Path of Medicine With a System

The plan for a year lies in spring. With the opening of the train and the increase in speed, the frontier is no longer so far away from the mainland.

At that time, Zhang Fan took the hard seat from Lanshi to Niaoshi for 26 hours, and then slept in the sleeper bus all night before arriving at Chasu, and then took the line bus, which took more than four hours. It was only an hour before we arrived in Quark County.

But now it takes about 20 hours to go directly from Lanshi to Chasu, which is really much more convenient. The transportation is convenient, of course Xiaojiangnan outside the Great Wall is attractive.

A large number of migrants flooded in, with the largest number of people in Sanchuan, Nanhe, Dongshan, and Su provinces. With more people, the economy slowly began to improve.

Of course, the number of hospital visits has also suddenly increased. In previous years, there were not many people in the outpatient clinic until the afternoon, but starting this year, it suddenly seemed that the hospital did not have enough doctors.

There is a shortage of people in every department. Especially the operating department is even more short of people. Without surgery or first aid, one doctor can see many patients.

But once an operation is to be performed, there must be at least two doctors. The doctors in the hospital are both suffering and happy now. The patients have more income and higher income, but they are also relatively tired.

In the past, Zhang Fan and the others were able to have lunch on schedule in the lounge of the operating room during surgery, but now there is no time, and lunch is almost always available at four or five in the afternoon.

The prefectural and county hospitals have shrunk so much that almost all the patients have flocked to the tertiary hospitals.

"Doctor, I don't do surgery." A fat man from Sanchuan said with a dejected expression on his face.

"If you don't have surgery, there will be sequelae in the future." Xu Xian is in the orthopedic outpatient clinic.

"I just bought a restaurant, you son of a bitch, why are you carrying your back like this!" The fat man was greasy and sweaty from the pain, his lips turned white, but he refused to have the operation.

He originally opened a restaurant in the south, but as the rent increased, the money he earned became less and less. During the Chinese New Year, he heard friends from his hometown say that people from the frontier are delicious, and opening restaurants can make money, so he came to Chasu.

At the beginning, I opened a small restaurant. Because of the good craftsmanship, I made a lot of boiled pork slices and boiled fish. I made a lot of money in a short time. Storefront restaurants.

The decoration was done by a fellow villager, but the fellow villager killed him and made a mess. Anxious to get angry, when carrying things, one accidentally fell down the stairs, and then put his hands on the ground, the huge fat weight came directly with a "click"!

The fat man cried in pain, but he refused to have the operation. "If you don't do surgery, the disadvantages of manual reset are too great. Be obedient, let's do surgery." Xu Xian spoke to the fat man like coaxing a child.

"Really, I won't have surgery!" Xu Xian persuaded him for a long time, and the fat man finally said.

"I'll make it for you with the cheapest materials. Is that okay?" Xu Xian's mother is from Sanchuan, so he felt compassion. He is a fat man who thinks the operation fee is expensive.

"No, I can't have an operation." The fat man was in a desperate situation, and he went all out for the business. When you are unlucky, it is really a house leak and it rains all night!

"Then what do you say!" Xu Xian lost his mind.

"Give me a plaster cast. There is an old man in my hometown who made it like this." Fatty really didn't dare to be hospitalized. He came here alone. He was afraid that if he was hospitalized, the store would be evacuated by his unreliable fellow villager. .

"This is not a question of plastering!"

"Please, doctor, you are so merciful and merciful, please help me, I really can't be hospitalized for surgery." The fat man was about to cry, on his fleshy face, he didn't listen to his voice, thinking he was laughing again.

I can only ask the superior doctor for instructions. You may not understand this. Huaguo has a first-diagnosis responsibility system. It is a very good system. Xu Xian had to ask his superiors for instructions.

Departments are divided more and more finely, and undergraduates only learn superficiality, or the basics. When I was a graduate student, I was assigned to a very specific department. For the manual reset, I had to learn little by little from the teacher after work. However, under the current environment, the manual reset has gradually declined.

The patient can't wait for a long recovery time, and the hospital is afraid of accidents, so the two are in harmony, so when it is possible to do it or not, it is usually directly operated by open reduction.

The director, Lao Gao, is busy going to the government for a meeting, but he can’t find it usually. The deputy director has undergone surgery and can’t be found, so he can only call the assistant director.

"Doctor Zhang, I have a type II fracture of Galeazzi, and the patient refused to undergo surgery. What should I do now?" Xu Xian called Zhang Fan.

The top three hospitals in the area, under normal circumstances, are at the top, and there is no way to evade the patient number if they want to. Even if there is no technical treatment, they must give the patient an explanation.

"how old?"

"Thirty-two."

"Okay, I'm here."

Zhang Fan was busy with ward rounds in the department. There were more and more patients, and the intern doctors were sometimes lazy and did not change their dressings properly. As a result, there was an infection after surgery, and Zhang Fan had a big head.

This kind of thing can't be blamed on other interns, who is the teacher and who is responsible. Wang Yanan took him with him, but he didn't pay attention, and this happened.

The intern doctor was a young man, and he was already trembling, "What's the matter with you, don't you have time to see him once every two days?" In the office, Zhang Fan was cleaning up Wang Yanan.

"There have been so many surgeries recently, and you don't come in the afternoon. Xu Xian and I can't even write the medical records. Now there are more than 40 patients, and I work overtime until ten o'clock every night. I can't keep busy." Wang Yanan said aggrieved.

"Hi! Let them fine you if you can't finish writing the medical records. You must worry about this patient. I will go to the medical office to ask for someone later." Zhang Fan was speechless, there were too many patients.

"Clear it!" Just after finishing speaking, Xu Xian called again. Now Zhang Fan is in pain and happy, and he can do surgery casually, but there are many troublesome things in the department. "Get the debridement kit ready, wait for me to come back and do the debridement."

Zhang Fan walked quickly to the clinic and entered the office. "Doctor Zhang, this is the man you see. This is his X-ray."

"Why don't you have an operation?" Zhang Fan asked kindly, the other's face was deformed due to the pain.

"It can't be done, I want to do it too, and I want to get better soon, hey! It can't be said. I have to watch the decoration every day. Doctor, please. Put a plaster cast on it to relieve the pain!" Fatty Almost crying. At this time, he probably hated his fellow villagers to death.

"Reset the technique!" Zhang Fan said after carefully looking at the X-ray.

"This? Manual reset?" Xu Xian picked up the film and looked at it again in disbelief.

"En! The reset handle under the C-arm." Zhang Fan said again.

Xu Xian glanced at Fatty's patient, pulled Zhang Fan aside, and said, "I'm not married, and you aren't married either, do you really want to fight?"

"Hey! I don't want to fight, but looking at him, he's crying in pain, and he doesn't want to have an operation. There must be something wrong. What do you think?" Zhang Fan also said in a low voice.

"Really?"

"Well, if you really want to do this, if you don't want to, I won't force it. I'll treat this patient." Zhang Fan looked down at the X-ray, but didn't force Xu Xian.

"Hey! Are you stupid, or I am stupid. Just do it, but Zhang Fan, I can tell you clearly, the harm is very serious. My teacher is like this, lying in the box now."

"It's not so precarious, and it's not like doing it every day." Zhang Fan smiled, and patted Xu Xian on the shoulder. He didn't expect that Xu Xian was really willing to fight with him.

"Hey! ~ Well, my Director Zhang!" Xu Xian curled his lips.

After notifying the operating room, Zhang Fan and Xu Xian took the fat man to the operating room.

"I don't do surgery!" The fat man looked at the operating room in pain and horror.

"No surgery!" Xu Xian said angrily. "Don't worry, we won't perform surgery on you. We will restore the technique and then put a plaster on you." Zhang Fan explained.

The fat man gritted his teeth and followed them into the operating room. It was also extremely painful!

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