Medical road

After the operation was finished, Zhang Fan and General Wai’s director underwent the operation. The head nurse hurriedly came over and said, "Yuan Zhang, the director is calling you to go to the administration building."

"Did you talk about anything?" Zhang Fan was a little puzzled. Since becoming the assistant to the dean, Ouyang has rarely assigned Zhang Fan to do anything.

"I didn't say, I just said, let you go there immediately after the operation." The head nurse looked at Zhang Fan enviously, she wanted to go too, but the head wouldn't let it!

"Director Zhao, I'll go take a look first, you stare more, I'm afraid the patient can't help but eat secretly." Zhang Fan explained to the director of General Wai.

"Go! Don't worry, it's okay. I'm staring."

That’s how the doctors are. They must be careful before the operation, and be careful after the operation. There are many patients who are sick before the operation and when they are uncomfortable, what the doctor says is just like a child in the kindergarten.

But once the operation is over, it doesn't feel uncomfortable, it seems to be cured, and suddenly becomes a junior high school graduating student. If you don't let me do, I will do it, or do it secretly!This type of illness is also a headache for doctors.

After Zhang Fan confessed, he walked quickly to the administration building.When I knocked on the office door, it was rare to see that the secretary of the hospital was also in the dean's office, and Lao Gao, several deputy deans, and Ren Lidu were there. The management team of the hospital was only one Zhang Fan.

"Have you had surgery?" Ouyang asked after seeing Zhang Fan.

"Well, just underwent surgery." Zhang Fan didn't ask what he was going to do. The leader told you that there must be something to do. It would be bad to ask.

It is estimated that I have been waiting for a while. The secretary was a little unhappy, and said to Zhang Fan with a smile, "As a leader, try to do less physical work and consider more ideological matters."

What he meant might be that the leader should do more retreats, control the line more, and be a good leader.

Before he finished speaking, Ouyang said directly: "A hospital is a place to treat patients. If you don't see a doctor or operate, you should be a hospital leader!" The secretary was choked to death.

Although he and Ouyang are at the same level, they are upright and he is deputy!The secretary squeezed and squeezed his hand, wishing to take out the notebook immediately.

"Let's go, go to the meeting, Zhang Fan, I'll take your car." Ouyang Lin said again when he went out."Hey! Okay."

"Dean, what's going on, every meeting will be held." Only when he is with the dean, it is naturally much easier to talk.

"The superiors have already made it clear that if a new city is to be established, it is on the edge of the free trade zone. The hospitals in the new city will be in charge. The leaders of the Chinese hospitals and the leaders of our hospitals have been competing.

The controversy between the leaders above is also very serious, but in the end, let our hospital take the lead and establish a branch in the future.This time I'm going to talk about it."Ouyang sat in the co-pilot and told the whole story.

Among the hospital leaders, let alone Zhang Fan, even the secretary didn't know about it, only Ouyang knew about it.

"Oh." Zhang Fan listened for a while, but didn't turn to his heart.Ouyang glanced at Zhang Fan, "Why don't you have any reaction at all." Ouyang asked Zhang Fan with a smile.

"Ah, what can be said about this? Besides, the city hasn't been established. The hospital is still early." Zhang Fan was a little puzzled.

"Haha, you, I don't know what to say about you, is it because God opened the door of your technology and closed the other windows." Ouyang smiled and said nothing, looking out the window Don't know what to think about.

After being silent for a while, Ouyang suddenly said: "By the way, there is one more thing, as long as you know it, don't spread it."

"Yeah!" Zhang Fan agreed.

"Someone reported the hospital. If you have anything unclean, worry about it yourself." Ouyang said without a word.

"What? What to report?"

"You only need to know it yourself, and you don't know what will happen." Ouyang can only say this step, and it depends on Zhang Fan to understand it.

"Oh! Okay." Zhang Fan himself had nothing to report, and he didn't think about it.

Zhang Fan participated in a government meeting as a hospital leadership team for the first time.The specific environment, the solemn atmosphere, can't help you not pay attention to it, and let you not be nervous.

Inside the conference room, a large national flag and a large party flag hung in front.Everything is so solemn, even the chairs in the conference room are arranged in a line.

Zhang Fan is sitting at the end of the office, next to him is Ren Li.After being seated, everyone took out their notebooks.At this time, Zhang Fan was embarrassed, he didn't bring anything!

"Secretary Ren, do you take notes for this meeting?" Zhang Fan asked embarrassedly.

"Just what you mean, you didn't bring a notebook, I'll give you one." Ren Li handed Zhang Fan a notebook.

"Thank you, thank you secretary." Everyone is holding a notebook. If you don't put one in front of you, it will look weird.Although the leader did not ask.

In a meeting, I don’t know why, the higher-level leaders will not directly talk about things by name, first talk about thinking, and then talk about how to struggle if it is difficult.

Finally, it was about the construction of the new urban hospital in the future. There were speeches one after another. Zhang Fan sitting in the corner was dizzy. Depending on the situation, Zhang Fan was not an official material.

After a long time, seeing that the leader would not be able to call, Zhang Fan entered the system directly, and it was not without benefit to become the assistant to the dean. First of all, the progress of the operation was much faster.

The progress required by the general surgery has almost passed. "After a period of time, the general surgery is estimated to be full, and then new subjects can be opened!"

Looking at the progress, Zhang Fan was also a little excited. The pit of General Wai was too difficult to fill.There are too many sub-projects, from head to toe, there are almost all small subjects in general.

The current system is full of surgical tutorials, including various surgical tutorials, such as the appendix. The system only clarifies how to perform various types of appendix surgery, but it does not explain how the appendix is ​​formed.

For example, tumors are also how to eradicate surgery, but there is no reason why cancer cells have evolved.In other words, the current system is just a technical platform.

After doing a simulated operation, "I don't know what will happen to the system's second-level subjects after all the basic subjects are completed!" Zhang Fan thought with emotion.

Along the way, Zhang Fan’s life has improved too much because of the system. So far, Zhang Fan’s feelings about gains and losses have slowly diminished a lot.

Two years ago, Zhang Fan was always worried. He was always worried that the system would disappear suddenly. He was afraid that he would wake up and everything seemed like a dream. So Zhang Fan forced himself to go to the liver and try every means to find surgery. , To improve their surgical skills.

With the improvement of technology, Zhang Fan's mentality has gradually changed now, and he is no longer as anxious as before.Although the technology has improved a lot, Zhang Fan has not relaxed about the system upgrade, but has become more and more curious.

"This meeting is confidential!" Zhang Fan remembered these words in his mind."It's all conveyed to the hospital level. What's the secret?" Zhang Fan vomited by the way.

On the way back, Ouyang smiled.Of course the old lady is happy.A hospital that can be built according to her own wishes, as long as the hospital is established, is a monument to her career.

When I got home at noon, the house became a mess."What's wrong. Why do you wear old clothes?" Zhang Fan asked curiously when he saw Shao Hua's parents wearing old clothes going out.

"I heard that a new city is about to be established. It is said that it seems to be on our farm. Your uncle and I are thinking about building a few houses. When the state subsidy can be a little bit more, we are too late to know the news. Da Kui's family is ready to build a building." Shao Hua's mother whispered to Zhang Fan mysteriously.

"Hehe, don't go to the aunt and uncle." Zhang Fan smiled helplessly.

"Don't underestimate this subsidy, it's quite a lot." Shao Hua's mother looked at her future son-in-law in surprise, "I usually look smart too!"

"I went to the government to participate in a meeting in this area today. People have already confirmed the area of ​​construction and planting by aerial photography, and the leaders have also confirmed that this time the subsidy will not go to the construction area, and the subsidy will be based on the head!" Although Zhang Fan was not careful Listen, but I still hear about the relocation near the hospital.

"Ah! I'm going to tell Dakui's mother that they are going to build five floors! Don't have any problems then."

"Can you be sure? Don't subsidize according to the building area at that time, people don't blame us!" Shao Hua's father said immediately.

"Uh! This..." Zhang Fan gaped."I knew that we were going to build a new hospital, and the relocation of nearby hospitals was subsidized by heads."

"You can tell Dakui's mother what Zhang Fan said. It's up to the family to decide whether to cover it or not."

Zhang Fan smiled and shook his head, still keeping it secret, even the aunt who danced the square knew it!

Waiting for Zhang Fan to finish lunch, the old lady went out anxiously.Zhang Fan also wanted to give the old lady a gift, and the old lady even said no.In the afternoon, Zhang Fan began to organize the first consultation with hospital experts.

The consultation of experts in the hospital must be filed, and the director of the medical office also participated, and the secretary of the medical office made records.Who said what suggestions were all recorded one by one.

If Zhang Fan is not there, the director of the Medical Affairs Department will preside over the meeting, and when Zhang Fan is there, Zhang Fan will have to preside.After all, Zhang Fan is the leader of the hospital, and the director of the medical department is just the middle level of the hospital.

"Everyone is here, let's discuss today the condition of Mayila in the special needs ward. Ma Yichen, you will introduce the condition of the patient." Zhang Fan presided over the meeting.

"Okay, the patient Mayila, a female, 62 years old, was treated with a liver mass in a local hospital ten years ago, and underwent surgical treatment, diagnosis and treatment. The specifics are unknown.

Today, the patient has a cough and anorexia due to abdominal swelling and discomfort.She was admitted to the special needs ward of our hospital. The physical examination showed that the patient's right abdomen obviously had a postoperative scar about 15 cm in length, and the abdomen was distended, tender and vomiting.No obvious dry and wet rales were heard in both lungs, but the patient complained of coughing up white cystic unknown substance.

After the relevant examinations, the laboratory results reported: Color Doppler ultrasound showed clear calcification points in the liver, clear rosettes, and broad bile ducts.

Chest X and plain abdominal radiographs show that the patient’s diaphragm is elevated.

CT showed that the hepatic hydatid cyst was clear and active. It is highly suspected that there are active larvae in the bile duct.

MRI showed that there were no obvious hydatid cysts in the patient's heart, bones, and spine.

During the immunological examination, the indirect blood coagulation test was positive,..." Ma Yichen introduced the patient's condition very concisely and then took the seat. Then, Zhang Fan said to the doctors and experts present: "Let's talk about it."

Doctors of general surgery and above, doctors of hepatobiliary and biliary, and cardiothoracic and above all attended the meeting.Ma Yichen was specially confessed by Zhang Fan to be the medical record introduction doctor.

According to the doctor’s age and seniority, the director of the medical department began to roll out names, and the youngest sub-high in general surgery began to speak: “Patient diagnosis: the recurrence of hydatid in the liver is clear, conservative treatment is estimated to be of little significance, and surgical treatment is feasible. "

Start speaking one by one.This disease often occurs in pastoral areas, so Lu Ning is not very authoritative in this regard, but Professor Zhao Jingjin from Bird City is more authoritative.

After the general doctors in the Tea Hospital finished their speeches, Zhang Fan said to Zhao Jingjin: "Professor Zhao, what would you say?"

"Okay, let me just say a few words. Although this type of disease is more common in our province, such serious recurrences are still relatively rare. I suggest perfecting the chest examination. The patient complained of coughing up white cyst-like substances. , Although no pleurisy was found, we can't be careless.

Conservative treatment is performed first, after the larvae are killed, surgery is performed, and combined operations of cardiothoracic surgery, general surgery, and hepatobiliary surgery are required. The patient's body must be evaluated before surgery. The surgery is difficult, the damage is large, and the surgery time is long. Doctors and patients are a test."

After Zhao’s speech, Zhang Fan thought for a while, and said: “The doctor in charge, please ask the relevant departments to do related consultations as soon as possible, evaluate the patient’s physical condition, and contact the color Doppler ultrasound room. If the patient’s physical condition supports surgical treatment, he must Downward surgical treatment. Filing and reporting to the Health Bureau."

Although Mayila is not a Chinese resident, this disease still needs to be reported to the Health Bureau.

"Okay, I will report immediately after I get down and prepare the materials."

"Record the consultation records and explain the good condition to the family members." Zhang Fan continued.

"Okay, Yuan Zhang!" the director of the Hepatobiliary Department agreed.

This operation is difficult. Although everyone did not mention it in the discussion, the experts here know that the patient did not perform well in the first operation, which caused the patient to relapse, and there is a very high possibility that it has infected the lungs.

If this kind of disease is only removed, it is not difficult, just like a cyst, but the difficulty lies in how to clean the cyst to prevent recurrence.

As long as it is an operation, the recurrence is always more difficult than the first time.Zhang Fan was already preparing for this operation in his heart.