypsum." After the operation was completed and sutured and bandaged, Zhang Fan began to put on the plaster.
"You go down first, Shao Hua has been waiting all morning." Wang Yanan said.
"It's okay, it won't happen right now." Zhang Fan finished putting on the plaster himself and then began to take off his surgical gown.
This operation was the last operation of their group today. After the operation, Zhang Fan hurriedly left the operating room without even taking a shower. Xue Fei said mockingly: "Aren't you in a hurry? You're running away from Maomao."
"Do you care?" Before he could even finish his words, Zhang Fanren had already gone out. You can't talk seriously with Xue Fei, but it's easy this way. When Zhang Fan arrived at the department, Wang Yanan and Jiang Nini also came down. There were too many people in the girls' bathroom because there were many female nurses in the operating room and they had to queue up.
When Shao Hua saw Zhang Fan appearing at the entrance of the corridor, he stood up with a smile. When Bai Yintibu saw the tall male doctor in the distance, he knew that this was Shao Hua's boyfriend, Dr. Zhang, and he stood up.
"Shao Hua, Manager Bai, I'm sorry to keep you waiting for so long." Zhang Fan said with a smile, and then nodded to Manager Bai's sister and child.
"It's okay, there's no need to rush. We just had the surgery, so you should rest for a while." Manager Bai said politely.
"No, come on, let's sit down and talk in the office." Zhang Fan led Shao Hua and the others into the office. If he hadn't been in the office, Shao Hua would have really wanted to slowly stroke away the hat mark on Zhang Fan's forehead and the mark left by the mask laces on his face. This is a lover. She pays more attention to his hard work than the beauty of her sweetheart.
"Where is your water glass? I'll get you some water." Shao Hua looked at Zhang Fan's white and dry lips and said.
"There is water, please sit down first. Xiao Li, please give me some paper cups." Zhang Fan greeted Xiao Li. In other words, Xiao Li had no intention of doing surgery. Otherwise, Zhang Fan wouldn't have to greet him. He would have been busy pouring water and helping Zhang Fan greet him. This is the tragedy or lack of so-called dignity of young surgeons. If you want to learn skills and learn the experience of old doctors, you must first take off your face and put it in your pocket.
Shao Hua and Jiang Nini also came to the office after a while, "Shao Hua! You didn't say hello in advance when you came. You must have been waiting all morning. Zhang Fan is serious. I won't tell you. We just do the surgery in the morning. You can't get out." Wang Yanan took Shao Hua's hand enthusiastically, glanced at Zhang Fan, and hugged him for his good friend.
"It's okay. Look at you. You have the same mark on your face as Zhang Fan. Does it hurt?" Shao Hua couldn't ask Zhang Fan, but he could ask Wang Yanan. The marks on Wang Yanan's fair and tender face were even more obvious.
"It's okay, I'm used to it. This is~~" Wang Yanan glanced at Baiyin Tibu and the others and asked quietly.
"He came to Zhang Fan for medical treatment. I don't know the details." The two of them whispered a few words. Then they gathered around Zhang Fan and watched Zhang Fan treat the child.
Jiang Nini stood at the computer desk three meters away, glanced at Shao Hua, and said secretly in her heart: "He just has a better temperament!"
"Who is this woman?" Xiao Li asked Jiang Nini when he saw that Shao Hua and Wang Yanan looked familiar.
"Look for Zhang Fan to see a doctor through the back door!" Jiang Nini said.
"Dr. Zhang is really amazing. He's starting to use the back door!"
Baiyin Tibu is a Mongolian. How should I put it? There are many ethnic groups in the border areas, and there are also many languages. Not counting Chinese, there are at least four or five languages in circulation. I don’t know how other ethnic groups are. In terms of this language, the Mongolians are very powerful, and many Mongolians can use it proficiently. Five or six languages, and they can be switched very easily, such as Batu. This makes Zhang Fan very envious. He has been in the border area for more than two years, and he still can't understand the languages of other ethnic groups. He is also born without a language. talent.
Although Baiyin Tibu was so strong that the white shirt of the bank uniform was so stretched that it almost opened his mouth, he could still bear it. Her sister was in trouble. Before anyone came near, the smell of butter came over her. Now the pasture is not short of food or clothing, but it is short of water.
"Doctor Zhang, please take a look at this little kid." Baiyin Tibu pushed over a little baby that looked like oily eggs.
The child was not timid either, looking curiously at the stethoscope on Zhang Fan's chest with his big eyes open. He looked at Zhang Fan's diagnostic device, and Zhang Fan looked at him again.
There is obvious inconsistency between the shoulders, one is higher and the other is lower. "Does it hurt?" Zhang Fan gently pressed the child's shoulder while observing his expression. Children are different from adults, especially children aged six or seven. Because they are worried about injections and medicines, they sometimes lie to the doctor. Therefore, you must pay attention to his expression at this time.
"Come and take off your clothes." Zhang Fan said. Baiyintib and her sister hurriedly undressed the child. People in the city dress according to the climate. There are spring clothes in spring and summer clothes in summer, but this is not possible in the grassland. Even if it’s June, sometimes there might be heavy snowfall. So they wore a lot of clothes. Baiyin Tibu and the others were like peeling an onion. It took them a long time to take off the little boy's clothes.
Zhang Fan spread his hands like cattail fans and placed them against the child's chest wall along his ribs, connecting his thumbs. What kind of posture is this? This single guy may not understand it. Those who are in love can think about it. "Breathe in! Breathe out!" Zhang Fan felt the changes in the child's chest with his hands as he breathed.
"Okay, come and put on your clothes, don't catch a cold." After saying that, Zhang Fan frowned inadvertently. No one else noticed, but Shao Hua knew Zhang Fan too well, and Zhang Fan's expression meant that things were troublesome.
"How are you doing, Doctor Zhang?" Baiyintibu and her sister asked softly, staring at Zhang Fan.
