"Severe pneumonia occurred after the operation. Why was there no post-operative examination? Why not a re-examination?" Zhang Fan looked through the medical records, which showed pre-operative examinations. Apart from blood tests, there were no other examinations after the operation.
"Pneumonia was diagnosed within a day after the operation. There is no need to do a re-examination. Over-treatment is not good. Besides, experts from Renjia City and Jiangsu and Zhejiang also checked in this way." Although the director of the ICU spoke softly, he was obviously not satisfied. How can I afford doctors from city hospitals?
Zhang Fan, who was looking at the medical records, raised his head and stared at the director of the ICU. The director was young, only in his early thirties. He was quite attractive, with a wavy shawl, and his eyebrows and lips were obviously carefully decorated.
Zhang Fan was a little unhappy. It was obvious that he didn't use bean bags as solid food, and he didn't treat doctors from the city hospital as experts. If Zhang Fan came to throw a knife today, it wouldn't matter.
But today I was invited by their hospital, and the person who was invited is still angry like this, which is unjustifiable. Originally, the subordinates invited the higher-level hospital to come for consultation, just to put out the fire and bring peace to the matter, but this person didn't open his eyes and tried to bully Zhang Fan, so Zhang Fan had no choice but to talk to their dean.
"Go, call your dean!" Zhang Fan stared at the director of the ICU and raised his voice several times.
"Hmph!" The director of the ICU rolled his eyes at Zhang Fan, shook his wavy hair with his hand, and said nothing, nor did he make a call.
The director of the icu was also confident. First of all, she was not the one who performed the surgery, and she developed pneumonia on the second day after the operation. She felt that it had nothing to do with her, and there was someone else above her!
"Xiao Wang, record it!" Zhang Fan didn't look back, stared at the director of the ICU and said to the accompanying health bureau officer.
"Okay, Zhang Yuan, tell me." The young man was very quick and took out his notebook.
"Records show that the patient developed severe pneumonia after surgery. The expert group believed that the patient had a nosocomial infection and asked the health authority to take samples for symptoms. Second, the patient had obvious infection after surgery, but Seleng County Hospital did not conduct relevant examinations in time, which caused delays. During the diagnosis and treatment time, it is recommended to seal medical records. Three..."
Zhang Fan started to make trouble one by one in front of the ICU director. China's medical management is a bit strange. Health management units can only have the right to advise, guide and supervise hospitals, but they have no right to interfere with hospitals.
In other words, when nothing happens, the health bureau will at best stand aside and point fingers. It is hard to say whether the hospital will listen or not.
Moreover, the personnel in the health management unit are generally laymen and are actually very unfamiliar with the hospital's business. Once something goes wrong in the hospital, the health management department usually invites doctors from other local hospitals to make an appraisal.
The directly subordinate units are all laymen. Once experts from the so-called expert database are invited, problems arise. The experts are originally practitioners in the medical industry, and they are inextricably linked. In a word, it is not easy to deal with.
When the director of the icu heard this, she felt that Zhang Fan was going to forcefully throw the blame on her, and she became anxious. "You, you! How could you..." She stopped talking and quickly turned around and walked away. The big white coat couldn't cover her swaying buttocks.
"Zhang Yuan, what do you think?" The accompanying officer from the health system was also a good person. After the director of the ICU left, he handed the notebook with the records to Zhang Fan.
He is not stupid, their superiors sent them to calm things down. No matter what, he would not hand over the record in person, but he had to give Zhang Fan face, so after the director of the ICU left, he immediately handed the record over to Zhang Fan.
"Haha!" Zhang Fan looked at Xiao Wang and smiled, and Xiao Wang looked at Zhang Fan and smiled. "I understand! Give them a chance. It depends on the attitude of their leader. If they don't want Zhang Yuan, I understand it right."
Xiao Wang said with a smile.
"Zhang Yuan, I don't think it feels like a hospital." Director Jumabike said. When they were in the hospital, he and Zhang Fan were a bit competitive, but when they went out, they were one.
"I know. Let's hold an internal meeting and come up with a treatment plan as soon as possible. This infection cannot be solved in a short time. In a few days, it will be hospital-acquired instead of hospital-acquired."
"Okay!" Ren Li and Jumabek said.
What does the director of ICU say? He was originally an ordinary doctor in internal medicine. For some unknown reason, he divorced his husband. Then, it got out of hand. He went from being an ordinary doctor to the director of the ICU, and recently it was rumored that he was going to become the secretary of the hospital.
"Zhang Yuan, oh, my Zhang Yuan, it's all my fault, it's all my fault. I just came over from the government, and I immediately took people to prepare a hotel for the experts. I'm so lazy. Sorry, you've been negligent. It's all my fault. Director Li of the ICU is young and ignorant, so don't take it to heart."
The dean wiped his sweat and hurried back from outside. He didn't tell any lies, he really went to prepare room and board for Zhang Fan and the others. He knew that no matter whether the patient could be cured or not, he could not surpass the experts from the city hospital.
If nothing goes wrong, these experts are invited to treat patients. If something goes wrong, these experts will be the inspection team, so the dean must first do the logistics work and entertain these experts first, which is his most important thing at the moment.
As for the director of ICU, he is also weak in ambition and power. He has a short mouth to eat people and a short hand to take advantage of others. He is also unable to do anything. Moreover, the director of ICU has reached another level...
Zhang Fan didn't look kindly on the director of Seleng County Hospital. Everyone is talking about doing things according to the rules and doing things according to the rules. Today, if Zhang Fan went to other counties, he would really be embarrassed. If nothing else, everyone is too familiar with Zhang Fan. From the director of surgery to the director of the hospital, everyone is familiar with Zhang Fan.
As for Seleng County, Zhang Fan has nothing to be ashamed of and nothing to be unkind to. In the human society, few people can escape from this.
This is the drawback of the supervisory authorities being amateurs. If they don't do it right, they will be fooled by the joint efforts of the inspectors and the inspected.
"Arrange for the patient to have a check-up immediately. There is no post-operative review, and your dean is in trouble!"
"Is it dangerous for the patient to pull out the ICU now? Do you need to ask your superiors for instructions? Or can you give a medical order?"
"Uh!" Zhang Fan almost laughed out of anger. He was really helpless. No one was willing to take responsibility. The dean was nice to talk to, but he was careless and unwilling to take any responsibility.
"Zhang Yuan, let's have a meeting first to summarize everyone's treatment ideas, and then talk about other things. As for the examination, let them ask for instructions as soon as possible!" Ren Li was afraid that Zhang Fan was young and arrogant, so she directly stood up and spoke.
"Okay!" Zhang Fan ignored the lewd dean and organized the expert team to go to the doctor's office for a meeting.
The director of ICU is complaining, and the dean of Se Leng is asking for instructions.
"Do you have any good ideas? Can you treat it yourself?" asked the confused dean on the other end of the phone.
"The experts in the bird market are not sure, so we just... Moreover, this priority needs to be determined. You, the leader, also know that our hospital is nepotistic..."
"I don't have the ability, so I just listen to my superiors and give them priority. Can you make the decision? Trash!" The call was hung up, and the dean's face turned red and white! Only the erect ears are red.
Zhang Fan and the others were in a meeting, and just halfway through, Ouyang's call came in, "Zhang Fan, do your best. If the patient can be transferred to our own hospital, he will be transferred to our own hospital as soon as possible. Your superiors have delegated power to you. Don't worry. The Municipal Health Bureau has also sent people to assist you."
"Okay, Director, I know, it is estimated that the patient will not be able to be transferred to another hospital in the near future, and his condition is serious. He may need a second operation, so..."
"Okay, I know!"
A smooth road to medicine
A smooth road to medicine
