The plan for the year begins in spring. With the opening of trains and the increase in speed, the frontier is no longer so far away from the mainland.
Back then, Zhang Fan entered Xinjiang from Lanshi to Niaoshi and sat on a hard seat for twenty-six hours. Then he slept on the sleeper bus for a whole night before arriving. Then he took the line bus, which took more than four days. I arrived in Quaker County just hours later.
But now it takes about 20 hours directly from Lanshi to Chasu, which is really much more convenient. With convenient transportation, Xiaojiangnan beyond the Great Wall is certainly attractive.
A large number of immigrants came in, with the largest number of people coming from Sanchuan, Nanhe, Dongshan and Su provinces. With more people, the economy slowly begins to improve.
Of course, the number of hospital visits has also risen sharply. In previous years, the number of people in the outpatient clinic was not very large in the afternoon, but starting from this year, it suddenly seemed that there were not enough doctors in the hospital.
Every department is short of people. In particular, the surgical department is even more short of staff. Without surgery or rescue, one doctor can see many patients.
But once an operation is performed, at least two doctors are required. The doctors in the hospital are both happy and happy now. They have more patients and higher incomes, but they are also relatively tired.
In the past, when Zhang Fan and the others were undergoing surgery, they could normally have lunch or something in the lounge of the operating room, but now they have no time. Lunch can only be had at four or five o'clock in the afternoon.
Prefecture and county hospitals have shrunk so much that almost all patients have gone to tertiary hospitals.
"Doctor, I don't want to do surgery." A fat man from Sanchuan looked frustrated.
"If you don't do the surgery, there will be sequelae in the future." Xu Xian was visiting the orthopedics clinic.
"I just captured a restaurant, you little turtle, why are you carrying it like this!" The fat man's face was so painful that he was sweating, and his lips were turning white, but he just refused to have the operation.
He originally opened a restaurant in the south, but as the rent increased, the money he made became less and less. During the Chinese New Year, he heard from friends in his hometown that the food from the frontier was delicious and that opening a restaurant could make money, so he came to Chasu.
I just opened a small restaurant. Because of my good skills, I became very good at cooking boiled meat slices and boiled fish. It didn’t take long for me to make a lot of money. In order to improve myself, I borrowed a lot from here and there to build a bigger restaurant. Storefront restaurant.
I hired a fellow to do the decoration, but it turned out that the fellow was familiar with it and made a mess. I got angry in a hurry, and when I was moving things, I accidentally fell down the stairs, and then I put my hands on the ground, and my huge and fat weight immediately made a "click"!
The fat man cried out for his father and mother in pain, but he refused to undergo surgery. "You don't want to do surgery. The disadvantages of manual reduction are too great. Be obedient and do the surgery." Xu Xian spoke to the fat man like he was coaxing a child.
"No way, I won't do the surgery!" Xu Xian tried to persuade him for a long time, but the fat man finally said.
"I'll use the cheapest materials to make it for you. OK?" Xu Xian's mother is from Sanchuan, so he felt compassion. He was a fat man who thought the surgery was expensive.
"No, I can't do the operation." The fat man was desperate and risked his life for business. When you are unlucky, it really happens that the house leaks and it rains all night!
"Then what do you think we should do?" Xu Xian was at a loss.
"Give me a plaster. There was an old man in my hometown who did it like this." The fat man really didn't dare to be hospitalized and came here alone. He was afraid that if he was hospitalized, his unreliable fellow villager would vacate the store. .
"This is not a matter of putting on a plaster!"
"Please, doctor, you are so compassionate. Please help me. I really can't be hospitalized for surgery." The fat man was about to cry. His fleshy face didn't listen to his voice, so he thought he was laughing again.
He could only ask his superior doctor for instructions. You may not understand this. China has a first-diagnosis responsibility system, which is a very good system. Xu Xian had to ask his superiors for instructions.
The departments are becoming more and more detailed, and undergraduates can only learn a superficial level, or the basics. When I was a graduate student, I was assigned to a very specialized department. Regarding manual reduction, I could only learn it bit by bit from the teacher after work. However, in today's general environment, manual reduction has gradually declined.
The patient cannot wait for a long recovery time, and the hospital is afraid of accidents. The two go hand in hand, so when it is possible to do it or not, surgery is usually performed directly.
The director, Lao Gao, is currently busy going to government meetings and can't usually be found. The deputy director is undergoing surgery and can't be found, so he can only call the assistant director.
"Dr. Zhang, I have a Galeazzi type II fracture here. The patient refuses surgery. What should I do now?" Xu Xian called Zhang Fan.
Even if a regional tertiary hospital is at its peak under normal circumstances, there is no way to blame the patient. Even if there is no technical treatment, the patient must be given an explanation.
"how old?"
"Thirty-two years old."
"Okay, I'm here."
Zhang Fan was busy doing rounds in the department. There were more and more patients. The intern doctors were sometimes lazy and did not change dressings properly. As a result, one patient developed a postoperative infection and Zhang Fan had a big head.
This kind of thing cannot be blamed on other intern doctors. Who is the teacher and who is responsible. Wang Yanan took someone with him, but he didn't take it seriously, and this happened.
The intern doctor was a young man, and he was already trembling. "What's wrong with you? Don't you have time to see him every two days?" In the office, Zhang Fan was looking after Wang Yanan.
"There have been so many surgeries recently, and you didn't come in the afternoon. Xu Xian and I can't even write down the medical records. Now there are more than 40 patients, and I am too busy working overtime until ten o'clock every night." Wang Yanan said aggrievedly.
"Hi! If you can't finish the medical records, they'll fine you. This patient must be worried. I'll go to the medical office later to ask for help." Zhang Fan was speechless. There were too many patients.
"Debridement!" As soon as he finished speaking, Xu Xian called again. Now Zhang Fan is in pain and happy. He can perform surgeries casually, but there are also a lot of troubles in the department. "You prepare the debridement bag and wait for me to come back to do the debridement."
Zhang Fan quickly walked to the outpatient clinic and entered the office. "Dr. Zhang, look, this is the man. This is his X-ray."
"Why don't you have surgery?" Zhang Fan asked kindly. The other person's face was already deformed in pain.
"It can't be done. I want to do it too, and I want it to be done quickly. Hey! It can't be said. I have to keep an eye on the decoration every day. Doctor, please. Put a plaster on it to stop the pain!" Fatty Almost cried. He probably hated all his fellow villagers now.
"Reset the technique!" Zhang Fan said after carefully looking at the X-ray.
"This? Technique reset?" Xu Xian directly picked up the film and looked at it in disbelief.
"Yes! The lower reset handle of the C-arm." Zhang Fan said again.
Xu Xian glanced at the fat man's sick number, pulled Zhang Fan aside, and said, "I'm not married, and you're not married either. Do you really want to fight?"
"Hey! I don't want to fight, but when you look at him, he's crying in pain, and he doesn't want to do surgery. There must be something wrong. What do you think we should do?" Zhang Fan also whispered.
"Really?"
"Well, if you really don't want to do this, I won't force you. This patient will be treated by me." Zhang Fan looked down at the X-ray and did not force Xu Xian.
"Hey! Are you stupid, or am I stupid? Just do it, but Zhang Fan, let me tell you clearly, it will be very harmful. I am a teacher like this, and now I am lying in a box."
"It's not that daunting, it's not like we do it every day." Zhang Fan smiled and patted Xu Xian on the shoulder. He didn't expect that Xu Xian was actually willing to fight with him.
"Hey!~Okay, my Director Zhang!" Xu Xian curled his lips.
After notifying the operating room, Zhang Fan and Xu Xian took Fatty to the operating room.
"I won't do surgery!" The fat man looked at the operating room in pain and horror.
"No surgery!" Xu Xian said angrily. "Don't worry, we won't perform surgery on you. We will perform manual repositioning and then put a plaster on you." Zhang Fan explained.
The fat man gritted his teeth and followed them into the operating room. It was also in great pain!
