Medical road

"Zhangyuan, if you are not satisfied with my work, you will transfer me to the community clinic, or tune me to the branch. You can don't fall, I am too stressful. The director of the digestion is crying. Time. "

The end of the endocrine is that it is a little enchanting young woman.

It's not that her face, but her kind of idometry that can't ignore, this is no way to describe, but there is an accident between the eyebrows, there is a feeling, really, a little bit Not exaggerated.

This kind of woman, if you read more books, bring your book, really, what is the milk tea girl, what kind of stars are absolutely not second, and the feeling of endocrine is like the kind of house. Mrs. Mrs.

Because there is a son on the body, it is tough, but it is because of the in-laws above, it takes a weak weakness, and the knowledge will be a little temper.

Zhang Fan saw her, did not speak. The face has not changed, there is a good thing, and it is a good thing. It is especially afraid that the death pig that is not surprised. I am like this, how can you do it for me, come, I will open my legs, I can't move, you don't move, why!

"The endocrine is now sixteen doctors. The five homes are open, and the car on work is not Audi is Mercedes, and there is a daughter-in-law of the boss of the winery, and then add a class. She said that her blood sugar is low.

Others are not this wife, that is the daughter-in-law, what do you do! The last time I made a sugar test, and the result is more disadvantaged, and the overtime pay is not done. I am also difficult, don't I want to be a director?

I am also difficult! "

The objective factors she said have indeed existed.

The smaller the city, sometimes some characters are concentrated, and the pressure is relatively small. These people, you give less money, they really don't move, follow the point of interest, waiting to retire. You let her resign, and need this work to face, after all, a good wife is a family woman, it seems too disadoked.

Give more money, Zhang Fan is definitely not happy.

"You talk about yourself, you have published a few core journals in these years. You are the director of endocrine, not a long-term clinic, etc. The retirement doctor. You look at you, the first batch of the first batch of the capital," Director of endocrine.

With you with you, far from saying, Yan Xiaoyu is not a classmate at the time. Do not say position, you look at the results of the people in these years, you will look at yourself, I think you are more time to turn the magazine time than your row time.

You look at your office, can you turn out a journal of the latest endocrine? Think yourself! "

After saying that Zhang Fan got up, the director of the endocrine was quickly cryed. Looking at Zhang Fan's 16th floor, the end of the endocrine said with a crying chamber: "Who is telling the Zhangyuan to endocrine The old lady should tear her mouth today! "

When I heard that Zhang Fan entered the endocrine, the director of the internal medicine was relieved, the man, the woman knows, just have the next child, waiting for him to get fat, it will relatively loose, the most fear is the top three .

Especially the director of the indigestion, I feel that I have passed it. When I heard Zhang Fanjin in the internal medicine building, she was in the mouth. As a result, Zhang Fan went to endocrine.

"You said that the Zhangyuan did not actually have a fierce, why I always had a feeling of stunning when I face the Zhangyuan."

"It is estimated to be the young man of Zhangyuan!"

Director and Nursses in Gastroenterology learned that Zhang Fan entered the endocrine, the two stood in the elevator door.

Then the Director of the Gascuits took the doctors to check the room.

As a result, I haven't checked several patients, and the nurse's long flowers came out. "Zhangyuan came, Zhangyuan came, and it has been to the care station!"

Director of Gastroenterology has a urete.

Everyone feels that the system is cruel, in fact, the medical industry is more cruel.

For example, you have failed in the system, and you can adjust a department or even tune a unit, and medical care is different.

Especially in the tea, now the tea hospital is a unique, you have a department director really to be exempted, you have never gone.

You are in the department, let the new director and colleagues can't work, and the new director will definitely propose to the leadership to leave you.

Where can you go? Go to China Hospital? Go to the branch? Or go to the community outpatient as a head clinic?

Therefore, the situation of the tea now can only be can't get up, once it is down, unless the place is changed, it is really shameful.

And Zhang Fan also clearly expressed its dissatisfaction with internal medicine at the Doctors Conference. I didn't give Ouyang Ren Li face at all, but I didn't have to say the later Yan Xiaoyu.

In particular, the name of the name is said to digest in internal medicine and endocrine. If you use Zhang Fan, you can do it, you can't do it.

"Zhangyuan ..." The director of the Gannam Department of Gastroentericent looked at Zhang Fan, and he greeted.

"Continue to check the room!" Zhang Fan did not speak much.

Just follow the body of the doctor group, follow the house, and the nurses were followed by Zhang Fan, secretly looked at Zhang Fan's face, and figured out Zhang Fan's mood.

The doctors who gain internal medicine are active at this time, the director is afraid of Zhang Fan, they are not afraid, some are even expressing, and it is better to fight in front of the leader.

Therefore, when the director raised the question, a wonderful than an answer. In particular, Zhang Fan released the words, after the dissatisfaction of indigestion, the doctors were privately affected.

"Abdominal pain, tube bed doctor said, how is this abdominal pain formed." No. 9 medical bed, patients often have chronic abdominal pain, idioplasia abdominal pain.

I haired, in fact, it's all whit, I don't know why, anyway, it is here, you don't know where people come, where is it?

Dr. Wu, high-junior-income high-income, high-income, high quota, has been pressed in the position of the vice.

In the past, I was not very involved in the battle in the department. Especially in the competition for drug dealers, he will never don't matter.

Since the hospital is getting better, he also has an idea.

When the Director of the Gastroenterology, the hospitalized doctor just had to speak, because he was the superior physician of this tube bed doctor.

"Abdominal pain, first to clarify the mechanism of abdominal pain. The total amount of epithelial cells in the gastrointestinal tract is larger than tennis courts. In such a large area, there is a negative neuron and ganglion. It has a neuron of 1.0 million to 10,000 There is a total of thousands of neurons in the spinal cord.

And this is an independent nervous system that has complex and systemic interactions with the central nervous.

According to the current research, intestinal use of the development of the symptoms and the intestinal nerve, autonomous nerves, and the central nervous relationship, especially in ... "

Lao Wu is, the more I feel, the more it is, the more deeper. The face of the director of the digestion is green, but it has to be particularly serious.

Other doctors don't know how to think, but Zhang Fan is very serious.

This is a sentence, everyone has every person's understanding, not to mention this medical disease, a person has a person's view, and this high-income doctor who is drilled, through a large number of clinical experience, his own experience is absolutely quite Powerful.

This is what Zhang Fan is now most needed. The treatment of internal medicine is diversified, and it is not the same as surgery.

Although surgery is also said to be diversified, it is still relatively single relative to internal medicine.

Always surrounding the lesion to think about the knife. Even the current minimally invasive, intervention, in fact, the final goal is still the lesion.

Internal medicine is not the same.

So Zhang Fan listened carefully.

Many people in the intestine, many people have heard of this, this stuff and heart functional syndrome is similar, clinically, most abdominal disadvantages are classified as intestinal easy-to-bowel syndrome.

Therefore, some patients have a certain kind of medicine, feel comfortable, the intestines are comfortable, then recommend their drugs to another patient friend, and the other party has eaten the soil, the big place will not be rolled out, and even want to step into it. A squawau is going to dredger.

In fact, this is the disease, although a name is, it is not a disease.

This kind of disease doesn't want you, but you can't help you. Jin Dao Guo's evidence-based medical report, Jin Guo's people have 16 IBS (intestinal impromptu syndrome), and women's incidence is higher than men. Human in 60 years old is low, and 30% of patients have disappeared.

Moreover, it is more troublesome that many patients with intestinal easy-to-ko syndrome rarely doctors. Once they enter a three-level hospital, often 40% to 60% of patients have spiritual symptoms, especially some once received it. Mastro-abuse or sex (a) abuse, more likely to develop severe bowel syndrome.

There is also a special point, that is, the child has experienced psychological trauma, which is easy to have this symptom.

For example, constipation, bloating, sometimes it is not your mouth, maybe you are patients with intestinal easy-to-ko syndrome. But you are not clear.

"Treatment? In accordance with routine treatment, this disease needs the intervention of psychotropic drugs!"

Zhang Fan asked, when Lao Wu said, Zhang Fan first question. This time, all people, all collectively, and look forward to Zhang Fan.

Don't this happen? The idea of ​​ordinary doctors.

Is this an eye? This is the idea of ​​the director.

"No, Golden Mazu is relatively polarized to give spiritual drug intervention. Although my data is relatively small, there is no reference value, but after I took over the first IBS patient, I found that the first patient's life and normal people's life did not differ. .

Moreover, the comfort and explanation of the doctor seems to be more effective than the treatment of this disease than the drug. Our current treatment is often biased towards symptoms. Constipation, diarrhea, diarrhea, pain, and antispasmodic drugs.

But I have done a single blind test. After the treatment with placebo, I gave a lot of explanation and comfort after I was treated with patients, and the patient said the drug is good! "

Dr. Wu looked at Zhang Fan.

"Mono!" Zhang Fan said.

Dr. Wu listens, his face is dim. Zhang Fan turned and gone, but when he left, he added a sentence: "This test approves the hospital's test funds, don't do this next time!"

"Good!" Old Wu Xinli's taste only he clearly. But there is a look.

And Zhang Fan is rushing away, because the digestive inner medicine in the system has to start tested.