Puwai is over. Several surgeries were performed, but Zhang Fan's goal was not achieved. It's a pity that I didn't go home because of the amount of surgery, and the loss outweighed the gain.
After leaving the department, Zhang Fan transferred to the Department of Cardiology. Originally, he wanted to continue to switch to surgery, but the medical office arranged for internal medicine, but there was no way. It's meaningless to go to Ouyang for this matter.
Ouyang would definitely not have called the medical office in advance for Zhang Fan, otherwise the dean would be too worthless.
The Department of Cardiology is on the upper floor of the Internal Medicine Department opposite the Surgery Building. The entire two floors are considered the largest internal medicine department. Ouyang was born in the heart, and the heart also has interventions, and there are many patients.
In Northwest China, the intake of dietary fat is high, the population base of patients with hyperlipidemia, hypertension, and hyperglycemia is large, and there are many doctors in the department, with more than 20 minors. The current director of the department is Ouyang's apprentice.
Also a female director, Ren Li, in her forties. The only graduate student in the hospital, it is said that he used to work in a big hospital in the province, because the departments of the hospital in the province were very crowded, and he was not comfortable working, so he was finally poached by Ouyang to the city hospital.
Ren Li's profession is quite strong, and she is also beautiful, but her emotional intelligence is a little weak, so she will not come to trouble. After she became the director of Xinxin, the department developed by leaps and bounds.
The number of doctors sent abroad to study is also the largest in internal medicine, and new technologies and papers are top-notch in internal medicine. The junior doctors also admired her. She is not alone in doing things, let her ability speak for herself, and her income also depends on her ability. It's a fair director.
The Department of Cardiology is among the hospitals in Chasu City, and the City Hospital is considered the most authoritative department. Ouyang also gave her great support. In the old Huang era, Ouyang almost gave up other internal medicine.
I just hold on to my heart, and in order to get more resource support, I often argue with Lao Huang. The establishment of the Intervention Department was actually made specifically for Xinxin.
When the city approved a special sanitation fund, Huang was going to set up a research center for orthopedic diseases, but Ouyang strongly opposed it. She suggested setting up an interventional department.
For this matter, the two brought the lawsuit to the municipal party committee. After half a year of wrangling, Ouyang won in the end, and the funds were used to set up the intervention department. Lao Huang has always been brooding, and has never been equipped with a backup force for the intervention department.
Ouyang was also stubborn, and insisted on leading Ren Li and the others to develop their hearts and involvement. After the intervention developed, the income increased sharply, and many young doctors wanted to be involved.
Ren Li specially set up an entrance examination. But close, absolutely not, she has Ouyang's support, and the hospital has no good way. Technology units, technology is king, you can't do it, if you can't get in, people don't want you, there is really no way to say.
After Zhang Fan entered the department, his scalp felt numb. The Department of Cardiology is not like surgery. There are also elderly people, but the hearts are almost all elderly people. People on crutches, people in wheelchairs, people walking with their arms, all wobbly, they all look dangerous.
Surgery and internal medicine are almost two systems, although in a hospital, except for consultation, generally there is not much communication. Zhang Fan spends time in the operating room every day, and he is not very familiar with the internal medicine doctors.
He has gained a reputation in surgery, but few people in internal medicine know him. Here, he is a small doctor, a resident doctor transferred to another department. Surgical privileges are gone, let alone respect.
The system hasn't turned on internal medicine yet, so he can only rely on his own liver. There are two girls in my heart. One from gynecology and one from pediatrics. They are all scheduled for internal medicine.
Zhang Fan was assigned to Ye Jing, one attending. In his thirties, he was unknown in the Department of Cardiology. There are only so many backbones in a department, and only a few positions. If you don't fight for it and work hard, there is no chance.
Ye Jing's husband is a civil servant with a good income. She has no idea about business, it's just a job. Her main concern is at home, taking good care of her children and serving her husband is her pursuit.
There is nothing wrong with it, they are all ordinary people, this is what most people think, but in technical units, if you don't work hard, you can only end up as a marginal figure. Zhang Fan is a doctor appointed to the surgery department, so he can be regarded as a soy sauce doctor when he comes to the surgery department, so he can't be counted on. So Zhang Fan was given to her.
On the first day of entering the department, I ran into the dean's ward rounds. Doctors and nurses, advanced doctors, intern students, and staff from the medical office are almost over 50 people.
That's it, many nurses didn't participate, because there was a lot of liquid to be mixed, so they couldn't participate.
Ward rounds in internal medicine are not like surgery. Surgery is very clear about what surgery to do. The most discussed is the technique, who will be the surgeon.
As for internal medicine, we must first talk about the mechanism, the classification of diseases, and the types of medication. What kind of drug is better to use, how long to use, how much dosage, and whether there are contraindications.
When Ouyang became the dean, she did not let go of her business and was still studying. She also asked questions during her ward rounds, and asked the doctors who attended, transferred, practiced, and advanced in bed. The doctor in charge is also responsible for reporting the condition. The treatment plan, whether it is suitable or not, needs to be discussed at that time.
It was not suitable, and a suitable treatment plan had to be ordered on the spot, which could not be checked all morning.
And they couldn't end the inspection halfway, they went straight to the noon rounds. Doctors who are in poor health will never be able to bear it. I can't even stand still, so I have to find time to revise the doctor's order for the day.
Zhang Fan's problem was not serious, but several medical students and advanced students were a little bit overwhelmed, because they had never encountered such a high-intensity ward round, occasionally secretly standing against the wall for a while. Because they still hold the case in their arms. Although it is a plastic clip, it is very heavy to pile up more than a dozen cases.
Ouyang's questions were very professional and meticulous, and the junior doctor who often asked them was speechless and unable to answer them. She was more strict, and asked the superior doctor to answer on the spot. If the superior doctor couldn't answer, she would immediately turn over the book without giving any sympathy.
During her rounds, the doctors were all nervous to death. In the ward, in front of the patient, it was really uncomfortable for her to scold her.
Today's ward round did not ask Zhang Fan any questions, and Zhang Fan made an appointment with surgery. Maybe she couldn't answer, because she didn't understand the relationship between Zhang Fan and Li Xiao, she was doing Li Xiao face, and didn't let Zhang Fan get off the stage.
The old lady Ouyang is not tall, but she has the halo of the dean, which puts a lot of pressure on everyone. In addition, she was very strict, which made several transfer subjects tremble, and her aura was compelling.
After the ward check, there are still a lot of medical history to be recorded. Today is a big ward round. Both the doctor in charge and the subordinate doctor carry notebooks with them, and they have to record the oral medical orders given by the superior doctor on the spot.
Then it should be reflected in the case. Cases in internal medicine are much more demanding than those in surgery. For example, in an orthopedic car accident, it is very simple, that is, the car accident caused the bone to break. The time, place, characters, and degree of injury are OK.
Internal medicine is not good, it has to be refined from the onset, whether it has been treated, what kind of treatment, how effective it is, whether it has aggravated, and whether there are any complications. Have you been taking any medications
Internal medicine cases are quite particular about the words and tone. Words such as ke, shangke, and good are used in different places. If you use the wrong words, Ouyang Neng can use his fingers to kill you.
Medication is also complicated. There are only a few kinds of surgical medications, antibiotics, hemostatic drugs, and blood-activating drugs. It is great to use some albumin, plasma, and energy. Dosing as consumed.
Internal medicine is not good, and there are great differences among individuals of the same class of drugs. Some people can use them, and some people can't.
It is very simple to master internal medicine. A resident doctor in the department for three months is probably enough, but it is difficult to master it. First of all, the foundation is solid, from physiology to pathology, from histology to biochemistry, you have to be familiar with it, and you can use it when you pick it up.
If you only turn to the book when you encounter a disease, you are just an introductory doctor. By analogy, a good physician can analyze your physical condition from your taste, and by looking at your complexion, you can have a general understanding of your physical condition.
To reach this level of physicians, there is no solid study for more than ten years, thinking and summarizing, without even thinking about it.