Medical road

Human inertia is quite terrible. Zhang Fan, who had just graduated that year, once ran a provincial capital city on a bicycle. In less than two years, he could not do without a car.

Zhang Fan went to the hospital in the morning, and then went to Ma Wentao's hospital to see Wang Yongyong at noon.Wang Yongyong is recovering well, and the swelling of the knee joint has begun to subside.

Cousin Shao Hua's newsstand has also opened, and business is good.The first-hand noodles made by my cousin are also useful. In the morning, a steamed bun is steamed. Because the ingredients are sufficient and clean, the hospital doctors and nurses buy it from her.Day by day, the faces of the couple also became ruddy. In this world, money is the backbone of a person, and life without money is really hard.

Usually my cousin sees the newsstand, and my cousin goes outside to do odd jobs. The couple are good people. Zhang Fan is busy and Shao Hua is not busy. Overtime work at the bank is common. My cousin will directly contract the physical work at home. Can't do anything.This is the case between relatives, courtesy exchanges, getting closer and closer together.

The gastroenterology department of the city hospital has not improved. The old director was poached by Ma Wentao after he retired. The director who was dug from outside was not working in the department, and the number of patients was slowly lost.Whether the technology is good or not, listening to the public’s word of mouth, if there are problems once or twice, the reputation of the gastroenterology department is not very good, and there are many complaints.

Ouyang didn't have any good solutions either. For the time being, there was no good mature doctor to replace him. The doctors who came to apply were either too demanding or not sufficiently skilled.

On Tuesday, a special patient came to the Gastroenterology Department. A female was admitted to the hospital with intermittent vomiting and dizziness for three days. The director who dug out recently went to the Chasu City Hospital of Traditional Chinese Medicine because the hospital has already set a price. , Let him become the vice president, and now he uses this as a weight to intimidate Ouyang.Either give an official position or add money.

The vice-president of a municipal tertiary hospital is not a president who can decide, and it is impossible to increase money. What income level does other doctors have!Give too high, what should other people do.Ouyang disagreed, and the director of the gastroenterology department began to work hard without any effort, and had already negotiated conditions with the Chinese Medicine Hospital.

The female patient who came here was very special. All examinations were normal, but she was nauseous, vomiting, and dizzy.The doctor in charge of the gastroenterology department had no choice. The first diagnosis was electrolyte imbalance, and then he reported the patient's condition to the medical office and applied for a consultation in the whole hospital.

This kind of consultation is not the usual consultation between departments, it is to take this case for expert consultation in the whole hospital.This level of consultation must be signed by the dean, and the medical office takes the lead in coordinating the time of experts in various departments.

Ouyang is also an internal medicine expert. After seeing the case, she was also very surprised that any examination was normal, but the patient's vomiting symptoms were indeed present.

On Tuesday afternoon, experts from various departments gathered in the ward of the Gastroenterology Department for an in-hospital general consultation.After the consultation with experts in various departments, they were particularly puzzled, and no abnormalities were found.There is no good conclusion after discussion.

"Or ask an expert from the Hospital of Traditional Chinese Medicine to see it. This disease should be treated." The new director of the Gastroenterology Department said at the expert meeting. He is not afraid of big things and has a good place to watch the excitement. He no longer regards himself as a doctor in the city hospital.

Since the establishment of the city hospital, the Chinese medicine hospital has been suppressed. Only the Chinese medicine hospital invites experts from the city hospital for consultation. How can a city hospital ask the Chinese medicine hospital for consultation? Ouyang cannot afford to lose this person.

But at present there is no good way, Ouyang's face is ugly.Although there are intractable diseases in primary hospitals, the total amount is not much.The new director of the Department of Gastroenterology is the deputy director of the Provincial Hospital, and he can’t see it, but he thinks about it. After bringing this patient number to the Chinese Medicine Hospital, he will contact his former colleague, and he must be in the Chinese Medicine Hospital. Fired the first shot.

Ouyang didn’t want to, so he ran on Ouyang with words, “It’s not surprising that the diseases that can’t be seen are not surprising, even in the provincial hospitals, but we can’t do things behind closed doors. We should not be responsible for other things, even if we are responsible for the health of the patients. Brainstorm."

His words were too high-sounding, Ouyang couldn't even say anything to refute, could it be said: You can't afford to be ashamed!Still look down on the experts of the Chinese Medicine Hospital?In a dilemma, the director of the hospital office got up to answer the phone. After a glance, Ouyang said, "Let’s discuss it again. Maybe there are still things we overlooked."

"Haha!" What a sarcastic laugh!

There is no rule to turn off the phone for the internal leaders of the hospital. This is a special unit. Maybe there will be a critical illness or emergency surgery, so the expert director will not turn off the phone.

This ironic laughter was a naked slap in the face, hitting the entire hospital doctor in the face.When facing interests, when facing official positions, some people really have no scruples.

After answering the call, the director of the medical department opened the door and whispered a few words to Ouyang with a smile. After hearing this, Ouyang turned to look at the director of the medical department. The director of the medical department nodded affirmatively.

"There is no need to invite experts from other hospitals to consult. The city hospital is the hospital with the highest level of medical care in Chasu City. The patient number has been diagnosed. You, a provincial expert, do not concentrate on treating patients, but you want to use external forces. I think You are no longer suitable for the work of our hospital. From now on, our agreement is over!" The city hospital of gastroenterology department has no way to diagnose and treat. People grasp this handle, Ouyang can not get angry, now it is resolved, even if he reports to the municipal party committee , Ouyang is not afraid.Ouyang said this sentence sonorously.

The director of the Department of Gastroenterology, who was dug up, was in the establishment of the introduction of talents. He wanted to make Ouyang let go and let him go to the Chinese Medicine Hospital.This is because only the municipal hospital has the establishment of recruited talents, and no other hospitals.In this situation, it's not that he doesn't see the listed hospitals, but the city hospital doesn't like him. Even if he goes to the TCM Hospital to the top, he will be a vice president. Is the expelled expert an expert?

"Can you let me know which expert's method is?" He knew very well that the hospital experts are here, and it is impossible that the experts are not lower-level doctors!So don't worry at all, "This is a double reed."

"Yes!" Ouyang said disdainfully.

Time moved forward. After Zhang Fan returned to the department and found that the director of the oncology department was not there, he asked the transfer doctor: "Why are you so busy today, the director?" Because Zhang Fan went to the acupuncture point in the morning, he had to tell the director when he came in the afternoon. .

"Big brother, the director went to attend the hospital meeting!" Zhang Fan's special status, in the eyes of the transfer doctor, Zhang Fan is already an alternative to leaving the team.

"Hehe, don't run on me! Which department's critically ill number?" Zhang Fan didn't care. If he even cares about other people's words, there is no way to live.

"Gastroenterology! Zhang Fan, you are not busy all day, help me with something." The transfer doctor is a female doctor who graduated one year later than Zhang Fan, but she entered the hospital in the same year as Zhang Fan.Slightly charming, it is considered a more sought-after one among young people.

The other doctors in the department were busy today, but she was free, so Zhang Fan asked, but the results were endless, and Zhang Fan regretted it.

"Oh! Big shoulders and narrow shoulders may not help you!"

"See you are timid, there are too many medical records, I just took a break, you see that my fingers are swollen, you can write some medical records for me." He said, put his fingers in front of Zhang Fan's eyes , Slender fingers, green and white, with a faint aroma.The coquettish look and the big watery eyes, no wonder many people are pursuing it.

How can Zhang Fan write her medical records? If Zhang Fan did not have a hard life in college, she might have been confused by her two years after graduation. Especially in the past two years, Zhang Fan has seen too many The person is more refined, so her way is still shallow.

"Oh! I remember, I have something left at the door!" The crappy reason was the best one. It is estimated that this girl will never confuse Zhang Fan again.

Zhang Fan turned around and went to the Gastroenterology Department.Lao Hu of the Department of Gastroenterology is now the pillar of the department, and the director is more exotic than the other.Now he leads the rounds of the Gastroenterology Department.

"Brother Hu, isn't it the conference consultation? Why didn't you attend it?" Zhang Fan said with a grin, that is, only if you have a good relationship with Lao Hu, you can make jokes like this, otherwise you would not dare to say that. At a high level, Lao Hu is the chief.

"Well! I have finished expressing my opinion! The dean thinks what I said is reasonable!"

"Believe you a ghost!"

"You bastard, knowing that your brother is not qualified enough, you still come to tease your brother, what are you doing?"

"Miss you!"

"You are getting slippery! What about that simple Zhang Fan before! How long have you said we haven't seen each other!" Although they are all in the same hospital, they are really busy. I haven't seen each other.

"Isn't you busy! What kind of sickness is today, such a big battle." Zhang Fan asked after a few jokes.

"A sick person with vomiting! All examinations are normal, but it is intermittent vomiting." Lao Hu said.

"That's weird! Brother, take me to study?"

"Wait for a moment, I will type this conversation out. You have to look at her case first." Lao Hu said.

After sitting down, Zhang Fan looked at the patient's case. A female, 45 years old, an office clerk, denied any history of injuries, acute or chronic diseases.Deny the history of drinking and drug use, deny all family genetic history.

Zhang Zai looked at the examination items in the case, and there were no abnormalities in blood routine, biochemistry, chest X-ray, and brain CT.Because he didn't see the patient, Zhang Fan couldn't see anything special.

"Let's go, I heard that your kid is now treated at the director level." Old Hu teased Zhang Fan on the road.

"What kind of director's treatment!" Zhang Fan asked puzzledly.

"Pretend, the hospital knows that you don't need to be on duty and you don't need to write medical records. Isn't it the director level?"

"Uh! Just talking!" Zhang Fan was helpless. There are always people who are not convinced, but people are mediocre if they are not jealous, and Zhang Fan doesn't care about it. What should I do.

"It's this patient number, look at it, the vomiting is intermittent." Lao Hu said, pointing to the female patient number in the single ward.

Because there is a general consultation and the family members of the sick number have also talked to someone, they live in a single room.After entering, Zhang Fan found that both the patient and the patient's family looked bad.

The patient couple are both urban civil servants. The husband is in the Education Bureau and the sick unit is in the Disabled Persons’ Federation. Although they are not leaders, the Chasu City is so big, how can they find a relationship, and they are now hospitalized for several times. Oh my god, my condition didn't improve at all. I asked the bedside doctor, but the bedside doctor couldn't say one, two or three. I haven't even seen the director in recent days, so my face is not good.

"This is Dr. Zhang from our surgery department. He will show it to you." Lao Hu introduced.

"It's no trouble, we have already contacted the hospital attached to Di University. We will be transferred to the hospital tomorrow." The patient's husband didn't speak very well.

"No trouble, this is what we should do." Zhang Fan pretended not to understand, and with a smile on his face, said to the patient and family members.

Reach out and don't hit the smiley people, and they can't do without the Chasu City, so they can't offend the doctors at the city hospital too much, "Let's take a look! Your surgical director didn't see anything."

The common problem of cultural people is that they can't be angry, but they just can't get rid of their faces.Ten thousand are not willing, but Zhang Fan can only be checked again.

On the way here, Zhang Fan kept his hands in his pockets and became warm. This is a question of doctor's quality.There are many reasons for vomiting, but most of them are digestive tract or brain problems. Zhang Fan first started the physical examination from the abdomen.

There is no problem with the liver, gallbladder, kidney and spleen, and the abdomen is soft without any tenderness and rebound pain."Have you eaten any special food recently, such as mushrooms?"

"No!"

Zhang Fan started to check his brain, and every nerve reflex was normal. What was the reason?"Under what circumstances will make your vomiting worse?"

"It's just that when you are a little tired at work, it will make you feel sick and feel dizzy."

"What does the eldest sister do? Do you have any hobbies?" Zhang Fan asked with a smile, Zhang Fan's attitude is too good, sincere and gentle, unconscious patients began to cooperate slowly.Zhang Fan already has the means of a mature doctor how to contact patients.

Zhang Fan understands their feelings. If they are ill, they can't make a clear diagnosis. People will be angry and anxious. They can't just care about them.

"I am an office clerk. I have no hobbies."

"What is the main content of work? What do you do when you are resting at home."

"Well! It's just some literary work, at home, it's doing cross stitch or something."

"Oh! Have you done cervical X-rays?" Zhang Fan asked Lao Hu.

"Done!"

"The film is here!" Zhang Fan is serious and responsible. Even if the diagnosis cannot be diagnosed today, the family and the patient will not say anything. The husband of the sick number took out an X film from the cabinet.

Zhang Fan looked at the X-films and found no problems."Strange!"

Zhang Fan said to the patient again: "Sister, you lie down and I will check your cervical spine."

Zhang Fan began to examine the cervical spine. When he touched C4, Zhang Fan let out a surprised voice, "Huh!" After the system orthopedics was upgraded, the orthopedics rehabilitation treatment was also upgraded.

The basic orthopedics is a general orthopedic disease, and the upgraded orthopedics is more specialized. Although it is not the highest level of orthopedics, it is already more specialized. The future system will also be very special for medical settings, requiring doctors to basic After mastering all the diseases in the second stage, the content of the third stage can be released.

Zhang Fan's current highest-level discipline is orthopedics!The main reason is that the pit is too deep!Zhang Fan hasn't climbed out yet~!Puwai is too bad!