Human inertia is quite terrifying. Zhang Fan, who had just graduated back then, once rode a bicycle across a provincial capital city. In less than two years, he couldn't do without a car.
Zhang Fan went to the hospital first in the morning, and then went to Ma Wentao's hospital to see Wang Yongyong at noon. Wang Yongyong is recovering well, and the swelling of his knee joint has begun to subside.
Cousin Shao Hua's newsstand has also opened, and the business is good. My cousin’s excellent pasta is also useful. In the morning, I steam a basket of steamed buns. Because the ingredients are sufficient and clean, the doctors and nurses in the hospital buy them from her. Day by day, the faces of the husband and wife turned rosy. In this world, money is the backbone of a person, and life without money is really hard.
Usually, my cousin reads the newsstand, and my cousin goes out to do some odd jobs. Both of them are nice people. Zhang Fan is busy, and Shao Hua is not too busy. It is common to work overtime in the bank. My cousin directly contracts the physical work at home. Can't do it. This is the case between relatives, reciprocating courtesy, getting closer as they go.
The gastroenterology department of the city hospital has not improved much. The old director was poached away by Ma Wentao after he retired, and the director who was poached from outside did not work in the department, and the number of patients was slowly lost. Whether the technology is good or not, listen to the word of mouth of the masses. If there are problems once or twice, the reputation of the gastroenterology department will not be good, and there are many complaints.
Ouyang didn't have a good solution, and there was no good mature doctor to replace him temporarily. The doctors who came to apply for the job were either too demanding or not skilled enough.
On Tuesday, a special patient came to the Department of Gastroenterology, a female, who suffered from intermittent vomiting and dizziness for three days and was admitted to the hospital. The director who was recruited recently flirted with the Chasu Traditional Chinese Medicine Hospital, because the Traditional Chinese Medicine Hospital had already offered a price, as long as he went to the Traditional Chinese Medicine Hospital , let him become the vice president, and now he uses this as a leverage to coerce Ouyang. Either give official positions or add money.
The vice president of a city-level tertiary hospital is not a dean who can make decisions, and it is impossible to add money. What is the income level of other doctors! If the price is too high, what should others do? Ouyang disagreed, and the director of the Department of Gastroenterology began to work hard, and he did not work hard, and he had already negotiated terms with the Chinese Medicine Hospital.
The female patient who came here was very special. All the examinations were normal, but she suffered from nausea, vomiting, and dizziness. The doctor in charge of the Department of Gastroenterology had no choice. The first diagnosis was an electrolyte disorder, and then he reported the patient's condition to the Medical Office and applied for a hospital-wide general consultation.
This kind of consultation is not the usual consultation between departments, it is to use this case to conduct a hospital-wide expert consultation. This level of consultation must be signed by the director, and the medical affairs department takes the lead in coordinating the time of experts from various departments.
Ouyang is also an internal medicine expert. After reading the case, she was also very surprised. Any examination was normal, but the patient's vomiting symptoms did exist.
On Tuesday afternoon, experts from various departments gathered in the ward of Gastroenterology for a general consultation in the hospital. After the consultation with experts from various departments, they were very puzzled, and no abnormalities were found. Discussions come and go without any good conclusions.
"Why don't we invite experts from the Hospital of Traditional Chinese Medicine to take a look. This disease should need treatment." The new director of the Gastroenterology Department said at the expert meeting. He no longer regards himself as a doctor in the city hospital.
Since the establishment of the city hospital, it has been suppressing the hospital of traditional Chinese medicine. Only the hospital of traditional Chinese medicine invites experts from the city hospital to consult. How can a city hospital invite the hospital of traditional Chinese medicine to consult? Ouyang can't afford to lose this person.
But there is no good way at present, Ouyang's face is ugly. Although difficult and miscellaneous diseases are also found in primary hospitals, the total amount is not much after all. The new director of the Department of Gastroenterology is the deputy director of the provincial hospital, and he can't tell, but he has made up his mind, after bringing this patient number to the hospital of traditional Chinese medicine, he will contact his former colleagues, and he must be in the hospital of traditional Chinese medicine. Fire the first shot.
Ouyang didn't want to, so he used words to run on Ouyang, "It's not surprising that you can't see the disease, even in the provincial hospital, there are times when you are not sure, but we can't work behind closed doors. If we are not responsible for other things, even if we are responsible for the health of patients, we should Brainstorm."
His words were too high-sounding, Ouyang couldn't even refute, could it be said: No, I can't afford to lose people! Still look down on the experts in the hospital of traditional Chinese medicine? Just when he was in a dilemma, the director of the hospital got up to answer the phone. After taking a look, Ouyang said, "Let's discuss it again. Maybe there is something we have overlooked."
"Hehe!" What a sarcastic laugh!
There is no rule to turn off the phone when the leaders of the hospital hold a meeting. This is a special unit. There may be a critical patient or an emergency operation at any time, so the expert director will not turn off the phone.
This sarcastic laugh was a naked slap in the face, a slap in the face of the doctors in the entire hospital. Some people really have no scruples when it comes to interests and official positions.
After answering the call, the director of the medical department pushed open the door and whispered a few words to Ouyang with a smile on his face. After listening to it, Ouyang turned to look at the director of the medical department, who nodded affirmatively.
"There is no need to invite experts from other hospitals to consult. The city hospital is the hospital with the highest medical level in Chasu City. The patient number has been diagnosed clearly. You, a provincial expert, do not concentrate on diagnosing and treating patients, but only want to use external force. I think You are no longer suitable for the work of our hospital, from now on, our agreement is over!" The patients in the gastroenterology department cannot be diagnosed and treated in the city hospital, and Ouyang can't get angry because they are holding on to this reason. Now that it is resolved, even if he sues the municipal party committee , Ouyang is not afraid. Ouyang said this sentence forcefully.
The director of the Department of Gastroenterology was dug out on the basis of talent introduction. He made trouble because he wanted Ouyang to let go and let him go to the hospital of traditional Chinese medicine. Because only the city hospital has the establishment of the introduction of talents, other hospitals do not. In the current situation, it's not that he doesn't look down on the listed hospitals, but that the city hospitals don't look up to him. Even if he goes to the hospital of traditional Chinese medicine, he will be the vice president at the top. Is the expert who was kicked out still an expert
"Can you let me go and learn some expert's method?" He knew very well that all the hospital experts are here, and it is impossible for the experts to be inferior to the subordinate doctors! So don't worry about it at all, "That's a double reed."
"Yes!" Ouyang said disdainfully.
Time moved forward. After Zhang Fan returned to the department, he found that the director of the oncology department was not there, so he asked the transfer doctor, "Why are you so idle today, where is the director?" Because Zhang Fan went to go to acupuncture points in the morning, and he had to tell the director when he came in the afternoon. .
"Boss, the director is going to attend the general meeting in the hospital!~" Zhang Fan's special status, in the eyes of the transfer doctor, Zhang Fan is already an outlier who has left the team.
"Hehe, don't run on me! Which department's critically ill patient?" Zhang Fan didn't care, if he cared about other people's words, he wouldn't be able to live.
"Gastroenterology! Zhang Fan, you are not busy all day, so please help me with something." The transferred doctor was a female doctor who graduated a year later than Zhang Fan, but she entered the hospital in the same year as Zhang Fan. She is a little bit pretty, and she is considered one of the more sought-after ones among young people.
Today, other doctors in the department were busy, and she was the only one free, so Zhang Fan asked a question, but the result was endless, and Zhang Fan regretted it.
"Oh! If you have a big problem and a narrow shoulder, it may not be able to help you!"
"You're timid. There are too many medical records. I just took a break. You can see that my fingers are swollen. Write some medical records for me." As he spoke, he put his fingers in front of Zhang Fan's eyes. , the fingers are slender, light white, and a faint aroma comes out. With her charming demeanor and big watery eyes, it's no wonder that many people are pursuing her.
How could Zhang Fan have the time to write medical records for her? If Zhang Fan hadn’t lived a difficult life in college, he might have been confused by her experience in the past two years after graduation. Especially in the past two years, Zhang Fan has seen too many The woman is fine, so her morality is still shallow.
"Oh! I remembered, I left something at the door!" The crappy reason was the best reason, and it was estimated that this girl would never use the Dafa to confuse Zhang Fan again.
Zhang Fan turned around and went to the Department of Gastroenterology. Lao Hu in the Department of Gastroenterology is now the backbone of the department, and the directors are more and more strange. He is now leading the rounds of the gastroenterology department.
"Brother Hu, isn't it a general meeting? Why didn't you participate?" Zhang Fan said with a smile, that is, he has a good relationship with Lao Hu to make jokes like this, otherwise he would not dare to say that. To be able to participate in the general meeting of the hospital is at least a deputy. At a high level, Lao Hu is the master.
"Well! I have finished expressing my opinion! The dean thinks what I said is reasonable!"
"Trust me!"
"You bastard, knowing that your brother is not qualified enough, you still come to tease your brother, what are you doing here?"
"miss you!"
"You are getting more and more slippery! What about that simple Zhang Fan from before! How long have you said that we haven't seen each other!" Although we are both in the same hospital, we are really busy, and we have never seen each other.
"Aren't you busy? What's the sickness today? There's such a big fight." After a few jokes, Zhang Fan asked.
"A sick patient who vomited! All the tests were normal, but she vomited intermittently." Lao Hu said.
"This is weird! Brother, take me to study?"
"Wait for me a little while, I'll type this conversation up. You can read her case first." Lao Hu said.
After Zhang Fan sat down, he looked through the patient's medical records. A female, forty-five years old, an office clerk, denied any history of injury, acute or chronic diseases. He denied the history of drinking and drug abuse, and denied any family genetic history.
Zhang looked through the inspection items in the case again, and found no abnormalities in blood routine, biochemistry, chest X-ray, and brain CT. Because Zhang Fan didn't see the patient, he couldn't see anything special.
"Let's go, I heard that you are being treated at the director level now." Lao Hu teased Zhang Fan on the road.
"What kind of director's treatment!" Zhang Fan asked in confusion.
"Pretend, the hospital knows that you don't need to be on duty and don't write medical records. Isn't it director level?"
"Eh! Speak!" Zhang Fan was also helpless, there were always people who were not convinced, but people who are not jealous are mediocre, and Zhang Fan didn't care, so what to do.
"This is the patient. Look, it's vomiting intermittently." Lao Hu pointed to the female patient in the single ward.
Because there is a big consultation and the family members of the patient have also talked to someone, so they live in a single room. After entering, Zhang Fan found that the face of the patient and the patient's family was not good.
The patient and his wife are both civil servants in the urban area, the husband is in the Education Bureau, and the sick unit is in the Disabled Persons' Federation. Although they are not leaders, but Chasu City is so big, they can find a relationship no matter what, and they have been hospitalized for several times now. God, the condition has not improved at all. I asked the doctor in charge of the bed, and the doctor in charge of the bed couldn't say anything. I haven't even seen the director these days, so his face is not good.
"This is Dr. Zhang from our surgery department. He came to show you." Lao Hu introduced.
"Don't worry, we've already contacted the Affiliated Hospital of Di University. We'll transfer to another hospital tomorrow." The patient's husband's tone was not very good.
"No trouble, this is what we should do." Zhang Fan pretended not to understand, and said to the patient and his family members with a smile on his face.
Don't hit the smiling faces, and they can't do without Chasu City, so they can't offend the doctors in the city hospital too much, "Let's take a look! The director of your surgery department didn't notice anything."
The common problem of cultural people is that they can't get angry, but they just can't pull their faces off. Ten thousand people are unwilling, but they can only ask Zhang Fan to check again.
On the way here, Zhang Fan kept warming his hands in his pockets. This is a question of the quality of a doctor. There are many reasons for vomiting, but most of them are digestive tract or brain problems. Zhang Fan started the physical examination from the abdomen.
There is no problem with the liver, gallbladder, kidney and spleen, and the abdomen is soft without any tenderness and rebound pain. "Have you eaten any special food recently, such as mushrooms?"
"No!"
Zhang Fan began to check the brain, and all nerve reflexes were normal. What is the reason? "What would make your vomiting worse?"
"It's just that when you are a little tired at work, you will feel nauseous, and you will be so dizzy that you can't stand up."
"What does eldest sister do? Do you have any hobbies?" Zhang Fan asked with a smile. Zhang Fan's attitude was too good, his tone was sincere, and his attitude was gentle. Unconscious patients also began to cooperate slowly. Zhang Fan already has the means of a mature doctor, how to contact patients.
Zhang Fan understands their feelings. People will be angry and anxious if they are sick without a clear diagnosis, so they can't argue with others just because of this.
"I'm an office clerk. I don't have any hobbies."
"What about the main content of the work? What do you do when you are resting at home?"
"Well! It's just some writing work, and I'm doing cross-stitch at home."
"Oh! Have you had a cervical X-ray?" Zhang Fan asked Lao Hu.
"Done!"
"Here is the film!" Zhang Fan was serious and responsible. Even if the diagnosis could not be made today, the family and the patient would not say anything. The patient's husband took out an x-ray from the cabinet.
Zhang Fan looked at the x-rays and found no problems. "Strange!"
Zhang Fan said to the patient again: "Sister, lie down and I'll check your cervical spine again."
Zhang Fan began to check the cervical spine. When he touched c4, Zhang Fan let out a surprised voice, "Huh!" After the orthopedic system was upgraded, the rehabilitation treatment of the orthopedic department was also upgraded.
Basic orthopedics refers to general orthopedic diseases, and the upgraded orthopedics is more specialized. Although it is not the highest level of orthopedics, it is already relatively specialized. The future system has special settings for medicine, requiring doctors to basically The content of the third stage can only be unlocked after mastering all the diseases of the second stage.
Zhang Fan's current highest-level subject is orthopedics! The main reason is that the pit is too deep! Zhang Fan hasn't climbed out yet~!