Chapter 155: 155
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Yu Bin, the director outside the brain, has gone to study. The Qin girl keeps her word and does things without delay. Although Qin Nuo is still in the hospital, she has implemented the study. The three people who study follow the top experts in China. There is a large amount of surgery. Don't worry about not having surgery. The results of study depend on their own understanding. The operation can only be led in by the master, and the rest depends on yourself.
Li Hui didn't go out to play during his wedding leave, so he reassured his wife at home. It is said that the matter of DingKe has been determined and Ouyang has signed it. Just waiting for him to enter the Department after his marriage leave.
Zhang Fan is not in a hurry to determine the Department. He is not worried that postgraduates can affect his determination. His current level is the surgical level of orthopedics, not to mention postgraduates. The director of a provincial third-class hospital may not be better than him. When you have surplus food at home, you don't panic. Transferring to a department is not a waste of time, but a systematic study of a medical system. Many things that can't be written in books can be understood and found when you transfer to a department.
Shao Hua also began to struggle and bought a lot of reference books. There is still a great difference between accounting in the financial industry and enterprise accounting. I really have to admire Shao Hua. The foundation of the university is really good and the reading effect is good.
Liu Zhaoyun, deputy director of brain surgery, is from the old Frontier. Born on a farm, he is a second-generation farm man, which is very similar to the Shaohua family. His ancestral home is from the South and he graduated from Suzhou Hangzhou Medical College. When I graduated that year, I didn't like the local county-level hospitals in Suzhou and Hangzhou. I went back to the urban hospitals in the border area. After more than ten years of effort, the county-level hospitals around Suzhou and Hangzhou are no longer comparable to the top three hospitals in the border area.
Many of his classmates who stayed in the counties around Suzhou and Hangzhou later went abroad for further study. There are several doctors from the Royal College of medicine, which is the difference of regional development.
I don't know whether he regretted it or not. He has lost the opportunity to reach the top in the medical field, that is, he is an ordinary doctor, going to outpatient service and surgery, and then waiting for retirement, pension and grandchildren. Many of his classmates have been shining on various medical forums. Now he doesn't even have a chance to participate! The organizer will not think of hospitals in remote areas, or invite them!
He will certainly regret not talking about dedication, but only about the level of technology. If he talks about dedication, his role in the Frontier Medical front is not necessarily worse than those of his classmates. The front line of medical treatment has been charging for decades and countless people have lived.
The brain surgery room is not too big in the hospital because it is too difficult. Relying on Yu Bin, the director outside the brain, attaches importance to the development of medical technology and dares to give it to lower level doctors, so the development of the Department is OK. The directors of three deputy high schools, four attending doctors and one principal and one deputy are all positive high schools.
Zhang Fan entered brain surgery with a transfer list. Zhang Fan received by Liu Zhaoyun. Doctors in the surgical system of the municipal hospital are familiar with Zhang Fan.
"Dr. Zhang told director Yu when he left. Let me take you when you come to the Department of extracerebral transfer. You don't have to participate in the dressing change and write the medical record. Follow me to the clinic and surgery. If you are sure of the operation, you can apply for the position of the main knife with me. " Liu Zhaoyun received Zhang Fan in his deputy director's office.
"OK, director, I'll listen to you."
"I'm not on the night shift. When you get familiar with the Department, you'll be on duty independently to manage the patient. Independent patient management is the fastest way for young doctors to improve. Make up your mind and quickly enter the working state outside your brain. "
"OK!"
The department outside the brain has a graduate student who graduated this year. Xia Huadong is also a god man. I studied Chinese and Western medicine as an undergraduate. I didn't know what happened when I was admitted to the Frontier Medical University. From then on, I was farther and farther away from traditional Chinese medicine!
His girlfriend was admitted to the banking regulatory bureau of chasu city last year. He came with his girlfriend as soon as he graduated. Because it is a master's degree outside God, the tea vegetable market is very scarce. After entering the hospital, it first gave 100000 resettlement fees. The young man was also an individual. He respected the old doctor in the Department and soon integrated into God.
At the morning meeting on Monday, after Liu Zhaoyun explained the daily work of the Department, he took Zhang Fan and Xia Huadong to the clinic. These two young people are amazing. One is a person who has established a position in orthopedics, and the other is a master. Other doctors with less qualifications really can't bring them.
The knowledge outside the brain is too complicated and trivial. Zhang Fan still can't open the second level outside the brain. Now the technology outside the brain is the vice High School of the third class in the region. But the advantage is that you practice a lot in the system. Practice makes perfect. It's not just talk. After a surgery is repeated thousands of times, it's absolutely awesome.
Most of the patients in the clinic are the elderly. It is cold in the frontier, so the eating customs are high in fat and taste. They like to eat salty food, which leads to common cardiovascular and cerebrovascular diseases. With the improvement of the national medical system, there are more and more elderly people. In addition, drinking in Northwest China is also very fierce, resulting in a large number of accidental deaths of cardiovascular and cerebrovascular patients.
High blood pressure is not high blood pressure. No one cares about your blood pressure at the dinner table. Many people emphasize that they can't drink wine many times before eating. There is high blood pressure, but after drinking, there will be special people to persuade people to drink. They can't even drink it.
After a week, Zhang Fan was also familiar with the working procedures of the Department and began to treat patients independently. The customs in the border areas are fierce. Sometimes inappropriate words may cause fighting. People are often beaten with broken heads and blood, and skull injuries are very common.
The winning party is responsible for medical expenses and goes to prison for re education. The losing party lies in the hospital and life is better than death. Zhang Fan's first extracerebral patient was injured in a fight.
The patient was not very old. He was in his twenties, and his blood was boiling. He fought three times in the bar. His skill was quite good, but he was finally knocked down by a beer bottle.
Wearing panda eyes and keeping nose blood to see a doctor. However, his life is big. It's just a slight fracture of the anterior cranial fossa. It's a mild craniocerebral injury. After observing it all night, he can go home and have a rest.
As a result, the guy didn't want to. He said he had a bad headache and had to be hospitalized. Zhang Fan looked at the X-ray and CT again and confirmed that it was mild brain contusion.
When asked about the medical history, Zhang Fan also had to sigh that the guy's bone mineral density was too hard. After such a violent blow, he was unconscious for a few minutes, and there were no obvious abnormalities in the examination of nervous system and cerebrospinal fluid. In fact, he could go home and observe after explaining to his family according to this injury.
But he can't. He has to be hospitalized“ Your injury doesn't meet the hospitalization standard. I can't treat you even if you are hospitalized. " Zhang Fan couldn't cry or laugh.
"Brother, just let me stay in the hospital. I'll lie down. You can prescribe whatever medicine is expensive and what examination is expensive. It's really a headache. If you don't stop me, I'll lie in your office later! " The young man is very naughty and pesters Zhang Fan like brown sugar.
Zhang Fan understood what he meant. This kind of patient is very troublesome, and the headache symptom is a subjective symptom, not a physical sign. People say that headache is a headache. If the doctor can't identify it, it must also be reflected in the medical record.
Then put it away. Zhang Fan is on duty. He comes to Zhang Fan with half a bag of fast blackening bananas. Zhang Fan won't want it anyway. This guy is not embarrassed. He sits on the stool in the office and grinds with Zhang Fan. He wants Zhang Fan to give him an examination from beginning to end and do all the examinations that the hospital can do.
The most shameless person even had to check his sperm (a). This is pure nonsense. Zhang Fan ignores him. He has one brother on the left and one brother on the right. Anyway, he can't let you work at ease.
"You just tell me that I can't do anything. I can't open other examinations at most. And it's just a fight. What are you doing? "
"My brother, you don't know. They stepped on my chicken at that time. Now they are a little swollen. Don't you believe me to take off my pants and show you that I'm not married yet. Can you be responsible for an accident?"
"Even if you step on it, you don't do this check. Just do a color Doppler ultrasound. Don't even think about it. I won't lose for you. This is nonsense. "
"Don't worry, they are all caught and can't run away. Someone will pay for the medicine! If you give me the protein, I won't lose. I'll take it out and sell it. We'll share half of it by then. "
"You six and I four!"
"Brother, you're 70%! No more! "
Zhang Fan is really speechless. This guy is a hob meat. He can't give a good face, otherwise he will be endless“ You're making a fool of yourself, and I'll take you out of the hospital. " Zhang Fan said seriously.
"Good, good! You're clean! But brother, I have to open that color Doppler ultrasound for me. It's really swollen. "
"Hurry back to the ward and lie down!" Zhang Fan is really impatient!
It was the first time he met such a person. He was really speechless. The parents of the boys who beat him came, because the children were caught by the police and served him delicious every day. I hope he won't be investigated and the two sides can solve it privately.
Several patients outside the brain are seriously ill. The most powerful one has been in a coma for a week and depends on nutrient solution. At the end of a day, the cost of medicine and treatment is more than 6000. The patient's family members can't support it for a few days, and may give up treatment at any time. This patient really can't predict the patient's awake time according to vital signs.
You may never wake up, or you may open your eyes the next morning. Can only endure like this, the patient is very painful, after a week, if the family hadn't turned over and massaged frequently, they would have laid out bedsore. If you go to special care, the price is more expensive!
The family is more painful. The daily cost is not to mention. Turning over massage takes two young adults. Most of them can't turn over the patient, and the doctor can't tell if the patient can't wake up. The average well-off family can directly break the family property if they insist on this for two months.
"If you want to continue treatment, prepare to sell the house!" That's what the attending doctor said. But looking at the increasingly emaciated relatives lying in bed, I was really cruel and said the word "give up".
But what can be done? There is really no extra money at home. If you want to continue, you have to sell your house. Looking at my unmarried son, I think of my wife's past laughter and laughter. When I was young, my wife was in tears! Cover your mouth! The crying heart is broken!
Even if you cry, you can't cry in front of the child. It's not easy for the child. How much can a repairman earn? Looking at the child's cracked hands, his wife sat at the head of the bed and said to the unconscious husband, "I'm sorry for you. Go first. When the child gets married, I'll come with you. You must walk slowly and wait for me in front. I'll come later, We will not feel cold when we are together below! You are usually fine. How could this happen? "
"Doctor, let's give up treatment and pull out the tube! really Pull the pipe! It's all my fault! Old man! Blame me! " The old lady holding the bed leg was out of breath.
However, no matter how painful it is, she still needs to sign the abandonment of treatment, sign her name with trembling hands, and the relationship with the patient is: husband and wife. Young husband and wife always come together. What is painful is that her heart is broken. She feels that her hope for his survival has been cut off and cut off by her!
Doctors and nurses began to pull out various infusion channels and remove respiratory masks. The old lady's dry lips gently kissed the old man's forehead, and tears fell on his cheekbone prominent face, "no pain! Hold on! cracking! If you have any resentment, blame me! " The old man's eyes deep in his towering cheekbones slipped a tear!
"Woo! Woo! Woo! " The old lady sobbed with her lover in her arms! Life ends! Heartbeat stopped! The ECG pulled out a straight line. It's over! No if, no start again! The rest are the fainting old woman and her son who doesn't know and is still working overtime to make money!
Zhang Fan's second night on duty, the urgent phone rang at the nurse station!
Please report us if you find any errors so we can fix it asap!
Yu Bin, the director outside the brain, has gone to study. The Qin girl keeps her word and does things without delay. Although Qin Nuo is still in the hospital, she has implemented the study. The three people who study follow the top experts in China. There is a large amount of surgery. Don't worry about not having surgery. The results of study depend on their own understanding. The operation can only be led in by the master, and the rest depends on yourself.
Li Hui didn't go out to play during his wedding leave, so he reassured his wife at home. It is said that the matter of DingKe has been determined and Ouyang has signed it. Just waiting for him to enter the Department after his marriage leave.
Zhang Fan is not in a hurry to determine the Department. He is not worried that postgraduates can affect his determination. His current level is the surgical level of orthopedics, not to mention postgraduates. The director of a provincial third-class hospital may not be better than him. When you have surplus food at home, you don't panic. Transferring to a department is not a waste of time, but a systematic study of a medical system. Many things that can't be written in books can be understood and found when you transfer to a department.
Shao Hua also began to struggle and bought a lot of reference books. There is still a great difference between accounting in the financial industry and enterprise accounting. I really have to admire Shao Hua. The foundation of the university is really good and the reading effect is good.
Liu Zhaoyun, deputy director of brain surgery, is from the old Frontier. Born on a farm, he is a second-generation farm man, which is very similar to the Shaohua family. His ancestral home is from the South and he graduated from Suzhou Hangzhou Medical College. When I graduated that year, I didn't like the local county-level hospitals in Suzhou and Hangzhou. I went back to the urban hospitals in the border area. After more than ten years of effort, the county-level hospitals around Suzhou and Hangzhou are no longer comparable to the top three hospitals in the border area.
Many of his classmates who stayed in the counties around Suzhou and Hangzhou later went abroad for further study. There are several doctors from the Royal College of medicine, which is the difference of regional development.
I don't know whether he regretted it or not. He has lost the opportunity to reach the top in the medical field, that is, he is an ordinary doctor, going to outpatient service and surgery, and then waiting for retirement, pension and grandchildren. Many of his classmates have been shining on various medical forums. Now he doesn't even have a chance to participate! The organizer will not think of hospitals in remote areas, or invite them!
He will certainly regret not talking about dedication, but only about the level of technology. If he talks about dedication, his role in the Frontier Medical front is not necessarily worse than those of his classmates. The front line of medical treatment has been charging for decades and countless people have lived.
The brain surgery room is not too big in the hospital because it is too difficult. Relying on Yu Bin, the director outside the brain, attaches importance to the development of medical technology and dares to give it to lower level doctors, so the development of the Department is OK. The directors of three deputy high schools, four attending doctors and one principal and one deputy are all positive high schools.
Zhang Fan entered brain surgery with a transfer list. Zhang Fan received by Liu Zhaoyun. Doctors in the surgical system of the municipal hospital are familiar with Zhang Fan.
"Dr. Zhang told director Yu when he left. Let me take you when you come to the Department of extracerebral transfer. You don't have to participate in the dressing change and write the medical record. Follow me to the clinic and surgery. If you are sure of the operation, you can apply for the position of the main knife with me. " Liu Zhaoyun received Zhang Fan in his deputy director's office.
"OK, director, I'll listen to you."
"I'm not on the night shift. When you get familiar with the Department, you'll be on duty independently to manage the patient. Independent patient management is the fastest way for young doctors to improve. Make up your mind and quickly enter the working state outside your brain. "
"OK!"
The department outside the brain has a graduate student who graduated this year. Xia Huadong is also a god man. I studied Chinese and Western medicine as an undergraduate. I didn't know what happened when I was admitted to the Frontier Medical University. From then on, I was farther and farther away from traditional Chinese medicine!
His girlfriend was admitted to the banking regulatory bureau of chasu city last year. He came with his girlfriend as soon as he graduated. Because it is a master's degree outside God, the tea vegetable market is very scarce. After entering the hospital, it first gave 100000 resettlement fees. The young man was also an individual. He respected the old doctor in the Department and soon integrated into God.
At the morning meeting on Monday, after Liu Zhaoyun explained the daily work of the Department, he took Zhang Fan and Xia Huadong to the clinic. These two young people are amazing. One is a person who has established a position in orthopedics, and the other is a master. Other doctors with less qualifications really can't bring them.
The knowledge outside the brain is too complicated and trivial. Zhang Fan still can't open the second level outside the brain. Now the technology outside the brain is the vice High School of the third class in the region. But the advantage is that you practice a lot in the system. Practice makes perfect. It's not just talk. After a surgery is repeated thousands of times, it's absolutely awesome.
Most of the patients in the clinic are the elderly. It is cold in the frontier, so the eating customs are high in fat and taste. They like to eat salty food, which leads to common cardiovascular and cerebrovascular diseases. With the improvement of the national medical system, there are more and more elderly people. In addition, drinking in Northwest China is also very fierce, resulting in a large number of accidental deaths of cardiovascular and cerebrovascular patients.
High blood pressure is not high blood pressure. No one cares about your blood pressure at the dinner table. Many people emphasize that they can't drink wine many times before eating. There is high blood pressure, but after drinking, there will be special people to persuade people to drink. They can't even drink it.
After a week, Zhang Fan was also familiar with the working procedures of the Department and began to treat patients independently. The customs in the border areas are fierce. Sometimes inappropriate words may cause fighting. People are often beaten with broken heads and blood, and skull injuries are very common.
The winning party is responsible for medical expenses and goes to prison for re education. The losing party lies in the hospital and life is better than death. Zhang Fan's first extracerebral patient was injured in a fight.
The patient was not very old. He was in his twenties, and his blood was boiling. He fought three times in the bar. His skill was quite good, but he was finally knocked down by a beer bottle.
Wearing panda eyes and keeping nose blood to see a doctor. However, his life is big. It's just a slight fracture of the anterior cranial fossa. It's a mild craniocerebral injury. After observing it all night, he can go home and have a rest.
As a result, the guy didn't want to. He said he had a bad headache and had to be hospitalized. Zhang Fan looked at the X-ray and CT again and confirmed that it was mild brain contusion.
When asked about the medical history, Zhang Fan also had to sigh that the guy's bone mineral density was too hard. After such a violent blow, he was unconscious for a few minutes, and there were no obvious abnormalities in the examination of nervous system and cerebrospinal fluid. In fact, he could go home and observe after explaining to his family according to this injury.
But he can't. He has to be hospitalized“ Your injury doesn't meet the hospitalization standard. I can't treat you even if you are hospitalized. " Zhang Fan couldn't cry or laugh.
"Brother, just let me stay in the hospital. I'll lie down. You can prescribe whatever medicine is expensive and what examination is expensive. It's really a headache. If you don't stop me, I'll lie in your office later! " The young man is very naughty and pesters Zhang Fan like brown sugar.
Zhang Fan understood what he meant. This kind of patient is very troublesome, and the headache symptom is a subjective symptom, not a physical sign. People say that headache is a headache. If the doctor can't identify it, it must also be reflected in the medical record.
Then put it away. Zhang Fan is on duty. He comes to Zhang Fan with half a bag of fast blackening bananas. Zhang Fan won't want it anyway. This guy is not embarrassed. He sits on the stool in the office and grinds with Zhang Fan. He wants Zhang Fan to give him an examination from beginning to end and do all the examinations that the hospital can do.
The most shameless person even had to check his sperm (a). This is pure nonsense. Zhang Fan ignores him. He has one brother on the left and one brother on the right. Anyway, he can't let you work at ease.
"You just tell me that I can't do anything. I can't open other examinations at most. And it's just a fight. What are you doing? "
"My brother, you don't know. They stepped on my chicken at that time. Now they are a little swollen. Don't you believe me to take off my pants and show you that I'm not married yet. Can you be responsible for an accident?"
"Even if you step on it, you don't do this check. Just do a color Doppler ultrasound. Don't even think about it. I won't lose for you. This is nonsense. "
"Don't worry, they are all caught and can't run away. Someone will pay for the medicine! If you give me the protein, I won't lose. I'll take it out and sell it. We'll share half of it by then. "
"You six and I four!"
"Brother, you're 70%! No more! "
Zhang Fan is really speechless. This guy is a hob meat. He can't give a good face, otherwise he will be endless“ You're making a fool of yourself, and I'll take you out of the hospital. " Zhang Fan said seriously.
"Good, good! You're clean! But brother, I have to open that color Doppler ultrasound for me. It's really swollen. "
"Hurry back to the ward and lie down!" Zhang Fan is really impatient!
It was the first time he met such a person. He was really speechless. The parents of the boys who beat him came, because the children were caught by the police and served him delicious every day. I hope he won't be investigated and the two sides can solve it privately.
Several patients outside the brain are seriously ill. The most powerful one has been in a coma for a week and depends on nutrient solution. At the end of a day, the cost of medicine and treatment is more than 6000. The patient's family members can't support it for a few days, and may give up treatment at any time. This patient really can't predict the patient's awake time according to vital signs.
You may never wake up, or you may open your eyes the next morning. Can only endure like this, the patient is very painful, after a week, if the family hadn't turned over and massaged frequently, they would have laid out bedsore. If you go to special care, the price is more expensive!
The family is more painful. The daily cost is not to mention. Turning over massage takes two young adults. Most of them can't turn over the patient, and the doctor can't tell if the patient can't wake up. The average well-off family can directly break the family property if they insist on this for two months.
"If you want to continue treatment, prepare to sell the house!" That's what the attending doctor said. But looking at the increasingly emaciated relatives lying in bed, I was really cruel and said the word "give up".
But what can be done? There is really no extra money at home. If you want to continue, you have to sell your house. Looking at my unmarried son, I think of my wife's past laughter and laughter. When I was young, my wife was in tears! Cover your mouth! The crying heart is broken!
Even if you cry, you can't cry in front of the child. It's not easy for the child. How much can a repairman earn? Looking at the child's cracked hands, his wife sat at the head of the bed and said to the unconscious husband, "I'm sorry for you. Go first. When the child gets married, I'll come with you. You must walk slowly and wait for me in front. I'll come later, We will not feel cold when we are together below! You are usually fine. How could this happen? "
"Doctor, let's give up treatment and pull out the tube! really Pull the pipe! It's all my fault! Old man! Blame me! " The old lady holding the bed leg was out of breath.
However, no matter how painful it is, she still needs to sign the abandonment of treatment, sign her name with trembling hands, and the relationship with the patient is: husband and wife. Young husband and wife always come together. What is painful is that her heart is broken. She feels that her hope for his survival has been cut off and cut off by her!
Doctors and nurses began to pull out various infusion channels and remove respiratory masks. The old lady's dry lips gently kissed the old man's forehead, and tears fell on his cheekbone prominent face, "no pain! Hold on! cracking! If you have any resentment, blame me! " The old man's eyes deep in his towering cheekbones slipped a tear!
"Woo! Woo! Woo! " The old lady sobbed with her lover in her arms! Life ends! Heartbeat stopped! The ECG pulled out a straight line. It's over! No if, no start again! The rest are the fainting old woman and her son who doesn't know and is still working overtime to make money!
Zhang Fan's second night on duty, the urgent phone rang at the nurse station!
Yu Bin, the director outside the brain, has gone to study. The Qin girl keeps her word and does things without delay. Although Qin Nuo is still in the hospital, she has implemented the study. The three people who study follow the top experts in China. There is a large amount of surgery. Don't worry about not having surgery. The results of study depend on their own understanding. The operation can only be led in by the master, and the rest depends on yourself.Li Hui didn't go out to play during his wedding leave, so he reassured his wife at home. It is said that the matter of DingKe has been determined and Ouyang has signed it. Just waiting for him to enter the Department after his marriage leave.Zhang Fan is not in a hurry to determine the Department. He is not worried that postgraduates can affect his determination. His current level is the surgical level of orthopedics, not to mention postgraduates. The director of a provincial third-class hospital may not be better than him. When you have surplus food at home, you don't panic. Transferring to a department is not a waste of time, but a systematic study of a medical system. Many things that can't be written in books can be understood and found when you transfer to a department.Shao Hua also began to struggle and bought a lot of reference books. There is still a great difference between accounting in the financial industry and enterprise accounting. I really have to admire Shao Hua. The foundation of the university is really good and the reading effect is good.Liu Zhaoyun, deputy director of brain surgery, is from the old Frontier. Born on a farm, he is a second-generation farm man, which is very similar to the Shaohua family. His ancestral home is from the South and he graduated from Suzhou Hangzhou Medical College. When I graduated that year, I didn't like the local county-level hospitals in Suzhou and Hangzhou. I went back to the urban hospitals in the border area. After more than ten years of effort, the county-level hospitals around Suzhou and Hangzhou are no longer comparable to the top three hospitals in the border area.Many of his classmates who stayed in the counties around Suzhou and Hangzhou later went abroad for further study. There are several doctors from the Royal College of medicine, which is the difference of regional development.I don't know whether he regretted it or not. He has lost the opportunity to reach the top in the medical field, that is, he is an ordinary doctor, going to outpatient service and surgery, and then waiting for retirement, pension and grandchildren. Many of his classmates have been shining on various medical forums. Now he doesn't even have a chance to participate! The organizer will not think of hospitals in remote areas, or invite them!He will certainly regret not talking about dedication, but only about the level of technology. If he talks about dedication, his role in the Frontier Medical front is not necessarily worse than those of his classmates. The front line of medical treatment has been charging for decades and countless people have lived.The brain surgery room is not too big in the hospital because it is too difficult. Relying on Yu Bin, the director outside the brain, attaches importance to the development of medical technology and dares to give it to lower level doctors, so the development of the Department is OK. The directors of three deputy high schools, four attending doctors and one principal and one deputy are all positive high schools.Zhang Fan entered brain surgery with a transfer list. Zhang Fan received by Liu Zhaoyun. Doctors in the surgical system of the municipal hospital are familiar with Zhang Fan."Dr. Zhang told director Yu when he left. Let me take you when you come to the Department of extracerebral transfer. You don't have to participate in the dressing change and write the medical record. Follow me to the clinic and surgery. If you are sure of the operation, you can apply for the position of the main knife with me. " Liu Zhaoyun received Zhang Fan in his deputy director's office."OK, director, I'll listen to you.""I'm not on the night shift. When you get familiar with the Department, you'll be on duty independently to manage the patient. Independent patient management is the fastest way for young doctors to improve. Make up your mind and quickly enter the working state outside your brain. ""OK!"The department outside the brain has a graduate student who graduated this year. Xia Huadong is also a god man. I studied Chinese and Western medicine as an undergraduate. I didn't know what happened when I was admitted to the Frontier Medical University. From then on, I was farther and farther away from traditional Chinese medicine!His girlfriend was admitted to the banking regulatory bureau of chasu city last year. He came with his girlfriend as soon as he graduated. Because it is a master's degree outside God, the tea vegetable market is very scarce. After entering the hospital, it first gave 100000 resettlement fees. The young man was also an individual. He respected the old doctor in the Department and soon integrated into God.At the morning meeting on Monday, after Liu Zhaoyun explained the daily work of the Department, he took Zhang Fan and Xia Huadong to the clinic. These two young people are amazing. One is a person who has established a position in orthopedics, and the other is a master. Other doctors with less qualifications really can't bring them.The knowledge outside the brain is too complicated and trivial. Zhang Fan still can't open the second level outside the brain. Now the technology outside the brain is the vice High School of the third class in the region. But the advantage is that you practice a lot in the system. Practice makes perfect. It's not just talk. After a surgery is repeated thousands of times, it's absolutely awesome.Most of the patients in the clinic are the elderly. It is cold in the frontier, so the eating customs are high in fat and taste. They like to eat salty food, which leads to common cardiovascular and cerebrovascular diseases. With the improvement of the national medical system, there are more and more elderly people. In addition, drinking in Northwest China is also very fierce, resulting in a large number of accidental deaths of cardiovascular and cerebrovascular patients.High blood pressure is not high blood pressure. No one cares about your blood pressure at the dinner table. Many people emphasize that they can't drink wine many times before eating. There is high blood pressure, but after drinking, there will be special people to persuade people to drink. They can't even drink it.After a week, Zhang Fan was also familiar with the working procedures of the Department and began to treat patients independently. The customs in the border areas are fierce. Sometimes inappropriate words may cause fighting. People are often beaten with broken heads and blood, and skull injuries are very common.The winning party is responsible for medical expenses and goes to prison for re education. The losing party lies in the hospital and life is better than death. Zhang Fan's first extracerebral patient was injured in a fight.The patient was not very old. He was in his twenties, and his blood was boiling. He fought three times in the bar. His skill was quite good, but he was finally knocked down by a beer bottle.Wearing panda eyes and keeping nose blood to see a doctor. However, his life is big. It's just a slight fracture of the anterior cranial fossa. It's a mild craniocerebral injury. After observing it all night, he can go home and have a rest.As a result, the guy didn't want to. He said he had a bad headache and had to be hospitalized. Zhang Fan looked at the X-ray and CT again and confirmed that it was mild brain contusion.When asked about the medical history, Zhang Fan also had to sigh that the guy's bone mineral density was too hard. After such a violent blow, he was unconscious for a few minutes, and there were no obvious abnormalities in the examination of nervous system and cerebrospinal fluid. In fact, he could go home and observe after explaining to his family according to this injury.But he can't. He has to be hospitalized Your injury doesn't meet the hospitalization standard. I can't treat you even if you are hospitalized. " Zhang Fan couldn't cry or laugh."Brother, just let me stay in the hospital. I'll lie down. You can prescribe whatever medicine is expensive and what examination is expensive. It's really a headache. If you don't stop me, I'll lie in your office later! " The young man is very naughty and pesters Zhang Fan like brown sugar.Zhang Fan understood what he meant. This kind of patient is very troublesome, and the headache symptom is a subjective symptom, not a physical sign. People say that headache is a headache. If the doctor can't identify it, it must also be reflected in the medical record.Then put it away. Zhang Fan is on duty. He comes to Zhang Fan with half a bag of fast blackening bananas. Zhang Fan won't want it anyway. This guy is not embarrassed. He sits on the stool in the office and grinds with Zhang Fan. He wants Zhang Fan to give him an examination from beginning to end and do all the examinations that the hospital can do.The most shameless person even had to check his sperm a. This is pure nonsense. Zhang Fan ignores him. He has one brother on the left and one brother on the right. Anyway, he can't let you work at ease."You just tell me that I can't do anything. I can't open other examinations at most. And it's just a fight. What are you doing? ""My brother, you don't know. They stepped on my chicken at that time. Now they are a little swollen. Don't you believe me to take off my pants and show you that I'm not married yet. Can you be responsible for an accident?""Even if you step on it, you don't do this check. Just do a color Doppler ultrasound. Don't even think about it. I won't lose for you. This is nonsense. ""Don't worry, they are all caught and can't run away. Someone will pay for the medicine! If you give me the protein, I won't lose. I'll take it out and sell it. We'll share half of it by then. ""You six and I four!""Brother, you're 70%! No more! "Zhang Fan is really speechless. This guy is a hob meat. He can't give a good face, otherwise he will be endless You're making a fool of yourself, and I'll take you out of the hospital. " Zhang Fan said seriously."Good, good! You're clean! But brother, I have to open that color Doppler ultrasound for me. It's really swollen. ""Hurry back to the ward and lie down!" Zhang Fan is really impatient!It was the first time he met such a person. He was really speechless. The parents of the boys who beat him came, because the children were caught by the police and served him delicious every day. I hope he won't be investigated and the two sides can solve it privately.Several patients outside the brain are seriously ill. The most powerful one has been in a coma for a week and depends on nutrient solution. At the end of a day, the cost of medicine and treatment is more than 6000. The patient's family members can't support it for a few days, and may give up treatment at any time. This patient really can't predict the patient's awake time according to vital signs.You may never wake up, or you may open your eyes the next morning. Can only endure like this, the patient is very painful, after a week, if the family hadn't turned over and massaged frequently, they would have laid out bedsore. If you go to special care, the price is more expensive!The family is more painful. The daily cost is not to mention. Turning over massage takes two young adults. Most of them can't turn over the patient, and the doctor can't tell if the patient can't wake up. The average well-off family can directly break the family property if they insist on this for two months."If you want to continue treatment, prepare to sell the house!" That's what the attending doctor said. But looking at the increasingly emaciated relatives lying in bed, I was really cruel and said the word "give up".But what can be done? There is really no extra money at home. If you want to continue, you have to sell your house. Looking at my unmarried son, I think of my wife's past laughter and laughter. When I was young, my wife was in tears! Cover your mouth! The crying heart is broken!Even if you cry, you can't cry in front of the child. It's not easy for the child. How much can a repairman earn? Looking at the child's cracked hands, his wife sat at the head of the bed and said to the unconscious husband, "I'm sorry for you. Go first. When the child gets married, I'll come with you. You must walk slowly and wait for me in front. I'll come later, We will not feel cold when we are together below! You are usually fine. How could this happen? ""Doctor, let's give up treatment and pull out the tube! really Pull the pipe! It's all my fault! Old man! Blame me! " The old lady holding the bed leg was out of breath.However, no matter how painful it is, she still needs to sign the abandonment of treatment, sign her name with trembling hands, and the relationship with the patient is: husband and wife. Young husband and wife always come together. What is painful is that her heart is broken. She feels that her hope for his survival has been cut off and cut off by her!Doctors and nurses began to pull out various infusion channels and remove respiratory masks. The old lady's dry lips gently kissed the old man's forehead, and tears fell on his cheekbone prominent face, "no pain! Hold on! cracking! If you have any resentment, blame me! " The old man's eyes deep in his towering cheekbones slipped a tear!"Woo! Woo! Woo! " The old lady sobbed with her lover in her arms! Life ends! Heartbeat stopped! The ECG pulled out a straight line. It's over! No if, no start again! The rest are the fainting old woman and her son who doesn't know and is still working overtime to make money!Zhang Fan's second night on duty, the urgent phone rang at the nurse station!
