Ouyang has now completely handed over internal medicine and surgery to Zhang Fan and Ren Li. People of the old lady's generation are a bit strange and aggressive, really aggressive.
Perhaps because Zhang Fan is not young enough or for other reasons, Zhang Fan cannot understand Ouyang's aggressive character. She does not fight for sentiments or interests, but for a voice and an ideology. Like fighting chickens, she is always ready to deal with her two deputies. It is really a strange generation.
Lao Gao and the hospital secretary were both defeated by her now, leaving Ouyang Dou unable to express his opinions in the hospital. A collective will suppressed the two grown men.
However, towards Zhang Fan, Ren Li and even some hospital directors, Ouyang was very generous and decentralized. If you need equipment, want to study, or even fight with your husband at home and lose, you can come to Ouyang. Ouyang will never shirk if he can solve the problem.
Zhang Fan doesn't understand the complete contradiction between protecting the child, seizing power, delegating power, and being authoritarian. He understands Batu and Lao Gao, but he can't understand Ouyang!
Ouyang was not there, but the hospital secretary and Lao Gao were there, and the director of the medical department did not inform them. They would rather go to Ren Li who was rescuing the patient or Zhang Fan who was in the operating room.
When Zhang Fan rushed to the administration building, several people were already at the medical office. The clerk at the medical office hurriedly brought tea and water.
"This is the assistant director of our hospital, Assistant Zhang. This is the city leader, and this is Section Chief Zou from the Electric Power Bureau." The director of the medical department, as the housekeeper, was busy introducing each other.
"Hello Zhang Yuan, Chief Zou is the hero of our tea power system. Please ask the hospital to take care of him. When he came to the hospital, the superior leaders repeatedly emphasized that Chief Zou must be given the best treatment regardless of the cost."
The accompanying cadres introduced and handed over to Zhang Fan very formally. Zhang Fan took the time to glance at Section Chief Zou.
A section chief of an electric power bureau looks like an old farmer who has worked hard in the fields for thirty years.
Thin, skinny, black, burnt black, Zhang Fan's black is natural black, with a slightly dark and pretty look, but this person's black looks like it was placed next to the fire and blackened with the smoke of the open fire, Like bacon, with a dark skin.
Looking at his hands again, they looked like rakes. Although the cadres were handing over, Chief Zou was not impatient and had a slight smile. When he saw Zhang Fan's eyes, he nodded gently.
"Cough! Cough!" Seeing that Zhang Fan was so unreliable and half-hearted during the handover, the cadre had to cough twice. Zhang Fan quickly smiled sheepishly. There was nothing he could do, the doctor was just curious about the patient.
Zhang Fan currently guesses that the patient is unable to nourish himself first.
Public-to-public handovers are very troublesome. When superiors say they take things seriously, subordinates must take them very seriously.
"Chief Zou has been in the power system for 20 years, and he has advanced almost every year. In XX, heavy snow closed the mountains, and Sutai County on the border had a power outage in the entire county. Chief Zou took the lead and rushed into the heavy snow, narrowly escaping death, and even the machinery failed. They ensured the power supply to the county despite inaccessibility.
In XX, floods broke down countless telephone poles. Section Chief Zou..." The cadre recounted Section Chief Zou's deeds one by one as if reading a cadre's resume. When Zhang Fan heard this, he was surprised. He was really a model worker. !
"The superior leaders hope that the city hospital will not only pay attention to it, but pay great attention to it. It must send out elite troops to formulate a preliminary treatment plan, and report to the superiors regularly. If necessary, a medical leadership group must be formed. A medical responsibility system must be formed, The responsibility lies with everyone..."
Balabala said for a long time, that is, Zhang Fan, if Ouyang had left long ago, would you still need to direct my treatment? But Zhang Fan just listened. If he really listened to laymen for specific treatment, it would be too...
However, the director of the medical department sitting aside was recording the conversation one stroke at a time.
"Okay, my task is completed. Now it's up to the city hospital. Section Chief Zou, if you have any needs, please tell Xiao Li directly. He will be the liaison officer at the hospital throughout the process." When the cadre left, he still stayed A clerk was hired.
"Trouble, boss." Section Chief Zou's voice was very hoarse. Zhang Fan could tell at the first glance that he was a heavy smoker, and his soot throat was too obvious.
After the government officials left, Zhang Fan smiled and said to Section Chief Zou: "Chief Zou, why are you feeling uncomfortable? Can you tell me first?"
"Okay, haha, it's my fault for troubling you." Section Chief Zou smiled with a worried face like an old farmer, very warm and peaceful. It makes people feel like a rural uncle.
“Earlier, my health was quite good, I could eat and sleep, but after the first two months, I started to feel a little uncomfortable, my stomach hurt from time to time, nothing I ate tasted good, and I became very thin.
It was nothing serious at first, probably because of my old age, but last month I fainted during a meeting at work. It was an on-site leadership meeting.
This time, the leader was worried. He took me to the bird market for a checkup, but he still couldn't find any disease. I was originally supposed to be hospitalized in Bird City, but I was worried about my family, so I couldn't stay there. No, I'm here to trouble you. "
Section Chief Zou spoke unhurriedly, as if talking about someone else's condition. Zhang Fan looked at Section Chief Zou's expression without any trace of hypocrisy, and sighed in his heart: "So indifferent, you are either arrogant or stupid!"
Seeing Section Chief Zou touching his pocket unnaturally with his hands, Zhang Fan said to the clerk: "Give Section Chief Zou a box of cigarettes."
"Haha, I'd better stop smoking. It's not good to smoke in the hospital."
"You can smoke here, but you can't smoke if you go to the ward." Zhang Fan smiled.
Older men have a special kind of charm, which is not based on the muscles all over their bodies, nor the collagen on their faces, nor the superficiality of others.
It's a kind of precipitation on his part. This kind of precipitation cannot be achieved by time and years. Zhang Fan could see it from Lao Gao, but when he saw Section Chief Zou today, Zhang Fan knew what the charm of an old man was.
While talking and laughing, life and death were indifferent. This is great wisdom and courage, also called open-mindedness.
"Let's not talk about trouble. The hospital is a place that specializes in dealing with such troubles. Chief Zou, let me see what the results of your examination at Bird Market are like." Zhang Fan said with a smile.
The clerk next to him immediately took out Niao Shi's medical records and examination results from his briefcase. The clerk from the medical office had already taken the cigarette and ashtray, but Section Chief Zou was stunned to hold the cigarette without lighting it.
The clerk wanted to set him on fire, but he refused with a smile.
Zhang Fan looked at the test results and frowned. It was not serious, but the test results showed no major problems. At most, he was suffering from malnutrition.
"Chief Zou, are you feeling uncomfortable now?" Zhang Fan asked while looking at the medical records and examination results.
"I just feel tired. I want to lie down all the time. My legs feel weak when I stand up. I feel nauseous. I have abnormal bowel movements. Sometimes I have constipation and sometimes diarrhea."
Zhang Fan was surprised that even if he was malnourished, he would not have such serious physical symptoms.
"Let's go to the hospital first." Zhang Fan couldn't think of a clue for a while, so he said to the director of the medical office.
"Which department do you live in?"
"Let's live in the special needs department. The conditions are better and it's quieter."
"good!"
"Chief Zou, please stay in the hospital first, and we will do a systematic check. It's not a serious illness, I guess you are just too tired." Zhang Fan said to Section Chief Zou with a smile.
"Thank you, actually I think so too."
Only Section Chief Zou smiled and said that the remaining officers began to despise Zhang Fan, "Hey! The city hospital is still not good, it's too unreliable."
Modern medicine, with its current development, especially Chinese medicine, can catch up with the pace of developed countries, and has even surpassed it in some fields.
However, the human body is a very complex thing, and it is not an assembly line product, so the differences are quite large. As long as Chief Zou can be diagnosed today, Zhang Fan can give him treatment.
Although the system has not opened internal medicine, and although surgery has not yet been fully opened, Zhang Fan's liver has been eaten by dogs for many years. No, but the damn thing is that there is no way to diagnose this disease.
Almost all of his examinations were normal. Moreover, there will definitely be no major problems with the medical records signed by several directors of the Affiliated Hospital of Bird City, which is difficult.
Zhang Fan was sitting in the office, still looking at medical records and examination results. After a while, the director of the medical office came. "Zhang Yuan, I heard from the government officials that they want to invite experts from major hospitals in the mainland for consultation.
It is inconvenient to go to Niaoshi, after all, it is a capital city, but it is much more convenient to go to Chasu. "
The director of the medical department conveyed some information he knew to Zhang Fan.
"Please don't invite experts. Let's not talk about it for now. We have to have a preliminary diagnosis. We can't just ask three questions without knowing anything. That would be a bit embarrassing."
"Well, that's right. What should we do next?" the director of the medical department asked.
"Consultation, the test results are very comprehensive, please ask the hospital department director and expert for consultation."
"now?"
"Now. I think the dean will be here soon. The government attaches so much importance to this, and the dean may already be on his way."
"Okay, I'll make arrangements now."
Sure enough, before the director of the medical department notified several directors, Ouyang came.
"How's it going?" She believed in Zhang Fan's ability. This is also the reason that Zhang Fan is too bad at surgery, which covers up the fact that he is a scumbag at internal medicine.
Now Zhang Fan can be said to be the pinnacle among city-level experts in surgery for clear diagnosis. In this way, there is no problem at all. But internal medicine is at the level of an ordinary resident. Maybe he's not as good as some top-notch physicians.
"I can't tell. Dean, please take a look. You are much better than me in this area. I am still lacking in internal medicine." Zhang Fan handed the medical records in his hand to Ouyang.
Ouyang smiled. After Zhang Fan became the assistant to the dean, she smiled at Zhang Fan more and more. It's not like he used to stand up his nose and stare.
"You, now you know the importance of internal medicine. In medicine, especially in modern medicine, internal medicine is still very important. If you can only use a knife to diagnose a disease, how can you use a knife?" Ouyang said with a smile, while flipping through the examination .
As he talked, Ouyang stopped talking. Smiling, the old lady stopped smiling and said, "The examination words are too small and I can't see clearly. Let's do a consultation." After saying that, she glanced at Zhang Fan and put the medical record into Zhang Fan's arms.
"I've already informed you. If you're not tired, just..." Zhang Fan smiled awkwardly, flattering his hemorrhoids! The level is still not good!
"Where's Secretary Ren?" Ouyang asked. In terms of diagnosis, Ren Li was better than Zhang Fan, and of course better than Ouyang. Ouyang knew it very well.
"There is a critically ill patient who is presiding over the rescue." The director of the medical department hurried over. He envied Zhang Fan so much. Zhang Fan has been treated differently by the dean since he was a doctor since he was a child. How can other middle-level managers dare to talk to the old lady with this attitude?
"When Secretary Ren is finished, let her preside over the general consultation." Let's take a look at the test results and do a physical examination first. Ouyang's biggest advantage is that he knows how to use people.
If there was a patient undergoing surgery today, she would ask Zhang Fan to take charge of the consultation. But for this kind of disease, which is considered a difficult and complicated disease, if he is accidentally embarrassed by other experts on the stage, the shame is not Zhang Fan's fault.
In the special needs department, the directors of each department and Secretary Ren Li of the Department of Cardiology are also busy. There are not many consultations at this level in hospitals.
To be honest, the director of a tertiary hospital is very busy, and the coordination of a consultation is very cumbersome. To be able to be the director of the medical department of a tertiary-A hospital, other skills are hard to say. This kind of coordination between left and right must be in place, otherwise you will definitely be in trouble.
Dozens of doctors gathered around Section Chief Zou to get started. When the director comes, a smarter doctor will also come. If you don't learn something, don't talk about it. You have an attitude. And this kind of consultation, as long as it is not a special case, will generally involve young doctors.
"Secretary Ren, take the lead." Ouyang said to Ren Li after watching everyone start checking, and then handed over the position of chairing the meeting to Ren Li.
"OK."
"Who wants to talk first?" Ren Li's personality is not as good as Ouyang's. If it were Ouyang, she would have started calling names at this time.
"Dean, Secretary Ren, let me talk first!" Wang Hong stood up with a smile.
"Okay, you go ahead." Ren Li nodded, and Ouyang also smiled. She likes this kind of courageous female doctor.
"Well, the patient's current nutritional status is poor. Although there are no abnormalities in the test results, I think it is necessary to review some tests again..." He said a lot of nonsense, but the conditioning was clear and he did not have stage fright.
Wang Hong is now a doctor in the gastroenterology department and a senior official in the hospital group. She is considered a leader of the younger generation. Of course, Zhang Fan cannot be counted among them.
The directors said one by one that the surgical staff were very direct and continued the examination. There was no obvious tenderness or rebound tenderness in the abdomen, but there was dull pain and a small amount of irregular blood in the stool. If necessary, a laparotomy could be performed.
It means, what is the disease? You can’t see it now, but the problem is in the digestive tract. If it doesn’t work, just open your stomach and have a look!
When you say it in professional terms, everyone doesn't understand it, and when you say it in layman's terms, everyone thinks it's fucked up. In fact, in general surgery, when most diseases cannot be clearly diagnosed, laparotomy is performed. This is no joke.
The contempt in the eyes of the directors of internal medicine was so obvious that Zhang Fan was embarrassed to stand in front of the surgeon. If you can't diagnose, you have no status. Really, this is what a hospital is.
"Do a gastroscopy, do a colonoscopy." At this time, the director of the geriatric department who returned from retirement said.
This old director is a strange person. He was a barefoot doctor in his early years. He has low academic qualifications and has been walking in the countryside for most of his life. After getting old, he was taken care of by the government and admitted to the city hospital, and his presence in the hospital was not strong.
Moreover, the old man's knowledge is very complex. He knows a little bit about Chinese medicine, a little bit about Western medicine, and even a little bit about the medicine of some ethnic minorities.
The Internal Medicine Association and the Surgery Association can even perform caesarean section at critical moments. Although they can only perform some minor operations, it is really a strange existence in today's era. It is estimated that in the future, after their generation of doctors pass away, China will no longer There is such a doctor.
However, in the era of modern scientific and technological inspection and subject refinement, these specialties of his have become useless.
"The hospital in Bird City has already performed gastroscopy and colonoscopy." A director retorted.
"One time is not enough, not even three or four times. If necessary, you can do it once every two days. Or do it in the early morning, especially colonoscopy." The old director Lao Shenzai said.
"what do you mean……"
"Yes, if you ask about the medical history carefully, I think the possibility is very high."
"You shouldn't!" This has become a secret code for internal medicine. A group of surgeons were confused, but Ouyang understood it.
"Okay, I think it's very possible that the old director said it. It's necessary." Ren Li looked at Ouyang and said.
"Okay, then think about the patient. Get ready." Ouyang said and left.
Zhang Fan is puzzled. It's not bullying. You should make it clear~!
"Old director, what do you mean?" Zhang Fan caught up with the old director in a few steps. He was not embarrassed at all. In medicine, you must have a humble attitude, otherwise you will not be able to learn well.
"Go and ask about the medical history, hehe. Zhang Yuan, you just know how to use the knife, but you can't hit it! Hehe!" The old man showed off his move and was very proud of it.
What does Zhang Fan think? Why does he think this old man is wretched?
