If there is a person whose ancestors have never been rich and have been hungry for eight lifetimes, he will never remember anything about the past, because there is nothing to remember or be proud of.
If his ancestors were rich and powerful, but when it was passed down to him, there would be nothing left. He had only heard about it but never seen it, so he would definitely be full of tangles in his heart.
Regardless of country or industry, this is actually the same as people or families. For example, for a shoulder joint dislocation, Western medicine requires at least two people to reset it. The doctor cannot be too old, and he will not be able to do it when he is old. But Chinese medicine, there are many old men, many old men, who can no longer walk steadily. But this kind of reset is too simple. One person and a chair can easily reset it.
Then there is the so-called selection of people. If there are no suitable people or other factors, fewer and fewer people will know these techniques, and eventually they will become legends. Medical care is not like other industries. The creation of a technique, the creation of a simple technique, may have been slowly discovered by several generations. If it is said to be lost, it will be lost.
Nowadays, science and technology are so advanced, but it is really difficult to copy many tips and empirical things without the guidance of predecessors. Moreover, the current medical system is different, and many doctors are unwilling to study or do not want to study it. Dare to innovate, anyway, just follow the textbooks, follow the annual medical standards, how to stipulate and treat, it is too difficult to break through!
Zhang Fan took this middle-aged woman in her thirties and forties and sat on the examination bed. "Take off your shirt first. I have to take a look. Can you take it off? If you can't, I have scissors here." After saying that, Zhang Fan suddenly felt something was wrong, as if he had said the wrong thing.
"It's okay, doctor, it's okay. No need for scissors." The woman gritted her teeth. She was already in severe pain, but moving her arms caused even more pain. Big beads of sweat seemed to fall directly on her head, splattering. It fell directly, really fell with a loud crash.
Ragged work clothes, big beads of sweat, enduring severe pain, why? This is the world, this is the world of adults, fight hard, fight bravely, I hope she can fight for a future, and I hope she can live her dream life soon.
"How did you get injured?" Zhang Fan knew at a glance that it was a dislocated shoulder joint. Shoulder dislocation is the most common joint dislocation in the whole body, accounting for about 50%.
Mainly, the shoulder joint is the joint with the widest range of motion. Moreover, because the shoulder joint lacks stability in its anatomical structure, the glenoid is small and shallow, the humeral head is large and round, and the joint capsule is loose, it is prone to dislocation.
In layman's terms, the head of the arm is a protruding ball, and the body has a shallow socket, and then the round head is buckled inside the shallow socket.
"The frame truck on the winch was pulling cement. The iron bars blocking the frame truck on the winch disappeared for some reason. As soon as the winch rose, the frame truck ran forward. She saw that the frame truck was about to fall, so she went to catch it. It was too melon-like. If she hadn't let go early, the carriage might have carried the ball down with her. She's really lucky."
A man who came with her had an angry tone, but looking at his strong support of the woman's body and his reddish eyes, you could tell that he cared for this woman.
"Are you her family member?" Zhang Fan asked.
"Yeah! I'm her man."
This infrastructure, I don’t know about the large ones, but the smaller ones seem to be like onions, contracted layer by layer. Anyway, the profit seems to be the same as an onion. For these workers, insurance and various benefits do not seem to be very complete.
"Come, come down. Lie down slowly. Hold on to me." After watching the movie, Zhang Fan said to the woman and the two men who came with him.
"You're so big, you're wearing a white sheet~~" The woman looked at the white sheets spread out on the examination bed and hesitated.
"Hey! How long has it been and you still worry about this? Lie down and hurry up." Zhang Fan was really moved. What moved people was not earth-shattering things, but rather these casual little details.
"You don't have a fracture, it's just a simple dislocation. It's okay. Lie down and I'll reset it for you."
"Yeah!" Even though Zhang Fan said it, the woman still hesitated and lay down carefully.
"It's done. Come over and put your hands on her shoulders. Press your hands together."
Shoulder joint dislocation first causes swelling and pain in the injured shoulder, and limited active and passive activities. What is visible to the naked eye is the collapse of the shoulder deltoid muscle, resulting in a square shoulder deformity. And if you ask him to touch his normal shoulder with his hand on the affected side, he can't touch it.
"Come on, bear with me for a while." As he spoke, Zhang Fan took off his shoes, grabbed the woman's dislocated arm and wrist with both hands, and stepped on the patient's armpit with his heel. The rehabilitation treatment provided in the system was based on massage by nurses in the early stages, and was completed in the county hospital.
Therefore, this kind of reset is too simple for Zhang Fan. Although it is simple, the technique is not the best because this system is based on Western medicine, not Chinese medicine. Therefore, reduction is also a Western medicine reduction method.
Continuous pulling, this pulling is to first let the muscles on the arms relax, use both hands to pull with steady and continuous force, and pull the heel to push the humeral head outward. Rotate at the same time and adduct the upper arm to restore the position. A sound can be heard when resetting
It sounds very simple, but this method won't be possible until the doctor gets older, and you won't be able to do it even if you pull a muscle.
Zhang Fan pulled and pulled, and when he felt it was about the same, he rotated his arm and pushed his humerus hard with his heel. He heard a "click", followed by a muffled groan from the woman.
"Okay, I'm recovered. Try it and touch your opposite shoulder." Zhang Fan put on his shoes and said to the woman.
"Well, okay, doctor." The woman moved slightly, and she was really healed.
"Don't worry, I have to tell you. Your injury was violent and must be fixed, otherwise it may become a habitual dislocation in the future."
"How to fix it?" the woman asked.
"It can be a triangular bandage or plaster. It will take at least three weeks, otherwise you won't be able to recover."
"Doctor, can you take some medicine? I can't do anything with this three-week fixation. It's too much for the baby and his father to work alone. Doctor, please." The woman didn't scream when she was in pain, nor when she was being reset. She called, but when she heard she couldn't work for three weeks, she became anxious.
"Listen to the doctor, don't you think about your arms anymore? Why can't I do it?" The man supported the woman, fearing that she would fall.
"Uh! It's best to fix this, otherwise there will be sequelae."
"But, the children and the elderly at home~~"
"Fixed, doctor, listen to me, I am the head of the family, fixed. Why is this woman so stubborn!"
"Ouch! Why is this happening? Why is this happening!" The woman began to cry as she spoke. Not afraid of pain, not afraid of hardship, but afraid of not being able to work. Why?
The people who can make these hard-hearted people the most emotional are children and self-reliant people. Zhang Fan rarely gets emotional after changing departments and practicing for a long time. As a result, the woman made her chest feel tight today.
"Don't cry yet, don't cry yet, I'll think about it, I'll think about it." Zhang Fan pinched the bridge of his nose and thought.
"There's nothing to worry about. If you can't do heavy work, you can still do light work. There is a shortage of cleaners here in the outpatient department. Do you want to do it? Just sweep and mop the floor, pick up garbage and so on." The head nurse of the outpatient department also said After speaking, the fat head nurse looked at such a self-reliant woman and wanted to help her.
"Do it, do it!" The woman looked at the head nurse with tears in her eyes, and quickly wiped her eyes with her earthy work clothes.
"The salary may not be high, only two thousand thirty-four, but you can buy these cardboard boxes and other things you packed up yourself, and there is also medical insurance."
"Thank you, thank you!" The woman ignored her arms and pulled her man to bow to the head nurse and Zhang Fan. She worked on a piece-rate basis at the construction site, which cost her just over two hundred a day. Now this is really a good thing.
"Haha, thank you, head nurse." Zhang Fan said with a smile.
"Thank you, fix it as soon as possible. Come back to work after a few days of rest. When the time comes, come directly to me." At this time, the fat head nurse became more and more kind.
The outpatient clinic is like a microcosm of society. All kinds of people use it, and all kinds of things can happen. In one day, Zhang Fan admitted seven or eight patients who were hospitalized and needed surgery. These surgical patients are all patients in their group.
Zhang Fan is busy at the outpatient clinic, and the doctors in the department are not idle either. Xue Fei and the others were handling admissions and discharges, and preparing for tomorrow's surgery. The work went by like this day by day.
As the weather gets hotter, government work is also being carried out in full swing. In previous years, the medical funds allocated by the state to Chasu City were not only used to buy! purchase! purchase! Other than that, almost everything was returned as is.
First, the leaders don't pay attention to it. Second, doctors in big hospitals in the city are tired and regard going to the countryside as drudgery. No one is willing to go. But this time it’s different. It’s an iron-blooded policy. Doctors who want to improve their professional title or position have to go to the countryside.
And because the funds for the western support this time are abundant, each department must send some backbones to support. In many cities or provinces, which are only about the size of a palm, it’s no problem to go there and come back the same day.
But the border area is not good. The tea area alone is larger than the territory of many provinces. Moreover, the highways here are not very smooth and the residents are scattered. Going to the countryside is not a good thing for doctors who have been in the city all year round.
It's time to select people, from inpatient to primary care, from associate to primary care, but these doctors are still a drop in the bucket for such a big place. But for this kind of thing, Ouyang has many ways.
Direct internal promotion, promotion of the so-called middle level, the middle level of the hospital is too nonsense, this thing is just a word from the dean, at the mobilization meeting for all employees.
"The country has given such favorable conditions and such strong support, but many doctors are afraid of going to the countryside. Can it be justified? Except for pregnant women and those with children under two years old, all other doctors and nurses are on the list of candidates. . Don’t talk to me about any difficulties. No matter how difficult it is for you, is it difficult for a doctor who has been in the pastoral area for thirty years?"
In the age of Lao Huang, you can still find ways to communicate, or work against it. In the Ouyang era, it was impossible to change things at all, so the old lady directly became steel. After the mobilization meeting was held, administrative orders for department staff came down.
Many departments have promoted deputy directors, and in the past, departments did not have hospital chiefs. This position is actually learned from the United States. In recent years, it has gradually become popular in China. In fact, it is just one sentence, let You see more doctors, do more surgeries, and improve quickly!
In the Department of Orthopedics, Zhang Fan could not escape from becoming the chief resident. Zhang Fan had long expected this. Ouyang couldn't stand the idea of him visiting acupuncture points and setting up a private hospital for a long time, so he just pushed Zhang Fan forward this time.
In the past, although Huaguo's departments were tertiary diagnosis and treatment, the competition for positions in this department was a bit chaotic. With the development of the economy, the medical industry has begun to become more formal.
If you want to be a dean, you must first be a department director; if you want to be a department director, you must first be a resident general. Although there are disadvantages, this kind of rule-based thing is considered fair, and it is no longer a random decision or the Eight Immortals crossing the sea.
Got home in the evening and had dinner. Zhang Fan and Shao Hua went for a walk outside. They hadn't walked like this for a long time. Walking on the street, Shao Hua's hair danced in the breeze.
"I'm going to the countryside. I'm sorry. It's up to you to decorate the house and buy furniture. I can't take care of it." Zhang Fan held Shao Hua's hand.
"It's okay. If you don't go to the countryside, you won't care. Where are you going? How long will it take." Shao Hua curled his lips slightly. He had no choice. What could he do if his lover had such a job?
"I don't know yet. Hua!" Walking under the flower bed on the street, Zhang Fan gently hugged Shao Hua.
"What's wrong?" Shao Hua snuggled into Zhang Fan's arms.
"When I come back from the countryside, let's get married!" Zhang Fan said softly.
"Okay!" Shao Hua closed his eyes gently, feeling the heartbeat of his lover.
As the sun sets, the two drag their long figures strolling down the street. "Getting married doesn't just mean getting married. Look, the house hasn't been packed yet, there's no furniture, and uncles and aunts haven't come yet. There are still a lot of things to do." Shao Hua pulled Zhang Fan in Tell Zhang Fan one thing at a time.
"Well, let's settle one thing at a time. My parents, hey! The immortal is so harmful to people." Zhang Fan sighed helplessly.
"Haha, it's okay. Slowly communicate with the old man. My uncle and aunt are very reasonable." Shao Hua comforted Zhang Fan.
With the various adjustments of the hospital, the list of personnel going to the countryside has also been reduced. There are more than 20 doctors and more than 20 nurses. The hospital gave these personnel two days off to prepare.
This trip to the countryside will last for three months. Accompanied by government personnel, all remote areas will be transferred. Unsurprisingly, Zhang Fan was also on the list, and he and Lu Shuyan from the Department of Gynecology were the youngest.
Lu Shuyan has a good academic background and has solid work in gynecology, and her skills have improved rapidly. This time she was also promoted to the chief resident of gynecology.
More than 20 doctors were divided into five groups. Zhang Fan and Lu Shuyan were in one group, assigned two doctors who were going to be promoted to chief physicians, and then assigned four nurses. A medical team was established.
Everything is ready and ready to go!
