Chapter 176: 176
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The inertia of people is terrible. Zhang Fan, who just graduated from that year, once ran a provincial capital city on a bicycle. In less than two years, he can't live without a car.
Zhang Fan goes to the hospital in the morning, and then goes to Ma Wentao's hospital to see Wang Yongyong at noon. Wang Yongyong recovered well, and the swelling of his knee joint has begun to subside.
Cousin Shaohua's newspaper booth has also opened, and business is good. The good pasta made by my cousin's sister-in-law also has a place to use. In the morning, I steamed a cage of steamed buns. Because the materials were sufficient and clean, the doctors and nurses in the hospital bought it from her. Day by day, the couple's face is also ruddy. Money is the backbone of people in this world. It's really hard to live without money.
At ordinary times, when my cousin reads the newspaper booth, my cousin goes outside to do some odd jobs. The couple are good. Zhang Fan is busy and Shaohua is not idle. It is common to work overtime in the bank. My cousin directly contracts the physical work at home, and it is impossible not to do it. This is the case between relatives, reciprocity, more and more close.
The digestive department of the municipal hospital has never improved. After his retirement, the old director was poached by Ma Wentao. The director's heart dug from outside does not work in the Department, and a lot of patients are slowly lost. Whether the technology is good or not, listen to the public's reputation. If something goes wrong once or twice, the reputation of the digestive department is not very good, and there are many complaints.
Ouyang doesn't have any good methods. For the time being, there are no good and mature doctors to replace him. The doctors who apply for the job are either too harsh or their skills are not up to standard.
On Tuesday, a special patient, a female, came to the digestive department. She was hospitalized for three days with intermittent vomiting and vertigo. The director dug up recently flirted with the tea vegetable city traditional Chinese medicine hospital, because the traditional Chinese medicine hospital has offered a price. As long as he goes to the traditional Chinese medicine hospital, he will let him become the vice president. Now he uses this as a weight to coerce Ouyang. Either give the official position or increase the money.
The vice president of a municipal class III hospital is not a president who can decide. It is impossible to add money. What is the income level of other doctors! Give too much. What should others do. Ouyang didn't agree. The director of the digestive department began to idle away his work. He didn't contribute to the work, and had already negotiated the conditions with the hospital of traditional Chinese medicine.
The female patient here is very special. All the tests are normal, but she is nausea, vomiting and dizziness. The doctor in charge of Gastroenterology had no choice. The first diagnosis was electrolyte disorder, and then reported the patient's situation to the medical department and applied for a large consultation in the whole hospital.
This kind of consultation is not a consultation between departments at ordinary times. It is to take this case for expert consultation of the whole hospital. The consultation at this level must be signed by the president, and the medical department takes the lead in coordinating the time of experts in various departments.
Ouyang is also a medical expert. After she saw the case, she was also very strange. Any examination is normal, but the patient's vomiting symptoms do exist.
On Tuesday afternoon, experts from various departments gathered in the ward of gastroenterology department for hospital consultation. After the consultation, all experts were particularly puzzled, and no abnormalities were found. There is no good conclusion after discussion.
"Why don't you invite experts from the hospital of traditional Chinese medicine to have a look. This disease should need conditioning. " The new director of Gastroenterology said at the expert meeting that he was watching the excitement and was not afraid of big things. With a good place to go, he no longer regarded himself as a doctor in the municipal hospital.
Since the establishment of the municipal hospital, the traditional Chinese medicine hospital has been suppressed. Only the traditional Chinese medicine hospital invited the experts of the municipal hospital for consultation. Where did the municipal hospital invite the traditional Chinese medicine hospital for consultation? Ouyang can't afford to lose this person.
But at present, there is no good way. Ouyang's face is ugly. Although there are difficult and miscellaneous diseases in grass-roots hospitals, the total amount is not much after all. The new director of gastroenterology is the deputy director of the provincial hospital. He can't see it, but he has thought it over. After taking the patient to the traditional Chinese medicine hospital, he will contact his former colleagues and must make the first shot in the traditional Chinese medicine hospital.
Ouyang didn't want to, so he used words to run on Ouyang. "It's not surprising that we can't see diseases. Even in the provincial hospital, we can't be sure, but we can't build cars behind closed doors. We should not be responsible for anything else, even for the patient's health. We should also pool our wisdom. "
His words are so high sounding that Ouyang can't even refute them. Can he say: No, I can't afford to lose people! Or look down on experts in traditional Chinese medicine hospitals? In a dilemma, the director of the hospital office got up to answer the phone. Ouyang looked at it and said, "let's discuss it again. There may be something we ignore. "
"Ha ha!" What ironic laughter!
The hospital's internal leaders have a meeting and there is no regulation to turn off the phone. This is a special unit. Maybe there will be critical patients or emergency surgery at any time, so the expert director will not turn off the phone.
The sarcastic laughter was in the face of the whole hospital doctor. When facing interests and official positions, some people are really reckless.
After answering the phone, the director of the medical department opened the door and whispered a few words to Ouyang with a smile. After hearing this, Ouyang turned his head and looked at the director of the medical department. The director of the medical department nodded definitely.
"There is no need to invite experts from other hospitals for consultation. The municipal hospital is the hospital with the highest medical level in tea element city. The patient has been diagnosed. As a provincial expert, you don't concentrate on the diagnosis and treatment of patients, but concentrate on borrowing external forces. I think you are no longer suitable for the work of our hospital. From now on, our agreement is over! " Patients in the digestive department can't be diagnosed and treated in the municipal hospital. People hold this handle, and Ouyang can't get angry. Now it's solved. Even if he sues to the municipal Party committee, Ouyang is not afraid. Ouyang said this sentence sonorous and forceful.
The director of Gastroenterology, who was dug up, took the establishment of talent introduction. He also wanted Ouyang to let go and let him go to the hospital of traditional Chinese medicine. Because only the municipal hospital has the establishment of introduced talents, other hospitals do not. Now this situation is not that he can't see the listed hospital, but that the municipal hospital can't see him. Even if he goes to the top of the traditional Chinese medicine hospital, he is a vice president. Are the experts expelled still experts?
"Can you let me know which expert's means?" He knows very well that the hospital experts are here. It is impossible that the experts are inferior to the lower level doctors! So I don't worry at all, "this is a double reed."
"Yes!" Ouyang said disdainfully.
Time moved forward. After Zhang Fan returned to the Department, he found that the director of the oncology department was not in, so he asked the transferred doctor, "Why are you so idle today, director?" Because Zhang Fan went to the cave in the morning and had to tell the director when he came in the afternoon.
"Boss, the director has gone to the hospital consultation! ~" Zhang Fan has a special status. In the eyes of transferred doctors, Zhang Fan is an alternative from the team.
"Hehe, don't run against me! Which department's serious illness number? " Zhang Fan doesn't care. If he cares about other people's words, he can't live.
"Gastroenterology! Zhang Fan, you're not busy all day. Do me a favor. " The transferred doctor is a female doctor, one year later than Zhang Fan's graduation, but he entered the hospital in the same year as Zhang Fan. It's a little beautiful. It's a hot one among young people.
Today, other doctors in the Department were busy and she was free, so Zhang Fan asked. The result was endless. Zhang Fan regretted it.
"Oh! A big shoulder and a narrow shoulder may not help you! "
"You're timid. There are too many medical records. I've just had a rest. You see, my fingers are swollen. Please write some medical records for me." As he spoke, he put his fingers in front of Zhang Fan. His fingers were slender, green and white, and a faint aroma came to his nose. With a charming look and big watery eyes, no wonder many people are pursuing.
Zhang Fan doesn't have the time to write her medical records. If Zhang Fan doesn't have a difficult life in college, she may be confused by her experience in the past two years after graduation. Especially in the past two years, Zhang Fan has seen too many talents, so her Taoism is still shallow.
"Oh! I remember, I left something at the door! " The lame reason is the best reason. It's estimated that the girl will never show her confusion to Zhang Fan in the future.
Zhang Fan turned around and went to the gastroenterology department. Lao Hu in the Department of gastroenterology is now the mainstay of the Department, and the directors are more and more wonderful. Now he is leading the ward rounds of Gastroenterology.
"Brother Hu, isn't it a big consultation? Why didn't you attend?" Zhang Fan said with a smile, that is, only when he has a good relationship with Lao Hu can he joke like this, otherwise he dare not say so. At least he is a deputy high-level if he can participate in the grand consultation of the whole hospital, and Lao Hu is the chief doctor.
"Well! I've finished my opinion! The Dean thinks what I said is reasonable! "
"Believe you, ghost!"
"You bastard, you know your brother is not qualified enough. Why are you flirting with your brother?"
"Miss you!"
"You're getting slippery! What about the simple Zhang Fan before! How long have you said we haven't seen each other! " Although they are all in the same hospital, they are really busy. They haven't met each other at ordinary times.
"Aren't you busy! What's the patient today, such a big battle. " After a few jokes, Zhang Fan asked.
"A sick man with vomiting! All tests are normal, but it's intermittent vomiting. " Lao Hu said.
"That's strange! Brother, take me to study? "
"Wait a minute, I'll type this conversation out. Look at her case first. " Lao Hu said.
After sitting down, Zhang Fan looked at the patient's case. She was a 45 year old female and an office clerk. She denied that she had a history of injury and acute and chronic diseases. Deny the history of drinking and drug abuse and various family genetic histories.
Zhang Zaiyuan looked at the examination items in the case. There were no abnormalities in blood routine, biochemistry, chest film and brain CT. Because he didn't see the patient, Zhang Fan couldn't see anything special.
"Let's go. I heard that your boy is now treated at the director level." Lao Hu teased Zhang Fan on the road.
"What director treatment!" Zhang Fan asked puzzled.
"The hospital knows that there is no need to be on duty and write medical records. Isn't it the director level?"
"Well! I'll say it! " Zhang Fan is also helpless. There are always people who are unconvinced. However, it is mediocre that people are not jealous. Zhang Fan ignores it. What should we do.
"This is the patient. Look, he vomites intermittently." Lao Hu pointed to the female patient in the single ward and said.
Because there is a big consultation and the patient's family members have talked to someone, they live in a single room. After entering, Zhang Fan found that both the patient and his family members looked bad.
The patient and his wife are both civil servants in the urban area. Their husband is in the Education Bureau and the patient unit is in the disabled persons' Federation. Although they are not leaders, the tea vegetable city is so big that they can find a relationship. Moreover, they have been hospitalized for several days and their condition has not improved at all. Ask the bed doctor. The bed doctor can't say one, two or three. I haven't even seen the director these days, So you look bad.
"This is Dr. Zhang from our surgery department. He came to show you." Lao Hu introduced.
"No trouble, we have contacted the affiliated doctor of Dida. Transfer to another hospital tomorrow. " The sick man's husband's tone is not very good.
"No trouble, that's what we should do." Zhang Fan pretended not to understand and said with a smile to the patient and his family.
They don't hit the smiling people, and they can't live without the tea market, so they can't offend the doctors in the city hospital too much, "let's have a look! The director of your surgery didn't see anything. "
The common problem of cultural people is that they can't be angry, but they can't pull down their faces. Ten thousand didn't want to, but they could only let Zhang Fan check again.
On the way here, Zhang Fan kept his hand in his pocket and warmed up. This is a doctor's quality problem. There are many reasons for vomiting, but most of them are digestive tract or brain problems. Zhang Fan began physical examination from his abdomen.
There is no problem with liver, gallbladder, kidney and spleen. The abdomen is soft without any tenderness and rebound pain“ Have you eaten any special food recently, such as mushrooms? "
"No!"
Zhang Fan began to check the brain. All nerve reflexes were normal. What's the reason“ Under what circumstances will you vomit more? "
"It's just that when I'm a little tired at work, I'm disgusted. I can't stand dizzy."
"What does elder sister do. Do you have any hobbies? " Zhang Fan asked with a smile. Zhang Fan's attitude was very good. His tone was sincere and his attitude was gentle. The unconscious patients began to cooperate slowly. Zhang Fan already has the means of a mature doctor to contact patients.
Zhang fan understands their mood. He can't make a clear diagnosis when he is ill. People will be angry and anxious. He can't quarrel with others because of this.
"I'm a clerk in the office. I have no hobbies. "
"What are the main contents of the work? What do you do when you rest at home? "
"Well! It's just some written work. At home, it's doing cross stitch. "
"Oh! Has the cervical X-ray been done? " Zhang Fan asked Lao Hu.
"Yes!"
"The film is here!" Zhang Fan is serious and responsible. Even if he can't be diagnosed today, his family and patients won't say anything. The patient's husband took out an X-ray from the cabinet.
Zhang Fan looked at the X-ray and didn't find any problems“ Strange! "
Zhang Fan said to the patient again, "elder sister, lie down and I'll check your cervical spine again."
Zhang Fan began to check his cervical spine. When he touched C4, Zhang Fan made a surprised voice, "eh!" After the system orthopedics was upgraded, the rehabilitation treatment of orthopedics was also upgraded.
The basic orthopaedics is a general orthopaedic disease, and the upgraded orthopaedics is more specialized. Although it is not the highest level orthopaedics, it can be regarded as more specialized. The medical setting of the future system is also very special. Doctors are required to basically master all diseases in the second stage before opening the content of the third stage.
Zhang Fan's current highest level discipline is orthopedics! The main reason is that the pit is too deep! Zhang Fan hasn't climbed out yet ~! Puwai is too stupid!
Please report us if you find any errors so we can fix it asap!
The inertia of people is terrible. Zhang Fan, who just graduated from that year, once ran a provincial capital city on a bicycle. In less than two years, he can't live without a car.
Zhang Fan goes to the hospital in the morning, and then goes to Ma Wentao's hospital to see Wang Yongyong at noon. Wang Yongyong recovered well, and the swelling of his knee joint has begun to subside.
Cousin Shaohua's newspaper booth has also opened, and business is good. The good pasta made by my cousin's sister-in-law also has a place to use. In the morning, I steamed a cage of steamed buns. Because the materials were sufficient and clean, the doctors and nurses in the hospital bought it from her. Day by day, the couple's face is also ruddy. Money is the backbone of people in this world. It's really hard to live without money.
At ordinary times, when my cousin reads the newspaper booth, my cousin goes outside to do some odd jobs. The couple are good. Zhang Fan is busy and Shaohua is not idle. It is common to work overtime in the bank. My cousin directly contracts the physical work at home, and it is impossible not to do it. This is the case between relatives, reciprocity, more and more close.
The digestive department of the municipal hospital has never improved. After his retirement, the old director was poached by Ma Wentao. The director's heart dug from outside does not work in the Department, and a lot of patients are slowly lost. Whether the technology is good or not, listen to the public's reputation. If something goes wrong once or twice, the reputation of the digestive department is not very good, and there are many complaints.
Ouyang doesn't have any good methods. For the time being, there are no good and mature doctors to replace him. The doctors who apply for the job are either too harsh or their skills are not up to standard.
On Tuesday, a special patient, a female, came to the digestive department. She was hospitalized for three days with intermittent vomiting and vertigo. The director dug up recently flirted with the tea vegetable city traditional Chinese medicine hospital, because the traditional Chinese medicine hospital has offered a price. As long as he goes to the traditional Chinese medicine hospital, he will let him become the vice president. Now he uses this as a weight to coerce Ouyang. Either give the official position or increase the money.
The vice president of a municipal class III hospital is not a president who can decide. It is impossible to add money. What is the income level of other doctors! Give too much. What should others do. Ouyang didn't agree. The director of the digestive department began to idle away his work. He didn't contribute to the work, and had already negotiated the conditions with the hospital of traditional Chinese medicine.
The female patient here is very special. All the tests are normal, but she is nausea, vomiting and dizziness. The doctor in charge of Gastroenterology had no choice. The first diagnosis was electrolyte disorder, and then reported the patient's situation to the medical department and applied for a large consultation in the whole hospital.
This kind of consultation is not a consultation between departments at ordinary times. It is to take this case for expert consultation of the whole hospital. The consultation at this level must be signed by the president, and the medical department takes the lead in coordinating the time of experts in various departments.
Ouyang is also a medical expert. After she saw the case, she was also very strange. Any examination is normal, but the patient's vomiting symptoms do exist.
On Tuesday afternoon, experts from various departments gathered in the ward of gastroenterology department for hospital consultation. After the consultation, all experts were particularly puzzled, and no abnormalities were found. There is no good conclusion after discussion.
"Why don't you invite experts from the hospital of traditional Chinese medicine to have a look. This disease should need conditioning. " The new director of Gastroenterology said at the expert meeting that he was watching the excitement and was not afraid of big things. With a good place to go, he no longer regarded himself as a doctor in the municipal hospital.
Since the establishment of the municipal hospital, the traditional Chinese medicine hospital has been suppressed. Only the traditional Chinese medicine hospital invited the experts of the municipal hospital for consultation. Where did the municipal hospital invite the traditional Chinese medicine hospital for consultation? Ouyang can't afford to lose this person.
But at present, there is no good way. Ouyang's face is ugly. Although there are difficult and miscellaneous diseases in grass-roots hospitals, the total amount is not much after all. The new director of gastroenterology is the deputy director of the provincial hospital. He can't see it, but he has thought it over. After taking the patient to the traditional Chinese medicine hospital, he will contact his former colleagues and must make the first shot in the traditional Chinese medicine hospital.
Ouyang didn't want to, so he used words to run on Ouyang. "It's not surprising that we can't see diseases. Even in the provincial hospital, we can't be sure, but we can't build cars behind closed doors. We should not be responsible for anything else, even for the patient's health. We should also pool our wisdom. "
His words are so high sounding that Ouyang can't even refute them. Can he say: No, I can't afford to lose people! Or look down on experts in traditional Chinese medicine hospitals? In a dilemma, the director of the hospital office got up to answer the phone. Ouyang looked at it and said, "let's discuss it again. There may be something we ignore. "
"Ha ha!" What ironic laughter!
The hospital's internal leaders have a meeting and there is no regulation to turn off the phone. This is a special unit. Maybe there will be critical patients or emergency surgery at any time, so the expert director will not turn off the phone.
The sarcastic laughter was in the face of the whole hospital doctor. When facing interests and official positions, some people are really reckless.
After answering the phone, the director of the medical department opened the door and whispered a few words to Ouyang with a smile. After hearing this, Ouyang turned his head and looked at the director of the medical department. The director of the medical department nodded definitely.
"There is no need to invite experts from other hospitals for consultation. The municipal hospital is the hospital with the highest medical level in tea element city. The patient has been diagnosed. As a provincial expert, you don't concentrate on the diagnosis and treatment of patients, but concentrate on borrowing external forces. I think you are no longer suitable for the work of our hospital. From now on, our agreement is over! " Patients in the digestive department can't be diagnosed and treated in the municipal hospital. People hold this handle, and Ouyang can't get angry. Now it's solved. Even if he sues to the municipal Party committee, Ouyang is not afraid. Ouyang said this sentence sonorous and forceful.
The director of Gastroenterology, who was dug up, took the establishment of talent introduction. He also wanted Ouyang to let go and let him go to the hospital of traditional Chinese medicine. Because only the municipal hospital has the establishment of introduced talents, other hospitals do not. Now this situation is not that he can't see the listed hospital, but that the municipal hospital can't see him. Even if he goes to the top of the traditional Chinese medicine hospital, he is a vice president. Are the experts expelled still experts?
"Can you let me know which expert's means?" He knows very well that the hospital experts are here. It is impossible that the experts are inferior to the lower level doctors! So I don't worry at all, "this is a double reed."
"Yes!" Ouyang said disdainfully.
Time moved forward. After Zhang Fan returned to the Department, he found that the director of the oncology department was not in, so he asked the transferred doctor, "Why are you so idle today, director?" Because Zhang Fan went to the cave in the morning and had to tell the director when he came in the afternoon.
"Boss, the director has gone to the hospital consultation! ~" Zhang Fan has a special status. In the eyes of transferred doctors, Zhang Fan is an alternative from the team.
"Hehe, don't run against me! Which department's serious illness number? " Zhang Fan doesn't care. If he cares about other people's words, he can't live.
"Gastroenterology! Zhang Fan, you're not busy all day. Do me a favor. " The transferred doctor is a female doctor, one year later than Zhang Fan's graduation, but he entered the hospital in the same year as Zhang Fan. It's a little beautiful. It's a hot one among young people.
Today, other doctors in the Department were busy and she was free, so Zhang Fan asked. The result was endless. Zhang Fan regretted it.
"Oh! A big shoulder and a narrow shoulder may not help you! "
"You're timid. There are too many medical records. I've just had a rest. You see, my fingers are swollen. Please write some medical records for me." As he spoke, he put his fingers in front of Zhang Fan. His fingers were slender, green and white, and a faint aroma came to his nose. With a charming look and big watery eyes, no wonder many people are pursuing.
Zhang Fan doesn't have the time to write her medical records. If Zhang Fan doesn't have a difficult life in college, she may be confused by her experience in the past two years after graduation. Especially in the past two years, Zhang Fan has seen too many talents, so her Taoism is still shallow.
"Oh! I remember, I left something at the door! " The lame reason is the best reason. It's estimated that the girl will never show her confusion to Zhang Fan in the future.
Zhang Fan turned around and went to the gastroenterology department. Lao Hu in the Department of gastroenterology is now the mainstay of the Department, and the directors are more and more wonderful. Now he is leading the ward rounds of Gastroenterology.
"Brother Hu, isn't it a big consultation? Why didn't you attend?" Zhang Fan said with a smile, that is, only when he has a good relationship with Lao Hu can he joke like this, otherwise he dare not say so. At least he is a deputy high-level if he can participate in the grand consultation of the whole hospital, and Lao Hu is the chief doctor.
"Well! I've finished my opinion! The Dean thinks what I said is reasonable! "
"Believe you, ghost!"
"You bastard, you know your brother is not qualified enough. Why are you flirting with your brother?"
"Miss you!"
"You're getting slippery! What about the simple Zhang Fan before! How long have you said we haven't seen each other! " Although they are all in the same hospital, they are really busy. They haven't met each other at ordinary times.
"Aren't you busy! What's the patient today, such a big battle. " After a few jokes, Zhang Fan asked.
"A sick man with vomiting! All tests are normal, but it's intermittent vomiting. " Lao Hu said.
"That's strange! Brother, take me to study? "
"Wait a minute, I'll type this conversation out. Look at her case first. " Lao Hu said.
After sitting down, Zhang Fan looked at the patient's case. She was a 45 year old female and an office clerk. She denied that she had a history of injury and acute and chronic diseases. Deny the history of drinking and drug abuse and various family genetic histories.
Zhang Zaiyuan looked at the examination items in the case. There were no abnormalities in blood routine, biochemistry, chest film and brain CT. Because he didn't see the patient, Zhang Fan couldn't see anything special.
"Let's go. I heard that your boy is now treated at the director level." Lao Hu teased Zhang Fan on the road.
"What director treatment!" Zhang Fan asked puzzled.
"The hospital knows that there is no need to be on duty and write medical records. Isn't it the director level?"
"Well! I'll say it! " Zhang Fan is also helpless. There are always people who are unconvinced. However, it is mediocre that people are not jealous. Zhang Fan ignores it. What should we do.
"This is the patient. Look, he vomites intermittently." Lao Hu pointed to the female patient in the single ward and said.
Because there is a big consultation and the patient's family members have talked to someone, they live in a single room. After entering, Zhang Fan found that both the patient and his family members looked bad.
The patient and his wife are both civil servants in the urban area. Their husband is in the Education Bureau and the patient unit is in the disabled persons' Federation. Although they are not leaders, the tea vegetable city is so big that they can find a relationship. Moreover, they have been hospitalized for several days and their condition has not improved at all. Ask the bed doctor. The bed doctor can't say one, two or three. I haven't even seen the director these days, So you look bad.
"This is Dr. Zhang from our surgery department. He came to show you." Lao Hu introduced.
"No trouble, we have contacted the affiliated doctor of Dida. Transfer to another hospital tomorrow. " The sick man's husband's tone is not very good.
"No trouble, that's what we should do." Zhang Fan pretended not to understand and said with a smile to the patient and his family.
They don't hit the smiling people, and they can't live without the tea market, so they can't offend the doctors in the city hospital too much, "let's have a look! The director of your surgery didn't see anything. "
The common problem of cultural people is that they can't be angry, but they can't pull down their faces. Ten thousand didn't want to, but they could only let Zhang Fan check again.
On the way here, Zhang Fan kept his hand in his pocket and warmed up. This is a doctor's quality problem. There are many reasons for vomiting, but most of them are digestive tract or brain problems. Zhang Fan began physical examination from his abdomen.
There is no problem with liver, gallbladder, kidney and spleen. The abdomen is soft without any tenderness and rebound pain“ Have you eaten any special food recently, such as mushrooms? "
"No!"
Zhang Fan began to check the brain. All nerve reflexes were normal. What's the reason“ Under what circumstances will you vomit more? "
"It's just that when I'm a little tired at work, I'm disgusted. I can't stand dizzy."
"What does elder sister do. Do you have any hobbies? " Zhang Fan asked with a smile. Zhang Fan's attitude was very good. His tone was sincere and his attitude was gentle. The unconscious patients began to cooperate slowly. Zhang Fan already has the means of a mature doctor to contact patients.
Zhang fan understands their mood. He can't make a clear diagnosis when he is ill. People will be angry and anxious. He can't quarrel with others because of this.
"I'm a clerk in the office. I have no hobbies. "
"What are the main contents of the work? What do you do when you rest at home? "
"Well! It's just some written work. At home, it's doing cross stitch. "
"Oh! Has the cervical X-ray been done? " Zhang Fan asked Lao Hu.
"Yes!"
"The film is here!" Zhang Fan is serious and responsible. Even if he can't be diagnosed today, his family and patients won't say anything. The patient's husband took out an X-ray from the cabinet.
Zhang Fan looked at the X-ray and didn't find any problems“ Strange! "
Zhang Fan said to the patient again, "elder sister, lie down and I'll check your cervical spine again."
Zhang Fan began to check his cervical spine. When he touched C4, Zhang Fan made a surprised voice, "eh!" After the system orthopedics was upgraded, the rehabilitation treatment of orthopedics was also upgraded.
The basic orthopaedics is a general orthopaedic disease, and the upgraded orthopaedics is more specialized. Although it is not the highest level orthopaedics, it can be regarded as more specialized. The medical setting of the future system is also very special. Doctors are required to basically master all diseases in the second stage before opening the content of the third stage.
Zhang Fan's current highest level discipline is orthopedics! The main reason is that the pit is too deep! Zhang Fan hasn't climbed out yet ~! Puwai is too stupid!
The inertia of people is terrible. Zhang Fan, who just graduated from that year, once ran a provincial capital city on a bicycle. In less than two years, he can't live without a car.Zhang Fan goes to the hospital in the morning, and then goes to Ma Wentao's hospital to see Wang Yongyong at noon. Wang Yongyong recovered well, and the swelling of his knee joint has begun to subside.Cousin Shaohua's newspaper booth has also opened, and business is good. The good pasta made by my cousin's sister-in-law also has a place to use. In the morning, I steamed a cage of steamed buns. Because the materials were sufficient and clean, the doctors and nurses in the hospital bought it from her. Day by day, the couple's face is also ruddy. Money is the backbone of people in this world. It's really hard to live without money.At ordinary times, when my cousin reads the newspaper booth, my cousin goes outside to do some odd jobs. The couple are good. Zhang Fan is busy and Shaohua is not idle. It is common to work overtime in the bank. My cousin directly contracts the physical work at home, and it is impossible not to do it. This is the case between relatives, reciprocity, more and more close.The digestive department of the municipal hospital has never improved. After his retirement, the old director was poached by Ma Wentao. The director's heart dug from outside does not work in the Department, and a lot of patients are slowly lost. Whether the technology is good or not, listen to the public's reputation. If something goes wrong once or twice, the reputation of the digestive department is not very good, and there are many complaints.Ouyang doesn't have any good methods. For the time being, there are no good and mature doctors to replace him. The doctors who apply for the job are either too harsh or their skills are not up to standard.On Tuesday, a special patient, a female, came to the digestive department. She was hospitalized for three days with intermittent vomiting and vertigo. The director dug up recently flirted with the tea vegetable city traditional Chinese medicine hospital, because the traditional Chinese medicine hospital has offered a price. As long as he goes to the traditional Chinese medicine hospital, he will let him become the vice president. Now he uses this as a weight to coerce Ouyang. Either give the official position or increase the money.The vice president of a municipal class III hospital is not a president who can decide. It is impossible to add money. What is the income level of other doctors! Give too much. What should others do. Ouyang didn't agree. The director of the digestive department began to idle away his work. He didn't contribute to the work, and had already negotiated the conditions with the hospital of traditional Chinese medicine.The female patient here is very special. All the tests are normal, but she is nausea, vomiting and dizziness. The doctor in charge of Gastroenterology had no choice. The first diagnosis was electrolyte disorder, and then reported the patient's situation to the medical department and applied for a large consultation in the whole hospital.This kind of consultation is not a consultation between departments at ordinary times. It is to take this case for expert consultation of the whole hospital. The consultation at this level must be signed by the president, and the medical department takes the lead in coordinating the time of experts in various departments.Ouyang is also a medical expert. After she saw the case, she was also very strange. Any examination is normal, but the patient's vomiting symptoms do exist.On Tuesday afternoon, experts from various departments gathered in the ward of gastroenterology department for hospital consultation. After the consultation, all experts were particularly puzzled, and no abnormalities were found. There is no good conclusion after discussion."Why don't you invite experts from the hospital of traditional Chinese medicine to have a look. This disease should need conditioning. " The new director of Gastroenterology said at the expert meeting that he was watching the excitement and was not afraid of big things. With a good place to go, he no longer regarded himself as a doctor in the municipal hospital.Since the establishment of the municipal hospital, the traditional Chinese medicine hospital has been suppressed. Only the traditional Chinese medicine hospital invited the experts of the municipal hospital for consultation. Where did the municipal hospital invite the traditional Chinese medicine hospital for consultation? Ouyang can't afford to lose this person.But at present, there is no good way. Ouyang's face is ugly. Although there are difficult and miscellaneous diseases in grass-roots hospitals, the total amount is not much after all. The new director of gastroenterology is the deputy director of the provincial hospital. He can't see it, but he has thought it over. After taking the patient to the traditional Chinese medicine hospital, he will contact his former colleagues and must make the first shot in the traditional Chinese medicine hospital.Ouyang didn't want to, so he used words to run on Ouyang. "It's not surprising that we can't see diseases. Even in the provincial hospital, we can't be sure, but we can't build cars behind closed doors. We should not be responsible for anything else, even for the patient's health. We should also pool our wisdom. "His words are so high sounding that Ouyang can't even refute them. Can he say: No, I can't afford to lose people! Or look down on experts in traditional Chinese medicine hospitals? In a dilemma, the director of the hospital office got up to answer the phone. Ouyang looked at it and said, "let's discuss it again. There may be something we ignore. ""Ha ha!" What ironic laughter!The hospital's internal leaders have a meeting and there is no regulation to turn off the phone. This is a special unit. Maybe there will be critical patients or emergency surgery at any time, so the expert director will not turn off the phone.The sarcastic laughter was in the face of the whole hospital doctor. When facing interests and official positions, some people are really reckless.After answering the phone, the director of the medical department opened the door and whispered a few words to Ouyang with a smile. After hearing this, Ouyang turned his head and looked at the director of the medical department. The director of the medical department nodded definitely."There is no need to invite experts from other hospitals for consultation. The municipal hospital is the hospital with the highest medical level in tea element city. The patient has been diagnosed. As a provincial expert, you don't concentrate on the diagnosis and treatment of patients, but concentrate on borrowing external forces. I think you are no longer suitable for the work of our hospital. From now on, our agreement is over! " Patients in the digestive department can't be diagnosed and treated in the municipal hospital. People hold this handle, and Ouyang can't get angry. Now it's solved. Even if he sues to the municipal Party committee, Ouyang is not afraid. Ouyang said this sentence sonorous and forceful.The director of Gastroenterology, who was dug up, took the establishment of talent introduction. He also wanted Ouyang to let go and let him go to the hospital of traditional Chinese medicine. Because only the municipal hospital has the establishment of introduced talents, other hospitals do not. Now this situation is not that he can't see the listed hospital, but that the municipal hospital can't see him. Even if he goes to the top of the traditional Chinese medicine hospital, he is a vice president. Are the experts expelled still experts?"Can you let me know which expert's means?" He knows very well that the hospital experts are here. It is impossible that the experts are inferior to the lower level doctors! So I don't worry at all, "this is a double reed.""Yes!" Ouyang said disdainfully.Time moved forward. After Zhang Fan returned to the Department, he found that the director of the oncology department was not in, so he asked the transferred doctor, "Why are you so idle today, director?" Because Zhang Fan went to the cave in the morning and had to tell the director when he came in the afternoon."Boss, the director has gone to the hospital consultation! ~" Zhang Fan has a special status. In the eyes of transferred doctors, Zhang Fan is an alternative from the team."Hehe, don't run against me! Which department's serious illness number? " Zhang Fan doesn't care. If he cares about other people's words, he can't live."Gastroenterology! Zhang Fan, you're not busy all day. Do me a favor. " The transferred doctor is a female doctor, one year later than Zhang Fan's graduation, but he entered the hospital in the same year as Zhang Fan. It's a little beautiful. It's a hot one among young people.Today, other doctors in the Department were busy and she was free, so Zhang Fan asked. The result was endless. Zhang Fan regretted it."Oh! A big shoulder and a narrow shoulder may not help you! ""You're timid. There are too many medical records. I've just had a rest. You see, my fingers are swollen. Please write some medical records for me." As he spoke, he put his fingers in front of Zhang Fan. His fingers were slender, green and white, and a faint aroma came to his nose. With a charming look and big watery eyes, no wonder many people are pursuing.Zhang Fan doesn't have the time to write her medical records. If Zhang Fan doesn't have a difficult life in college, she may be confused by her experience in the past two years after graduation. Especially in the past two years, Zhang Fan has seen too many talents, so her Taoism is still shallow."Oh! I remember, I left something at the door! " The lame reason is the best reason. It's estimated that the girl will never show her confusion to Zhang Fan in the future.Zhang Fan turned around and went to the gastroenterology department. Lao Hu in the Department of gastroenterology is now the mainstay of the Department, and the directors are more and more wonderful. Now he is leading the ward rounds of Gastroenterology."Brother Hu, isn't it a big consultation? Why didn't you attend?" Zhang Fan said with a smile, that is, only when he has a good relationship with Lao Hu can he joke like this, otherwise he dare not say so. At least he is a deputy high-level if he can participate in the grand consultation of the whole hospital, and Lao Hu is the chief doctor."Well! I've finished my opinion! The Dean thinks what I said is reasonable! ""Believe you, ghost!""You bastard, you know your brother is not qualified enough. Why are you flirting with your brother?""Miss you!""You're getting slippery! What about the simple Zhang Fan before! How long have you said we haven't seen each other! " Although they are all in the same hospital, they are really busy. They haven't met each other at ordinary times."Aren't you busy! What's the patient today, such a big battle. " After a few jokes, Zhang Fan asked."A sick man with vomiting! All tests are normal, but it's intermittent vomiting. " Lao Hu said."That's strange! Brother, take me to study? ""Wait a minute, I'll type this conversation out. Look at her case first. " Lao Hu said.After sitting down, Zhang Fan looked at the patient's case. She was a 45 year old female and an office clerk. She denied that she had a history of injury and acute and chronic diseases. Deny the history of drinking and drug abuse and various family genetic histories.Zhang Zaiyuan looked at the examination items in the case. There were no abnormalities in blood routine, biochemistry, chest film and brain CT. Because he didn't see the patient, Zhang Fan couldn't see anything special."Let's go. I heard that your boy is now treated at the director level." Lao Hu teased Zhang Fan on the road."What director treatment!" Zhang Fan asked puzzled."The hospital knows that there is no need to be on duty and write medical records. Isn't it the director level?""Well! I'll say it! " Zhang Fan is also helpless. There are always people who are unconvinced. However, it is mediocre that people are not jealous. Zhang Fan ignores it. What should we do."This is the patient. Look, he vomites intermittently." Lao Hu pointed to the female patient in the single ward and said.Because there is a big consultation and the patient's family members have talked to someone, they live in a single room. After entering, Zhang Fan found that both the patient and his family members looked bad.The patient and his wife are both civil servants in the urban area. Their husband is in the Education Bureau and the patient unit is in the disabled persons' Federation. Although they are not leaders, the tea vegetable city is so big that they can find a relationship. Moreover, they have been hospitalized for several days and their condition has not improved at all. Ask the bed doctor. The bed doctor can't say one, two or three. I haven't even seen the director these days, So you look bad."This is Dr. Zhang from our surgery department. He came to show you." Lao Hu introduced."No trouble, we have contacted the affiliated doctor of Dida. Transfer to another hospital tomorrow. " The sick man's husband's tone is not very good."No trouble, that's what we should do." Zhang Fan pretended not to understand and said with a smile to the patient and his family.They don't hit the smiling people, and they can't live without the tea market, so they can't offend the doctors in the city hospital too much, "let's have a look! The director of your surgery didn't see anything. "The common problem of cultural people is that they can't be angry, but they can't pull down their faces. Ten thousand didn't want to, but they could only let Zhang Fan check again.On the way here, Zhang Fan kept his hand in his pocket and warmed up. This is a doctor's quality problem. There are many reasons for vomiting, but most of them are digestive tract or brain problems. Zhang Fan began physical examination from his abdomen.There is no problem with liver, gallbladder, kidney and spleen. The abdomen is soft without any tenderness and rebound pain Have you eaten any special food recently, such as mushrooms? ""No!"Zhang Fan began to check the brain. All nerve reflexes were normal. What's the reason Under what circumstances will you vomit more? ""It's just that when I'm a little tired at work, I'm disgusted. I can't stand dizzy.""What does elder sister do. Do you have any hobbies? " Zhang Fan asked with a smile. Zhang Fan's attitude was very good. His tone was sincere and his attitude was gentle. The unconscious patients began to cooperate slowly. Zhang Fan already has the means of a mature doctor to contact patients.Zhang fan understands their mood. He can't make a clear diagnosis when he is ill. People will be angry and anxious. He can't quarrel with others because of this."I'm a clerk in the office. I have no hobbies. ""What are the main contents of the work? What do you do when you rest at home? ""Well! It's just some written work. At home, it's doing cross stitch. ""Oh! Has the cervical X-ray been done? " Zhang Fan asked Lao Hu."Yes!""The film is here!" Zhang Fan is serious and responsible. Even if he can't be diagnosed today, his family and patients won't say anything. The patient's husband took out an X-ray from the cabinet.Zhang Fan looked at the X-ray and didn't find any problems Strange! "Zhang Fan said to the patient again, "elder sister, lie down and I'll check your cervical spine again."Zhang Fan began to check his cervical spine. When he touched C4, Zhang Fan made a surprised voice, "eh!" After the system orthopedics was upgraded, the rehabilitation treatment of orthopedics was also upgraded.The basic orthopaedics is a general orthopaedic disease, and the upgraded orthopaedics is more specialized. Although it is not the highest level orthopaedics, it can be regarded as more specialized. The medical setting of the future system is also very special. Doctors are required to basically master all diseases in the second stage before opening the content of the third stage.Zhang Fan's current highest level discipline is orthopedics! The main reason is that the pit is too deep! Zhang Fan hasn't climbed out yet ~! Puwai is too stupid!
