Sometimes, medical treatment can be quite troublesome. To put it simply, a person who has just graduated with a Ph.D. has published papers that are not much different from his height. In other industries, this kind of person is already the mainstay.
If you talk to him about the principles of disease and the treatment of diseases, he will be clear and logical. If you are more talkative, he can even explain the disease to you starting from the diversity of organisms, histoembryology, physiology, biochemistry and molecular biology. clearly.
If you can cooperate well, he can also tell you about the future prospects of disease treatment and the future development direction.
However, when he was in the operating room, he had to be taught how to hold the knife step by step.
There is a saying in the anorectal department that a young and unfamiliar surgeon is more dangerous when holding a fistula probe than a gorilla holding a machine gun.
There are actually not many iatrogenic risks for many, many diseases. When the surgeon holds a risk signature sheet like a book, almost none of the risks will occur. If the risk is really high, to be honest, this surgery is probably No one will do it.
But it’s different in the anorectal department. This place is so special. It's especially dangerous when you're not moving.
Let me first talk about the bacteria in this place, such as cocci, bacilli, and mycoplasmas. There are some that you can think of and some that you can’t think of.
And these bacteria are here. Normal anorectal urination will not urinate these guys. Don’t think that these things are not powerful.
Not to mention other things, if one E. coli bacteria escapes, it will be a big killer. For example, in the United States, their standards for E. coli are quite strict.
Why? Because this thing is so powerful. From winter to spring every year, the respiratory departments of major hospitals are often at war with various germs.
If you have done it, you can save more people, but if you can’t do it, how...
Escherichia coli is the most common type of bacteria that causes infections. Because the human body comes with it.
Many people, if they are not careful, cannot walk on the valley road. Although men have a built-in promotion device, it is relatively troublesome to treat them once they are infected.
Although women often get infections, they are external, so they are easy to get infected and easy to treat. Most of the time, just insert a suppository and it will be OK.
But men are different. It is easy not to get infected, but the infection is easy to be cured. If it is not cured, it will not be a big problem if you cut off one of your kidneys.
…
"I thought it was an anal fissure. There was blood when I often went to the bathroom. But why did the doctor at the county hospital tell me it was hemorrhoids and even performed hemorrhoid surgery on me?"
"Did they do a digital examination?"
Zhang Fan asked while checking.
"It was done, and a young doctor just put his finger in it, and within a few minutes he said it was hemorrhoids. It's not like you were twisting your finger around inside!"
"Uh!" Zhang Fanhan even came down. To be honest, in the hospital, many doctors often use professional terms when explaining to patients.
Some people are lazy or show off their academic skills, but most doctors are helpless because many examinations, if described in non-professional language, seem like doctors are talking about pornography.
To put it simply, for anorectal digital examination, after preparation for the examination, the finger pulps must start from the four quadrants, from the outside to the inside, while feeling with the finger pulps and observing whether there are blood stains. This description is not easy to understand at all.
And using popular language to describe it, although it is easy to understand, it is quite easy to be blocked even if it is written.
For example, wet your finger with lubricant, enter the anus, rotate the finger balls, and at the same time feel for whether there is any beans inside, and then use your eyes to see if there is blood on the finger balls.
Zhang Fan sometimes wonders that when this kind of professional terminology was invented, it was probably not for the purpose of being more accurate, but perhaps to avoid embarrassment to both parties!
"You have hemorrhoids! But, your hemorrhoids are not as serious as anal fissure at present! You must have another operation, and..." Zhang Fan paused for a moment, and then said in a low voice: "In the future, in the future, after the operation, it will be the best time." It’s better to reduce some special hobbies!”
"Forehead!"
Embarrassed, no one spoke. Not only was the patient's face completely red, but his ears and neck were so red that he could bleed. It didn't matter that the anorectal doctor standing aside came, but the head nurse was different. After all, she was a woman.
Zhang Fan knew it was embarrassing to say this, but he had to say it. He had to explain it to the patient. He was young and didn't understand. Now his muscles can barely hold on. When he gets older, he will walk all the way and the yellow water will flow. Think about it. It can make people hiccup.
"Let's arrange the surgery tomorrow!"
"Okay, Zhang Yuan."
Zhang Fan came out of the examination room, and a few people in leather clothes and skirts were in awe. Although they were chatting quietly, they still secretly glanced at Zhang Fan when he turned around.
"So young! Such a young director of a tertiary hospital." One of them said looking at Zhang Fan's back.
"You have quite a temperament! Just like the handsome doctor on TV, not like those bastards from Quark."
The other one also took a look.
It was an era when people looked at people's clothes, but they didn't know that Zhang Fan actually came from Quark.
Zhang Fan returned to the administration building. As soon as he entered his office, the director of the Medical Department and the director of the Logistics Department came to Zhang Fan's office.
"What's wrong, the two directors came to see me together?" Zhang Fan said to the two directors with a smile.
Zhang Fan moved up so quickly, it was really hard to adapt to him, from resident doctor to chief resident, then assistant director of the department, assistant dean, and executive dean.
In just two years, we have traveled a road that many people would never complete in a lifetime.
Therefore, Zhang Fan also pays attention to his words and deeds in normal times. Ouyang can be domineering and point his nose at others. To put it in more feudal terms, people are criticizing people based on the merits of Chasu Hospital, and they are qualified.
Although Zhang Fan is very skilled, he still has his age, and Zhang Fan is not a particularly demanding person, so everyone usually respects Zhang Fan with a special favorable impression.
Especially these old directors are like raising pets. Everyone wants to see where Zhang Fan can go in the end.
"Haha, you are usually busy, so you go to the operating room instead of the department. The two of us are here to change office equipment for you today."
"It's pretty good!" Touching the chair and looking at the table, Zhang Fan felt that it was pretty good.
Zhang Fan's current office has always been the office he had when he was the assistant to the dean, but the house number has just been changed.
"You are the door curtain of our tea plant. This time you brought many international pharmaceutical and equipment companies from Shanghai. They came to your office and spread rumors that our hospital does not value talents.
I don’t know how the government found out about this. This is not the first time that the government has suggested that the hospital renovate your office. "
The logistics director smiled and sat opposite Zhang Fan. The director of the medical office is relatively familiar with Zhang Fan.
"Dip some light and try Zhang Yuan's Tieguanyin. It smells like good tea." As he spoke, the director of the medical department made tea for Zhang Fan, and also made a cup for himself and the director of logistics.
This is a human spirit. Without these words, if he only made tea, the logistics director would not only look down on him, but also think that this guy is a hook licker.
But as soon as he said this, he fumbled for tea leaves on Zhang Fan's bookshelf very familiarly. The logistics director was filled with amazement, "When did this guy become so familiar with Zhang Yuan? This tea was obviously hidden by Zhang Yuan!"
In fact, I come to the hospital half an hour early every morning, and there is a dedicated person to clean it. But making tea and leaving a work schedule for Zhang Fan is done personally by the head of the medical office.
"Haha, this is what the dean gave me. It's just this bottle, you can have a taste!
I think there is no need to change this, it is quite good. It’s troublesome to go back and forth. "
"Zhang Yuan, let's change it. I know you don't care about this, but look at the hospitals in Shanghai. We can't be too behind. Even if someone comes to donate in the future, we won't be more confident. And It’s almost the end of the year, and you have to support other people’s work, right?”
The director of the medical department helped the logistics director persuade Zhang Fan.
"European Academy, Secretary Ren and Dean Gao also need to be replaced?"
"Except for the dean who won't change, there are several others who want to be replaced. We are already a bit out of step with the times."
"Then change it!" Ouyang once said to Zhang Fan at the beginning that the hospital actually didn't have much control over the situation. After all, it was the end of the year!
Zhang Fan left the administration building and went to the orthopedics department. Before getting married, he had no time to do many things. People are just so awkward.
It's like if you don't get married, others won't trust you all the time, and you feel empty and missing something.
In the past, he started to restructure the hospital's surgical department, which was effective, but it seems to be insufficient at present, so he is planning to make changes while training this time.
Why did he choose orthopedics? First of all, this was the first department Zhang Fan opened in the system. He has stayed in this department the longest, and orthopedics is also the most complete discipline in China.
Medicine is a discipline that pays attention to experimentation, summary, feedback, further research, and further summary. A new clinical surgical method will not be promoted for a few years.
There are also many people who don't understand the industry and think that a new technology can be put into clinical practice immediately after it is invented. This is human life, not a slaughterhouse.
Orthopedics is currently divided into Orthopedics 1, Orthopedics 2, and Orthopedics 3. When Zhang Fan first became the assistant to the dean, he determined the scope of treatment in the department.
The first department of orthopedics deals with joints, the second department of orthopedics deals with the spine, and the third department of orthopedics deals with trauma. The scope of the rivers and lakes was divided for them. As a result, it didn't take long for them to enter the Warring States Period again.
The three orthopedic surgeons were obedient at first, but soon they started scrambling for patients again.
Zhang Fan is determined to create a team that can respond to the call and win if there is a battle, and can fight when pulled out, so he cannot let them do whatever they want.
In the Department of Orthopedics, Zhang Fan started talking to the orthopedic doctors one by one in his office.
This conversation is purposeful, and not all doctors have to do it. The first Zhou Chengfu, he and Xue Fei were brothers.
At the beginning, he worked much harder than Xue Fei. He had no complaints, was active in surgeries, and followed the leadership closely.
But success is also a failure. When it comes to human affairs and politics, if the technical brain is used to engage in politics, then it is often like a tiger that fails to turn into a dog.
He felt that Chen Qi from the Third Department of Bones was well-connected and powerful, so he switched jobs to the Third Department of Bones. However, he never expected that Chen Qi's incident would happen, and then all his connections and influence would be gone like water in the tea river, never to return.
Seeing Xue Fei become the director of the emergency center, seeing Lao Gao becoming the dean, although he has no rights, his level is high, and looking at Zhang Fan, he really wants to dig out his eyeballs.
For a period of time, Zhou Chengfu felt aggrieved, blaming God for his bad luck. After the period of resentment, he was half-broken. He no longer had the same energy to study as before, and he became a monk who just muddles along and rings the bell every day. .
Putting aside his utilitarianism, he is definitely better than Xue Fei in surgery and business. Zhang Fan didn't want to see him grow old like this. It was a pity that a doctor, an excellent doctor, couldn't do this.
Therefore, the first person to talk about changing the current situation of orthopedics is Zhou Chengfu.
"Zhang Yuan, you're looking for me!" Zhou Chengfu, who used to have shiny hair, neat ties and neat clothes, now has an unkempt beard and no energy at all.
"Are you convinced?" Zhang Fan looked at him. For people like Zhou Chengfu, Zhang Fan knew very well that he would be as cruel as cancer. He is not like Xue Fei, Xue Fei is just a cyst. If you praise him and give him some sweet things, the cyst may become obedient.
"What?" Zhou Chengfu looked up at Zhang Fan, the cold light in his eyes flashed, and then turned gloomy again.
"Xue Feidu, whom you look down upon, has become the director of the emergency center. Now, in the border areas, we are the only place that can be called an emergency center. How about it, are you convinced?"
"Haha, I'm convinced!"
"Convinced? Convinced, you are probably thinking in your mind that Xue Fei is lucky enough to be with the right person and get close to me, Zhang, isn't it! If you are a man, just raise your head and speak, just like a girl."
He raised his head sharply, then stared for more than ten seconds, but still lowered his head, "You are the leader, you have the final say."
"Haha, what? The spine is broken?" Zhang Fan started to serve chicken soup after applying strong medicine.
"When I first entered the hospital, three of us took Wang Yanan as a team. I still remember that no one in the hospital could remove the comminuted fracture of the humerus.
That's you. Where are those steady hands, those hands that are as dexterous as piecing together bones like building blocks? Can you tell me? Where did it go?
Lift your head and puff up your chest. I wanted to tell you that from the beginning.
Don't sacrifice the good for the bad. You are a doctor, a very promising doctor.
But you, you want to fly, you don’t work on your joints, you give up years of study just for the sake of being a general resident, and you turn around and cause trauma. Brother, let me ask you now, when you go to bed at night, your liver Doesn't it hurt?
Don’t you think it’s a pity that all your efforts and sweat over the years have been thrown away so lightly? Isn’t it a pity? "
Zhou Chengfu covered his eyes with his hands, and water slowly flowed out from between his fingers. When he gave up his profession easily, he was sad and uncomfortable.
"If you had it to do over again, would you give it up again?"
Shaking his head, whimpering like an old dog, covering his eyes with his hands, Zhou Chengfu cried.
Waiting, Zhang Fan watched the other party cry quietly.
"Go wipe your face and cheer up. I'll see if you've been messing around this year. There's an operation tomorrow, and you'll be my partner."
"Zhang Yuan, I..."
"Don't worry, if you don't pass my test, don't mess around in the orthopedics department anymore. Go to the convenience clinic to get a prescription. You don't care anyway."
"Zhang Yuan, thank you!" Zhou Chengfu wiped away his tears and went out.
"Head nurse, call Xu Xian for me."
"Hey!" Miao Juan, who was standing at the door, immediately went to call Xu Xian. As she walked, she thought to herself that the orthopedics department was about to change.
"Hey, this Jia Suyue is so ignorant!" She was the one who pulled the string between Zhang Fan and Jia Suyue in the first place. Thinking about it now, Miao Juan slapped her thigh with regret.
