Path of Medicine With a System

In the urology department, Zhang Fan's patient numbers have increased, and his level has been demonstrated, so there is no reason for others to grab Zhang Fan's patient numbers. Lu Shuyan helped a lot, otherwise Zhang Fan would really have to work overtime to do it alone.

Zhang Jingshu had nothing to do during the day, and it was boring to stay at home, so Zhang Fan enrolled her in a driving class to learn a driver's license. This year, there seemed to be more private cars in the urban area overnight. From now on, driving will be considered a way of life. Skills, learn it early while you are free now.

In the evening, as long as Zhang Fan has time, he will take Shaohua and Jingshu to find delicious food in the city. Jingshu is really a foodie, and the mouth is full of naan pit meat and grilled lamb chops, but Zhang Fan and Shaohua can't do it , can't eat much, and she doesn't think it's too hot on a hot day, and she can't eat enough.

Kidney stones, the department admitted a special kidney stone, Haimu Dula and his superior doctor performed a kidney stone crushing, the operation was successful, and the patient was almost discharged. But something happened the night before I was discharged from the hospital.

Zhang Fan is on duty, and Lu Shuyan is also there. Now that there are too many patients, she also has to write medical records on the night shift. It was too late to finish writing the medical records, so I lived directly in the nurse's lounge.

At three o'clock in the morning, ordinary people have already entered a state of deep sleep. Not long after Zhang Fan and Lu Shuyan lay down, there were too many patients, pasting up the test sheets, writing the course of the disease, changing the medicine, and a lot of work. There are two operations tomorrow, talk and sign It didn't take long to finish.

Just as he was about to fall asleep, he heard a nurse knocking on the door, "Doctor Zhang, hurry up and check on Bed Fifteen. There is blood in the urine, and the blood volume is not small." Zhang Fan got up, grabbed his white coat and left the duty room.

Fifteen beds of men in their thirties are patients with gallstones in Haimudura. Zhang Fan quickly walked into the ward and saw that there was about 300ML of bleeding in the washbasin. Because it is not Zhang Fan's patient, the specific situation is not known. Zhang Fan quickly did a simple physical examination, looked through the medical records again, and secretly cried out, "There is bleeding in the kidney, probably a broken blood vessel."

"Hurry up and call Haimu Dula, and tell me that bed 15 has had blood in the urine." After explaining to Lu Shuyan, Zhang Fan then said to the family members: "Don't worry, it's probably a small blood vessel that ruptured and needs emergency surgery." .I will prepare the signature form, which will be signed by the family members later.”

The patient's wife was accompanying the fifteenth bed. Seeing this amount of blood in the urine, her face turned pale, and she stood there at a loss, her lips trembling violently. Zhang Fan came out of the ward and said to the nurse, "Replenish the fluid! Give the hemostatic medicine, and refill after the doctor's order."

Then, I called the imaging department. Although the amount of bleeding was not large, the intrarenal hemorrhage could not be resolved with drugs, and could only be treated with interventional embolization.

The director of the imaging department also lives in the hospital's family courtyard. After making the call, Zhang Fan felt that something was wrong, and hurriedly called Wang Zongyu again. If something happened to the patient, he had to report to the superior doctor first. Zhang Fan called the imaging department directly, which was a bit irregular.

Upon hearing this, Wang Zonghui hurriedly said: "Hurry up and call the director of the imaging department, and prepare to intervene in the embolism. I will be there soon, and you should make preoperative preparations first." Ashamed, he entered the department. Zhang Fan and Lu Shuyan had already prepared for the operation.

Haila and Wang Zonghui knew that Zhang Fan's judgment was correct when they saw the patient number. It is estimated that a small blood vessel in the kidney ruptured.

"The director of the Imaging Department called and said that they are ready! Let us send the patients there." The nurse on duty notified several doctors.

"Okay, send the patient number. All the signatures that need to be signed are finished. Xiao Lu is on duty in the department. A few of us will go over and have a look." After Lao Wang finished speaking, he set off first. The patient number was escorted by junior doctors and nurses. worry.

Hela was very grateful and admired Zhang Fan when he intervened in the room. He had encountered this kind of situation when he first entered the department. At that time, he thought it was a simple bleeding and didn't pay attention to it. Rescue in time or it will be a life.

"My brother, thank you very much."

Although this is what Zhang Fan should do,

But Zhang Fan handled it in a timely manner. He made phone calls, contacted superior doctors, contacted relevant departments, talked and signed, everything was done well, and he did quite well.

"It's okay, you're being polite. It's all as it should be. But you're quick enough."

"Hey! I have to learn to drive and buy a car. It's really troublesome at the critical moment of the night. I waited for a long time to get a taxi, and the driver made me angry!"

The problem with the patient number is not serious, because it was discovered in time and the operation was successful. After a few days, Zhang Fan also slowly integrated into the environment of the urology department. They are all old men. First, they couldn’t understand the director’s attitude towards Zhang Fan. Second, Zhang Fan was too young. Zhang Fan can make everyone accept him no matter in business or in life.

"Brother, this is a hemostatic drug (commission), yesterday you used two, eight yuan you put away." Haila wanted to give Zhang Fan the money, Zhang Fan said with a wry smile: "Brother, I really look down on people Ah, you can just take the money, and you have to give it a special trip, so it's boring!"

"Hey! I don't know you yet!~ It's okay, I understand. I'll treat you to some mutton when you rest in a few days."

Although the director of the Department of Urology went to the outpatient clinic after the morning meeting in the morning, he seemed not to care about the work of the department at all. In fact, he had already subdivided the management of the department to many people.

The one who manages drug rebates, the one who collects equipment commissions, the three sub-highs, and several attending physicians all have jobs. With such a point, not only is he free, but he can't be found in the department because of money matters, and the doctors below are also Can supervise each other!

Although this feels good, he can hardly bear much responsibility, but because of his personality, he can only stop at the director of the department. Really, this society is very contradictory.

On Friday, Hela received the sick number. The director admitted a patient with severe left hydronephrosis, who had lost the possibility of conservative treatment, and the best treatment method was to remove the left kidney.

Normally, this kind of sickness can only be done on Tuesdays and Wednesdays, because many checkups cannot be done on weekends. But the family member of this patient has a distant relative who works in the municipal party committee. They are typically not in a hurry before seeing a doctor, but not in a hurry after seeing a doctor. They think it is good to have an operation early, and their relatives are considered small officials in the municipal party committee.

Through various relationships, a section chief of the health bureau finally called the director of the urology department. The implication was that the operation should be performed on the weekend.

Under normal circumstances, Li Jianguo would never have an operation in advance, and he would have an operation before the examination is complete, just kidding! This is a huge risk, and according to his cautious personality, he would never do it, but this section chief has some real power, and there is a possibility of promotion, so Lao Li urged the doctors below to do the inspections that can be completed as soon as possible Finish.

The director was in a hurry, Hela accompanied the patient to do the checkup, and the attending doctor was sweating profusely like a nurse, running back and forth to clear the various medical technology departments. In this way, the routine inspection is completed, but there are still some special inspections that take time, and they can't be done even if they are urged!

Li Jianguo looked at the test results reported, the patient's vital signs are normal, there is no chronic disease, and the age is not too old, so he said: "That's it, arrange an operation tomorrow morning, Dr. Hela and Dr. Zhang will add another one tomorrow morning." Ben, and I did the surgery."

"Okay, Director." Zhang Fan replied.