Back in the car, Zhang Fan was also very nervous. He drove off without saying a word. The two girls in the car were also a little tired, maybe they were worried or thinking about something, but no one asked. After seeing off someone somewhere, and returning to the dormitory at night, Zhang Fan stared at his phone in a daze. Afraid that the message would come and that the message would not come, he just fell asleep in a daze.
When I have nothing to do, I am idle and boring. When I have something to do, things happen one after another. In the middle of the night, Zhang Fan was awakened by a phone call. It was the director Chang of Chalk County Hospital. This county is the farthest from Chasu City, more than 200 kilometers away. Moreover, the altitude is high and the population is small. Zhang Fan has been there only once, and Kang Hua is the second in command in Chalk.
The equipment of Chalk County Hospital is the best in the surrounding counties, because the counterpart to support their hospital is the No. 1 Hospital of Shekou City, a hospital in a big economic city, and a few million is just sprinkled water, which is trivial.
But the environment in Chalke County is too harsh. In the hottest summer, it sometimes snows suddenly. Hail, heavy rain, and heavy snow often appear in sequence during the day. Almost all the county towns are public officials, and there are also a small number of migrant workers.
This county is directly connected to neighboring countries, and the security in the county is taken over by the border police. The county hospital is a five-story building, with one floor for women and children inside and outside, and one floor for administration and outpatient clinics. It is better in summer, with a little more people, and more merchants from other places to collect medicinal materials and mountain products. The location of the county center can still be seen To one or two restaurants. In winter, many residents of the county go to Chasu City. Jing Buer immediately wiped out thousands of people.
The county hospital has a small number of surgical personnel, a total of four people, one director and three deputy directors. There is no way, the director and the deputy director both have department management fees. There are only four people in total.
They usually deal with ordinary bumps and small traumas. If it is a little serious, the family members take the patient to Chasu City directly. The surgeries they can encounter are all emergency, and they are the ones that ordinary vehicles dare not pull. Kind of sick number.
There is no good way to send serious patients to the county hospital. Tuxian Hospital has 120, equipped with a doctor and nurse, and can be sent to the urban area as quickly as possible. In most cases, it is sent halfway, and the patient will die. , people have no signs of life. The county is too far away from the city, and the roads are not easy to walk. There are many mountains and cliffs, which is better in summer. In winter, except for the large shuttle bus, only the vehicles of the army are left.
Those who can walk acupuncture points are generally either the director or the deputy senior, and they are not too young. With such a long distance, and the road conditions are not good, no one is willing to go, let alone 1,000 or even 2,000.
Ever since the director of surgery at Chalk County Hospital tried to hire Zhang Fan once. They were all concerned. Zhang Fan not only came quickly, but also performed the operation well. The most important thing is that after the operation, he was lucky enough to pay half of the money to the doctors in H County Hospital.
This is a good thing. I have to go to work every day. It would be better if I have extra money, so the four of them became more active. They pushed the slightly serious patients to the city hospital directly without even looking at them.
Now I can't be enthusiastic enough, I'm trying to find a way to keep the sick number in the hospital. Gather a few surgeries and ask Zhang Fan to do them. One surgeries will cost 500 yuan, so four or five surgeries will be collected in a month. The hard work fee is more than the bonus. Zhang Fan’s indirect access to acupuncture points also improves their service. quality.
"Hey! Director Chang, what's the matter?"
"Mr. Zhang, our department transferred a patient from the emergency department. A male, in his forties, fell and injured himself after drinking alcohol. He was fine in the morning, but he developed shock symptoms in the evening. The color Doppler ultrasound showed blood in the abdomen, which was initially estimated to be a ruptured spleen. Why don't you take a look? The patient's family is in good condition, and they have asked for an expert, and the cost is easy to negotiate."
The matter of acupoint walking is the same as the author of the starting point. The author cannot stop updating, and this acupoint walking cannot be easily rejected.
Zhang Fan checked the time. It was past three in the morning, and it would take three hours to leave immediately. "Director Chang, rehydration to correct the electrolytic disorder and shock, I'm leaving now."
"Okay, Mr. Zhang, preoperative preparations have already begun." Hearing that Zhang Fan agreed, his tone became much more cheerful. Generally, doctors from large hospitals would not come in such a situation.
Zhang Fan got up and wiped his face with cold water, and sent a message to Chen Qi, the director. It wasn't their team that received the sick patients on Monday, and they probably won't be able to make it back in the morning, but there is no problem with Wang Yanan.
Without a strong body and a strong mind, it is best not to be a surgeon. After a few years of poor health, the best result is a neurasthenia and a marginal person in the department. If you are unlucky, then ~~~~.
Before Zhang Fan went out, he took a steamed bun and a pack of milk, and had to refill it. He would probably have an operation when he got there, and he didn't have time to eat. And this kind of exploratory operation is very time-consuming.
At six o'clock in the morning, Zhang Fan rushed to the Chalk County Hospital. The hospital was empty, and the car parked casually. Zhang Fan parked the car and hurried to the operating room. "Director Chang!" Zhang Fan called out after entering the operating room.
The surgeons were all there, and they hurriedly stood up to greet Zhang Fan. This kind of surgery, if you have money, no one wants to be absent.
"Mr. Zhang, drink your saliva first. Let me introduce the situation to you. This is the result of the color Doppler ultrasound. You can see it." As he spoke, Lao Chang gave Zhang Fan a copy of the color Doppler ultrasound. The little nurse in the operating room had already poured a glass of water and handed it to Zhang Fan.
"Thanks!"
"Ms. Zhang, this is the situation. The patient was sent to the emergency room yesterday afternoon with a slight abdominal pain. In the evening, he developed shock symptoms. After rehydration, he couldn't feel his pulse."
"Ruptured spleen. What about the other laboratory tests?" After reading the list, Zhang Fan had a clear idea, and said to Lao Chang, "How did you talk with your family?"
"Explore the abdomen and remove the spleen if necessary. The family members agreed and signed."
"Okay, let's start the operation." The operation is really not difficult, that is, after opening the abdomen, find the bleeding point, identify the size of the bleeding wound, and perform the corresponding surgical treatment!
As far as these few words are concerned, a medical student graduating from a university will never be able to do it without ten years of experience in general surgery, and he must be in a hospital above the third level, otherwise you will not have a few surgeries a year. No chance to practice.
Why didn't the three directors of the county hospital leave here? Most of them were greedy for the comfort here when they were young, or because of family factors. As I grow older, it is impossible to leave. I can only go to a private clinic with my retirement salary after retirement. I dare not go now, because I have no technology and no psychological bottom.
After the operation, under normal circumstances, the chief surgeon has to go to the ward to see the patient who has undergone the operation and then meet with the family members.
In the past, Zhang Fan did not have a certificate, and this meeting was usually replaced by others. This was the first meeting after having a certificate, and Zhang Fan went to the ward.
"This is Dr. Zhang from the city hospital. He is very skilled. If it weren't for him, today's situation would be hard to say. It's too dangerous." Lao Chang introduced Zhang Fan to his family. Exaggerating the crisis of the situation is to ask for more money.
The patient is a small leader of the forestry farm in the county. In other places, the forestry farms are generally not economically profitable, but here I don’t know why, it is a particularly popular unit, and everyone knows the small place. The family members were very polite, and when Zhang Fan was about to leave after reading the patient number, one of the family members spoke up. Zhang Fan was too young to hold back, and the family members were a little unhappy.
"My younger brother just came to the county hospital for treatment because of a stomachache. As a result, you were treated for several hours. Not only did it not get better, but it got worse. In the middle of the night, he told us that it was impossible and we needed an operation. We also agreed to call for experts. Yes, but a brat came, don’t you think we’re being fooled!”
Chang Chang’s skills are too poor, and others don’t respect him. This family member didn’t deliberately find trouble, but complained that the county hospital didn’t make a clear diagnosis yesterday afternoon, and then reported that he was critically ill. I was really scared. Now the experts invited He doesn't like being like a fresh graduate. Zhang Fan wasn't afraid of this matter, it was just too troublesome.
When the family members said this, Chang Chang was a bit frustrated. This patient was detained by the emergency department. They were not the first doctor to see him, and there were other patients and family members in the ward. He was also a director after all. So he said angrily: "You were transferred to our department yesterday afternoon, and you were transferred to another hospital. If you didn't transfer, the situation was not good at night. We actively contacted the doctors in the higher-level hospital and rescued them in the middle of the night. Now it is safe. You are not happy about it." If you have the ability, don’t come to the county hospital.”
As soon as this was said, the other party's family members were not happy. "What the hell, I don't ask for skills, I only ask for money." A female family member said.
"Say it again!" Lao Chang became impatient.
There were so many family members, they gathered around Lao Chang and Zhang Fan, pushing and shoving. Seeing that this is not going to work, Zhang Fan quickly said to the family members who first raised the issue: "If you have something to say, please speak up. If you are not satisfied with the treatment, you can go for a third-party appraisal. May I ask who is the sick person?"
"You don't care who I am." Feeling wrong again, he said in a vicious tone: "I'm his cousin, today's business is endless." After speaking, he started calling.
Although Lao Chang is not skilled, he has been in the county hospital for many years, and there are many people who ask him to transfer to other hospitals and help with the inspection list, and his temper is not small. "Get out if you can't stop! There's a big problem."
"Oh! Why is this guy like this?" Zhang Fan felt extremely helpless.
After a while, the director of the county hospital came. The patient's cousin was a section chief of the county party committee.
"Yuan Chen, it's not that we are being unreasonable. How did your doctor talk? He has no quality at all, so let us go. Does the hospital belong to him? There must be an explanation today."
In fact, this matter needs to be explained to others. As a result, it often collapsed. "Let's go, let's go to the office to talk, and influence the patients here."
"I have to apologize, and I suspect this expert is a liar! He can't leave, when will my cousin recover, when will he leave, if he can't recover, I am very familiar with the police in the county." He actually didn't doubt Zhang at all. Fan's identity, but things have already become like this, if he doesn't make some troubles, he won't lose face.
His cousin can't recover in a week, so Zhang Fan is not in a hurry, so let's see what the director of the county hospital has to say.
"Director Chang, you are wrong to say that. We are a hospital and we must be responsible for the patients. Please apologize to the patients and their families. Doctor Zhang, you see that it is like this now. Why don't you just observe it for a few days?" a subordinate , a small doctor in the city, of course he has to favor his family members.
"Apologize! Don't even think about it, I'm right, let the police arrest me if you have the ability." After saying that, Lao Chang slammed the door and left. Because of this matter, it is impossible to fire him, and the patient has undergone surgery, so he has nothing to be afraid of, so he will leave as soon as he says.
"Look, what kind of attitude, how do you become a doctor. The county hospital can't improve its technology, because there are too many people like this." The cousin of the patient blushed with anger.
Lao Chang is gone, Zhang Fan can't go, this sickness is his operation, he must solve this matter. "Your brother's spleen ruptured. He was in shock at the time, and there are medical records and inspection lists. If you have any doubts, you can go for an appraisal, and I can cooperate at any time. I performed the operation. If the county hospital hadn't invited me, I would not have come. Treatment can resume under normal conditions, and if I have any problems, I can come to the county hospital at any time, it is unrealistic for me to stay here."
"I don't care, we didn't invite you."
The dean looked at Zhang Fan and said, "How about I call your Dean Ouyang and ask for a few days off for you?"
That's a bit of a bully. Zhang Fan got angry, and asked the sick cousin: "Do I have to stay? What if I go?"
"You can't leave, we are a group of people outside, you should think about it carefully. Don't get out of hand in the end."
"Hey! Please tell me which unit you are in." Zhang Fan sighed helplessly.
"It belongs to the county party committee."
Zhang Fan ignored them, and took out his phone to call Tang Jingjing. Zhang Fan didn't want to bother others, but this person and the dean just bullied him when he was young. Chang Chang and they had no choice but to take Zhang Fan.
"Sister Tang~~" As soon as Zhang Fan told the story, Tang Jingjing immediately said, "Give him the phone number, pay attention to your own safety, and don't conflict with them. The leader is still resting, and I will report as soon as I get up."
"No need, Sister Tang. If you can solve it, do me a favor. If you can't solve it, report to the leader."
Zhang Fan gave the phone to his cousin, who said, "Why, what are you going to do, you're right, I won't answer the call, it's useless to find anyone. You have to be responsible to the end."
"Then wait! I'll be right there." After speaking, Tang Jingjing hung up the phone.
The dean started to get along with each other. Those who enter the official career have to consider too many things. Although it is a bit late, Zhang Fan cannot be offended to the end. The county hospital can also take care of it. Tell me, is it Dr. Zhang?" Seeing Zhang Fan ignoring him, he smiled awkwardly.
Zhang Fan sat on a chair and closed his eyes to rest. After more than 200 kilometers, he hurriedly rushed to the operation, and after the operation, he encountered this terrible incident again, and he was a little tired.