Medical road
Chapter 155 Chapter 151
Yu Bin, the director outside of his head, has already gone to study, and the Qin family’s girl has her say, and she doesn't delay her work.Although Qin Nuo is still in the hospital, she has implemented the training. The three people in the training are all learning from the top experts in China. The amount of surgery is very large. There is no need to worry about no surgery. The results of the training will be seen. Their own understanding is gone.The operation can only be led in by the master, and the rest can be realized by myself.
Li Hui didn't go out to play during the wedding break, so he gave his wife a baby with peace of mind at home.It is said that the matter of Dingke has been confirmed, and Ouyang has signed it.Just waiting for him to enter the university after his wedding leave.
Zhang Fan is not in a hurry to decide the department. He is not worried that graduate students will affect his department. His current level refers to the level of orthopedics surgery, not to mention graduate students. The director of a provincial tertiary hospital may not be better than him. .The family has surplus food and is not flustered. Transferring is not a waste of time, but a systematic study of a medical system. Many things that cannot be written in books can be understood and discovered when transferring.
Shao Hua has also begun to struggle. After buying a lot of information books, there is still a big difference between accounting in the financial industry and corporate accounting. I really have to admire Shao Hua. The foundation of the university is really good, and the effect of reading books is good.
Liu Zhaoyun, the deputy director outside his head, is from the old frontier.He was born in a farm and is considered to be a second-generation farmer, and the situation is similar to that of Shao Hua's family.The ancestral home is southerner, graduated from Suzhou-Hangzhou Medical College.When I graduated that year, I looked down on the local county-level hospitals in Suzhou and Hangzhou, and returned to the urban hospitals in the frontier. After a decade of work, the county-level hospitals around Suzhou and Hangzhou are no longer comparable to the top three hospitals in the frontier.
Many of his classmates who stayed in the surrounding counties of Suzhou and Hangzhou, all went to study abroad one after another. There are several PhDs from the Royal College of Medicine. This is the difference in regional development.
I don't know if he regrets it. He has lost the opportunity to reach the top of the medical field, that is, an ordinary doctor, going to clinics, surgery, and then waiting for retirement, retirement, and grandchildren.And many of his classmates have already made their mark on various medical forums.Now he doesn't even have the opportunity to participate!The organizer will not think of hospitals in remote areas, and will not invite them even if they think of it!
He will regret it if he talks about dedication, but only about the level of technology. If he talks about dedication, his role on the frontier medical front is not necessarily worse than that of his classmates. The medical front line has been charged for decades, and there are countless lives.
The brain surgery room is not too big in the hospital because it is too difficult.Relying on the director Yu Bin outside his brain, he attaches importance to the development of medical technology and dares to let go to lower-level doctors, so the development of the department is not bad, three deputy seniors, four attending, one director and one deputy director are both senior.
Zhang Fan entered the brain surgery department with a transfer list.Zhang Fan received by Liu Zhaoyun.The doctors in the surgical system of the city hospital are familiar with Zhang Fan.
"Sitting Dr. Zhang, Director Yu explained that when he left, let me take you when you are transferred outside the brain. You don’t need to participate in dressing changes and write medical records. Follow me to the outpatient clinic and surgery. If you are sure of the operation, You can apply for the position of chief sword with me." Liu Zhaoyun received Zhang Fan in his deputy director's office.
"Okay Director, I will listen to you."
"I'm not on night shift. After you are familiar with the department, you will be on duty to manage the patient number independently. Independent management of the patient number is the fastest way for young doctors to improve. Set your mind and quickly enter the state of work outside your brain."
"Row!"
There is already a graduate student who graduated this year in the department outside the brain.Xia Huadong is also a god.The undergraduate is Chinese and Western medicine, but when I was admitted to the postgraduate school, I didn’t know what was going on and I was admitted to the outside world of the Frontier Medical University. From then on, I was farther and farther away from Chinese medicine!
His girlfriend was admitted to the Banking Regulatory Bureau of Chasu City last year, and he rushed to his girlfriend as soon as he graduated.Because it is a master's degree from the outside world, the tea market is very scarce. After entering the hospital, he first gave a settlement allowance of 100,000 yuan.The young man is also a good individual, respects the old doctor in the department, and quickly merged into the outside world.
On Monday morning meeting, after Liu Zhaoyun explained the daily work of the department, he took Zhang Fan and Xia Huadong to the clinic.Both of these young people are terrible. One is a person who has established a status in orthopedics, and the other is a master. Other doctors with less qualifications really can't bring them.
The knowledge outside the brain is too complicated and trivial, and Zhang Fan can't even tap the second-level brain. Now the technology outside the brain is the top three sub-high in a region.But the advantage is that there is a lot of practice in the system. Practice makes perfect. It's not just talking. After an operation is repeated thousands of times, it is absolutely amazing.
Most of the patients in the outpatient clinic are elderly people, and the weather is cold in the frontier, so the diet is very high in fat, and the taste prefers salty food, which leads to cardiovascular and cerebrovascular diseases.With the improvement of the national medical system, there are more and more elderly people, and a Northwest drinking is also very fierce, resulting in a large number of accidental deaths of cardiovascular and cerebrovascular patients.
High blood pressure is not high blood pressure. No one cares about your blood pressure at the dinner table. Many people have repeatedly stressed that you can’t drink alcohol before eating. If you have high blood pressure, you will be advised to drink alcohol after drinking it. .
After a week, Zhang Fan also became familiar with the working procedures of the department and began to treat patients independently.The frontier folk customs are sturdy, sometimes just because of improper speech, it may cause fighting. Often people are beaten to the head, and skull injuries are common.
The winner is responsible for medical expenses and goes to jail for re-education, while the loser lies in the hospital and is not as good as dead.The first extra-brain patient Zhang Fan received was injured in a fight.
The sick number is not very young. He was in his twenties. He played three times at the bar and was quite skilled, but he was finally overwhelmed by a beer bottle.
Come to see a doctor with panda eyes and nose bleeding.However, his life is big, it is only a slight fracture of the anterior cranial fossa, which can be regarded as a mild head injury, and he can go home and rest after one night of observation.
As a result, this guy was unwilling, saying that he had a terrible headache and was going to be hospitalized.Zhang Fan looked at the X-ray and CT again, and again confirmed that it was a mild brain contusion.
Asking about the medical history, Zhang Fan also had to sigh, this guy’s bone density was too hard, he was in a coma for a few minutes after such a violent blow, and the nervous system and cerebrospinal fluid examination showed no obvious abnormalities. According to this injury, the family members You can actually go home and observe after you explain it.
But he couldn't, he had to be hospitalized."Your injury did not reach the hospitalization standard. I can't treat you even if you are hospitalized." Zhang Fan said, laughing and crying.
"Brother, let me be hospitalized. I'll just lie down. You can prescribe whatever medicines are expensive. You can prescribe me tests if they are expensive. It really hurts. If you don't take me, I will just wait Lie down in your office!" The young man was very unkind, entangled Zhang Fan like brown candy.
Zhang Fan knew what he meant.It is very troublesome for this kind of patients to handle it well, and the headache symptom is a subjective symptom, not a physical sign. People say that a headache is a headache. The doctor can't identify it, and it must be reflected in the medical record.
Then take it, Zhang Fan is on duty. He came to Zhang Fan with half a bag of black bananas. Zhang Fan wouldn't ask for it. This guy was not embarrassed. He just sat on the office stool with Zhang Fan. Ji, he wants Zhang Fan to check him from start to finish, and do all the tests that the hospital can do.
The most shameless person even had to check the essence (a).This is pure nonsense. Zhang Fan ignored him. He has a brother on the left and a brother on the right. Anyway, he can't let you work at ease.
"You just told me that I can't do anything. At most, I will switch you to brain examinations and injury-related examinations. The other examinations really can't be done. And it's just a fight. What are you doing without albumin."
"My brother, don’t you know, they stepped on my dick at the time, and now it’s a bit swollen. You don’t believe me to take off my pants to show you, I’m not married yet, can you be responsible if there is an accident? ?"
"If you step on it, you don't have to do this check. Just do a color Doppler ultrasound. Don't even think about the protein. I won't lose to you. This is nonsense.
"Don't worry, they are all caught, they can't run away. Someone will pay for the medicine! If you prescribe the protein to me, I won't lose. I will sell it. By then, we will each have half the share."
"You six and four!"
"Brother, you are 70%! No matter how much it is, it really won't work!"
Zhang Fan is really speechless, this guy is just a hob meat, can't give a good face, otherwise it will be endless."You're making a joke, I will discharge you from the hospital." Zhang Fan said solemnly.
"Good, good! You are clean! But brother, I have to give me some kind of color Doppler ultrasound. It's really swollen."
"Hurry back to the ward and lie down!" Zhang Fan was really impatient!
It was the first time he met such a person, and he was really speechless.The parents of the boys who beat him came, because the children were arrested by the police, and served him with delicious food and drink every day. They hoped that he would not be held accountable, and the two parties could resolve it privately.
The patients outside the brain have several sicknesses and their condition is very serious. The most severe one has been in a coma for a week and is suspended from a nutrient solution. The cost of medicine and treatment per day is more than 6,000. The patient’s family cannot support it for a few days , May give up treatment at any time.This type of disease really cannot predict the time when the patient will be awake based on the vital signs.
Maybe he will never wake up, maybe he will open his eyes the next morning.The patient can only stay in this way. The patient is very painful. After a week, if the family does not turn over and massage frequently, bed sores would have been lying down long ago.If you go to special care, the price is more expensive!
The family members are even more painful. Let alone the daily expenses, it takes two young and middle-aged to turn over a massage. Most of the ages cannot turn the patient over, and the doctor can't tell if the patient can't wake up.For ordinary well-off families, if they insist on this for two months, they can directly destroy the family.
"If you want to continue the treatment, prepare to sell the house!" These are the original words of the attending doctor.But looking at the relatives who were lying on the bed getting thinner, I was really cruel and said the word "give up".
But what can be done? The family really has no excess funds. If you want to continue, you have to sell the house.Looking at his unmarried son, I think of the laughter and laughter of his wife in the past, the ears and ears of his youth when he was young, and the wife was in tears!Cover your mouth!The crying heart is broken!
Even if you cry, you can’t cry in front of your child. It’s not easy for a child. How much money can a repairman make? Looking at the child’s cracked hands, the wife sat on the bedside and said to the unconscious husband, “Am I right? If you live here, you will take a step first. When the child gets married, I will follow you. You must go slower and wait for me in the front. I will come later. We will not feel cold when we stay together. You are usually fine, how could it be like this!"
"Doctor, let's give up treatment and pull out the tube! Really! Pull out the tube! It's all my fault! Old man! All blame me!" The old lady was crying out of breath, holding on to the leg of the bed.
However, no matter how painful, she still needs to sign the waiver of treatment, and sign her name with trembling hands. The relationship with the patient is: husband and wife.Young couples and old companions, what is heartbreaking, this is, her heart is broken, she feels that his hope of coming back to life has been cut off and cut off by her alive!
Doctors and nurses began to remove various infusion channels and breathing masks.The old lady's dry lips lightly kissed the old man's forehead, and tears fell on his cheekbone protruding face, "It doesn't hurt! You bear it! Soon! If you have resentment, please blame me! "The old man's eyes sunken in the towering cheekbones slipped a drop of tears!"
"Woo! Woo! Woo!" The old lady sobbed her arms around her lover!End of life!The heartbeat stops!The electrocardiogram pulled out a straight line.ended!No if, no start again!The rest is the old woman who has passed out and the son who is still unaware and still working overtime to make money!
On Zhang Fan's second night on duty, the phone rang at the nurse station!