After dinner, Zhang Fan left first, which was really boring, and Zhang Fan couldn't understand what they said. I can't participate, and it's boring to stay.
He said hello and left first. Wang Qian sent Zhang Fan out, and said before leaving, "Old Jiang has been cautious all his life, just ignore him and come to eat at home when you are free."
As soon as the Spring Festival was over, Zhang Fan was also discharged. It's time to switch to general surgery. The general surgery of the city hospital is only assigned to the liver and gallbladder and double glands, and the others are in the first general surgery department.
Zhang Fan looked through the system, the operation process is not much, and it is still very early before the upgrade.
General surgery is a big classroom in the city hospital, with many groups of people. There are many people and things are complicated, and it is not harmonious.
When Lao Huang was there, it was almost Lao Huang who had the final say on general foreign affairs, and the authority of the director was not enough.
After Lao Huang left, several deputy directors of the general surgery department had grown up, and the current director was even more difficult to manage.
Zhang Fan entered the department and found that it was a huge department with no fewer than a dozen people, and there was no one chatting.
In the department, not only the relationship between the director and the deputy director is not good, but there is also tension between the deputy director and the deputy director.
It's not easy for junior doctors, so they simply stay in the department, just work, there is no need, and they can't speak.
Among the three transferees, Wang Zipeng was also there, looking at Zhang Fan with resentful eyes.
There is also a little girl who is said to be assigned to the Department of Pediatrics, and she came to surgery purely for soy sauce.
On the first day, I brought the medical records that I hadn't written before and needed to be revised. It was clear that I was here to get acquainted with Rentou.
The director of the general surgery department knew at a glance that the department had already been determined, and he didn't care about the comments on the transfer.
The director can't help it, and there is no need to find someone to take her. He directly arranges her to go to the Changbai shift, and is usually responsible for pasting the inspection reports of admitted patients and discharged patients.
Then Zhang Fan and Wang Zipeng were directly assigned to their group. It is useless for other people to have opinions. This is the director's right.
There are four groups in the department, and each group has a deputy director. At that time, Lao Huang’s policy was to advance at the same time. As a result, he was relieved. He was able to get on the stage if he was a director of general surgery. He was very capable. As a result, the current director It's waxed, and the deputy high officials don't care about him.
The director of general surgery mainly goes to the outpatient clinic to receive patients. Now the department accepts its own patients. The other three sub-highs have their own specialist outpatient clinics. Zhang Fan estimates that if the director didn't want to save face, he would have gone all out to separate the family. .
The three deputy seniors also want to separate out and stand on the top of the mountain. Of course, it feels good to be the master of the house.
Zhao Quanping, the director of general surgery, is in his forties, and the other three deputy seniors entered the hospital almost a year or two behind him.
Lao Huang can suppress them with his position as dean, but Zhao Quanping can't, and he must be depressed.
Zhao Quanping had three attending physicians, who took care of their own patients and operated together.
Zhao Quanping is a director no matter what, so the life of the three of them is still very nourishing. Many patients don't go through the outpatient channel, but come directly to the director's name.
Zhao Quanping didn't say who Zhang Fan and Wang Zipeng were with, they were in their group anyway.
In the morning meeting, there was almost no discussion, it was all clichés, and the three deputy senior officers were also thieves. As long as the operation was not sure, they would discuss it at the morning meeting and share the responsibility. air of gloominess.
The environment of the department is not good, Wang Zipeng is cautious, afraid of offending the old doctor.
Zhang Fan didn't care, he came to work, not to pretend to be a grandson. What to do, there is no need to be submissive.
Zhang Fan originally planned to spend a good amount of surgeries in general surgery, but seeing the atmosphere, his idea of brushing up the surgeries was shattered.
There were a lot of dressing changers, and the three attending patients were close to thirty patients. The three of them also knew Zhang Fan, so Wang Zipeng was given the job of changing the dressing.
Zhang Fan was embarrassed, and helped Wang Zipeng change a few, but Wang Zipeng refused to let Zhang Fan do it, so he quietly said to Zhang Fan, "Boss, I want to behave well."
Zhang Fan understood, so he watched him change the medicine. There were three appendix operations in the morning. The director would not perform such operations, so he attended them.
Li Hong is the youngest one among the attendings. He treats appendix, hernia, and simple intestinal obstruction.
Li Hong is also diligent, but his technical progress is too slow. The other two attendings are not bullying to him, but they also look down on him a bit.
Li Hong was also a little discouraged. After five years as a resident doctor, he was finally treated. But until now, sometimes he could not find the appendix for half a day.
The nurse urged and the doctor laughed. Sometimes he really wanted to throw away his white coat and quit, but he just thought about it, what would he eat if he really threw it away.
Li Hong was absent-minded when brushing and disinfecting his hands. Wang Zipeng didn't dare to brush too fast. He was not yet proficient in laying the sheets, and he was a little timid, so he didn't dare to wash them first and go to lay the sheets.
The nurses in the operating room are very strict, and the aseptic operation is not standardized, and they can drive the little doctor out of the operating room.
After Zhang Fan finished washing, Wang Zipeng quickly threw the hand towel and followed Zhang Fan into the operating room. He wanted to study.
Li Hong didn't know what he was thinking, he was still brushing his hands, Zhang Fan yelled, but he didn't respond much, Zhang Fan didn't bother him.
Now that Zhang Fan has passed his grades, he can be regarded as a formal doctor, and he almost failed to register. But it was much better than before the exam. Li Hong was in a daze, but the anesthesia waited for no one, so Zhang Fan took Wang Zipeng directly.
Wang Zipeng looked at the operating door and said, "Boss, are you waiting for Teacher Li?"
Before Zhang Fan could speak, the anesthetist spoke, "Whether you can do it or not, if you can't do it, tell me sooner, the anesthetic is almost gone."
Zhang Fan didn't pay attention to anesthesia, he didn't believe it, all the patients were on the stage, he dared to kick his child, so he bullied the two little doctors.
The main reason is that Li Hong is not up to date, his skills are not strong enough, and the people in the operating room are used to bullying. When he is unhappy, he will find some bad luck on him. He is regarded as a doctor among doctors.
At the beginning of the operation, Wang Zipeng's skill in holding the mirror was mediocre, so Zhang Fan had to direct him all the time.
Just halfway through the operation, the anesthetist seemed to have come to his senses, and asked loudly, "Where are your instructors? Two of you dared to perform surgery without a license. I don't know how they died."
This time, the scared Wang Zipeng started to tremble, and Zhang Fan gritted his teeth angrily.
This anesthesia is looking for trouble. He and her wife are divorcing. His wife found a young man and dumped him. He kind of hates all men younger than him.
If the other anesthesiologists don't talk too much, this operation is a general surgery, and whoever arranges to do it is the director's right, not the Health Bureau, so why worry about it.
But he couldn't do it. If he insisted on questioning, he still asked with malicious intentions.
Zhang Fan was also really angry, the mirror was already in his abdominal cavity.
You want to say, lower your voice and slow down, you have to shout like a thief, for fear that others will not hear you.
Wang Zipeng felt weak, if he was not careful, the mirror poked down and pierced his intestines, something serious would happen today.
Zhang Fan stabilized Wang Zipeng's mirror with his hand. Although he has a good temper, he still has a temper. Shouting in the operating room is really playing with human life.
"Call! Call again! I will risk my life not to wear this white coat today, just this scalpel, I will have no problem killing you at all." The voice was low and severe.
The anesthesiologist was stunned. He had never seen such a little doctor. The little doctor who performed the operation was smiling at him, the one on the left and the one on the right.
He wanted to retort, but seeing Zhang Fan's fierce eyes, he didn't dare to shout, and said weakly: "There is no certificate, you have reason."
Zhang Fan ignored his words, and said directly: "I'm going to have an operation now, you give me anesthesia, otherwise we won't finish today."
Zhang Fan wasn't afraid even if he made a fuss at the medical office. The operation on the appendix was performed by a resident doctor. At most, the tutor was absent, but the tutor was washing his hands.
When he was selling instant noodles, he had seen a lot of them. They wanted to eat for free without paying for this kind of stern noodle, but Zhang Fan immediately obediently paid for it.
Therefore, he is very clear about anesthetizing people.
Zhang Fan dared to go all out and gave up this job, because he was still young and could move even bricks. He didn't dare to use this anesthesia. A half-old man really lost his job, so he couldn't die.
When Li Hong came in, Zhang Fan had finished. Anesthetized, he looked at Li Hong and then at Zhang Fan, and murmured, "It's getting more and more unruly. I must talk to your director."