Path of Medicine With a System

Sometimes, especially in some special industries, you can be cold to strangers, but you can't say that you are warm to people in your system, at least you will be polite. A competent medical representative may not need a high IQ, but a high EQ is definitely required.

A group of doctors are not grunting at Manager Sun, he doesn't care at all, he keeps a smiling attitude, and doesn't take the initiative to find someone to clink glasses or anything, just do a good job of serving tea and pouring water, a dignified regional manager , can do this, it is really not an ordinary person. Many, many people, no matter how hard it is, let him humbly and resolutely refuse to go. In this world where money leads coquettishness, who is right and who is wrong! That's right, as long as you can guarantee the lives of parents and children. World peace and global warming really have little to do with us.

Zhang Fan is also learning, dealing with people and things, and rules in the industry, all of which are indispensable for knowledge, and this is a complete social person. Without these foreshadowing, it is really unlikely that you want to go further. However, the learning here is just learning, not obsessing, not chasing after it, you don’t need to be proficient if you understand it.

Bart's various laboratory tests have also been completed. After the rounds were over in the morning, when he returned to the department office, Lao Gao looked at Bart's inspection report and pondered for a long time without speaking. He also thought about the operation plan. Dazed for a long time without speaking, he finally put down the checklist and said to Zhang Fan: "Be cautious, this operation really needs to be cautious. Let's discuss it more, how about it?"

For Lao Gao, Zhang Fan had nothing to worry about. One said one thing, "Director, this operation is a bit difficult, but as long as you and Director Wang help me, it will not be a big problem."

"Do you have a detailed plan?"

"Ok!"

"The way forward? The way back?"

"The back road, the front road is a bit damaged." Zhang Fan said to Lao Gao.

"The back road! The back road is a little more difficult. This operation is really too troublesome, and it won't be obvious if it fails or succeeds in a short time." Lao Gao stared at Bart's picture, and touched his shaved blue chin.

This operation is so awkward. Spinal correction is not a fracture. Whether it is successful or not is invisible for a while. Moreover, if the doctor's level is not high or the judgment is wrong, as the child grows, not only the deformity will not be corrected. , will also exacerbate the deformity.

"It's the child's best chance to have surgery now, and the older he gets, the worse the effect will be." Zhang Fan emphasized.

"I know, so let's estimate the risks of surgery first, and then discuss the situation clearly with the family members. The future risks and current risks must be clearly explained. If necessary, please consult a pediatrician or physician." Lao Gao was afraid of Zhang. For those who have no experience, explain clearly everything that should be thought of.

"Okay. I'll call for a consultation in the afternoon."

"Well. I went to the outpatient clinic and called if I had something to do."

Zhang Fan had to deal with these matters himself, and he was not at ease when the other doctors couldn't explain clearly. And these things must be done after the operation is over, and the treatment of other patients cannot be delayed because of one patient number. This is why you usually see doctors in hospitals seem to be very busy. Once there is a special or serious patient, the doctor can keep his feet on the ground.

In the morning, there was an operation for a clavicle fracture, and the fall resulted in a fracture. It was not very broken, but it was an oblique fracture with almost no bone fragments, just an obvious broken end. This kind of operation is suitable for Wang Yanan to practice. Orthopedic surgeons pay great attention to clavicle fractures. If they relax a little, they may be snatched away by thoracic surgeons. Orthopedic surgeons are not at a disadvantage, and the rib fractures outside the chest are also robbed.

"Attention, when fixing, you must pay attention to the lung tissue below. Whether you are sure or not, you must take protective measures." Zhang Fan was an assistant, but he still repeatedly emphasized the points that should be paid attention to during the operation.

You may feel that this is unnecessary. In fact, it is not the case. The medical industry attaches great importance to the consolidation of knowledge. If you do not consolidate it yourself, the hospital will help you consolidate it.

There is an exam every three or four months, the basic exam is transferred to the subject exam, and that thing is repeated over and over again. I am always afraid that you will forget it, and the grades are linked to your performance salary.

The medical industry is like this, only more skilled but not the most skilled. Life is endless, and learning and exams will never stop. After surgery, the superior is the superior. Although both Zhang Fan and Wang Yanan are residents, Zhang Fan is Wang Yanan's superior at this time.

In the afternoon, Zhang Fan started Bart's preoperative preparation. Everything went through the normal procedure. First, the pediatrician was invited for consultation. Although the pediatrician didn’t say anything, he just wrote a sentence in the medical record: The child’s vital signs are stable at present, and the spine is obviously deformed. If you have special circumstances, please contact our department, thank you! Just such a nonsense, not even talking about surgery, but just this nonsense, if it is not reflected in the medical record, it is considered a substandard medical record. This is a problem when the superior finds a problem. Why is there no pediatric consultation?

Then invite the respiratory department and the cardiology department to come for consultation. The bigger the operation, the more complete the medical records must be. Even if the other party is talking nonsense, they have to be invited to say that this is the responsibility of the patient and the protection of the doctor. For the cardiology consultation, it was Ren Li and Ouyang who came. The old lady had already greeted Ren Li.

"Is there any precedent for this kind of operation in the city hospital?" Ouyang came, and Lao Gao had to come out to say hello. The old lady flipped through the medical records and asked. Although there was no questioning by name, everyone knew that this was asking Lao Gao.

"Dean, I haven't done it."

"Well, it can be regarded as expanding the business of the department, but we can't be aggressive. Zhang Fan, go and invite Director Wang from the Second Department of Orthopedics, Director Chen from the Third Department of Orthopedics, the director of anesthesia in the operating room, the director of the Pediatrics Department, and the director of the Medical Affairs Department. Come here, just as everyone is ready, let's discuss it."

"Yes!" Zhang Fan turned around and went to the nurse's station to make a call. This is a characteristic of the hospital. Private matters are communicated through mobile phones, and business matters are generally communicated through internal telephones. I don't know how it was passed down, although the phone bill is not much, and the hospital reimburses it, but that's it, as long as it is business, it is usually contacted by the hospital's internal phone.

Lao Wang and Lao Chen arrived within a few minutes. The three departments of the Department of Orthopedics are all connected, and the three connected floors of the Surgery Building belong to the Department of Orthopedics. Ever since Zhang Fan showed Lao Wang the film of this patient, Lao Wang was immediately stunned. I can't pay attention to other things anymore. Every day I am obsessed with watching movies, thinking about surgical plans, looking for information, and my nerves are about to collapse.

People are like this, if this operation is performed by a higher-level hospital, or as long as it is not performed by a certain doctor from Cha Su, Lao Wang probably will not be so concerned, but once it is performed by Cha Su or a doctor he is familiar with. He was anxious about the operation. Why, if he can do it, why can't my Pharaoh do it? The old man was tortured by Zhang Fan a bit miserably. If he couldn't eat or drink well these few days, he really didn't think about food and drink before thinking of a plan.

"Everyone is here, isn't it? Director Gao, you can arrange it." After several directors from other departments arrived, Ouyang said to Lao Gao.

"Okay, Zhang Fan is your patient, please introduce him to everyone." Lao Gao said to Zhang Fan.

"Leaders and experts, three days ago, a six-year-old and seven-month-old child was admitted to our department. After examination, the diagnosis was clear: mixed type of congenital spinal deformity. The laboratory examination and physical examination were consistent and supported the diagnosis. Patient At present, there are no related complications due to his young age, but in order to protect and avoid future complications, our department plans to perform spinal deformity correction surgery for treatment. However, considering the young age of the child, the operation time and postoperative bed rest It will take a long time, so experts from various departments are invited to consult." In the office of the Department of Orthopedics, Zhang Fan stood up and said without even looking at the medical records. The director of the medical department recorded it himself, because the dean participated.

Ouyang nodded involuntarily after listening to it, and then said to the doctors present: "Everyone discusses and discusses whether this operation should be done. Do it, how to do it, not do it, why not do it. Let's talk about it. From Wang Yanan's side Start taking turns."

Except for the first-level orthopedic doctor, all the other doctors present are experts at the first level, so the young doctor speaks first.

"The vital signs of the child are stable and the diagnosis is clear, so I think it can be done." Wang Yanan sat down after speaking.

"You don't have to stand up, just sit and talk, saving time." Ouyang added after seeing Wang Yanan sitting down.

The little doctor can't say one, two, three, but simply talk about the examination and signs in the medical records. Soon he arrived at the director of the third orthopedic department. After staring at the film for a long time, Chen Qi said: "Difficult, the operation is not small, the child's body is immature, and has not yet shown any obvious symptoms, the postoperative effect is not good to judge, can we wait a little longer?" ?”

What Lao Chen meant was that the child has no symptoms, what should be done if there is any abnormality or discomfort during the operation. Although it is a bit conservative, it does not lose the suggestion of an old city. After all, this is a person, not an object.

After Lao Chen finished speaking, the two orthopedic directors frowned, but said nothing. Ouyang also didn't know whether the directors of cardiology and pediatrics assessed the child's tolerance from their own departments, and did not issue a clear suggestion on whether to perform surgery. The director of the anesthesiology department made it clear that the child could tolerate surgical anesthesia, and the speech ended.

It was the turn of the director of the Second Department of Orthopedics. After stroking his hair, the old man said: "It can be done. Although the child has no obvious symptoms at present, if conservative treatment is given, within a year, there will definitely be obvious organ damage." Qualitative change, if we perform surgery at that time, it will only be a remedy for the dead. And I have consulted a lot of relevant papers and medical records, as long as we have a good plan, we can perform surgery.”

"Are there many hospitals in Bird City for this kind of surgery?" Ouyang asked.

"Not many, but it can't be said that there are none."

"What if?"

"The earliest one was a similar operation five years ago. The effect is unknown. I called the chief surgeon of the higher-level hospital. After the operation, the patient left the frontier, and the follow-up visit did not continue." After all, the spine is Lao Wang's line of work. , so be clear about these things.

"Director Gao, tell me." Ouyang said to Lao Gao after listening.

"It can be done. The doctors in front of the reason have already said it, so I don't need to repeat it. But how to do it needs to be discussed."

When Zhang Fan introduced his condition, he had clearly stated that the operation was feasible, so there was no need to express his opinion. Ouyang directly made a decision: "Since all experts support surgical treatment, it is an orthopedic disease, and it is still Dr. Zhang's sick number. Director Gao, Director Wang, and Dr. Zhang, the three of you book a surgical plan and submit it to the medical office. Three Is the day enough?"

"Yes!" The people whose names were called agreed unanimously.

This is Ouyang's method. This is an administrative order. You guys are arguing. Anyway, I have set the time. No matter how much you argue within three days, you must give me an explanation and a plan.

"Okay, the meeting is over." After finishing speaking, Ouyang went out first!

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