After the operation was completed, Zhang Fan and the director of general surgery performed the operation. The head nurse quickly came over and said, "Yuan Zhang, the director called and asked you to go to the administration building."
"Did you say something?" Zhang Fan was a little confused. Since becoming the assistant to the dean, Ouyang rarely assigned Zhang Fan to do anything.
"I didn't say anything. I just told you to hurry over after the operation." The head nurse looked at Zhang Fan with envy. She also wanted to go, but the director wouldn't let her!
"Director Zhao, I'm going to take a look first. You keep a closer eye, I'm afraid the patient can't help but eat secretly." Zhang Fan explained to the director of the general surgery department again.
"Go ahead! Don't worry, it's okay. I'm watching."
Doctors are like this. They need to treat the symptoms carefully before surgery and be careful after surgery. For many patients, when they feel uncomfortable before surgery, they do whatever the doctor says and behave like children in the middle class of kindergarten.
But once the operation is over, I feel less uncomfortable, as if I have recovered, and I suddenly become a junior high school graduating class student. I will do whatever you don’t let me do, and I will do it secretly! This kind of disease is also a headache for doctors.
After Zhang Fan explained something, he quickly walked to the administration building. When I knocked on the office door, it was rare to see the hospital secretary also in the president's office. Lao Gao, several vice presidents, and Ren Li were all there. The only person missing from the hospital's management team was Zhang Fan.
"Have you had surgery?" Ouyang asked after seeing Zhang Fan.
"Well, I just got out of surgery." Zhang Fan didn't ask what he was going to do. The leader told you that there must be something wrong, so it would be wrong to ask.
He must have been waiting for a while. The secretary was a little unhappy and said to Zhang Fan with a smile, "When you are a leader, you should do as little physical work as possible and think more about ideological matters."
What he may mean is that leaders should be more pragmatic, control the route, and be a good leader.
Before he finished speaking, Ouyang said directly: "A hospital is a place for treatment. If you don't see a doctor or perform an operation, how can you be a hospital leader!" The secretary choked to death.
Although he and Ouyang are at the same level, he is the chief and he is the deputy! The secretary's hand squeezed again and again, wanting to take out the notebook immediately.
"Let's go to the meeting. Zhang Fan, I'll take your car." Ouyang Lin said again when he left the house. "Hey! Okay."
"Dean, what's going on? Everyone has to go to the meeting." It was much easier to talk when it was just him and the dean.
"The superiors have made it clear that a new city will be established on the edge of the bonded zone. Who will lead the hospital in the new city? There has been competition between the leaders who support the traditional Chinese medicine hospital and the leaders who support our hospital.
The leaders above were also very controversial, but in the end they let our hospital take the lead and establish a branch hospital in the future. That’s what I’m going to talk about this time. "Ouyang sat in the passenger seat and told the whole story.
Among the hospital leaders, not to mention Zhang Fan, not even the secretary knew. Only Ouyang knew.
"Oh." Zhang Fan listened for a moment and didn't take it seriously. Ouyang glanced at Zhang Fan, "Why are there no reactions at all?" Ouyang asked Zhang Fan with a smile.
"Ah, what's there to say? Besides, the city hasn't been built yet, and it's still early for the hospital." Zhang Fan was a little confused.
"Haha, you, I don't know what to say about you. After God opened the door to your technology, it closed the other windows." Ouyang smiled and said nothing, looking out the window. I don’t know what to think about anymore.
After a moment of silence, Ouyang suddenly said: "By the way, there is one more thing. Just know it, and don't spread it out."
"Yeah!" Zhang Fan agreed.
"Someone reported it to the hospital. If you have anything dirty, please worry about it yourself." Ouyang said in a nonchalant manner.
"What? Report what?"
"As long as you know it yourself, we still don't know what will happen." Ouyang can only say this step. It is up to Zhang Fan to understand the details.
"Oh! Okay." Zhang Fan had nothing to report anyway, and he didn't take it seriously.
Zhang Fan participated in a government meeting as a hospital leadership team for the first time. The specific environment and solemn atmosphere cannot help you not pay attention to it, and you cannot help you not be nervous.
In the conference room, a big national flag and a big party flag were hung in front. Everything was so solemn, even the chairs in the conference room were arranged in a line.
Zhang Fan sits at the end of the office, next to him is Ren Li. After taking their seats, everyone took out their notebooks. At this time, Zhang Fan was embarrassed, he didn't bring anything!
"Secretary Ren, do you need to take notes for this meeting?" Zhang Fan asked sheepishly.
"That's all you want. You didn't bring a notebook, so I'll give you one." Ren Li handed Zhang Fan a notebook.
"Thank you, thank you secretary." Others are holding notebooks, but if you don't put one in front of you, it will look weird. Although the leader did not ask for it.
During the meeting, for some reason, the superior leaders would not talk about things directly by name. They would talk about thoughts first, and then talk about how to fight if there are difficulties.
The last thing was about the construction of the future new urban hospital. Speeches were made one after another. Zhang Fan, who was sitting in the corner, felt dizzy. Judging from the situation, Zhang Fan was not the material to be an official.
After staying up for a long time, Zhang Fan directly entered the system after seeing that the leader would not take the roll. Becoming the assistant to the dean was not without its benefits. First of all, the operation progressed much faster.
The required progress for general surgery is almost over halfway. “If we give it a little more time, we will probably be able to complete general surgery, and then we can open new subjects!”
Zhang Fan was a little excited when he saw the progress. The pit of general surgery was too difficult to fill. There are too many sub-projects, from head to toe, there are almost all minor subjects of general surgery.
The current system is all about surgical tutorials, covering various surgical procedures, such as appendix. The system only clarifies how to perform various types of appendix surgeries, but it does not explain how the appendix is formed.
For example, tumors can also be eradicated by surgical treatment, and there is no reason for the evolution of cancer cells. In other words, the current system is nothing more than a technical platform.
After a simulated surgery, "I don't know what the system's secondary subjects will be after all the basic subjects are completed!" Zhang Fan thought with emotion.
Along the way, Zhang Fan's life has improved a lot because of the system. So far, Zhang Fan's worry about gains and losses has slowly diminished a lot.
Two years ago, Zhang Fan was worried all the time. He was always worried that the system would suddenly disappear. He was deeply afraid that when he woke up, everything would be like a dream, so Zhang Fan forced himself to have liver removal and tried every means to find an operation. , to improve their surgical skills.
With the improvement of technology, Zhang Fan's mentality has slowly changed now, and he is no longer as anxious as before. Although the technology has improved a lot, Zhang Fan did not relax about the system upgrade, but became more and more curious.
"This meeting is confidential!" Zhang Fan remembered this sentence in his mind. "It's all been communicated to the hospital level. Why keep it a secret!" Zhang Fan complained in passing.
On the way back, Ouyang had a smile on his face. Of course the old lady was happy. A hospital that can be built according to her own wishes, as long as this hospital is established, it will be a monument to her career.
When I got home at noon, the house was in a mess. "What's going on? Why are you wearing old clothes?" Zhang Fan asked curiously after entering the room and seeing Shao Hua's parents wearing old clothes about to go out.
"I heard that a new city is going to be established. It seems to be over there on our farm. Your uncle and I are thinking about building a few houses. We can get more from the state subsidies. We learned the news too late. Next door Da Kui's family is planning to build a building." Shao Hua's mother whispered mysteriously to Zhang Fan.
"Haha, don't go to uncle and aunt." Zhang Fan smiled helplessly.
"Don't underestimate this subsidy, it's quite a lot." Shao Hua's mother looked at her future son-in-law in surprise, "I usually think he is quite smart!"
"I went to the government today to attend a meeting in this regard. People have already determined the area of construction and planting through aerial photography, and the leaders have also confirmed that this time the subsidy will not be based on building area, but will be subsidized on a per capita basis!" Although Zhang Fan didn't pay attention carefully. Yes, but I still heard about the relocation near the hospital.
"Ah! Let me go tell Da Kui's mother that they are planning to build a five-story building! Don't cause problems then."
"Are you sure? Don't subsidize based on the building area when the time comes. They won't blame us!" Shao Hua's father said immediately.
"Uh! This..." Zhang Fan was speechless. "I knew that we were going to build a new hospital, and the relocation near the hospital would be subsidized based on capitation."
"Just tell Da Kui's mother what Zhang Fan said. Let her decide whether to cover it or not."
Zhang Fan smiled and shook his head. He kept it a secret. Even the square dancing aunt knew about it!
Waiting for Zhang Fan to finish lunch, the old lady went out in a hurry. Zhang Fan also wanted to give the old lady a gift, but the old lady even said no. In the afternoon, Zhang Fan organized his first consultation with hospital experts.
The hospital's expert consultation must be recorded, and the director of the medical department also participates, and the officer of the medical department takes notes. Whoever made any suggestions was recorded one by one.
If Zhang Fan is not here, the director of the medical department will preside over the meeting. If Zhang Fan is there, he will preside over it. After all, Zhang Fan is the leader of the hospital, while the director of the medical department is just a middle-level person in the hospital.
"Everyone is here. Let's discuss Mayila's condition in the special needs ward today. Ma Yichen, please introduce the patient's condition." Zhang Fan presided over the meeting.
"Okay, the patient, Mayila, is a 62-year-old female. She went to a local hospital ten years ago for a liver tumor and underwent surgery. The details of diagnosis and treatment are unknown.
Today, the patient suffers from abdominal swelling, discomfort, cough, and poor appetite. He was admitted to the special needs ward of our hospital. A physical examination showed that the patient had an obvious postoperative scar about 15 cm long on his right abdomen, and his abdomen was distended, with obvious tenderness and vomiting. No obvious wet or dry rales were heard in both lungs, but the patient reported coughing up white cystic unknown substances.
After relevant examinations, the laboratory results reported: Color ultrasound showed clear calcification points in the liver, clear rosette changes, and dilated bile ducts.
Chest X-ray and abdominal plain X-ray show that the patient's diaphragm is elevated.
CT showed: The hepatic echinococcal cyst was clear and active, and it was highly suspected that active larvae existed in the bile duct.
MRI showed that there were no obvious echinococcal cysts in the patient's heart, bones, and spine.
During the immunological examination, the indirect hemagglutination test was positive,..." Ma Yichen introduced the patient's condition very concisely, and then took his seat. Then, Zhang Fan said to the doctors and experts present: "Everyone, let's talk about it. "
Doctors with general surgical subdivision and above, doctors with hepatobiliary subdivision and above, and cardiothoracic subdivision and above all attended the meeting. Ma Yichen was specially assigned by Zhang Fan to be the medical record introduction doctor.
The director of the medical department started to roll the names of the doctors in ascending order of age and seniority, and the youngest deputy chief of general surgery began to speak: "Patient diagnosis: The recurrence of hydatid echinococcosis in the liver is clear. Conservative treatment is probably of little significance, and surgical treatment is feasible. "
One by one they started to speak. This disease tends to occur in pastoral areas, so Lu Ning is not very authoritative in this regard. Instead, Professor Zhao Jingjin from Bird City is more authoritative.
After all the ordinary doctors from Chasu Hospital finished speaking, Zhang Fan said to Zhao Jingjin: "Professor Zhao, can you say a few words?"
"Okay, let me just say a few words. Although this type of disease is more common in our province, such severe recurrence cases are still relatively rare. I suggest a thorough chest examination. The patient's main complaint was that he had coughed up white cyst-like material. , although pleurisy was not found, we cannot be careless.
Conservative treatment first, killing the larvae, and then surgery, and requires joint surgery from three departments: cardiothoracic surgery, general surgery, and hepatobiliary surgery. The patient's physical assessment must be done before surgery. The surgery is difficult, damaging, and takes a long time. It is a test for both doctors and patients. "
After Lao Zhao spoke, Zhang Fan thought for a moment and then said: "Doctor in charge, please ask the relevant departments to conduct relevant consultations as soon as possible, assess the patient's physical condition, and contact the color ultrasound room. If the patient's physical condition supports surgical treatment, he must undergo color ultrasound Undergo surgical treatment. Report to the Health Bureau."
Although Mayila is not a resident of China, this disease still needs to be reported to the health bureau.
"Okay, I'll prepare the materials when I get down and report them immediately."
"Keep a record of the consultation and explain the condition to the family members." Zhang Fan continued.
"Okay, Zhang Yuan!" the director of the hepatobiliary department agreed.
This surgery is difficult. Although no one mentioned it during the discussion, the experts here all know that the patient did not do well in the first surgery, which led to the patient's recurrence, and there is a very high possibility that the infection has spread to the lungs.
If this kind of disease is just removed, it is not difficult, just like a cyst, but the difficulty lies in how to clean the cyst to prevent recurrence.
As long as it is surgery, the recurrence is always more difficult than the first time. Zhang Fan has already begun to prepare for this operation in his mind.
