Sometimes, especially in some special industries, you can be cold and cold to strangers, but you can't say you are warm to people in your own system. At least you will be polite. A capable medical representative may not need to have a high IQ, but his emotional intelligence must definitely be high.
A bunch of doctors didn't complain about Manager Sun. He didn't care at all. He kept smiling and didn't take the initiative to go to anyone to clink glasses. He just did his job of serving tea and pouring water. A dignified regional manager , who can do this is really not an ordinary person. There are many, many people who, no matter how hard it is, ask him to humiliate him and refuse to go. In this world where money leads the way, who is right and who is wrong? All right, as long as you can ensure the lives of your parents and children. World peace and global warming really have little to do with us.
Zhang Fan is also learning, how to treat others, and behave within the industry. These are all indispensable knowledge. This is a complete social person. Without these preparations, it is really impossible to go far. However, the learning here is just learning, not addiction, not chasing after it at the expense of others. You don’t need to master it if you understand it.
Bart's various laboratory tests were also completed. After the ward rounds in the morning, when he returned to the department office, Lao Gao looked at Bart's inspection report and pondered for a long time without saying a word. He also thought about the surgical plan. He didn't say anything for a long time. Finally, he put down the checklist and said to Zhang Fan: "Be cautious. You really need to be cautious about this surgery. How about we discuss it more."
Regarding Lao Gao, Zhang Fan had nothing to worry about. One person said, "Director, this operation is a bit difficult, but as long as you and Director Wang help me, it won't be a big problem."
"Do you have a detailed plan?"
"Um!"
"The way forward? The way back?"
"The damage to the back road and the front road is a bit big." Zhang Fan said to Lao Gao.
"The posterior approach! The posterior approach is a bit more difficult. This operation is really too troublesome, and you won't be able to tell whether it failed or succeeded in a short time." Lao Gao stared at Bart's film and touched his chin, which had turned blue after being shaved.
This surgery is so awkward. The spinal correction is not a fracture. Whether it is successful or not cannot be seen immediately. Moreover, if the doctor's skill is not high or his judgment is wrong, as the child grows and develops, not only will the deformity not be corrected, , will also aggravate the deformity.
"Performing surgery now is the best chance for this child. The older you get, the worse the effect will be." Zhang Fan emphasized.
"I know, let's do this. Estimate the risks of the operation first, and then discuss the situation clearly with the family members. The future risks and current risks must be clearly explained. If necessary, please ask a pediatrician or internal medicine doctor for consultation." Lao Gao was afraid of Zhang. Anyone who has no experience can clearly explain everything that should be thought of.
"Okay. I'll ask for a consultation in the afternoon."
"Yeah. I'm going to the clinic. If you have anything to do, call me."
Zhang Fan had to handle these matters himself. Other doctors couldn't explain it clearly, so he didn't feel at ease. And these things must be done after the operation is completed, and the treatment of other patients cannot be delayed because of one patient. This is why we usually see doctors in hospitals seem to be very busy. Once there is a patient with a special or serious condition, the doctor can be busy without touching the ground.
In the morning, there was an operation for a broken clavicle, and the fall caused the fracture. The fracture wasn't very severe, it was just an oblique fracture, with almost no bone fragments, just an obvious broken end. This kind of surgery is suitable for Wang Yanan to practice. Orthopedic surgeons pay great attention to clavicle fractures. If you relax even a little bit, it might be snatched away by a thoracic surgeon. Orthopedic surgeons are not at a disadvantage either, and those with broken ribs outside the chest are not spared either.
"Attention, when fixing, you must pay attention to the underlying lung tissue. No matter whether you are sure or not, you must take protective measures." Zhang Fan acted as an assistant, but he still took the trouble to emphasize the matters that need to be paid attention to during the operation.
You may think it is unnecessary. In fact, this is not the case. The medical industry attaches great importance to the consolidation of knowledge. If you don’t consolidate it yourself, the hospital will help you consolidate it. There are exams every three to four months, from basic exams to subject exams. It’s just that little thing over and over again, and I’m afraid you’ll never forget it, and the results are linked to your performance pay.
This is the case in the medical industry, only being more skilled is not the most skilled. Life is endless, and studying for exams will never stop. When undergoing surgery, the superior is the superior. Although Zhang Fan and Wang Yanan are both residents, Zhang Fan is Wang Yanan's superior doctor at this time.
In the afternoon, Zhang Fan started Bart's preoperative preparations. Everything went according to normal procedures, and the pediatrician was first invited for consultation. Although the pediatrician didn't say anything, he just wrote on the medical record: The child's current vital signs are stable, and the spinal deformity is obvious. The current condition can be treated with relevant symptomatic treatment. If you have special circumstances, please contact our department, thank you! Just such a nonsense sentence, not even mentioning the surgery, but just this nonsense sentence, if it is not reflected in the medical record, even if it is an unqualified medical record, this will be a problem when the superiors are looking for faults, why is there no pediatric consultation?
Then we invite people from the respiratory department and cardiology department for consultation. The bigger the operation, the more complete the medical records must be. Even if the other party is talking nonsense, we still have to invite them to come and say it. This is the responsibility of the patient and the protection of the doctor. Ren Li and Ouyang came for cardiology consultation. The old lady had already greeted Ren Li.
"Is there any precedent for this kind of surgery in the city hospital?" When Ouyang came, Lao Gao also came out to greet him. The old lady asked, flipping through the medical records. Although he was not asked by name, everyone knew that he was asking Lao Gao.
"Dean, I haven't done it."
"Well, it can be regarded as expanding the department's business, but we can't be radical. Zhang Fan, go and invite Director Wang from the Second Department of Orthopedics, Director Chen from the Third Department of Orthopedics, the Director of Anesthesia in the operating room, the Director of Pediatrics, and the Director of the Medical Department. Come here, everyone is here, let’s discuss it.”
"Yes!" Zhang Fan turned around and went to the nurse's station to make a call. This is a characteristic of the hospital. Personal matters are communicated through mobile phones, and official matters are generally communicated through internal telephones. I don’t know how it was passed down. Although the phone bill is not much, and the hospital reimburses it, it is like this. As long as it is official business, it is usually through internal phone calls within the hospital.
Lao Wang and Lao Chen arrived within a few minutes. The three departments of the Orthopedics Department are all connected, and the three connected floors of the Surgery Building belong to the Orthopedics system. Ever since Zhang Fan showed the film of this patient to Lao Wang, Lao Wang was immediately stunned. I couldn't pay attention to other things anymore. I was obsessed with watching movies every day, thinking about surgery plans, and looking for information, and I almost had a nervous breakdown.
People are like this. If this operation was performed by a higher-level hospital, or as long as it was not done by a doctor like Chasu, Lao Wang would probably not be so concerned about it, but if it was done by Chasu or a doctor he was familiar with, He was anxious about the surgery. Why, if he can do it, why can’t I, Lao Wang? The old man had been tortured quite badly by Zhang Fan. He couldn't eat or drink well these days. He really didn't think about the plan before eating or drinking.
"Everyone is here, right? Director Gao, please make arrangements." After several directors from other departments arrived, Ouyang said to Lao Gao.
"Okay, Zhang Fan is your patient. Please introduce him to everyone." Lao Gao said to Zhang Fan.
"Dear leaders and experts, three days ago, our department admitted a six-month-old child. After examination, the diagnosis was clear: mixed congenital spinal deformity. The laboratory examination and physical examination were consistent with and supported the diagnosis. The patient Currently, there are no related complications due to his young age. However, in order to protect and avoid future complications, our department plans to perform orthopedic surgery for spinal deformity. However, considering the young age of the child, the time of the operation, and the fact that he is bedridden after the operation It will take a long time, so experts from various disciplines are invited for consultation." In the office of the Department of Orthopedics, Zhang Fan stood up and said without even looking at the medical records. The director of the medical department took notes personally because the dean attended.
After hearing this, Ouyang nodded involuntarily, and then said to the doctors present: "Let's discuss whether to do this operation. Do it, how to do it, not to do it, why not to do it. Let's talk about it. From Wang Yanan's side Start taking turns."
Except for the doctors from the Department of Orthopedics, all the other doctors present were expert-level doctors, so it was the junior doctors who spoke first.
"The child's vital signs are stable and the diagnosis is clear, so I think it can be done." After Wang Yanan finished speaking, he sat down.
"You don't have to stand up, just sit down and talk, saving time." Ouyang added after seeing Wang Yanan sit down.
The little doctor couldn't tell me anything, he just talked about the examination and physical signs in the medical record. The director of the third department of orthopedics soon arrived. After Chen Qi stared at the film for a long time, he said: "It's difficult. The operation is not easy. The patient's body is immature and there are no obvious symptoms yet. It's hard to judge the postoperative effect. Can it be slowed down first?" ?”
What Lao Chen means is that if the child has no symptoms, what should be done if abnormalities or discomfort occur during the operation. Although it is a bit conservative, it is still an old city suggestion. After all, this is a person, not an object.
After Lao Chen finished speaking, the two orthopedic directors frowned but said nothing. Ouyang didn't know whether the directors of cardiology and pediatrics had evaluated the patient's tolerance from their own departments and had not issued clear recommendations on whether to undergo surgical treatment. The director of the anesthesiology department clearly stated that the child could tolerate surgical anesthesia, and then the speech ended.
It was the turn of the director of the Second Department of Orthopedics. After stroking his scanty hair, the old man said: "It can be done. Although the child has no obvious symptoms at present, if conservative treatment is given, there will definitely be obvious symptoms within a year." The qualitative change is that if we perform surgery at that time, it is just a way to make up for it. And I have read many relevant papers and medical records, and as long as we make full plans, we can perform surgery."
"Are there many hospitals like this in Bird City?" Ouyang asked.
"Not much, but you can't say none."
"What if?"
"The earliest one was a similar operation five years ago. The effect was unknown. I called the surgeon at the higher-level hospital. The patient left the border after the operation, and the follow-up visit was never continued." Spine is Lao Wang's specialty after all. , so be very clear about these things.
"Director Gao, tell me." Ouyang said to Lao Gao after listening.
"It can be done. The reasons have been mentioned by the doctors before, so I don't need to go into details. But how to do it needs to be discussed."
Zhang Fan had already made it clear that surgery was feasible when he introduced his condition, so there was no need to comment. Ouyang made a decision directly: "Since all the experts support surgical treatment, it is an orthopedic disease, and it is Dr. Zhang's disease. Director Gao, Director Wang, and Dr. Zhang, the three of you will book a surgical plan and submit it to the medical office. Three Is there enough time in the day?”
"Yes!" The person whose name was called agreed unanimously.
This is Ouyang's method. This is an administrative order. You can argue. Anyway, I have set the time. No matter how you argue within three days, you must give me an explanation and a plan.
"Okay, let's break up the meeting." After saying that, Ouyang went out first!
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