Medical road
Chapter 332
If there is a person whose ancestors have never been lavish, and come here hungry for eight lifetimes, he will never miss the past, because there is nothing to cherish.
If the ancestors were rich and wealthy, when it was passed on to him, there was nothing left, and he had just heard of it and had never seen it before, and the absolute heart was full of entanglements.
Regardless of the country or industry, this is actually the same as a person or a family.For example, for a shoulder joint dislocation, the least reduction of Western medicine requires two people. The doctor cannot be too old and can't do it when he grows old. However, Chinese medicine doctors, many old men, many of them are immortal, and he can't walk safely. But this kind of reset is too simple. A person can reset a chair easily.
Then there is the so-called picking people. If there is no suitable person or other factors, there will be fewer and fewer people in these methods, and finally it will become a legend.Medical treatment is not like other industries. The creation of one technique and the creation of a simple technique may be the result of several generations of people slowly exploring it, and it is said that the loss will be lost.
Technology is so advanced now, but there are a lot of tricks and empirical things. If there is no predecessor to lead and want to copy, it is really not ordinary difficult, and the current medical system is different, and many doctors are reluctant to study or not Dare to innovate, anyway, is to follow the textbooks and the annual medical regulations, how to stipulate how to treat, it is too difficult to make breakthroughs!
Zhang Fan took this middle-aged woman in her thirties and forties and sat on the examination bed."First take off the top, I have to see. Can I take it off? I can't take it off, I have scissors here." After speaking, Zhang Fan suddenly felt wrong, as if he had said something wrong.
"It's okay, doctor, it's okay. No need for scissors." The woman gritted her teeth. She was already in severe pain. The movement of her arm caused even more pain. The big beads of sweat seemed to fall directly on her head. It fell directly, it really fell off.
Tattered work clothes, big beads of sweat, enduring severe pain, why?This is the world, this is the adult's world, fight, fight bravely, hope she can fight for a future, hope to live the life of her dreams sooner.
"How did you get hurt?" Zhang Fan knew at a glance that it was a shoulder dislocation.Shoulder dislocation is the most common dislocation of the whole body, accounting for about 50%.
Mainly, the shoulder joint is the joint with the widest range of motion.And because the shoulder joint lacks stability in the anatomical structure, the glenoid is small and shallow, the humeral head is large and round, and the joint capsule is loose, so it is prone to dislocation.
In layman's terms, the head of the arm is a protruding ball, and the body has a shallow socket, and then the round head is buckled in this shallow socket.
"The frame car on the hoist is pulling the cement, and the iron bars on the hoist blocking the frame car are missing. As soon as the hoist rises, the frame car ran forward. She watched the frame car falling, so she went to catch it. It's too much. If it hadn't been for letting go early, I guess the shelf cart would have taken her down the ball. It's really fateful."
A man who came with him, although his tone was angry, but seeing him firmly holding the woman's body, with reddish eyes, knew that he felt sorry for the woman.
"Are you her family member?" Zhang Fan asked.
"Hmm! I'm her man."
I don’t know if this infrastructure is large, the smaller ones seem to be onions, which are contracted layer by layer. Anyway, profits seem to be the same as onions.For these workers, the insurance and various benefits do not seem to be very sound.
"Come, come down. Lie down slowly. Hold on to each other a little bit." Zhang Fan said to the woman and the two men who came together after watching the film.
"The body is very big, you white list~~" The woman hesitated looking at the white list spread on the examination bed.
"Hi! What time is it, you still worry about this, lie down, hurry up." Zhang Fan was really moved. It is not the earth-shattering things that can move people, but these inadvertent little details.
"You don't have a fracture, just a simple dislocation. It's okay. Lie down and I will reset it for you."
"Yeah!" Although Zhang Fan had said everything, the woman still hesitated to lie down with little care.
"It's real. Come over and put your hand against her shoulder. Press your hands."
Dislocation of the shoulder joint is firstly caused by swelling, pain, and limited active and passive movement.What is visible to the naked eye is the collapse of the shoulder deltoid muscle, showing a square shoulder deformity.And if you let him touch his normal shoulder with the hand of the affected side, he can't touch it.
"Come on, bear with me." While speaking, Zhang Fan took off his shoes, grabbed the woman's dislocated arm and wrist with both hands, and stepped on the patient's armpit with his heel.The rehabilitation treatment given in the system was completed by giving nurses a massage at the beginning of the year.
So for this kind of reset, it is too simple for Zhang Fan. Although simple, the technique is not the best, because the system is Western medicine, not Chinese medicine.Therefore, reduction is also a western medicine reduction method.
Continuous traction, this traction is to relax the muscles on the arm first, and use steady and continuous force to pull the two hands, and the heel of the middle is pulled to push the humeral head outward.Rotate at the same time and retract the upper arm to reset.A beep can be heard when resetting
It's very simple, but with this method, the doctor will not be able to do it with a little age, and you will not be able to do it with a muscle pull.
Zhang Fan pulled, and when he felt it was almost the same, his arm rotated and his heel pushed the humerus forcefully, only to hear a "click", accompanied by a grunt of the woman.
"Okay, it's over. Try it and touch your opposite shoulder." Zhang Fan put on his shoes and said to the woman.
"Well, all right, doctor." The woman moved lightly, and it was really good.
"Don't worry, I have to tell you. You are injured by violence and must be fixed, or you may become habitually dislocated in the future."
"How to fix it?" the woman asked.
"A triangle bandana or a plaster can be done. It will take at least three weeks, otherwise you won't be able to recover."
"Doctor, can I take some medicine? I can't do anything for a fixed period of three weeks. The baby's father works alone and can't afford it. The doctor please." The woman didn't call when she was in pain, and she didn't when she was reset. Called, but when she heard that she could not work for three weeks, she was anxious.
"You listened to the doctor, and you still don't want an arm. Why can't I do it?" The man supported the woman, afraid that she would fall.
"Uh! It's better to fix it, otherwise it will be bad if you have sequelae."
"But, the children and old people at home~~"
"Fix, doctor, listen to me, I am the head of the family, fix. Why is this lady so stubborn!"
"Oh! Why do you want this, why do you want this!" The woman began to cry as she said.If you are not afraid of pain, if you are not afraid of suffering, you are afraid that you will not survive.
Children and self-improving people are the people who can make these iron-hearted people most affectionate. Zhang Fan has rarely been emotional after a long time in his career, but today he made the woman's chest stuffy.
"Don't cry first, don't cry first, let me think about it." Zhang Fan pinched the bridge of his nose, thinking.
"What is there to worry about? If you can't do heavy work, you can still do light work. In the outpatient clinic, there is a lack of a cleaner. Can you do it? It's sweeping and mopping the floor and picking up garbage." After speaking, the fat head nurse looked at such a self-improving woman and wanted to help her.
"Fuck, fuck!" The woman looked at the head nurse with teary eyes, and quickly wiped her eyes with the earthy overalls.
"The salary may not be high, it's only two thousand three or four, but you can take out the paper shells you put away and buy them, and you have medical insurance."
"Thank you, thank you!" The woman ignored her arms and took her man to bow to the head nurse and Zhang Fan.She was doing piecework at the construction site, and it only cost more than two hundred in one day. Now this thing is really good.
"Hehe, thank you, the head nurse." Zhang Fan said with a smile.
"Thank you, hurry up and fix it. Come to work after a few days of rest, and then come to me directly." At this time, the chubby head nurse became more compassionate.
The outpatient clinic is like the epitome of a society. Any kind of people can use it, and any kind of things can happen.In one day, Zhang Fan received seven or eight hospitalized patients for surgery.These surgical patients are the sick numbers of their group.
Zhang Fan is busy in the clinic, and the doctors in the department are not idle.Xue Fei and the others were admitted and discharged from the hospital, preparing for tomorrow's surgery, and the work went by day by day.
As the weather became hotter, government work began in full swing.In previous years, the medical funds allocated to the tea city by the state were not only for buying!buy!buy!Almost everything else was sent back as-is.
One is that the leaders do not pay attention to it, and the other is that the doctors in the big hospitals in the city are also tired, and they regard going to the countryside as hard work and no one wants to go.But this time is different. It is directly the iron-blood policy. Doctors who want to be promoted must go to the countryside.
And because the funds for the western support this time are abundant, each department must draw some backbones to support it.In many cities or provinces, you just slap a little place, and there is no problem going back the same day.
But the frontier is not good. The tea area alone is larger than many provinces, and the highway here is not so smooth, and the people living in it are scattered. Going to the countryside is not a good thing for doctors who are in the city all year round.
It's time to pick people, those who are hospitalized and promoted, and those who are promoted to vice versa, but these doctors are still in vain for such a big place.But for this kind of thing, Ouyang has many ways.
Direct internal promotion, promotion of the so-called middle level, the middle level of the hospital is too nonsense, this thing, that is, a word from the dean, is at the mobilization meeting.
"The state has given such generous conditions and such strong support, but many doctors are terrified of going to the countryside. Can you tell me the past? Except for pregnant women and children under two years old, other doctors and nurses are in the ranks of candidates. Don’t talk to me about the difficulties, no matter how difficult you are, is it difficult for someone with a doctor who has been in the pastoral area for 30 years?"
In the old yellow era, you can also think of ways to communicate, or violate the yin and the yang.In the Ouyang era, this was not enough, the old lady directly became steel.After the mobilization meeting was over, the administrative order for the department staff came down.
Many departments have promoted deputy directors, and in the past, there was no inpatient general manager. How do you say this position is actually learned from the United States, and it has gradually become popular in China in recent years. In fact, it is just a word, let You see more doctors, do more operations, and improve quickly!
In the Department of Orthopedics, Zhang Fan couldn't escape and became the hospital chief. Zhang Fan had anticipated this a long time ago.Ouyang had long been unable to see him going to acupuncture points and getting private hospitals. This time he pushed Zhang Fan up.
In the past, although Huaguo’s department was a tertiary diagnosis and treatment department, competition for positions in this department was a bit chaotic. With the development of the economy, the medical industry has begun to formalize.
If you want to be a dean, you must first be a department director. If you think of a department director, you must first be a hospital chief.Although there are also drawbacks, this kind of rule-based thing is fair, and it is no longer a matter of randomly crossing or crossing the sea.
I returned home in the evening and had dinner.Zhang Fan and Shao Hua went for a walk outside. They hadn't walked like this for a long time.Walking on the street, the breeze blows, Shao Hua's hair dancing with the wind.
"I'm going to the countryside, I'm sorry. It's up to you to decorate the house and buy furniture. I can't take care of it." Zhang Fan took Shao Hua's hand.
"It's okay, you can't take care of it if you don't go to the countryside. Where do you go, how long will it take." Shao Hua curled his lips slightly, there is no way, what can he do if his lover has such a job.
"I don't know yet. Hua!" Walking under the flowerbed on the street, Zhang Fan gently hugged Shao Hua.
"What's the matter?" Shao Hua nestled in Zhang Fan's arms.
"When I come back from the countryside, let's get married!" Zhang Fan said softly.
"Okay!" Shao Hua closed his eyes gently, feeling the heartbeat of his lover.
Along with the sunset, the two dragged their long figures and strolled along the streets."Marriage does not mean that you get married when you get married. Look, the house has not been cleaned up, there is no furniture or anything, and the uncles and aunts have not come. There are still a lot of things." Shao Hua pulled Zhang Fan in. Tell Zhang Fan one thing one by one.
"Well, let's solve one thing first. My parents, hey! Daxian is harmful to others." Zhang Fan sighed helplessly.
"Hehe, it's okay, slowly communicate with the old man, uncles and aunts are very reasonable." Shao Hua comforted Zhang Fan.
With the various adjustments of the hospital, the list of people going to the countryside has also come down. There are more than 20 doctors and more than 20 nurses.The hospital gave these personnel two days off to prepare.
The trip to the countryside lasted for three months. Accompanied by government officials, all remote areas were transferred.Zhang Fan is also on the list, and he and Lu Shuyan of gynecology are the youngest.
Lu Shuyan's education is good, and she has a solid work in gynecology, and her skills have been improved quickly. This time she was also promoted to be the head of the gynecology hospital.
More than 20 doctors were divided into five groups. Zhang Fan and Lu Shuyan were in one group, with two doctors who were going to be promoted to chief physician, and then four nurses.A medical team was formed.
Everything is ready, just waiting to go!