The hospitals are getting bigger and bigger, and they look much more luxurious than the small hospital of the past. There are all kinds of advanced operating rooms that make you think you have arrived in the future world.
In fact, there is something missing here than before, the human touch. When many people talk about hospitals, they only talk about medical skills and technology at most, and rarely mention this word, because to be honest, the bigger the hospital, the thinner the smell, and it can even be as thin as standing in the hospital. Same as on Mount Everest.
To be honest, the doctors and nurses in the hospital are facing lawsuits one after another. Really, it has reached the point where change is imminent.
Tired, no one is tired, the world is not a pure land, everyone has his own suffering. And the hospital, to be honest, is where the greatest sorrow and suffering in the world gathers.
Is the bigger the hospital, the better? I didn’t know it in the first thirty years, but in the next thirty years everyone has become more and more aware of it.
They are all exactly the same. They are just pasted and copied treatment plans. Treatments are like treating dolls on the assembly line. Antibiotics are used at any price. Ineffective Chinese patent medicines are added free of charge. The one with the higher commission, use that one!
"Calculate, does this patient still need to eat? Calculate, how much body fluid replenishment has been achieved? Calculate, with so many amps of fluid, how many hours will it take for him to lie in bed to complete the infusion.
Is this medical treatment? This is a crime. "
Zhang Fan directly threw the medical records into Lao Ju's arms. Lao Ju's originally red face looked like two purple balls hanging on his fair face. He was really ashamed.
Zhang Fan didn't say a word to the doctor in charge of the bed, who was already frightened and overwhelmed.
"us……"
"Don't explain to me. I don't need you to explain to me. How do you explain it to the patient?" Zhang Fan didn't let Lao Ju speak. "I don't care what you do for one day. You can improve it within one day and spit out what you have eaten. Once you have vomited it out and you are satisfied with the revision, let's leave it at that.
If you are lucky, haha..."
After saying that, Zhang Fan left the ward.
Outside the ward and in the corridor, many patients who came from distant counties were reluctant to eat or drink. They took naan bread as hard as a stone and slowly tore it into a bowl of warm water, waiting for it to soften before letting it go. The old man eats a little.
Withered hands, coughing body, holding a shaking water bowl, ripples in circles, like hitting Zhang Fan's heart.
In the past two years, Zhang Fan has kept his eyes on high-level medical skills, always feeling that as long as the hospital develops, it will always be better, but today's ward rounds made Zhang Fan feel uncomfortable. What is the tragedy of medical care? Too expensive and unaffordable is the greatest tragedy.
"Isn't the salary given by the hospital enough?" Zhang Fan seemed to be asking himself, or asking the doctors and nurses in the respiratory department.
Hospital departments compete for patient numbers, and doctors within departments compete for patient numbers. I don’t know when this trend started. Zhang Fan usually turns a blind eye. He feels that this kind of competition is good for the development of the department and the hospital.
Now, he understands that the human heart is never full.
After entering the office, Zhang Fan's anger had subsided a lot, but he was still serious.
In the Department of Internal Medicine, especially the Department of Respiratory Medicine and Cardiology, most of the doctors in these two departments have climbed out of hard times. Because those with slightly better family conditions are reluctant to come to these two departments.
Tired, there are many patients, and the respiratory department deals with all kinds of phlegm every day. Who in the family is a little richer wants to queue up to watch fresh red sticky phlegm cough out one after another just after eating sun-cooked eggs in the morning? It's warm and sticky like egg yolks just out of the pan.
Therefore, in terms of their learning and professional abilities, they can directly overwhelm any department. As for the endocrinology service upstairs, there is no comparison between the doctors in these two departments.
Their motivation is unimaginable. But what is the driving force behind this?
Since this place is about technology, let’s use technology to kill these proud soldiers today. Zhang Fan usually gave Lao Ju a lot of face. He felt that Lao Ju was a pure doctor, even more like a doctor than himself.
His protectiveness, his persistence, and even his unreasonableness were all admired by Zhang Fan. But today, Zhang Fan was angry. Some patients were so poor that they couldn't bear to drink milk for breakfast. Tea on the edge of the grassland Vegetarian, milk is really cheap, it’s really a habit. Some people even feel weak if they don't take a sip of milk in the morning.
But here, these people made them quit drinking milk, and cefoperazone sodium and sulbactam sodium were given to the patient in half a month. What is this going on? This is just robbery with a knife.
Lao Ju was distracted, staring at the ICU given by Wan Ziguo, thinking exclusively about new technologies, and thinking about developing cutting-edge technology. On the contrary, basic diseases have been relaxed.
Zhang Fan also understood that the King of Chu had such a slim waist that many people died of starvation in the palace! This is inseparable from my problems in the past two years.
However, today, the arrogance of these guys, and the pride in their hearts, they still felt that Zhang Fan was being unreasonable.
Internal medicine, I have opened up my heart and breathing.
I was not good at internal medicine before, but now you are not good at internal medicine.
"Close the door!" Zhang Fan said with a cold face, and the head nurse, Wang Hong, and Xiao Chen quickly closed the door as if they were racing.
The floor-to-ceiling windows were crawling with patients eating melons. They were coughing so much that they almost suffocated, and they looked curiously into the office.
"What is this little dean going to do? His face is so angry!"
"I heard that the doctor didn't treat her attentively and the black-faced dean got angry. This dean is quite reliable."
"Hey, it's true. I looked at him and he doesn't look very good. Look, he has a burnt yellow color on his face. This is because his liver is not good. He is too angry!" An old man said to the old man. Huajing, holding a book that said it is better to seek medical treatment than seeking oneself, lowered his head to look at Zhang Fan, and then raised his head to read the analysis in the book.
The head nurse opened her mouth and wanted to chase people away.
Zhang Fan slapped the table and said, "Pray, patients still have expectations for you and are still so stupid to believe you. Don't you pride yourself on your high level? Okay, let me see today what level your respiratory department has. .”
After finishing speaking, Zhang Fan started directly: "Let's talk about your three patients. According to his disease, it can be determined that the proteins in different stages of the cell cycle in cyclins, in the gene product of late g1 phosphorylation, will cause lung disease. The tension of surfactants decreases, so now if you want to reduce this decrease in tension, what is the most appropriate treatment method?"
The human lungs actually have a layer of mucous membrane, which is just like the sticky synovial fluid on fish. This thing has many functions.
To put it simply, it is a series of functions such as sleeves, lubricants, fillers, springs, and acid-base balance fluids. The more this kind of thing has many functions, the more in-depth the research is.
Zhang Fan's question is very tricky. It involves both scientific research and clinical practice. It doesn't really exceed the outline, but it falls into the category of Olympiad questions.
"Come on, Li Hui, let's talk about it."
Li Hui's scalp was numb. When he saw Zhang Fan getting angry, he knew that he would definitely be the first one to go under the knife today. "Because, because, because of the poor production of lactic acid, cobalt, 5-hydroxytryptamine, and oxygen on the surface of the lungs." Free radicals increase the content of catecholamines, leading to increased vascular permeability.
We should first dilate, dilate, dilate the blood vessels, give oxygen, and then..."
Zhang Fan nodded inwardly. Although Li Hui didn't understand the question, his guess was probably in the right direction. He had already achieved the so-called clinical feeling.
This feeling is very mysterious, especially when you are in an emergency with a critically ill patient. You cannot diagnose the disease, but you can just feel what you should do. How do I put this thing? It's like seeing a beautiful woman. Although you don't know her, you can be absolutely sure whether she has a partner. The right one can scare people.
"If you don't give a diagnosis, you will give a treatment. Is this what your director told you? People are dead, and you still treat them like a hammer!"
After scolding Li Hui, Zhang Fan's former teacher cried. Her intuition told her that she would definitely be named by Zhang Yuan next.
To be honest, the thing that Li Jingjing regrets most in the past few years is that she became Zhang Fan's tutor.
The doctors who had taken care of Zhang Fan in other departments were somewhat arrogant because they had taken care of Zhang Fan, but Li Jingjing was afraid. When she was treating tuberculosis, she went too far, and she regrets it now. If she had known that Zhang Fan would become the dean in the future and be so powerful, she wouldn't have wanted him even if someone from the temperate zone offered him 100,000 yuan.
"Teacher Li, come on, tell us. Teacher Li is the most authoritative person below the director of the Respiratory Department. Come on, tell us your opinion."
It sounded like he was praising Li Jingjing, but under Zhang Fan's cold tone, Dr. Li almost cried.
"First, give intermittent positive pressure ventilation, then promote internal circulation in the body and increase oxygen saturation..."
She is a little taller than Li Hui. If compared according to the degree of completion of treatment, her handling method is 20 or even 30 percentage points higher than Li Hui's.
On normal days, Zhang Fan would smile and praise them, but not today. Zhang Fan wanted to get rid of their inexplicable arrogance.
"Don't you know how to use swan-ganz? If there is no definite value, just give positive pressure ventilation. Do you think you have rich experience or do you think you are superb? With your kind of rescue, the patient will not have time to go into surgery and his body temperature will be cold."
Teacher Li, should I ask which drug has a higher price and which drug has a higher commission? Do you have more experience? You and Li Hui are arrogant and domineering in the department. You will take patients who are yours and patients who are not yours.
The amount of antibiotics the two of you use for a month is equivalent to the amount used by an orthopedics department. You lie in front of the computer all day long and calculate your own calculations, relying on your pitiful experience. Do you think that one trick will be enough? enough.
You are still far behind. You just know how to use a few crappy instruments, and you just published a few inexplicable papers in crappy journals! Let me tell you, you are far behind.
If you can't even solve my problem as a surgeon, how can you brag about it? Let me tell you, if you want to work, if you don’t want to, just pack up and leave. There are a lot of PhDs waiting to be tricked.
Dean Ju, I want to see your letter of apology this afternoon. "
After saying that, Zhang Fan stopped checking the room and left directly.
When Lao Ju heard Zhang Fan's roll call, he originally wanted to stand up and answer the question to earn some face for the Department of Respiratory Medicine, but he didn't let Lao Ju answer. It seemed like he was giving Lao Ju face. This is a naked bully. .
The old man even cried. When he ate me, he would eat bowl after bowl, but after eating, he would turn his back on me and deny anyone else!
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