Medical road

Sometimes, especially in some special industries, you can be indifferent to strangers, but you can't say it is enthusiastic to people in your system, at least you will be polite.A competent medical representative may not need to have a high IQ, but an EQ must definitely be high.

A bunch of doctors don’t sneer at Manager Sun. He doesn’t care at all. He always keeps a smile and doesn’t take the initiative to find someone to clink glasses. He just does a good job of serving tea and pouring water, a dignified district manager. , Can do this, really not ordinary people.There are so many people, no matter how hard it is, let him keep his breath and resolutely not go.In this world where money leads the coquettish, who is right and who is wrong!All right, as long as you can guarantee the lives of parents and children.World peace and global warming really have little to do with us.

Zhang Fan is also learning, accepting people and treating things, and his own rules. This is all knowledge and cannot be lacked. This is a complete social person.Without these foreshadowing, it is really unlikely to want to go further.However, the learning here is only learning, not indulging, not chasing after it. You don’t need to be proficient if you understand it.

Bart’s laboratory inspections are also complete.After the rounds were over in the morning, he returned to the department office. Lao Gao looked at Bart's inspection report, and he did not speak for a long time. He also thought about the operation plan.Frozen for a long time without speaking, he finally put down the checklist and said to Zhang Fan: "Be cautious, this operation is really cautious. Let's discuss more about it, how about it."

For Lao Gao, Zhang Fan has nothing to consider.One said, "Director, this operation is a bit difficult, but as long as you and Director Wang help me, the problem is not big."

"Do you have a detailed plan?"

"Ok!"

"Front road? Back road?"

"The back road, the front road is a bit damaged." Zhang Fan said to Lao Gao.

"The back road! The back road is a little more difficult. This operation is really too troublesome. You can't see the failure and success in a short time." Lao Gao stared at Bart's film and scratched his blue chin.

This operation is so awkward. Spinal correction is not a fracture. Whether it is successful or not is not obvious for a while. Moreover, if the doctor's level is not high or the judgment is wrong, as the child grows, the deformity is not corrected. , It will exacerbate the deformity.

"Surgery now is the best opportunity for this child. The older the child, the worse the effect." Zhang Fan emphasized.

"I know, so let's estimate the risk of surgery first, and then discuss the situation clearly with the family. Future risks and current risks must be clearly stated. When necessary, please ask a pediatrician or internist for consultation." Lao Gaosheng is afraid of Zhang. Anyone who has no experience can clearly explain what should be thought of.

"Okay. I'll have a consultation in the afternoon."

"Yeah. I went to the clinic and called for something."

To deal with these matters, Zhang Fan had to do it himself. Other doctors couldn't explain it clearly, so he was not relieved.And these things must be done after the operation, and the treatment of other patients should not be delayed because of one disease.This is why people usually see the doctors in the hospital seem to be very busy.Once there is a patient with a special or serious condition, the doctor can stay busy without touching the ground.

In the morning, there was an operation for a fractured clavicle. The fall resulted in a fracture.It was not very broken, it was an oblique fracture, with almost no broken bones, just an obvious broken end.This kind of surgery is suitable for Wang Yanan to practice.Orthopaedic surgeons pay great attention to the fracture of the clavicle. If you relax a little, you may be snatched away by the thoracic surgeon.Orthopedics did not suffer, and the rib fractures outside of the chest were not lost.

"Attention, during fixation, you must pay attention to the underlying lung tissue. Regardless of whether you are sure of it, you must take protective measures." Zhang Fan was an assistant, but he still emphasized the matters needing attention during the operation.

You may feel that it is unnecessary.In fact, the medical industry attaches great importance to the consolidation of knowledge. If you do not consolidate it yourself, the hospital will help you consolidate it.Take an exam every three to four months, transfer basic exams to other subjects, and repeat the same thing over and over again. I am always afraid that you will forget, and the results are linked to your performance salary.

This is the case in the medical industry, only more skilled but not the most skilled.As life goes on, studying and taking exams will never stop.After the operation, the superior was the superior. Although Zhang Fan and Wang Yanan were both residents, Zhang Fan was Wang Yanan's superior doctor at this time.

In the afternoon, Zhang Fan started Bart's preoperative preparations.Everything goes through the normal procedure. First, the pediatrician is invited for consultation. Although the pediatrician didn’t say anything, he just wrote a sentence in the medical record: The child’s current vital signs are stable, the spine is clearly deformed, and relevant symptomatic treatment is available in his current state. If you have any special circumstances, please contact our department, thank you!Just such a nonsense, not even surgery, but just this nonsense, if it is not reflected in the medical record, even if it is an unqualified medical record, this is the problem when the superior is looking for problems, why is there no pediatric consultation?

Then I will invite the respiratory department and the cardiology department for consultation. The larger the operation, the more complete the medical records must be. Even if the other party is talking nonsense, they have to be asked to talk about it. This is the responsibility of the patient and the protection of the doctor.For the cardiology consultation, Ren Li and Ouyang came, and the old lady had already greeted Ren Li.

"Is there any precedent for this kind of operation in the city hospital?" Ouyang came, and Lao Gao came to greet him.The old lady asked through the medical records.Although there was no questioning by name, everyone knows that this is for Lao Gao.

"Dean, I haven't done it."

"Well, it can be regarded as expanding the business of the department, but we can't be radical. Zhang Fan, you go to the director Wang of the second department of orthopedics, director Chen of the third department of orthopedics, the director of anesthesia in the operating room, the director of pediatrics, and the director of the medical department. Come here, it happens that all the staff are ready, let's discuss it."

"Yes!" Zhang Fan turned around and went to the nurse's station to call.This is a feature of a hospital. Private matters will be contacted via mobile phones, while business affairs will generally be contacted via internal telephones.I don't know how it was passed down. Although the phone bill is not much and the hospital is still reimbursed, it is like this. As long as it is official, it is usually contacted by the hospital.

Within a few minutes, Lao Wang and Lao Chen arrived. The three departments of the orthopedics department are all connected, and the three floors of the surgery building are connected to the orthopedics system.Ever since Zhang Fan showed Lao Wang the film with this sick number, Lao Wang has been stunned.I can't take care of other things. I'm fascinated by watching movies every day, thinking about surgical plans, looking for information, and getting nervous.

People are like this. If the operation was performed by a higher-level hospital, or as long as it was not done by a certain doctor, Lao Wang would not be so concerned, but once it was done by a tea or a doctor he knew would do it The operation made him anxious.Why can he do it, why can't my old king do it?The old man made Zhang Fan a bit miserable. It's not good to eat or drink these few days. It's really too much to think about plans.

"Everyone is there, right? Director Gao, please arrange it." After several directors from other departments arrived, Ouyang said to Lao Gao.

"Well, Zhang Fan is your patient, you can introduce it to everyone." Lao Gao said to Zhang Fan.

"Leaders, experts, three days ago, a child aged six and seven months old was admitted to our department. After examination, the diagnosis was clear: mixed congenital spinal deformity. Laboratory examinations and physical examinations accord with and support the diagnosis. Patient At present, due to the young age, there are no related complications, but in order to protect and avoid future complications, our department plans to perform orthopedic spinal deformity surgery for treatment. However, considering the young age of the child, the operation time and postoperative bed rest It takes a long time, so please consult with experts from various departments." In the office of the First Orthopedics Department, Zhang Fan stood up and said without even looking at the medical records.The director of the medical department took the record personally because the dean participated.

After listening, Ouyang nodded involuntarily, and then said to the doctors present: "Everyone discusses whether or not to do this operation. Do it, how to do it, not do it, why not do it. Let’s talk about it. From Wang Yanan’s side Start talking in turn."

Except for the orthopaedic doctors, the others were all expert-level doctors, so the little doctors should speak first.

"The child's vital signs are stable and the diagnosis is clear, so I think it can be done." Wang Yanan sat down after speaking.

"You don't need to stand up, just sit and say, to save time." Ouyang added after seeing Wang Yanan sitting down.

The little doctor can't say one, two, three, just talk about the examination and physical signs in the medical record.Soon I arrived at the director of the Third Department of Osteopathy.After staring at the film for a long time, Chen Qi said: "It is difficult, the operation is not small, the child has immature body development, and has not yet shown obvious symptoms. The postoperative effect is not well judged. Can it be delayed for a while? ?"

Old Chen meant that the child had no symptoms and what to do if there was abnormality or discomfort during the operation.Although a little conservative, it is also a suggestion of the old city. After all, this is a person and not an object.

After Old Chen finished speaking, the two orthopedics directors frowned, but said nothing.Ouyang did not know whether the director of the cardiology and pediatrics department evaluated the patient's tolerance ability from his own department, and did not issue clear recommendations on whether to undergo surgery.The director of the anesthesiology department clearly stated that after the child could tolerate surgical anesthesia, the speech was over.

It was the turn of the director of the Second Department of Orthopedics. The old man stroked his little hair and said: "It can be done. Although the child has no obvious symptoms at present, if he is treated conservatively, he will definitely have obvious organs within a year. The qualitative change, the operation at that time was just a remedy. And I checked many related papers and medical records. As long as we make a complete plan, the operation can be performed."

"Are there many hospitals in Bird City?" Ouyang asked.

"Not much, but I can't say no."

"What if the effect?"

"The earliest was a similar operation five years ago, and the effect is unknown. I called the surgeon at a higher level hospital. I left the border after the operation and did not continue the follow-up visit." After all, the spine is Pharaoh’s line of business. , So it is very clear about these things.

"Director Gao, tell me." Ouyang said to Lao Gao after listening.

"You can do it. The doctors in the front have said it. I don't need to repeat it. But how to do it needs to be discussed.

Zhang Fan made it clear that the operation is feasible when he introduced his condition, so there is no need to comment.Ouyang directly decided: "Since all the experts support surgical treatment, it is an orthopedic disease, and it is Dr. Zhang's number. Director Gao, Director Wang, and Dr. Zhang, after the three of you book a surgical plan, you will submit it to the medical office. III Are there enough days?"

"Yes!" the named person agreed unanimously.

This is Ouyang's method. This is considered an administrative order. You are arguing. Anyway, I set the time. No matter how noisy you are in three days, you have to give me a plan.

"Okay, the meeting is over." After speaking, Ouyang went out first!