Chapter 468: 468
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After the operation, Zhang Fan and the director of general surgery had the operation. The head nurse hurried over, "Zhang hospital, the president called to let you go to the administrative building."
"Did you say anything?" Zhang Fan is a little puzzled. Since he became the dean's assistant, Ouyang rarely assigned Zhang Fan to do anything.
"Didn't say, just said, let you go quickly after the operation." The head nurse looked at Zhang Fan with envy. She also wanted to go, but the Dean wouldn't let her!
"Director Zhao, I'll go and have a look first. You stare more. I'm afraid the patient can't help eating secretly." Zhang Fan gave another explanation to the director of general foreign studies.
"You go! Don't worry, it's okay. I'm staring. "
Doctors are like this. They should carefully symptomatic before operation and worry carefully after operation. Many patients are just like children in the middle class of kindergarten when they are uncomfortable before operation.
But once the operation is over, I don't feel uncomfortable. It seems that I have recovered. I suddenly become a student of the junior middle school graduation class. I'll do whatever you don't let me do, or do it secretly! This kind of patient is also a headache for doctors.
After Zhang Fan explained, he quickly walked to the administrative building. When I knocked on the office door, it was rare to see the hospital secretary in the president's office, and Lao Gao, several vice presidents and Ren Li were all there. The management team of the hospital was one Zhang Fan away.
"Did you have an operation?" Ouyang asked after seeing Zhang Fan.
"Well, just had an operation." Zhang Fan didn't ask what to do. The leader told you there must be something. It's not good to ask.
It is estimated that he has been waiting for some time. The secretary is a little reluctant. He smiles and says to Zhang Fan, "when a leader, try to do less physical work and think more about some ideological things."
He may mean that leaders should practice more, control the line more and be good leaders.
Before he finished, Ouyang said directly, "the hospital is the place to treat diseases. If you don't see a doctor or operate, you can be a hospital leader!" The Secretary choked to death.
Although he and Ouyang are at the same level, they are positive and vice! The Secretary's hand was pinched and pinched. He wanted to take out his notebook immediately.
"Let's go to the meeting. Zhang Fan, I'll take your car." Ouyang Lin went out and said again“ Hey! OK. "
"Dean, what's the matter? All the meetings are held." Only when he is with the Dean, it is much more convenient to talk.
"The superiors have made it clear that to establish a new city, it is on the edge of the bonded zone. Who will lead the hospitals in the new city and support the leaders of the traditional Chinese medicine hospital and our hospital has been competing.
The above leaders also had great disputes, but finally let our hospital take the lead and establish a branch in the future. This is the time to talk about it. " Ouyang sat on the co pilot and told the whole story.
Hospital leaders, not to mention Zhang Fan, don't even know the Secretary, just Ouyang.
"Oh." Zhang Fan listened and didn't go to his heart. Ouyang took a look at Zhang Fan, "why didn't you respond at all." Ouyang asked Zhang Fan with a smile.
"Ah, what's the response? Besides, the city has not been established, and the hospital is still early." Zhang Fan wondered.
"Ha ha, you don't know what to say about you. Did God close the other windows after opening the door of your technology?" Ouyang smiled and said nothing. He looked out of the window and didn't know what to think about again.
After a moment of silence, Ouyang suddenly said, "by the way, there's another thing. Just know it. Don't spread it."
"Yes!" Zhang Fan promised.
"Someone reported the hospital. If you have anything unclean, worry about it yourself. " Ouyang said without beginning or end.
"What? Report what? "
"Just know it yourself. I don't know what will happen." Ouyang can only say this step. It depends on Zhang Fan's understanding.
"Oh! OK. " Anyway, Zhang Fan has nothing to report and doesn't take it to heart.
Zhang Fan participated in the government meeting for the first time as the leading group of the hospital. The specific environment and solemn atmosphere can't be ignored or nervous.
In the conference room, a big national flag and a big party flag were hung in front. Everything was so solemn that even the chairs in the conference room were arranged in a line.
Zhang Fan sits at the end of the office next to Ren Li. After taking their seats, everyone took out their notebooks. At this time, Zhang Fan was embarrassed. He didn't bring anything!
"Secretary Ren, do you need to take notes at this meeting?" Zhang Fan asked sheepishly.
"It's all right. You don't have a notebook. I'll give you one." Ren Li handed Zhang Fan a notebook.
"Thank you, thank the secretary." Everyone else has a notebook. If you don't put one in front of you, how do you see it? How strange. Although the leader didn't ask.
In a meeting, I don't know why, the superior leaders won't directly talk about the situation by name. First, talk about ideas, then talk about how to struggle if it is difficult.
Finally, it is about the construction of new urban hospitals in the future. Zhang Fan sitting in the corner is dizzy. Depending on the situation, Zhang Fan is not expected to be an official.
After a long time, I saw that the leaders would not call the roll. Zhang Fan directly entered the system and became an assistant to the president. First of all, the progress of the operation was much faster.
More than half of the progress required by ordinary foreigners has been reached. "It is estimated that ordinary foreigners will be full in a period of time, and then they can open new subjects!"
Looking at the progress, Zhang Fan is also a little excited. The pit for ordinary foreigners is too difficult to fill. There are too many sub projects, from head to toe, almost all of which have small subjects of general foreign studies.
At this stage, the system is full of surgical tutorials, including various surgical tutorials, such as the appendix. The system only defines how to do and various types of appendix surgery, but it does not explain how the appendix is formed.
For example, tumor is also how to eradicate surgical treatment, but there is no reason for the evolution of cancer cells. In other words, the current system is just a technical platform.
I did a simulated operation, "I don't know what will happen to the secondary subjects of the system after all the basic subjects are completed!" Zhang Fan thought with emotion.
Along the way, because of the system, Zhang Fan's life has improved too much. So far, what kind of worry about gain and loss in Zhang Fan's heart has slowly reduced a lot.
Two years ago, Zhang Fan was worried all the time that the system would suddenly disappear. He was deeply afraid that everything would be like a dream when he fell asleep. Therefore, Zhang Fan forced himself to go to the liver and try every means to find surgery to improve his surgical skills.
With the improvement of technology, Zhang Fan's mentality has changed slowly, and he is no longer as anxious as before. Although the technology has improved a lot, Zhang Fan is not relaxed about the system upgrade, but more and more curious.
"This meeting is confidential!" That's all Zhang Fan wrote in his mind“ It has reached the level of hospital. What are you keeping secret? " Zhang Fan make complaints about it.
On the way back, Ouyang smiled. Of course the old lady was happy. A hospital that can be built according to her own wishes, as long as the hospital is established, it will be a monument to her career.
Back home at noon, the house was in a mess“ What's the matter. How do you wear old clothes? " After entering the room, Zhang Fan asked curiously when he saw Shaohua's parents going out in old clothes.
"It's said that a new city will be established. It's said that it seems to be on our farm. Your uncle and I are thinking about building several houses. We can ask for more when the state subsidizes. We know the news late. The Da Kui family next door is ready to build a building." Shaohua's mother whispered to Zhang Fan mysteriously.
"Oh, don't go, uncle and aunt." Zhang Fan smiled helplessly.
"Don't underestimate this subsidy. It's quite a lot." Shaohua's mother looked at the future son-in-law in surprise, "it's also very smart at ordinary times!"
"I went to the government to participate in this meeting today. People have already determined the construction and planting area by aerial photography, and the leaders have also determined that this subsidy will not take the construction area, but will be subsidized according to the head!" Although Zhang Fan didn't listen carefully, he still listened to the relocation near the hospital.
"Ah! I'll tell Da Kui's mother that they're going to build five floors! Don't have a problem. "
"Are you sure? Don't subsidize according to the construction area at that time. People don't blame us! " Shaohua's father then said.
"Well! This...... "Zhang Fan is tongue tied“ I knew we were going to build a new hospital, and the relocation near the hospital was subsidized according to the head. "
"Just tell Aunt Kui what Zhang Fan said. If you can't cover it, let others decide for themselves."
Zhang Fan shook his head with a smile and kept it a secret. Even the aunt who danced the square dance knew it!
Waiting for Zhang Fan to finish lunch, the old lady went out in a hurry. Zhang Fan also wants to give one to the old lady. The old lady doesn't even need to say. In the afternoon, Zhang Fan began to organize hospital expert consultation for the first time.
Hospital expert consultation must be recorded, and the director of the medical department also participated, and the officer of the medical department made records. Who said what suggestions, are recorded one by one.
If Zhang Fan is absent, the director of the medical department will preside over the meeting. If Zhang Fan is present, Zhang Fan will preside over the meeting. After all, Zhang Fan is the leader of the hospital, and the director of the medical department is just the middle-level of the hospital.
"Everyone is here. Let's discuss the condition of Maila in the special needs ward today. Ma Yichen, please introduce the patient's condition. " Zhang Fan presided over the meeting.
"OK, the patient, Maira, female, aged 62, went to the local hospital for liver tumor ten years ago, and underwent surgical treatment, diagnosis and treatment. The details are unknown.
Today, the patient has poor appetite because of abdominal swelling and discomfort with cough. The patient was admitted to the special needs ward of our hospital. Physical examination showed that the right abdomen of the patient obviously had a postoperative scar about 15 cm long, with abdominal swelling, obvious tenderness and vomiting. There was no obvious dry and wet rale in both lungs, but the patient complained of coughing up white cystic unknown substance.
After relevant examinations, the laboratory results reported that color Doppler ultrasound showed clear calcification in the liver, clear rosette change and dilated bile duct.
X-ray chest film and abdominal plain film showed that the patient's diaphragm was elevated.
CT showed that hepatic hydatid cyst was clear and active, and it was highly suspected that there were active larvae in the bile duct.
MRI showed that there was no obvious hydatid cyst in the heart, bone and spine.
In the immunological examination, the indirect hemagglutination test was positive,... "Ma Yichen briefly introduced the patient's condition, and then took a seat. Then, Zhang Fan said to the doctors and experts present: "let's talk about it."
Doctors above the general vice high school, doctors above the liver and gallbladder vice high school and doctors above the cardiothoracic vice high school all attended the meeting. Ma Yichen was specially assigned by Zhang Fan to be a doctor to introduce medical records.
According to the doctor's age and seniority, the director of the medical department began to call the roll. The youngest deputy high school in general foreign education began to speak: "the patient's diagnosis: the recurrence of hepatic Echinococcus is clear, conservative treatment is estimated to be of little significance, and surgical treatment is feasible."
One by one. This disease often occurs in pastoral areas, so Lu Ning is not very authoritative in this regard. On the contrary, Professor Zhao Jingjin of bird market is more authoritative.
After the general doctors of the tea vegetable hospital finished their speeches, Zhang Fan said to Zhao Jingjin, "Professor Zhao, can you say something?"
"Well, I'll just say a few words. Although such diseases are common in our province, such serious recurrent cases are still rare. I suggest improving the chest examination. The patient's main complaint once showed that there was coughing up of white cystic substances. Although pleurisy was not found, we can't be careless.
After conservative treatment and killing the larvae, the operation can be carried out. In addition, the combined operation of cardiothoracic surgery, general surgery and hepatobiliary department is required. The patient's physical evaluation must be done before the operation. The operation is difficult, the injury is large and the operation time is long, which is a test for doctors and patients. "
After Lao Zhao spoke, Zhang fanslightly thought for a moment and said, "the competent doctor, please ask the relevant departments to make relevant consultation as soon as possible, evaluate the patient's physical condition, and contact the color Doppler ultrasound room. If the patient's physical condition supports surgical treatment, it must be operated under color Doppler ultrasound. Record and report to the Health Bureau. "
Although Mayila is not a Chinese resident, the disease still needs to be reported to the Health Bureau.
"OK, I'll prepare the materials and report it immediately."
"Record the consultation records and explain the condition to the family members." Zhang Fan continued to explain.
"OK, Zhang Yuan!" The director of hepatobiliary Department promised.
This operation is difficult. Although it was not mentioned in the discussion, the experts here know that the patient's first operation was not well done, which led to the recurrence of the patient, and there is a great possibility that it has infected the lungs.
If this disease is only removed, it is not difficult, just like a cyst, but the difficulty is how to clean the cyst and prevent recurrence.
As long as it is surgery, the recurrence is always more difficult than the first time. Zhang Fan's heart has begun to prepare for the operation.
Please report us if you find any errors so we can fix it asap!
After the operation, Zhang Fan and the director of general surgery had the operation. The head nurse hurried over, "Zhang hospital, the president called to let you go to the administrative building."
"Did you say anything?" Zhang Fan is a little puzzled. Since he became the dean's assistant, Ouyang rarely assigned Zhang Fan to do anything.
"Didn't say, just said, let you go quickly after the operation." The head nurse looked at Zhang Fan with envy. She also wanted to go, but the Dean wouldn't let her!
"Director Zhao, I'll go and have a look first. You stare more. I'm afraid the patient can't help eating secretly." Zhang Fan gave another explanation to the director of general foreign studies.
"You go! Don't worry, it's okay. I'm staring. "
Doctors are like this. They should carefully symptomatic before operation and worry carefully after operation. Many patients are just like children in the middle class of kindergarten when they are uncomfortable before operation.
But once the operation is over, I don't feel uncomfortable. It seems that I have recovered. I suddenly become a student of the junior middle school graduation class. I'll do whatever you don't let me do, or do it secretly! This kind of patient is also a headache for doctors.
After Zhang Fan explained, he quickly walked to the administrative building. When I knocked on the office door, it was rare to see the hospital secretary in the president's office, and Lao Gao, several vice presidents and Ren Li were all there. The management team of the hospital was one Zhang Fan away.
"Did you have an operation?" Ouyang asked after seeing Zhang Fan.
"Well, just had an operation." Zhang Fan didn't ask what to do. The leader told you there must be something. It's not good to ask.
It is estimated that he has been waiting for some time. The secretary is a little reluctant. He smiles and says to Zhang Fan, "when a leader, try to do less physical work and think more about some ideological things."
He may mean that leaders should practice more, control the line more and be good leaders.
Before he finished, Ouyang said directly, "the hospital is the place to treat diseases. If you don't see a doctor or operate, you can be a hospital leader!" The Secretary choked to death.
Although he and Ouyang are at the same level, they are positive and vice! The Secretary's hand was pinched and pinched. He wanted to take out his notebook immediately.
"Let's go to the meeting. Zhang Fan, I'll take your car." Ouyang Lin went out and said again“ Hey! OK. "
"Dean, what's the matter? All the meetings are held." Only when he is with the Dean, it is much more convenient to talk.
"The superiors have made it clear that to establish a new city, it is on the edge of the bonded zone. Who will lead the hospitals in the new city and support the leaders of the traditional Chinese medicine hospital and our hospital has been competing.
The above leaders also had great disputes, but finally let our hospital take the lead and establish a branch in the future. This is the time to talk about it. " Ouyang sat on the co pilot and told the whole story.
Hospital leaders, not to mention Zhang Fan, don't even know the Secretary, just Ouyang.
"Oh." Zhang Fan listened and didn't go to his heart. Ouyang took a look at Zhang Fan, "why didn't you respond at all." Ouyang asked Zhang Fan with a smile.
"Ah, what's the response? Besides, the city has not been established, and the hospital is still early." Zhang Fan wondered.
"Ha ha, you don't know what to say about you. Did God close the other windows after opening the door of your technology?" Ouyang smiled and said nothing. He looked out of the window and didn't know what to think about again.
After a moment of silence, Ouyang suddenly said, "by the way, there's another thing. Just know it. Don't spread it."
"Yes!" Zhang Fan promised.
"Someone reported the hospital. If you have anything unclean, worry about it yourself. " Ouyang said without beginning or end.
"What? Report what? "
"Just know it yourself. I don't know what will happen." Ouyang can only say this step. It depends on Zhang Fan's understanding.
"Oh! OK. " Anyway, Zhang Fan has nothing to report and doesn't take it to heart.
Zhang Fan participated in the government meeting for the first time as the leading group of the hospital. The specific environment and solemn atmosphere can't be ignored or nervous.
In the conference room, a big national flag and a big party flag were hung in front. Everything was so solemn that even the chairs in the conference room were arranged in a line.
Zhang Fan sits at the end of the office next to Ren Li. After taking their seats, everyone took out their notebooks. At this time, Zhang Fan was embarrassed. He didn't bring anything!
"Secretary Ren, do you need to take notes at this meeting?" Zhang Fan asked sheepishly.
"It's all right. You don't have a notebook. I'll give you one." Ren Li handed Zhang Fan a notebook.
"Thank you, thank the secretary." Everyone else has a notebook. If you don't put one in front of you, how do you see it? How strange. Although the leader didn't ask.
In a meeting, I don't know why, the superior leaders won't directly talk about the situation by name. First, talk about ideas, then talk about how to struggle if it is difficult.
Finally, it is about the construction of new urban hospitals in the future. Zhang Fan sitting in the corner is dizzy. Depending on the situation, Zhang Fan is not expected to be an official.
After a long time, I saw that the leaders would not call the roll. Zhang Fan directly entered the system and became an assistant to the president. First of all, the progress of the operation was much faster.
More than half of the progress required by ordinary foreigners has been reached. "It is estimated that ordinary foreigners will be full in a period of time, and then they can open new subjects!"
Looking at the progress, Zhang Fan is also a little excited. The pit for ordinary foreigners is too difficult to fill. There are too many sub projects, from head to toe, almost all of which have small subjects of general foreign studies.
At this stage, the system is full of surgical tutorials, including various surgical tutorials, such as the appendix. The system only defines how to do and various types of appendix surgery, but it does not explain how the appendix is formed.
For example, tumor is also how to eradicate surgical treatment, but there is no reason for the evolution of cancer cells. In other words, the current system is just a technical platform.
I did a simulated operation, "I don't know what will happen to the secondary subjects of the system after all the basic subjects are completed!" Zhang Fan thought with emotion.
Along the way, because of the system, Zhang Fan's life has improved too much. So far, what kind of worry about gain and loss in Zhang Fan's heart has slowly reduced a lot.
Two years ago, Zhang Fan was worried all the time that the system would suddenly disappear. He was deeply afraid that everything would be like a dream when he fell asleep. Therefore, Zhang Fan forced himself to go to the liver and try every means to find surgery to improve his surgical skills.
With the improvement of technology, Zhang Fan's mentality has changed slowly, and he is no longer as anxious as before. Although the technology has improved a lot, Zhang Fan is not relaxed about the system upgrade, but more and more curious.
"This meeting is confidential!" That's all Zhang Fan wrote in his mind“ It has reached the level of hospital. What are you keeping secret? " Zhang Fan make complaints about it.
On the way back, Ouyang smiled. Of course the old lady was happy. A hospital that can be built according to her own wishes, as long as the hospital is established, it will be a monument to her career.
Back home at noon, the house was in a mess“ What's the matter. How do you wear old clothes? " After entering the room, Zhang Fan asked curiously when he saw Shaohua's parents going out in old clothes.
"It's said that a new city will be established. It's said that it seems to be on our farm. Your uncle and I are thinking about building several houses. We can ask for more when the state subsidizes. We know the news late. The Da Kui family next door is ready to build a building." Shaohua's mother whispered to Zhang Fan mysteriously.
"Oh, don't go, uncle and aunt." Zhang Fan smiled helplessly.
"Don't underestimate this subsidy. It's quite a lot." Shaohua's mother looked at the future son-in-law in surprise, "it's also very smart at ordinary times!"
"I went to the government to participate in this meeting today. People have already determined the construction and planting area by aerial photography, and the leaders have also determined that this subsidy will not take the construction area, but will be subsidized according to the head!" Although Zhang Fan didn't listen carefully, he still listened to the relocation near the hospital.
"Ah! I'll tell Da Kui's mother that they're going to build five floors! Don't have a problem. "
"Are you sure? Don't subsidize according to the construction area at that time. People don't blame us! " Shaohua's father then said.
"Well! This...... "Zhang Fan is tongue tied“ I knew we were going to build a new hospital, and the relocation near the hospital was subsidized according to the head. "
"Just tell Aunt Kui what Zhang Fan said. If you can't cover it, let others decide for themselves."
Zhang Fan shook his head with a smile and kept it a secret. Even the aunt who danced the square dance knew it!
Waiting for Zhang Fan to finish lunch, the old lady went out in a hurry. Zhang Fan also wants to give one to the old lady. The old lady doesn't even need to say. In the afternoon, Zhang Fan began to organize hospital expert consultation for the first time.
Hospital expert consultation must be recorded, and the director of the medical department also participated, and the officer of the medical department made records. Who said what suggestions, are recorded one by one.
If Zhang Fan is absent, the director of the medical department will preside over the meeting. If Zhang Fan is present, Zhang Fan will preside over the meeting. After all, Zhang Fan is the leader of the hospital, and the director of the medical department is just the middle-level of the hospital.
"Everyone is here. Let's discuss the condition of Maila in the special needs ward today. Ma Yichen, please introduce the patient's condition. " Zhang Fan presided over the meeting.
"OK, the patient, Maira, female, aged 62, went to the local hospital for liver tumor ten years ago, and underwent surgical treatment, diagnosis and treatment. The details are unknown.
Today, the patient has poor appetite because of abdominal swelling and discomfort with cough. The patient was admitted to the special needs ward of our hospital. Physical examination showed that the right abdomen of the patient obviously had a postoperative scar about 15 cm long, with abdominal swelling, obvious tenderness and vomiting. There was no obvious dry and wet rale in both lungs, but the patient complained of coughing up white cystic unknown substance.
After relevant examinations, the laboratory results reported that color Doppler ultrasound showed clear calcification in the liver, clear rosette change and dilated bile duct.
X-ray chest film and abdominal plain film showed that the patient's diaphragm was elevated.
CT showed that hepatic hydatid cyst was clear and active, and it was highly suspected that there were active larvae in the bile duct.
MRI showed that there was no obvious hydatid cyst in the heart, bone and spine.
In the immunological examination, the indirect hemagglutination test was positive,... "Ma Yichen briefly introduced the patient's condition, and then took a seat. Then, Zhang Fan said to the doctors and experts present: "let's talk about it."
Doctors above the general vice high school, doctors above the liver and gallbladder vice high school and doctors above the cardiothoracic vice high school all attended the meeting. Ma Yichen was specially assigned by Zhang Fan to be a doctor to introduce medical records.
According to the doctor's age and seniority, the director of the medical department began to call the roll. The youngest deputy high school in general foreign education began to speak: "the patient's diagnosis: the recurrence of hepatic Echinococcus is clear, conservative treatment is estimated to be of little significance, and surgical treatment is feasible."
One by one. This disease often occurs in pastoral areas, so Lu Ning is not very authoritative in this regard. On the contrary, Professor Zhao Jingjin of bird market is more authoritative.
After the general doctors of the tea vegetable hospital finished their speeches, Zhang Fan said to Zhao Jingjin, "Professor Zhao, can you say something?"
"Well, I'll just say a few words. Although such diseases are common in our province, such serious recurrent cases are still rare. I suggest improving the chest examination. The patient's main complaint once showed that there was coughing up of white cystic substances. Although pleurisy was not found, we can't be careless.
After conservative treatment and killing the larvae, the operation can be carried out. In addition, the combined operation of cardiothoracic surgery, general surgery and hepatobiliary department is required. The patient's physical evaluation must be done before the operation. The operation is difficult, the injury is large and the operation time is long, which is a test for doctors and patients. "
After Lao Zhao spoke, Zhang fanslightly thought for a moment and said, "the competent doctor, please ask the relevant departments to make relevant consultation as soon as possible, evaluate the patient's physical condition, and contact the color Doppler ultrasound room. If the patient's physical condition supports surgical treatment, it must be operated under color Doppler ultrasound. Record and report to the Health Bureau. "
Although Mayila is not a Chinese resident, the disease still needs to be reported to the Health Bureau.
"OK, I'll prepare the materials and report it immediately."
"Record the consultation records and explain the condition to the family members." Zhang Fan continued to explain.
"OK, Zhang Yuan!" The director of hepatobiliary Department promised.
This operation is difficult. Although it was not mentioned in the discussion, the experts here know that the patient's first operation was not well done, which led to the recurrence of the patient, and there is a great possibility that it has infected the lungs.
If this disease is only removed, it is not difficult, just like a cyst, but the difficulty is how to clean the cyst and prevent recurrence.
As long as it is surgery, the recurrence is always more difficult than the first time. Zhang Fan's heart has begun to prepare for the operation.
After the operation, Zhang Fan and the director of general surgery had the operation. The head nurse hurried over, "Zhang hospital, the president called to let you go to the administrative building.""Did you say anything?" Zhang Fan is a little puzzled. Since he became the dean's assistant, Ouyang rarely assigned Zhang Fan to do anything."Didn't say, just said, let you go quickly after the operation." The head nurse looked at Zhang Fan with envy. She also wanted to go, but the Dean wouldn't let her!"Director Zhao, I'll go and have a look first. You stare more. I'm afraid the patient can't help eating secretly." Zhang Fan gave another explanation to the director of general foreign studies."You go! Don't worry, it's okay. I'm staring. "Doctors are like this. They should carefully symptomatic before operation and worry carefully after operation. Many patients are just like children in the middle class of kindergarten when they are uncomfortable before operation.But once the operation is over, I don't feel uncomfortable. It seems that I have recovered. I suddenly become a student of the junior middle school graduation class. I'll do whatever you don't let me do, or do it secretly! This kind of patient is also a headache for doctors.After Zhang Fan explained, he quickly walked to the administrative building. When I knocked on the office door, it was rare to see the hospital secretary in the president's office, and Lao Gao, several vice presidents and Ren Li were all there. The management team of the hospital was one Zhang Fan away."Did you have an operation?" Ouyang asked after seeing Zhang Fan."Well, just had an operation." Zhang Fan didn't ask what to do. The leader told you there must be something. It's not good to ask.It is estimated that he has been waiting for some time. The secretary is a little reluctant. He smiles and says to Zhang Fan, "when a leader, try to do less physical work and think more about some ideological things."He may mean that leaders should practice more, control the line more and be good leaders.Before he finished, Ouyang said directly, "the hospital is the place to treat diseases. If you don't see a doctor or operate, you can be a hospital leader!" The Secretary choked to death.Although he and Ouyang are at the same level, they are positive and vice! The Secretary's hand was pinched and pinched. He wanted to take out his notebook immediately."Let's go to the meeting. Zhang Fan, I'll take your car." Ouyang Lin went out and said again Hey! OK. ""Dean, what's the matter? All the meetings are held." Only when he is with the Dean, it is much more convenient to talk."The superiors have made it clear that to establish a new city, it is on the edge of the bonded zone. Who will lead the hospitals in the new city and support the leaders of the traditional Chinese medicine hospital and our hospital has been competing.The above leaders also had great disputes, but finally let our hospital take the lead and establish a branch in the future. This is the time to talk about it. " Ouyang sat on the co pilot and told the whole story.Hospital leaders, not to mention Zhang Fan, don't even know the Secretary, just Ouyang."Oh." Zhang Fan listened and didn't go to his heart. Ouyang took a look at Zhang Fan, "why didn't you respond at all." Ouyang asked Zhang Fan with a smile."Ah, what's the response? Besides, the city has not been established, and the hospital is still early." Zhang Fan wondered."Ha ha, you don't know what to say about you. Did God close the other windows after opening the door of your technology?" Ouyang smiled and said nothing. He looked out of the window and didn't know what to think about again.After a moment of silence, Ouyang suddenly said, "by the way, there's another thing. Just know it. Don't spread it.""Yes!" Zhang Fan promised."Someone reported the hospital. If you have anything unclean, worry about it yourself. " Ouyang said without beginning or end."What? Report what? ""Just know it yourself. I don't know what will happen." Ouyang can only say this step. It depends on Zhang Fan's understanding."Oh! OK. " Anyway, Zhang Fan has nothing to report and doesn't take it to heart.Zhang Fan participated in the government meeting for the first time as the leading group of the hospital. The specific environment and solemn atmosphere can't be ignored or nervous.In the conference room, a big national flag and a big party flag were hung in front. Everything was so solemn that even the chairs in the conference room were arranged in a line.Zhang Fan sits at the end of the office next to Ren Li. After taking their seats, everyone took out their notebooks. At this time, Zhang Fan was embarrassed. He didn't bring anything!"Secretary Ren, do you need to take notes at this meeting?" Zhang Fan asked sheepishly."It's all right. You don't have a notebook. I'll give you one." Ren Li handed Zhang Fan a notebook."Thank you, thank the secretary." Everyone else has a notebook. If you don't put one in front of you, how do you see it? How strange. Although the leader didn't ask.In a meeting, I don't know why, the superior leaders won't directly talk about the situation by name. First, talk about ideas, then talk about how to struggle if it is difficult.Finally, it is about the construction of new urban hospitals in the future. Zhang Fan sitting in the corner is dizzy. Depending on the situation, Zhang Fan is not expected to be an official.After a long time, I saw that the leaders would not call the roll. Zhang Fan directly entered the system and became an assistant to the president. First of all, the progress of the operation was much faster.More than half of the progress required by ordinary foreigners has been reached. "It is estimated that ordinary foreigners will be full in a period of time, and then they can open new subjects!"Looking at the progress, Zhang Fan is also a little excited. The pit for ordinary foreigners is too difficult to fill. There are too many sub projects, from head to toe, almost all of which have small subjects of general foreign studies.At this stage, the system is full of surgical tutorials, including various surgical tutorials, such as the appendix. The system only defines how to do and various types of appendix surgery, but it does not explain how the appendix is formed.For example, tumor is also how to eradicate surgical treatment, but there is no reason for the evolution of cancer cells. In other words, the current system is just a technical platform.I did a simulated operation, "I don't know what will happen to the secondary subjects of the system after all the basic subjects are completed!" Zhang Fan thought with emotion.Along the way, because of the system, Zhang Fan's life has improved too much. So far, what kind of worry about gain and loss in Zhang Fan's heart has slowly reduced a lot.Two years ago, Zhang Fan was worried all the time that the system would suddenly disappear. He was deeply afraid that everything would be like a dream when he fell asleep. Therefore, Zhang Fan forced himself to go to the liver and try every means to find surgery to improve his surgical skills.With the improvement of technology, Zhang Fan's mentality has changed slowly, and he is no longer as anxious as before. Although the technology has improved a lot, Zhang Fan is not relaxed about the system upgrade, but more and more curious."This meeting is confidential!" That's all Zhang Fan wrote in his mind It has reached the level of hospital. What are you keeping secret? " Zhang Fan make complaints about it.On the way back, Ouyang smiled. Of course the old lady was happy. A hospital that can be built according to her own wishes, as long as the hospital is established, it will be a monument to her career.Back home at noon, the house was in a mess What's the matter. How do you wear old clothes? " After entering the room, Zhang Fan asked curiously when he saw Shaohua's parents going out in old clothes."It's said that a new city will be established. It's said that it seems to be on our farm. Your uncle and I are thinking about building several houses. We can ask for more when the state subsidizes. We know the news late. The Da Kui family next door is ready to build a building." Shaohua's mother whispered to Zhang Fan mysteriously."Oh, don't go, uncle and aunt." Zhang Fan smiled helplessly."Don't underestimate this subsidy. It's quite a lot." Shaohua's mother looked at the future son-in-law in surprise, "it's also very smart at ordinary times!""I went to the government to participate in this meeting today. People have already determined the construction and planting area by aerial photography, and the leaders have also determined that this subsidy will not take the construction area, but will be subsidized according to the head!" Although Zhang Fan didn't listen carefully, he still listened to the relocation near the hospital."Ah! I'll tell Da Kui's mother that they're going to build five floors! Don't have a problem. ""Are you sure? Don't subsidize according to the construction area at that time. People don't blame us! " Shaohua's father then said."Well! This...... "Zhang Fan is tongue tied I knew we were going to build a new hospital, and the relocation near the hospital was subsidized according to the head. ""Just tell Aunt Kui what Zhang Fan said. If you can't cover it, let others decide for themselves."Zhang Fan shook his head with a smile and kept it a secret. Even the aunt who danced the square dance knew it!Waiting for Zhang Fan to finish lunch, the old lady went out in a hurry. Zhang Fan also wants to give one to the old lady. The old lady doesn't even need to say. In the afternoon, Zhang Fan began to organize hospital expert consultation for the first time.Hospital expert consultation must be recorded, and the director of the medical department also participated, and the officer of the medical department made records. Who said what suggestions, are recorded one by one.If Zhang Fan is absent, the director of the medical department will preside over the meeting. If Zhang Fan is present, Zhang Fan will preside over the meeting. After all, Zhang Fan is the leader of the hospital, and the director of the medical department is just the middle-level of the hospital."Everyone is here. Let's discuss the condition of Maila in the special needs ward today. Ma Yichen, please introduce the patient's condition. " Zhang Fan presided over the meeting."OK, the patient, Maira, female, aged 62, went to the local hospital for liver tumor ten years ago, and underwent surgical treatment, diagnosis and treatment. The details are unknown.Today, the patient has poor appetite because of abdominal swelling and discomfort with cough. The patient was admitted to the special needs ward of our hospital. Physical examination showed that the right abdomen of the patient obviously had a postoperative scar about 15 cm long, with abdominal swelling, obvious tenderness and vomiting. There was no obvious dry and wet rale in both lungs, but the patient complained of coughing up white cystic unknown substance.After relevant examinations, the laboratory results reported that color Doppler ultrasound showed clear calcification in the liver, clear rosette change and dilated bile duct.X-ray chest film and abdominal plain film showed that the patient's diaphragm was elevated.CT showed that hepatic hydatid cyst was clear and active, and it was highly suspected that there were active larvae in the bile duct.MRI showed that there was no obvious hydatid cyst in the heart, bone and spine.In the immunological examination, the indirect hemagglutination test was positive,... "Ma Yichen briefly introduced the patient's condition, and then took a seat. Then, Zhang Fan said to the doctors and experts present: "let's talk about it."Doctors above the general vice high school, doctors above the liver and gallbladder vice high school and doctors above the cardiothoracic vice high school all attended the meeting. Ma Yichen was specially assigned by Zhang Fan to be a doctor to introduce medical records.According to the doctor's age and seniority, the director of the medical department began to call the roll. The youngest deputy high school in general foreign education began to speak: "the patient's diagnosis: the recurrence of hepatic Echinococcus is clear, conservative treatment is estimated to be of little significance, and surgical treatment is feasible."One by one. This disease often occurs in pastoral areas, so Lu Ning is not very authoritative in this regard. On the contrary, Professor Zhao Jingjin of bird market is more authoritative.After the general doctors of the tea vegetable hospital finished their speeches, Zhang Fan said to Zhao Jingjin, "Professor Zhao, can you say something?""Well, I'll just say a few words. Although such diseases are common in our province, such serious recurrent cases are still rare. I suggest improving the chest examination. The patient's main complaint once showed that there was coughing up of white cystic substances. Although pleurisy was not found, we can't be careless.After conservative treatment and killing the larvae, the operation can be carried out. In addition, the combined operation of cardiothoracic surgery, general surgery and hepatobiliary department is required. The patient's physical evaluation must be done before the operation. The operation is difficult, the injury is large and the operation time is long, which is a test for doctors and patients. "After Lao Zhao spoke, Zhang fanslightly thought for a moment and said, "the competent doctor, please ask the relevant departments to make relevant consultation as soon as possible, evaluate the patient's physical condition, and contact the color Doppler ultrasound room. If the patient's physical condition supports surgical treatment, it must be operated under color Doppler ultrasound. Record and report to the Health Bureau. "Although Mayila is not a Chinese resident, the disease still needs to be reported to the Health Bureau."OK, I'll prepare the materials and report it immediately.""Record the consultation records and explain the condition to the family members." Zhang Fan continued to explain."OK, Zhang Yuan!" The director of hepatobiliary Department promised.This operation is difficult. Although it was not mentioned in the discussion, the experts here know that the patient's first operation was not well done, which led to the recurrence of the patient, and there is a great possibility that it has infected the lungs.If this disease is only removed, it is not difficult, just like a cyst, but the difficulty is how to clean the cyst and prevent recurrence.As long as it is surgery, the recurrence is always more difficult than the first time. Zhang Fan's heart has begun to prepare for the operation.
