Chapter 87: 87
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Back in the car, Zhang Fan was also very nervous. He drove away without even saying a word. The two girls in the car were also a little tired. Maybe they were worried or thinking. No one asked. Send people off to the place and return to the dormitory at night. Zhang Fan looks at his mobile phone in a daze. Afraid of information and not coming, I fell asleep in such a daze.
When you're free, you're bored. When you're busy, things happen one after another. In the middle of the night, Zhang Fan was awakened by a phone call. When he saw the phone, he was the director of Chalke county hospital. This county is the farthest from tea vegetable City, more than 200 kilometers. Moreover, with a high altitude and a small population, Zhang Fan has been there once, and Kang Hua is the second leader in chalk.
The hospital equipment of Chalke county is the best in several surrounding counties, because the counterpart supporting their hospital is the first hospital of Shekou city and the hospital of large economic city, which is millions, that is, sprinkle water. It's a little fun.
But the environment in chalk county is too bad. Sometimes it snows suddenly in the hottest summer. Hail, heavy rain and heavy snow often appear in turn throughout the day. There are almost all public officials in the county, and a small number of migrant workers.
The county is directly connected with neighboring countries, and the public security in the county is taken over by the border police. The county hospital is a five storey building, with one floor for women and children inside and outside, and one floor for administration and outpatient service. It's better in summer. There are a little more people, and more businessmen from other places come to collect medicinal materials and mountain goods. There are one or two restaurants in the center of the county. In winter, many residents of the county went to tea vegetable city. King Bull directly disappeared.
There are few surgeons in the county hospital, a total of four, one director and three deputy directors. There's no way. The director and deputy director have department management fees. There are only four people in total. It's not good to let anyone be or not. It's just to average the department management fees. Everyone will share them equally.
They usually deal with ordinary bumps and minor injuries, which are a little more serious. Their families directly took their patients to tea vegetable city. The operations they can encounter are emergency cases, and they are the kind of patients that ordinary vehicles dare not pull.
There is no good way to send the serious illness number to the county hospital, that is, there are 120 in tuxian hospital, equipped with doctors and nurses, which can be sent to the urban area as soon as possible. In most cases, it is halfway to the urban area, and the patients can't. when we get to the urban area, people have no signs of life. The county is too far from the city, and the road is not easy to walk. There are many mountains and cliffs. It's better in summer. In winter, except for large-scale shuttle buses, there are only military vehicles left.
The person who can walk is usually not the director but also the deputy high school. He is not young. He has such a long distance and the road condition is not good. No one is willing to go, not to mention giving one thousand or two thousand.
Since the director of surgery of Chalke county hospital tentatively invited Zhang Fan once. They all took heart. Zhang Fan not only came quickly, but also did the operation well. The most important thing is that after finishing it, he spent half of the money directly to the doctors of H county hospital.
This is a good thing. It's better to go to work every day. It's better to have extra money, so the four of them are much more active. They pushed the slightly heavier patients directly to the municipal hospital.
I can't be enthusiastic now. I'll try to keep the patient in the hospital. We gathered several operations and asked Zhang Fanyi to do it. One operation is divided into five hundred and four or five in a month. The hard fee is more than the bonus. The indirect visit of Zhang Fan also improves their service quality.
"Hello! Director Chang, what's the matter? "
"Mr. Zhang, our department transferred a patient from the emergency department, male, in his forties, who fell after drinking. He was fine in the morning. As a result, he had shock symptoms in the evening. Color Doppler ultrasound reported that there was blood accumulation in the abdomen. It is preliminarily estimated that the spleen was ruptured. Why don't you come and have a look? The patient's family is in good condition. They have asked for experts, and the cost is easy to say. "
This thing is the same as the starting point author. The author can't break the change, and this walking point can't be easily rejected.
Zhang Fan looked at the time. It took more than three o'clock in the morning. It took three hours to leave immediately“ Director Chang, rehydration to correct electrolytic disorder and shock. I'll start now. "
"OK, Mr. Zhang, the preoperative preparation has begun." As soon as he heard Zhang Fan agree, his tone was much happier. Generally, doctors in big hospitals really won't come.
Zhang Fan gets up, wipes his face with cold water and sends a message to Director Chen Qi. It's not their group that receives the patient on Monday. It's estimated that he can't come back in the morning, but there's no problem with Wang Yanan.
Without a strong body and a strong spirit, it's best not to be a surgeon. After a few years of poor health, the best result is to fall into neurasthenia and become a person on the edge of the Department. If you're unlucky, then ~~~~.
Before going out, Zhang Fan took a steamed bread and a packet of milk. He had to supplement it. When he went to the place, he was estimated to have an operation and had no time to eat. And this exploratory operation takes a lot of time.
At six o'clock in the morning, Zhang Fan rushed to the Chalke county hospital. The hospital was very empty and the car stopped casually. Zhang Fan parked the car and hurried to the operating room“ Director Chang! " After Zhang Fan entered the operating room, he shouted Lao Chang.
All the surgeons were there. They quickly stood up and greeted Zhang Fan. This kind of surgery, rich points, no one wants to be absent.
"Mr. Zhang, take a drink first. I'll introduce you to the situation. This is the color Doppler ultrasound results. Have a look." With that, Lao Chang took a color Doppler ultrasound to Zhang Fan. The little nurse in the operating room has poured a glass of water and handed it to Zhang Fan.
"Thank you!"
"Mr. Zhang, this is the case. The patient was sent to the emergency room yesterday afternoon. He just had a slight abdominal pain. In the evening, shock symptoms appear. After rehydration, you can't touch the pulse. "
"Rupture of spleen. What about the other test lists? " After reading the list, Zhang Fan knew it well and said to Lao Chang, "how do you talk to your family?"
"Abdominal exploration and splenectomy if necessary. The family agreed and signed. "
"OK, then start the operation." The operation is really not difficult. After opening the abdomen, find the bleeding point, identify the size of the bleeding wound and carry out the corresponding surgical treatment!
In these words, a medical student who graduated from university can't do it without ten years of general foreign experience, and he has to be in a hospital above grade III B, otherwise you won't encounter several operations a year and won't have a chance to practice.
Why didn't the three directors of the county hospital leave here? Most of them were greedy for comfort here when they were young, or family factors. With the growth of age, it is impossible to leave. Only after retirement, take the retirement salary to the private clinic. Now I dare not go, because I have no technology and no bottom of psychology.
After the operation, the chief surgeon has to go to the ward to see the patients who have undergone the operation, and then meet with their families.
In the past, Zhang Fan didn't have a certificate. This meeting was generally replaced by others. This was the first meeting after having a certificate. Zhang Fan went to the ward.
"This is Dr. Zhang from the municipal hospital. He is very skilled. If it weren't for him, it would be hard to say today. It's too dangerous." Lao often introduces Zhang Fan to his family. Exaggerating the crisis of the situation is to ask for more money.
The patient is the small leader of the county forest farm. In other places, the forest farm generally has poor economic benefits, but I don't know why. It is a particularly popular unit. Everyone knows a small place. The family members were very polite. When Zhang Fan was ready to leave after seeing the patient, one of the family members spoke. Zhang Fan was too young to hold down. The family members were a little reluctant.
"My brother just came to the county hospital to see a doctor because of stomachache. As a result, you were treated for several hours. Not only did he not get better, but he also aggravated it. In the middle of the night, he told us that he couldn't do it and had to have an operation. We also asked experts. We all agreed. As a result, a hairy boy came. Do you think we are easy to fool! "
Often, their skills are too poor and others don't respect him. The family doesn't deliberately look for trouble, but they complain that the county hospital didn't diagnose clearly yesterday afternoon, and then reported critical illness. It's really frightening. The expert invited now looks like a newly graduated student, and he's not happy. Zhang Fan is not afraid of this, but it's too troublesome.
When the family members say so, they often can't hang up. This patient is intercepted by the emergency department. They are not the first doctor to receive treatment, and there are other patients and family members in the ward. At least he is also a director. So he said angrily, "when you were transferred to our department yesterday afternoon, you were asked to transfer to another hospital. You didn't transfer. The situation was bad at night. We actively contacted the doctors of the superior hospital and saved the midnight. Now it's safe. You're not happy. Don't come to the county hospital if you have the ability. "
As soon as this was said, the other party's family members were not happy“ What? I don't ask for skills. I just want money. " A female family member said.
"Say it again!" I'm always anxious.
Many family members gathered around Lao Chang and Zhang Fan. As soon as Zhang Fan saw that this would not work, he quickly said to the family members who had the earliest trouble: "if you have something to say, if you are not satisfied with the treatment, you can take the third-party appraisal. Who are you?"
"You don't care who I am." He thought it was wrong again, and said in a vicious tone, "I'm his cousin. It's not over today." Then he began to call.
Although Lao Chang's skills are not good, he has been in the county hospital for many years. Many people have asked him to open a transfer hospital and help look at the checklist, and he has a good temper“ Get out of here! It's a big problem. "
"Ouch! Why is this guy like this? " Zhang Fan was extremely helpless.
After a while, the president of the county hospital came. The patient's cousin is a section chief of the county Party committee. He has some power. He can't do without the president.
"Chen Yuan, it's not that we are unreasonable. Your doctors have no quality at all. Let's get out of here. Is the hospital his private. There must be an explanation today. "
In fact, it's over if you explain it to others. As a result, Lao Chang was crushed“ Let's go to the office and talk about affecting the patient here. "
"I must apologize, and I suspect this expert is a liar! He can't go. When will my cousin recover and when will he go? If not, I'm familiar with the county police. " In fact, he doesn't doubt Zhang Fan's identity at all, but things have become so. If he doesn't find some trouble, he can't lose face.
If his cousin wants to recover well, he can't do it in a week. Isn't Zhang Fan leaving yet? He's not in a hurry. Let's see what the president of the county hospital says first.
"Director Chang, you're wrong to say that. We are a hospital and must be responsible for the patient. Please apologize to the patient and his family. Doctor Zhang, you see it's like this now, or you can observe it for a few days?" A subordinate, a small doctor in the city, of course, he has to favor his family.
"Apologize! Don't even think about it. I'm right. You have the ability to let the police catch me. " Then Lao Chang slammed the door and left. For this matter, it is impossible to fire him, and the patient's operation has been done. He has nothing to fear. He said to go.
"Look at your attitude and how to be a doctor. The county hospital can't improve its technology, because there are too many such people. " The sick cousin's face turned red with anger.
Lao Chang left. Zhang fan can't go. The patient was operated on by him. He must solve the problem“ Your brother has a ruptured spleen. It was already in shock at that time. There were medical records and checklists. If you have any questions, you can identify them. I can cooperate at any time. I did the operation. I wouldn't have come if the county hospital hadn't invited me. The patient can recover after treatment according to normal conditions. If there are problems, I can come to the county hospital at any time. It's unrealistic for me to stay here. "
"I don't care. We didn't invite you."
The Dean looked at Zhang Fan and said, "why don't I call you Dean Ouyang and ask for a few days off?"
This is a little bullying. Zhang Fan was angry and asked his cousin: "must I stay? What if I go? "
"You can't go. We have a group of people outside. You'd better think about it. Don't lose it in the end. "
"Ah! Excuse me, which unit are you in? " Zhang Fan sighed helplessly.
"From the county Party committee."
Zhang Fan ignored them and took out the phone to call Tang Jingjing. Zhang Fan didn't want to bother others, but this man and the Dean bullied him. They often had no way, so they wanted to take Zhang Fan.
"Sister Tang ~ ~" as soon as Zhang Fan said something, Tang Jingjing immediately said, "you give him the phone and pay attention to your safety. Don't conflict with them. The leader is still resting. I will report as soon as I get up. "
"No, sister Tang, if you can solve it, do me a favor. If you can't solve it, report it to the leader."
Zhang Fan gave the phone to his family cousin. His cousin said, "why, what do you want? You still have to deal with it. It's useless to find anyone if I don't answer the phone. You must be responsible to the end. "
"Then wait! I'll be there in a minute. " Then Tang Jingjing hung up the phone.
The Dean began to be reconciled. People entering the official career have too many things to consider. Although it is a little late, they can't offend Zhang Fan to the end. "In fact, the surgery has been completed, the patients have passed the dangerous period, and the county hospital can also take care of them. Do you think it's Dr. Zhang? " When he saw that Zhang Fan ignored him, he smiled awkwardly.
Zhang Fan sat in his chair, closed his eyes and rested for more than 200 kilometers. After he arrived in a hurry, he hurried to have an operation. After the operation, he encountered this bad worry again. He was a little tired.
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Back in the car, Zhang Fan was also very nervous. He drove away without even saying a word. The two girls in the car were also a little tired. Maybe they were worried or thinking. No one asked. Send people off to the place and return to the dormitory at night. Zhang Fan looks at his mobile phone in a daze. Afraid of information and not coming, I fell asleep in such a daze.
When you're free, you're bored. When you're busy, things happen one after another. In the middle of the night, Zhang Fan was awakened by a phone call. When he saw the phone, he was the director of Chalke county hospital. This county is the farthest from tea vegetable City, more than 200 kilometers. Moreover, with a high altitude and a small population, Zhang Fan has been there once, and Kang Hua is the second leader in chalk.
The hospital equipment of Chalke county is the best in several surrounding counties, because the counterpart supporting their hospital is the first hospital of Shekou city and the hospital of large economic city, which is millions, that is, sprinkle water. It's a little fun.
But the environment in chalk county is too bad. Sometimes it snows suddenly in the hottest summer. Hail, heavy rain and heavy snow often appear in turn throughout the day. There are almost all public officials in the county, and a small number of migrant workers.
The county is directly connected with neighboring countries, and the public security in the county is taken over by the border police. The county hospital is a five storey building, with one floor for women and children inside and outside, and one floor for administration and outpatient service. It's better in summer. There are a little more people, and more businessmen from other places come to collect medicinal materials and mountain goods. There are one or two restaurants in the center of the county. In winter, many residents of the county went to tea vegetable city. King Bull directly disappeared.
There are few surgeons in the county hospital, a total of four, one director and three deputy directors. There's no way. The director and deputy director have department management fees. There are only four people in total. It's not good to let anyone be or not. It's just to average the department management fees. Everyone will share them equally.
They usually deal with ordinary bumps and minor injuries, which are a little more serious. Their families directly took their patients to tea vegetable city. The operations they can encounter are emergency cases, and they are the kind of patients that ordinary vehicles dare not pull.
There is no good way to send the serious illness number to the county hospital, that is, there are 120 in tuxian hospital, equipped with doctors and nurses, which can be sent to the urban area as soon as possible. In most cases, it is halfway to the urban area, and the patients can't. when we get to the urban area, people have no signs of life. The county is too far from the city, and the road is not easy to walk. There are many mountains and cliffs. It's better in summer. In winter, except for large-scale shuttle buses, there are only military vehicles left.
The person who can walk is usually not the director but also the deputy high school. He is not young. He has such a long distance and the road condition is not good. No one is willing to go, not to mention giving one thousand or two thousand.
Since the director of surgery of Chalke county hospital tentatively invited Zhang Fan once. They all took heart. Zhang Fan not only came quickly, but also did the operation well. The most important thing is that after finishing it, he spent half of the money directly to the doctors of H county hospital.
This is a good thing. It's better to go to work every day. It's better to have extra money, so the four of them are much more active. They pushed the slightly heavier patients directly to the municipal hospital.
I can't be enthusiastic now. I'll try to keep the patient in the hospital. We gathered several operations and asked Zhang Fanyi to do it. One operation is divided into five hundred and four or five in a month. The hard fee is more than the bonus. The indirect visit of Zhang Fan also improves their service quality.
"Hello! Director Chang, what's the matter? "
"Mr. Zhang, our department transferred a patient from the emergency department, male, in his forties, who fell after drinking. He was fine in the morning. As a result, he had shock symptoms in the evening. Color Doppler ultrasound reported that there was blood accumulation in the abdomen. It is preliminarily estimated that the spleen was ruptured. Why don't you come and have a look? The patient's family is in good condition. They have asked for experts, and the cost is easy to say. "
This thing is the same as the starting point author. The author can't break the change, and this walking point can't be easily rejected.
Zhang Fan looked at the time. It took more than three o'clock in the morning. It took three hours to leave immediately“ Director Chang, rehydration to correct electrolytic disorder and shock. I'll start now. "
"OK, Mr. Zhang, the preoperative preparation has begun." As soon as he heard Zhang Fan agree, his tone was much happier. Generally, doctors in big hospitals really won't come.
Zhang Fan gets up, wipes his face with cold water and sends a message to Director Chen Qi. It's not their group that receives the patient on Monday. It's estimated that he can't come back in the morning, but there's no problem with Wang Yanan.
Without a strong body and a strong spirit, it's best not to be a surgeon. After a few years of poor health, the best result is to fall into neurasthenia and become a person on the edge of the Department. If you're unlucky, then ~~~~.
Before going out, Zhang Fan took a steamed bread and a packet of milk. He had to supplement it. When he went to the place, he was estimated to have an operation and had no time to eat. And this exploratory operation takes a lot of time.
At six o'clock in the morning, Zhang Fan rushed to the Chalke county hospital. The hospital was very empty and the car stopped casually. Zhang Fan parked the car and hurried to the operating room“ Director Chang! " After Zhang Fan entered the operating room, he shouted Lao Chang.
All the surgeons were there. They quickly stood up and greeted Zhang Fan. This kind of surgery, rich points, no one wants to be absent.
"Mr. Zhang, take a drink first. I'll introduce you to the situation. This is the color Doppler ultrasound results. Have a look." With that, Lao Chang took a color Doppler ultrasound to Zhang Fan. The little nurse in the operating room has poured a glass of water and handed it to Zhang Fan.
"Thank you!"
"Mr. Zhang, this is the case. The patient was sent to the emergency room yesterday afternoon. He just had a slight abdominal pain. In the evening, shock symptoms appear. After rehydration, you can't touch the pulse. "
"Rupture of spleen. What about the other test lists? " After reading the list, Zhang Fan knew it well and said to Lao Chang, "how do you talk to your family?"
"Abdominal exploration and splenectomy if necessary. The family agreed and signed. "
"OK, then start the operation." The operation is really not difficult. After opening the abdomen, find the bleeding point, identify the size of the bleeding wound and carry out the corresponding surgical treatment!
In these words, a medical student who graduated from university can't do it without ten years of general foreign experience, and he has to be in a hospital above grade III B, otherwise you won't encounter several operations a year and won't have a chance to practice.
Why didn't the three directors of the county hospital leave here? Most of them were greedy for comfort here when they were young, or family factors. With the growth of age, it is impossible to leave. Only after retirement, take the retirement salary to the private clinic. Now I dare not go, because I have no technology and no bottom of psychology.
After the operation, the chief surgeon has to go to the ward to see the patients who have undergone the operation, and then meet with their families.
In the past, Zhang Fan didn't have a certificate. This meeting was generally replaced by others. This was the first meeting after having a certificate. Zhang Fan went to the ward.
"This is Dr. Zhang from the municipal hospital. He is very skilled. If it weren't for him, it would be hard to say today. It's too dangerous." Lao often introduces Zhang Fan to his family. Exaggerating the crisis of the situation is to ask for more money.
The patient is the small leader of the county forest farm. In other places, the forest farm generally has poor economic benefits, but I don't know why. It is a particularly popular unit. Everyone knows a small place. The family members were very polite. When Zhang Fan was ready to leave after seeing the patient, one of the family members spoke. Zhang Fan was too young to hold down. The family members were a little reluctant.
"My brother just came to the county hospital to see a doctor because of stomachache. As a result, you were treated for several hours. Not only did he not get better, but he also aggravated it. In the middle of the night, he told us that he couldn't do it and had to have an operation. We also asked experts. We all agreed. As a result, a hairy boy came. Do you think we are easy to fool! "
Often, their skills are too poor and others don't respect him. The family doesn't deliberately look for trouble, but they complain that the county hospital didn't diagnose clearly yesterday afternoon, and then reported critical illness. It's really frightening. The expert invited now looks like a newly graduated student, and he's not happy. Zhang Fan is not afraid of this, but it's too troublesome.
When the family members say so, they often can't hang up. This patient is intercepted by the emergency department. They are not the first doctor to receive treatment, and there are other patients and family members in the ward. At least he is also a director. So he said angrily, "when you were transferred to our department yesterday afternoon, you were asked to transfer to another hospital. You didn't transfer. The situation was bad at night. We actively contacted the doctors of the superior hospital and saved the midnight. Now it's safe. You're not happy. Don't come to the county hospital if you have the ability. "
As soon as this was said, the other party's family members were not happy“ What? I don't ask for skills. I just want money. " A female family member said.
"Say it again!" I'm always anxious.
Many family members gathered around Lao Chang and Zhang Fan. As soon as Zhang Fan saw that this would not work, he quickly said to the family members who had the earliest trouble: "if you have something to say, if you are not satisfied with the treatment, you can take the third-party appraisal. Who are you?"
"You don't care who I am." He thought it was wrong again, and said in a vicious tone, "I'm his cousin. It's not over today." Then he began to call.
Although Lao Chang's skills are not good, he has been in the county hospital for many years. Many people have asked him to open a transfer hospital and help look at the checklist, and he has a good temper“ Get out of here! It's a big problem. "
"Ouch! Why is this guy like this? " Zhang Fan was extremely helpless.
After a while, the president of the county hospital came. The patient's cousin is a section chief of the county Party committee. He has some power. He can't do without the president.
"Chen Yuan, it's not that we are unreasonable. Your doctors have no quality at all. Let's get out of here. Is the hospital his private. There must be an explanation today. "
In fact, it's over if you explain it to others. As a result, Lao Chang was crushed“ Let's go to the office and talk about affecting the patient here. "
"I must apologize, and I suspect this expert is a liar! He can't go. When will my cousin recover and when will he go? If not, I'm familiar with the county police. " In fact, he doesn't doubt Zhang Fan's identity at all, but things have become so. If he doesn't find some trouble, he can't lose face.
If his cousin wants to recover well, he can't do it in a week. Isn't Zhang Fan leaving yet? He's not in a hurry. Let's see what the president of the county hospital says first.
"Director Chang, you're wrong to say that. We are a hospital and must be responsible for the patient. Please apologize to the patient and his family. Doctor Zhang, you see it's like this now, or you can observe it for a few days?" A subordinate, a small doctor in the city, of course, he has to favor his family.
"Apologize! Don't even think about it. I'm right. You have the ability to let the police catch me. " Then Lao Chang slammed the door and left. For this matter, it is impossible to fire him, and the patient's operation has been done. He has nothing to fear. He said to go.
"Look at your attitude and how to be a doctor. The county hospital can't improve its technology, because there are too many such people. " The sick cousin's face turned red with anger.
Lao Chang left. Zhang fan can't go. The patient was operated on by him. He must solve the problem“ Your brother has a ruptured spleen. It was already in shock at that time. There were medical records and checklists. If you have any questions, you can identify them. I can cooperate at any time. I did the operation. I wouldn't have come if the county hospital hadn't invited me. The patient can recover after treatment according to normal conditions. If there are problems, I can come to the county hospital at any time. It's unrealistic for me to stay here. "
"I don't care. We didn't invite you."
The Dean looked at Zhang Fan and said, "why don't I call you Dean Ouyang and ask for a few days off?"
This is a little bullying. Zhang Fan was angry and asked his cousin: "must I stay? What if I go? "
"You can't go. We have a group of people outside. You'd better think about it. Don't lose it in the end. "
"Ah! Excuse me, which unit are you in? " Zhang Fan sighed helplessly.
"From the county Party committee."
Zhang Fan ignored them and took out the phone to call Tang Jingjing. Zhang Fan didn't want to bother others, but this man and the Dean bullied him. They often had no way, so they wanted to take Zhang Fan.
"Sister Tang ~ ~" as soon as Zhang Fan said something, Tang Jingjing immediately said, "you give him the phone and pay attention to your safety. Don't conflict with them. The leader is still resting. I will report as soon as I get up. "
"No, sister Tang, if you can solve it, do me a favor. If you can't solve it, report it to the leader."
Zhang Fan gave the phone to his family cousin. His cousin said, "why, what do you want? You still have to deal with it. It's useless to find anyone if I don't answer the phone. You must be responsible to the end. "
"Then wait! I'll be there in a minute. " Then Tang Jingjing hung up the phone.
The Dean began to be reconciled. People entering the official career have too many things to consider. Although it is a little late, they can't offend Zhang Fan to the end. "In fact, the surgery has been completed, the patients have passed the dangerous period, and the county hospital can also take care of them. Do you think it's Dr. Zhang? " When he saw that Zhang Fan ignored him, he smiled awkwardly.
Zhang Fan sat in his chair, closed his eyes and rested for more than 200 kilometers. After he arrived in a hurry, he hurried to have an operation. After the operation, he encountered this bad worry again. He was a little tired.
Back in the car, Zhang Fan was also very nervous. He drove away without even saying a word. The two girls in the car were also a little tired. Maybe they were worried or thinking. No one asked. Send people off to the place and return to the dormitory at night. Zhang Fan looks at his mobile phone in a daze. Afraid of information and not coming, I fell asleep in such a daze.When you're free, you're bored. When you're busy, things happen one after another. In the middle of the night, Zhang Fan was awakened by a phone call. When he saw the phone, he was the director of Chalke county hospital. This county is the farthest from tea vegetable City, more than 200 kilometers. Moreover, with a high altitude and a small population, Zhang Fan has been there once, and Kang Hua is the second leader in chalk.The hospital equipment of Chalke county is the best in several surrounding counties, because the counterpart supporting their hospital is the first hospital of Shekou city and the hospital of large economic city, which is millions, that is, sprinkle water. It's a little fun.But the environment in chalk county is too bad. Sometimes it snows suddenly in the hottest summer. Hail, heavy rain and heavy snow often appear in turn throughout the day. There are almost all public officials in the county, and a small number of migrant workers.The county is directly connected with neighboring countries, and the public security in the county is taken over by the border police. The county hospital is a five storey building, with one floor for women and children inside and outside, and one floor for administration and outpatient service. It's better in summer. There are a little more people, and more businessmen from other places come to collect medicinal materials and mountain goods. There are one or two restaurants in the center of the county. In winter, many residents of the county went to tea vegetable city. King Bull directly disappeared.There are few surgeons in the county hospital, a total of four, one director and three deputy directors. There's no way. The director and deputy director have department management fees. There are only four people in total. It's not good to let anyone be or not. It's just to average the department management fees. Everyone will share them equally.They usually deal with ordinary bumps and minor injuries, which are a little more serious. Their families directly took their patients to tea vegetable city. The operations they can encounter are emergency cases, and they are the kind of patients that ordinary vehicles dare not pull.There is no good way to send the serious illness number to the county hospital, that is, there are 120 in tuxian hospital, equipped with doctors and nurses, which can be sent to the urban area as soon as possible. In most cases, it is halfway to the urban area, and the patients can't. when we get to the urban area, people have no signs of life. The county is too far from the city, and the road is not easy to walk. There are many mountains and cliffs. It's better in summer. In winter, except for large-scale shuttle buses, there are only military vehicles left.The person who can walk is usually not the director but also the deputy high school. He is not young. He has such a long distance and the road condition is not good. No one is willing to go, not to mention giving one thousand or two thousand.Since the director of surgery of Chalke county hospital tentatively invited Zhang Fan once. They all took heart. Zhang Fan not only came quickly, but also did the operation well. The most important thing is that after finishing it, he spent half of the money directly to the doctors of H county hospital.This is a good thing. It's better to go to work every day. It's better to have extra money, so the four of them are much more active. They pushed the slightly heavier patients directly to the municipal hospital.I can't be enthusiastic now. I'll try to keep the patient in the hospital. We gathered several operations and asked Zhang Fanyi to do it. One operation is divided into five hundred and four or five in a month. The hard fee is more than the bonus. The indirect visit of Zhang Fan also improves their service quality."Hello! Director Chang, what's the matter? ""Mr. Zhang, our department transferred a patient from the emergency department, male, in his forties, who fell after drinking. He was fine in the morning. As a result, he had shock symptoms in the evening. Color Doppler ultrasound reported that there was blood accumulation in the abdomen. It is preliminarily estimated that the spleen was ruptured. Why don't you come and have a look? The patient's family is in good condition. They have asked for experts, and the cost is easy to say. "This thing is the same as the starting point author. The author can't break the change, and this walking point can't be easily rejected.Zhang Fan looked at the time. It took more than three o'clock in the morning. It took three hours to leave immediately Director Chang, rehydration to correct electrolytic disorder and shock. I'll start now. ""OK, Mr. Zhang, the preoperative preparation has begun." As soon as he heard Zhang Fan agree, his tone was much happier. Generally, doctors in big hospitals really won't come.Zhang Fan gets up, wipes his face with cold water and sends a message to Director Chen Qi. It's not their group that receives the patient on Monday. It's estimated that he can't come back in the morning, but there's no problem with Wang Yanan.Without a strong body and a strong spirit, it's best not to be a surgeon. After a few years of poor health, the best result is to fall into neurasthenia and become a person on the edge of the Department. If you're unlucky, then ~~~~.Before going out, Zhang Fan took a steamed bread and a packet of milk. He had to supplement it. When he went to the place, he was estimated to have an operation and had no time to eat. And this exploratory operation takes a lot of time.At six o'clock in the morning, Zhang Fan rushed to the Chalke county hospital. The hospital was very empty and the car stopped casually. Zhang Fan parked the car and hurried to the operating room Director Chang! " After Zhang Fan entered the operating room, he shouted Lao Chang.All the surgeons were there. They quickly stood up and greeted Zhang Fan. This kind of surgery, rich points, no one wants to be absent."Mr. Zhang, take a drink first. I'll introduce you to the situation. This is the color Doppler ultrasound results. Have a look." With that, Lao Chang took a color Doppler ultrasound to Zhang Fan. The little nurse in the operating room has poured a glass of water and handed it to Zhang Fan."Thank you!""Mr. Zhang, this is the case. The patient was sent to the emergency room yesterday afternoon. He just had a slight abdominal pain. In the evening, shock symptoms appear. After rehydration, you can't touch the pulse. ""Rupture of spleen. What about the other test lists? " After reading the list, Zhang Fan knew it well and said to Lao Chang, "how do you talk to your family?""Abdominal exploration and splenectomy if necessary. The family agreed and signed. ""OK, then start the operation." The operation is really not difficult. After opening the abdomen, find the bleeding point, identify the size of the bleeding wound and carry out the corresponding surgical treatment!In these words, a medical student who graduated from university can't do it without ten years of general foreign experience, and he has to be in a hospital above grade III B, otherwise you won't encounter several operations a year and won't have a chance to practice.Why didn't the three directors of the county hospital leave here? Most of them were greedy for comfort here when they were young, or family factors. With the growth of age, it is impossible to leave. Only after retirement, take the retirement salary to the private clinic. Now I dare not go, because I have no technology and no bottom of psychology.After the operation, the chief surgeon has to go to the ward to see the patients who have undergone the operation, and then meet with their families.In the past, Zhang Fan didn't have a certificate. This meeting was generally replaced by others. This was the first meeting after having a certificate. Zhang Fan went to the ward."This is Dr. Zhang from the municipal hospital. He is very skilled. If it weren't for him, it would be hard to say today. It's too dangerous." Lao often introduces Zhang Fan to his family. Exaggerating the crisis of the situation is to ask for more money.The patient is the small leader of the county forest farm. In other places, the forest farm generally has poor economic benefits, but I don't know why. It is a particularly popular unit. Everyone knows a small place. The family members were very polite. When Zhang Fan was ready to leave after seeing the patient, one of the family members spoke. Zhang Fan was too young to hold down. The family members were a little reluctant."My brother just came to the county hospital to see a doctor because of stomachache. As a result, you were treated for several hours. Not only did he not get better, but he also aggravated it. In the middle of the night, he told us that he couldn't do it and had to have an operation. We also asked experts. We all agreed. As a result, a hairy boy came. Do you think we are easy to fool! "Often, their skills are too poor and others don't respect him. The family doesn't deliberately look for trouble, but they complain that the county hospital didn't diagnose clearly yesterday afternoon, and then reported critical illness. It's really frightening. The expert invited now looks like a newly graduated student, and he's not happy. Zhang Fan is not afraid of this, but it's too troublesome.When the family members say so, they often can't hang up. This patient is intercepted by the emergency department. They are not the first doctor to receive treatment, and there are other patients and family members in the ward. At least he is also a director. So he said angrily, "when you were transferred to our department yesterday afternoon, you were asked to transfer to another hospital. You didn't transfer. The situation was bad at night. We actively contacted the doctors of the superior hospital and saved the midnight. Now it's safe. You're not happy. Don't come to the county hospital if you have the ability. "As soon as this was said, the other party's family members were not happy What? I don't ask for skills. I just want money. " A female family member said."Say it again!" I'm always anxious.Many family members gathered around Lao Chang and Zhang Fan. As soon as Zhang Fan saw that this would not work, he quickly said to the family members who had the earliest trouble: "if you have something to say, if you are not satisfied with the treatment, you can take the third-party appraisal. Who are you?""You don't care who I am." He thought it was wrong again, and said in a vicious tone, "I'm his cousin. It's not over today." Then he began to call.Although Lao Chang's skills are not good, he has been in the county hospital for many years. Many people have asked him to open a transfer hospital and help look at the checklist, and he has a good temper Get out of here! It's a big problem. ""Ouch! Why is this guy like this? " Zhang Fan was extremely helpless.After a while, the president of the county hospital came. The patient's cousin is a section chief of the county Party committee. He has some power. He can't do without the president."Chen Yuan, it's not that we are unreasonable. Your doctors have no quality at all. Let's get out of here. Is the hospital his private. There must be an explanation today. "In fact, it's over if you explain it to others. As a result, Lao Chang was crushed Let's go to the office and talk about affecting the patient here. ""I must apologize, and I suspect this expert is a liar! He can't go. When will my cousin recover and when will he go? If not, I'm familiar with the county police. " In fact, he doesn't doubt Zhang Fan's identity at all, but things have become so. If he doesn't find some trouble, he can't lose face.If his cousin wants to recover well, he can't do it in a week. Isn't Zhang Fan leaving yet? He's not in a hurry. Let's see what the president of the county hospital says first."Director Chang, you're wrong to say that. We are a hospital and must be responsible for the patient. Please apologize to the patient and his family. Doctor Zhang, you see it's like this now, or you can observe it for a few days?" A subordinate, a small doctor in the city, of course, he has to favor his family."Apologize! Don't even think about it. I'm right. You have the ability to let the police catch me. " Then Lao Chang slammed the door and left. For this matter, it is impossible to fire him, and the patient's operation has been done. He has nothing to fear. He said to go."Look at your attitude and how to be a doctor. The county hospital can't improve its technology, because there are too many such people. " The sick cousin's face turned red with anger.Lao Chang left. Zhang fan can't go. The patient was operated on by him. He must solve the problem Your brother has a ruptured spleen. It was already in shock at that time. There were medical records and checklists. If you have any questions, you can identify them. I can cooperate at any time. I did the operation. I wouldn't have come if the county hospital hadn't invited me. The patient can recover after treatment according to normal conditions. If there are problems, I can come to the county hospital at any time. It's unrealistic for me to stay here. ""I don't care. We didn't invite you."The Dean looked at Zhang Fan and said, "why don't I call you Dean Ouyang and ask for a few days off?"This is a little bullying. Zhang Fan was angry and asked his cousin: "must I stay? What if I go? ""You can't go. We have a group of people outside. You'd better think about it. Don't lose it in the end. ""Ah! Excuse me, which unit are you in? " Zhang Fan sighed helplessly."From the county Party committee."Zhang Fan ignored them and took out the phone to call Tang Jingjing. Zhang Fan didn't want to bother others, but this man and the Dean bullied him. They often had no way, so they wanted to take Zhang Fan."Sister Tang ~ ~" as soon as Zhang Fan said something, Tang Jingjing immediately said, "you give him the phone and pay attention to your safety. Don't conflict with them. The leader is still resting. I will report as soon as I get up. ""No, sister Tang, if you can solve it, do me a favor. If you can't solve it, report it to the leader."Zhang Fan gave the phone to his family cousin. His cousin said, "why, what do you want? You still have to deal with it. It's useless to find anyone if I don't answer the phone. You must be responsible to the end. ""Then wait! I'll be there in a minute. " Then Tang Jingjing hung up the phone.The Dean began to be reconciled. People entering the official career have too many things to consider. Although it is a little late, they can't offend Zhang Fan to the end. "In fact, the surgery has been completed, the patients have passed the dangerous period, and the county hospital can also take care of them. Do you think it's Dr. Zhang? " When he saw that Zhang Fan ignored him, he smiled awkwardly.Zhang Fan sat in his chair, closed his eyes and rested for more than 200 kilometers. After he arrived in a hurry, he hurried to have an operation. After the operation, he encountered this bad worry again. He was a little tired.
