Medical road
Chapter 87 Don't Want to Leave!
Back in the car, Zhang Fan was also very nervous.He drove off without saying anything.The two girls in the car were also a little tired. Maybe they were thinking about something, but no one asked.Going to the place to give people off, returning to the dormitory at night, Zhang Fan looked at the phone in a daze.Afraid of information coming and not coming, I just fell asleep in a daze.
When it's okay, it's idle and boring, and when it's okay, things happen one after another.In the middle of the night, Zhang Fan was awakened by a phone call. It was the director of the Chalk County Hospital. This county is the farthest from Chasu City, more than 200 kilometers.Moreover, because of the high altitude and small population, Zhang Fan has been there once, and Kang Hua is the second in command in Chalk.
The hospital equipment in Chalk County is the best in the surrounding counties, because the hospitals supporting them are the Shekou No. 1 Hospital and the hospitals in the economic city. A few million means sprinkling water.
But the environment in Chalk County is too bad.When the summer is hottest, it sometimes snows suddenly.Hail, heavy rain, and heavy snow often occur sequentially throughout the day.Almost all the county towns are public officials, and there are a small number of migrant workers who work.
This county is directly connected to neighboring countries, and the security of the county is taken over by the border police.The county hospital has a five-story building, each for women and children inside and outside, and one for administration and outpatient clinics. It’s better in summer and there are a little more people. There are also more merchants from other places to collect medicinal materials and mountain products. The central location of the county can still be seen. There are one or two restaurants.In winter, many residents in the county went to the tea market.Jing Buer was immediately destroyed.
The county hospital has a small number of surgical staff, with a total of four people, one director and three deputy directors.No way, the director and deputy director both have department management fees. There are only four people in total. It is not good to let anyone be treated or not, so they will simply be averaged, and the department management fees will be shared equally.
They usually deal with ordinary bumps and bumps and some minor traumas. If they are a little more serious, their family members went to the tea market directly with the sick number. The operations they can encounter are all emergency, and they are those that ordinary vehicles dare not to pull. Kind of sick number.
There is no good way to send a severely ill number to a county hospital. Tuxian Hospital has 120, equipped with doctors and nurses, and can be sent to the urban area as quickly as possible. In most cases, it is halfway, and the patient will not work. , People have no signs of life.The county is too far away from the city, and the roads are not easy to follow. It is mountainous and cliffs. Summer is better. In winter, apart from the large-scale line cars running away, there are only military vehicles.
Those who can walk are usually not the director or vice-high. They are not young anymore, with such a long distance, and the road conditions are not good, let alone giving one thousand or two thousand, no one wants to go.
Since the director of surgery at Chalk County Hospital, he tentatively invited Zhang Fan.They were all taken to heart. Not only did Zhang Fan come quickly, but the operation was good. The most important thing was that after finishing the operation, he directly paid the doctors at H County Hospital to halve.
This is a good thing. You go to work every day. It's better if you have extra money. So the four of them are much more active. They were directly sent to the city hospital for the slightly heavier patient number. They didn't even look at it.
Now I am not enthusiastic. I think of a way to keep the patient number in the hospital.I gathered a few operations and asked Zhang Fan to do it. One operation is divided into five hundred, four or five in a month, and the hard cost is more than the bonus. The indirect Zhang Fan's acupuncture has also improved their service. quality.
"Hello! Director Chang, what's the matter?"
"Mr. Zhang, our department transferred a patient from the emergency department. He was a man in his forties. He suffered a fall after drinking. He was well in the morning. As a result, he developed shock symptoms at night. Color Doppler ultrasound reported hemorrhage in the abdomen. The preliminary estimate was that the spleen was ruptured. . Why don’t you come and see? The patient’s family is in good condition, they have asked for an expert, and the cost is easy to say."
The matter of taking a hole is the same as the author of the starting point. The author cannot stop the change, and this hole cannot be easily rejected.
Zhang Fan looked at the time, and it took three hours to leave immediately after three o'clock in the morning."Director Chang, rehydration corrects electrolysis disorder, corrects shock, I will set out now."
"Okay, Teacher Zhang, the pre-operative preparations have already started." When he heard Zhang Fan's agreement, his tone was much happier. Generally, in this situation, doctors from big hospitals really won't come.
Zhang Fan got up and wiped his face with cold water, and sent a message to Director Chen Chen Qi. It was not his group who received the patient's number on Monday. It is estimated that he will not be able to make it back in the morning, but Wang Yanan is no problem.
Without a strong body and a strong spirit, it is best not to be a surgeon. After a few years of poor health, the best result is a nervous breakdown 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. He had to replenish it. It was estimated that he would have to have an operation when he arrived there, and he would not have time to eat.And this kind of exploratory operation is very time consuming.
At six in the morning, Zhang Fan rushed to the Chalk County Hospital. The hospital was very empty and the car stopped casually.Zhang Fan stopped the car and hurried to the operating room."Director Chang!" Zhang Fan called out Chang Chang after entering the operating room.
The surgeons were all there, and they hurriedly stood up and greeted Zhang Fan.No one is willing to be absent from this kind of surgery, with money.
"Teacher Zhang first drink saliva, let me introduce you to the situation, this is the result of color Doppler ultrasound." After speaking, Lao Chang took a copy of color Doppler ultrasound to Zhang Fan.The little nurse in the operating room poured a glass of water and handed it to Zhang Fan.
"Thank you!"
"Mr. Zhang, this is the situation. The patient was sent to the emergency room yesterday afternoon with a slight abdominal pain. At night, she developed shock symptoms. After the fluid was given, she couldn't feel her pulse."
"The spleen is ruptured. What about the other test lists?" After reading the list, Zhang Fan knew in his heart, and said to Lao Chang: "How did you talk to your family?"
"Cesarean examination and removal of the spleen if necessary. The family agreed and signed it."
"Okay, then start the operation." The operation is really not difficult. After opening the abdomen, the bleeding point is found, the size of the bleeding wound is identified, and the corresponding surgical treatment is performed!
With these few words, a medical student who graduated from a university would never be able to do it without ten years of general experience, and he would also have to be in a hospital above the third level, otherwise you won’t have a few operations a year. No chance to practice.
Why didn't the three directors of the county hospital leave here? Most of them were coveting the comfort here when they were young, or because of family factors.As I grow older, it is impossible to leave. I have to wait until I retire and go to a private clinic with my retirement salary.I dare not go now, because I don't have the skills and my psychology.
After the operation, under normal circumstances, the surgeon has to go to the ward to see the patients who underwent the operation and then meet with their family members.
Before Zhang Fan had no certificate, this meeting was usually replaced by someone else. This was the first meeting after he got the certificate. Zhang Fan went to the ward.
"This is Doctor Zhang from the city hospital. He is very skilled. If it weren't for him, the situation today would be hard to tell. It's too dangerous." Old Chang introduced Zhang Fan to his family.Exaggerating the crisis of the situation is to ask for more money.
The disease number is the small leader of the county's forest farm. In other places, the forest farms are generally not economically profitable, but I don't know why here. It is a particularly popular unit and everyone knows the small place.The family members were very polite. When Zhang Fan was about to leave after reading the sick number, one of the family members spoke. Zhang Fan was too young to hold back, and the family members were a little unhappy.
"My brother came to the county hospital only because of his stomachache, but he was treated for a few hours. Not only did he not get better, he also got worse. At midnight, he told us that he couldn't do it and he had to undergo surgery. He also asked an expert, and we all agreed. Now, a little boy came here, do you think we are so fooled!"
Often their skills are too poor, and others do not respect him. This family member did not deliberately look for things, but complained that the county hospital did not make a clear diagnosis yesterday afternoon, and then reported that they were critically ill. I was really scared. He didn't like the appearance of a fresh graduate student.Zhang Fan was not afraid of this, it was just too troublesome.
When the family members said that, Lao Chang was a little bit unable to hang on. This patient number was intercepted by the emergency department. They were not the first doctor to receive treatment, and there were other patient numbers and family members in the ward. He was also a director anyway.So he said angrily: "If you were transferred to our department yesterday afternoon, you will be transferred. You will not be transferred. The condition is not good at night. We actively contacted the doctors at the higher-level hospital and rescued in the middle of the night. Now it is safe. You are not happy anymore. Don't come to the county hospital if you have the ability."
When I said this, the other's family members were not happy anymore."What the hell, I didn't ask for the ability, I just knew I wanted money." said a female family member.
"You say it again!" Lao Chang was anxious.
There were so many family members that they came up to surround Lao Chang and Zhang Fan who were pushing and shoving.When Zhang Fan saw that this was not possible, he quickly said to the family member who was the first to have the trouble: "If you have something to say, if you are not satisfied with the treatment, you can go to a third-party appraisal. Who are you?"
"You care who I am." Feeling wrong again, he said in a vicious tone: "I am his cousin, and this matter is endless today." After speaking, he started calling.
Although Lao Chang is not technically good, he has been in the county hospital for many years, and many people begged him to open a transfer and help check the checklist, and his temper was not bad."If you can't help it, get out! The problem is very serious."
"Oh! How can this guy be like this." Zhang Fan felt helpless.
After a while, the dean of the county hospital came, and the cousin of the sick number was a section chief of the county party committee. He had a bit of power.
"Chen Yuan, it's not that we are unreasonable. Your doctor speaks a lot. He has no quality. Let us go. Is the hospital his own? There must be an explanation today."
In fact, this matter can be over after a good explanation.The result was always broken."Walk around, let's go to the office to talk, this will affect the patient's number."
"I must apologize, and I suspect this expert is a liar! He can't go. When will my cousin recover? When will he leave? If he can't recover, I know the police in the county very well." He didn't doubt Zhang at all. With Fan's identity, things have already become like this. If you don't find any trouble, you won't lose face.
His cousin wants to recover well, and it won't work every week. Isn't Zhang Fan going away, he is not in a hurry, let's see what the director of the county hospital says.
"Director Chang, you are wrong to say that. We are a hospital and must be responsible for the sick number. You apologize to the sick number and the family members. You think it is like this now, Doctor Zhang, or just observe it for a few days?" A subordinate , A little doctor in the city, of course he has to favor his family.
"Apologize! Don't even think about it, I'm right, you have the ability to let the police arrest me." After saying that, Chang slammed the door and left.For this matter, it is impossible to expel him, and the number of surgery has been done, he is nothing terrible, just leave.
"Look at what attitude and how to become a doctor. The county hospital can't improve the technology, because there are too many people like this." The sick cousin's face flushed with anger.
Chang is gone, Zhang Fan can't leave, this sickness is the operation he performed, and he must solve this matter."Your brother has a ruptured spleen. He was in shock at that time, and he has medical records and checklists. If you have any questions, you can go to the appraisal and I can cooperate at any time. I did the operation. I would not come if the county hospital asked me. Treatment can be restored under normal conditions. If there is a problem, 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 you Dean Ouyang and ask for a few days off for you?"
This is a bit bullying.Zhang Fan was angry and asked his cousin: "Should I stay? What if I go."
"You can't go, we are a bunch of people out there, you should think about it carefully. Don't get rid of it at the end."
"Hey! Please ask, which unit are you in." Zhang Fan sighed helplessly.
"The county committee."
Zhang Fan ignored them anymore and took out the 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. They always had no choice but to take Zhang Fan.
"Sister Tang~~" As soon as Zhang Fan said about the matter, Tang Jingjing said immediately: "You give him the phone, you should pay attention to your own safety, don't conflict with them. The leader is still resting, 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, then report to the leader."
Zhang Fan called the family member's cousin, and his cousin said, "What are you doing, you still have reason, 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 there soon." Tang Jingjing hung up the phone.
The dean has started to confide in the mud. People entering the official career have to consider too many things. Although it is a bit late, they can’t offend Zhang Fan to the end. “Actually, the surgery is finished and the patient has passed the dangerous period. The county hospital can also take care of it. Do you think it's Doctor Zhang." He saw Zhang Fan ignore him and smiled a little embarrassed.
Zhang Fan sat in a chair with his eyes closed and rested. He was more than two hundred kilometers away. After arriving in a hurry, he hurriedly underwent the operation. After the operation, he encountered this awful thing again, and he was a little tired.