Medical road

General Speaking is over.Several operations were performed, but Zhang Fan's goal was not achieved.Unfortunately, I didn't go home for the amount of surgery.

After leaving the department, Zhang Fan transferred to the cardiology department.Originally, he wanted to continue to transfer to surgery, but the medical office arranged an internal medicine, but there was no way.It's meaningless to go to Ouyang for this.

Ouyang would certainly not say hello to the medical office in advance for Zhang Fan, otherwise the dean would be too worthless.

The Department of Cardiology, on the upper floor of the Department of Internal Medicine, opposite the Surgery Building.The entire two floors can be regarded as the largest internal medicine department.Ouyang was born in the heart, with intervention in his heart, and there are so many patients.

In the Northwest, the dietary fat intake is relatively high, the population base of patients with hyperlipidemia, hypertension, and hyperglycemia is large, and there are many department doctors, with more than 20 young people.The current department director is Ouyang's apprentice.

She is also a female director, Ren Li, in her forties.The only graduate student in the hospital was said to have worked in the provincial hospital. Because the departments of the provincial hospital were so sloppy and uncomfortable, he was dug into the city hospital by Ouyang.

Ren Li's professionalism is quite strong, and she is also beautiful, but her emotional intelligence is a little bit weaker and she won't have trouble.After she became the director of her heart, the department developed rapidly.

The number of doctors sent abroad to study in internal medicine is also top-notch in new technologies and papers.The lower-level doctors also admire her.She is not alone in doing things, let her ability speak, and her income depends on her ability.Fair director.

The Department of Cardiology is the most authoritative department in the hospitals of Chasu City.Ouyang gave her a lot of support. In the old yellow era, Ouyang almost gave up other internal medicine.

Just hold on to the heart, in order to get more resources to support, often fight with old Huang.The establishment of the interventional department was actually made for the heart.

In the same year, the city approved a special sanitation fund, and Lao Huang planned to set up one. Orthopedic Disease Research Center was opposed by Ou Yang.She suggested setting up an interventional department.

For this matter, the two brought a lawsuit to the municipal party committee.After half a year of wrangling, Ouyang finally won and the funds were used to establish an interventional department.Lao Huang has always been brooding, and has never equipped the intervention department with a backup force.

Ouyang was also hard-hearted, and forced Ren Li and the others to develop their heart and intervention.After the intervention was developed, the income increased sharply, and many young doctors wanted to enter their hearts.

Ren Li set up a special entrance examination.But Guan, absolutely not, she has Ouyang's support, and the hospital can't do anything about it.Technical unit, technology is king, if you can't, you can't get in and others don't want you, there is really no way to say.

After Zhang Fan entered the department, his scalp became numb.Cardiology is not like surgery, there are also older people, but almost all elderly people in their hearts.Those who walk on crutches, those in wheelchairs, those who walk with their arms, and those who sway, look dangerous.

Surgery and internal medicine are almost two systems. Although in a hospital, there is not much communication except consultation.Zhang Fan goes to the operating room every day, and he is not very familiar with the internal medicine doctors.

He became famous in surgery, but few people knew him in internal medicine.Here, he is a little doctor, a transfer resident.The privilege of surgery is gone, let alone respect.

The system hasn't turned on the internal medicine department, he can only rely on his own liver.There are also two girls in the heart.One came from the gynecology department and the other came from the pediatric department.They are all scheduled to engage in internal medicine.

Zhang Fan was assigned to Ye Jing, one attending.In his thirties, he is unknown in the Department of Cardiology.There are only so many backbones in a department, and there are only a few positions. There is no chance if you don't fight for and work hard.

Ye Jing’s husband is a civil servant with a good income.She has no idea about business, just a job.Her main thoughts are at home. Taking good care of her children and serving her husband is her pursuit.

It is understandable that they are ordinary people. This is what most people think, but in technical units, if you don't cheer, you can only end up as a marginal figure.Zhang Fan is a doctor in the internal surgery department.So Zhang Fan was assigned to her.

On the first day of admission, I met the dean for a round of ward.There are almost 50 doctors and nurses, doctors in advanced studies, students in internships, and medical offices.

Just this, many nurses did not participate, because there was a lot of liquid to be compatible, and there was no way to participate.

Medical rounds are not like surgery. Surgery is very clear. If you can't find out what surgery should be done, then open laparotomy.The most discussed is the surgical style, who is in charge.

In internal medicine, we must first talk about the mechanism, the classification of the disease, and the type of medication.What kind of medicine is better, how long, how many doses, and whether there are contraindications.

When Ouyang became the dean, she did not lay down her business and was still studying. She had to ask questions during ward rounds, and asked the doctors who were attending, transferring, internship, and further training.The doctor in charge is also responsible for reporting the condition.If the treatment plan is appropriate or inappropriate, it will be discussed at that time.

If it is not suitable, we have to order a suitable treatment plan on the spot, which can not be checked in a morning.

They couldn't end the investigation halfway through, and they went directly to the noon rounds.A doctor who is almost physically unable to survive.He couldn't stand still, so he still had to take the time to amend the doctor's order that day.

Zhang Fan is not a big problem, a few medical school students and advanced studies are a bit overwhelming, because I have never encountered this kind of high-intensity rounds, occasionally standing against the wall secretly for a while.Because they are still holding the case in their arms.Although it is a plastic clip, a dozen cases are heavy when stacked together.

Ouyang's questions were very professional and meticulous, and the lower-level doctors who often asked were speechless and could not answer.She was more severe, and asked the superior doctor to answer on the spot. If the superior doctor couldn't answer, she would immediately turn over the book, and would not give any affection.

During her rounds, the doctors were nervous to death.In the ward, in front of the sick number, let her scold her, really uncomfortable.

Today’s ward round did not ask Zhang Fan questions, and Zhang Fan was scheduled for surgery.Maybe she couldn't answer, because she didn't understand the relationship between Zhang Fan and Li Xiao, so she gave Li Xiao face and didn't let Zhang Fan not come to stage.

Old lady Ouyang, not tall, can bring her own dean's halo, which puts a lot of pressure on everyone.In addition, she was very strict, which made a few of those who were transferring to another discipline trembling, and her aura was pressing.

After the room inspection, there are still many illness courses to be recorded.Today is a big round, the doctor in charge and the lower-level doctors all carry notebooks with them, and they have to record the oral instructions of the higher-level doctors on the spot.

Then it must be reflected in the case.Medical cases are much more demanding than surgery.For example, in orthopedic car accidents, it is very simple that the bone fractured in the car accident.The time, place, person, and degree of injury are OK.

If the internal medicine is not good, you have to refine it from the onset, whether you have been treated, what kind of treatment, how effective, whether it aggravated, and whether there are complications.Have you ever taken any medication?

The internal medicine cases are quite sophisticated in terms of words and tone.Words such as can, acceptable, and good are used in different places. If you use it wrong, Ouyang can use his finger to hit you to death.

The medications are also complicated. There are only a few surgical medications, such as antibiotics, hemostatic drugs, and blood-stimulating drugs. It is amazing to use albumin, plasma, and energy.Just administer according to consumption.

Internal medicine is not good. The same type of medicine varies greatly from one individual to another. Some people can use it while others can't.

It's easy to be familiar with internal medicine. A resident is probably enough for three months in the department, but it is difficult to master it.First of all, the foundation is solid, from physiology to pathology, from embryonic formation to biochemistry, you must be familiar with it, and you can use it when you pick it up.

Turning the book only when you encounter a disease, that is just a beginner doctor.By analogy, a good medical doctor can analyze your physical condition from your tastes. A glance at your face will give you a general idea of ​​your physical condition.

To achieve this level of internal medicine, there is not a solid study for more than ten years, thinking and summarizing, not even thinking about it.