Path of Medicine With a System

"The patient was admitted to the hospital for three days with dizziness, nausea, and vomiting. After the comprehensive examination, no obvious abnormalities were found in all the examinations. After the physical examination, the attending doctor Hu Zengxiang and I accidentally found that the patient's cervical spine was tense at C4 when he lowered his head, and he had paroxysms. Soreness, combined with physical signs, clear diagnosis, and compensatory hyperplasia of the inferior longitudinal bundle compresses the vertebral artery.” Technical unit, technology is king, although Zhang Fan said it very euphemistically, it was accidental or intermittent, taking care of everyone’s face, in fact this It is the comparison of who is more professional, but you have to have an attitude.

After introducing the diagnostic process, the director of the Department of Gastroenterology said: "Don't talk nonsense, this patient is not a manifestation of cerebral hypoxia and ischemia. There is no change in the curvature of the cervical spine on the x-ray. Do you understand? ?”

"Why are you talking nonsense? The signs and physical examination are consistent with the symptoms." Zhang Fan didn't know the situation, and out of respect for the habit of superior doctors, Zhang Fan spoke very politely.

"Zhang Fan, don't worry, what do you think? Don't worry, Director Chen is no longer a doctor in our hospital." Ouyang said.

"Oh! Actually, this is very simple. The patient's ligaments are slightly to the left than ordinary people. Although the long-term desk work and bowing of the head did not cause the curvature of the cervical spine to be deformed, the ligaments have already thickened compensatoryly. If it is not corrected in time If so, it is estimated that the cervical spine will definitely be deformed in the future.”

"It's a bunch of nonsense. Imaging science doesn't support it. What do you know? Do you mean thickening when you say thickening?"

"First of all, there is no RI of the neck in the examination of this patient, only the x-ray. Can the ligament be seen in the x-ray? I can't see how to support it. Second, the hyperplasia of this thickness is estimated to be RI. You can also see Don't come out because you are not professional." Zhang Fan was also angry when he made insulting remarks again and again. But what Zhang Fan said is right, the hyperplasia of this thickness is not caused by the spine, and it really can't be seen.

"Joke! What do you know as a small resident doctor?" Then he walked to the bedside and said to the patient: "I am the director of digestion at the Affiliated Hospital of Di University. I think your disease needs further examination. I can help you contact more Advanced examination." After speaking, he felt that the patient would immediately agree even if he was not grateful.

"Oh, no need! The level of the city hospital is not bad." After Zhang Fan had a corrective treatment, the effect was obvious, and the patient was not stupid. She knew the effect best, so she directly rejected the proposal of the director.

When Ouyang and the doctors in the hospital heard this, smiles appeared on their faces. This patient number is so powerful that the head of the Gastroenterology Department who bounced back can't get off the stage.

"Ah! You should think about it, your symptoms are very serious, don't delay, it's too late to regret if a minor illness turns into a serious illness!" Although he didn't know what happened, he had already reached this point, so he could only continue up.

"We also have the provincial hospital's examination, and we will complete the examination for you later!" The director of the medical department said again.

Both the patient and the patient were puzzled, "What's the situation, why is it so popular all of a sudden!" The husband and wife looked at each other the same way, and they could see the incredible in each other's eyes.

They are a little shaken, they are all ordinary people, how have they received such attention, they are a little frightened. "How do you feel, why don't we go to the bird market?" The husband said to his wife with some doubts.

"I don't know either!" The wife couldn't be sure.

"Look, don't be fooled by them, you should go to Bird City." The director of the gastroenterology department who jumped back was very proud, crushing a hospital by himself!

In fact, this is not because of his strength, but because of the competition between higher-level hospitals and grass-roots hospitals. This is also a headache for the medical community in recent years. Patients do not trust primary hospitals, and they go to provincial hospitals for slightly serious diseases, and even go to the capital and Shanghai. Then these large hospitals do basic work, which leads to the dissatisfaction of patients and doctors in the hospital.

Who is to blame for this problem? I can't answer it!

"It's fine to go to a higher-level hospital. The higher-level hospital is more professional. I won't force you to treat it. But let's put it this way, how many times have you vomited a day since you got sick?" Zhang Fan didn't have the intention of vetoing the patient's idea. The more he objected at this time, The more it makes the patient feel that there is a problem.

"There must be about twenty times!" The patient thought for a while and said.

"Now there are two ways to determine your disease. One is that we do RI now, but even if we do it, some people probably won't understand it. Even though I'm a doctor from a higher-level hospital, I guess I won't be able to get along. Come here Fishing in troubled waters." The director of the gastroenterology department wanted to speak, but Zhang Fan didn't give him a chance, and then said: "Although the second one is time-consuming, it can be regarded as the gold standard. It is now three o'clock. According to your usual vomiting times, That is to say, symptoms of discomfort can appear once an hour on average. From now on, if you still have symptoms of vomiting before ten o'clock in the evening, I will send you to the bird market at my own expense."

Zhang Fan is absolutely sure, and he has been in the liver for two years. If he doesn't even have this confidence, what are he doing? Fan didn't save him face either.

The patient was completely confused, but she was clear that Zhang Fan's treatment was really effective. "Why don't we wait for two days? If it doesn't work after two days, let's go to Bird City again." The patient said to his family.

"How can you procrastinate when you are sick? Do you have any education!" The director of the gastroenterology department said angrily, can you not be in a hurry, sweeping the floor and sweeping the city hospital alone are two concepts, and now he can't go back to the provincial hospital. If the reputation is bad, how can I go to the hospital of traditional Chinese medicine?

"Hi! What are you talking about? Did I invite you to see me? What do you do? Who is your leader? You are a bit lacking in quality. What the hell, do you think you are a cultural person in a white coat? What do you think? Like a chap!"

The patient is not happy, and she has been upset for the past few days, and now someone laughs at her for being uneducated. This is really her pain point. In recent years, college students are not rare. As a high school student, she has a little low self-esteem in the work unit. Now when I come to see a doctor, even the doctor laughs at her, can I bear it! No!

If a middle-aged woman explodes, it is really not something ordinary people can resist. In the public, people will call her a husband, and the director of the gastroenterology department will turn yellow.

"You talk nonsense again, be careful and I will complain to you!" Then he smiled at Zhang Fan and said, "It's really good, I can feel it myself, if I was a little excited before, I would feel dizzy, just now it was really refreshing! "Not only the director of the gastroenterology department, but even her husband's face is wrinkled into a rag!

"How did you treat it!" The director of the gastroenterology department asked a little unwillingly, and he could see that the patient had really improved. Just in the morning, a sluggish woman is now like a congested shrew. He doesn't look like a sick person! This time it's a shame!~

Just as Zhang Fan was about to speak, Ouyang said: "This is something inside our hospital, so I won't bother you, please send your file to the talent center later!"

Even if the gastroenterology department can't continue, Ouyang will not compromise. A woman as strong as a man will compromise with him! He really thinks too much. It is estimated that his going to the traditional Chinese medicine hospital is going to be a mess! If Ouya can let it go, it will not be Ouyang.

In the dean's office, Ouyang pointed to the sofa opposite her office and said, "Sit!"

After Zhang Fan sat down, he wanted to explain. Ouyang waved his hand and said: "This is a small section, I won't say more. But you have to know that you are no longer an ordinary doctor, and your future will definitely not stop here. How far you can go in the future depends on you How capable of self-discipline. What your skills lack now is tempering. If you can achieve self-discipline that others cannot, I believe that there will be a place for you in Huaguo's medical field in the future."

"Understood! Dean." Zhang Fan didn't intend to explain any further. He also understood Ouyang. It's not easy for the dean of a tertiary hospital to be so confiding to you. First of all, this hospital is not her family's, not her personal. Yes, the hospital regards technology as the king, but it doesn't mean that the hospital can't continue to operate without anyone. She is a woman who can bear the pressure and carry the former dean to develop a department into a famous person who can be ranked in the whole province. There is no one under the prestigious name!

And to make a simple analogy, when Zhang Fan is the chief surgeon, if the assistant does not focus on him and has his own intentions, the operation cannot be performed. The hospital as a whole has its own rules and regulations.

The dean will give you face and say something about you. If you don’t give you face and stop your operation, you have nothing to do. Unless this genius can overthrow this system, otherwise one sentence, without obedience, can directly deny you, don’t believe it, especially this kind of national medical system, you cow, try it . Old Zhong Niu? That's going too far.

No matter how good you are, if you want to mix in your physique, let alone other things, you have to obey first. People say a few words about you today, you think you are awesome, you throw away your white coat and leave, what about tomorrow? What if we meet a stricter leader?

Yes, you can go to private hospitals to earn a lot of money, which is too much to count, but for a person who has a system, money is not the most important thing. In the health system, no matter how powerful or talented an individual is, there is no platform behind him. It won't work. Don’t talk about other things, let’s just talk about anticancer drugs. Pfizer will stop selling them as soon as they say so! Huaguo is amazing, but what can you do to me?

The future medical system will pay more and more attention to individualization and differentiation. This goal and concept can only be achieved on a national platform. Let’s not talk about being in the early stage. You must first be able to survive in your physique. Go on and talk about development.

A collective is a group that destroys individual will. Unless you have already begun to lead the collective and you really can’t obey, then jump out of the public hospital, go to a private hospital or open a clinic yourself! So if you want to get ahead in any organization, you must first be able to hang out. If Zhang Fan really is a top-notch person, he won't come to the frontier, and he will go directly to the south!

Also, this leadership concept varies from person to person, and the idea of ​​putting the map in the county hospital is mainly to move people with benefits. After all, the size of a county hospital is limited. But municipal hospitals are different. There are people of all colors. The leaders already have their own leadership characteristics. Ouyang is a strong woman. This is the management method of her. She will give you a benefit after hitting her. It will never make you feel at ease. She just wants you to be tamed. This is a method. There is no right or wrong, only what works or not.

"Well! You have a good attitude. You are still young and you have to go a long way. I haven't seen geniuses before, but how many of them can really shine? So now you not only need to exercise your medical skills, but also to establish What a correct view of the world. Read more autobiographies of famous people. Although they are exaggerated, they will give you a little inspiration. The number of top ten outstanding youths in Chasu City has come down, and you are the only one in the medical system. Big loss!" Ouyang stood up and said the last sentence.

"I got it! Dean!" Zhang Fan also stood up and said, and then said with a bit of distaste: "What exactly is this quota for!"

Ouyang almost hit him with a teacup, "Honor! Do you understand, this is honor, the recognition of you by the municipal party committee, the hospital, and the people. Do you think this honor is not as important as a milk gift box?" .

Zhang Fan hastened to admit his mistake! The more developed the economy, the smaller the government. But places like the frontier are different. People have a strong sense of honor and discipline. When it snows heavily, both adults and children will go to the streets to sweep the snow. When the cotton is mature, the university will go down, and the fourth grade of elementary school will go up. They must participate in cotton picking activities, and they must pick a certain amount every day. Cotton, which you might scoff at and call them stupid.

Let’s talk about the militia. On the frontier, there are no troops within 500 kilometers of the national border. There are only armed police and no heavy weapons. This is a contract signed between Huaguo and other countries. There are actually a lot of dirty things between countries. Whenever something big happens, what should we do if we don't have enough troops? Impossible to transfer troops, my country Hua will lose face! I am also a superpower anyway!

With an order, you go to see the frontier. They are all green military uniforms with no epaulets and no firearms. Everyone has a uniform shovel handle. Big trucks hit the streets one after another, and there were no millions, just a hundred thousand or so troops. If war is really going to happen, weapons will be issued directly. These people are usually either farm workers or employees of various units. They are usually ordinary people, but they will set time to train every year. Serious training, live ammunition and death quotas!

In special places, people pay more attention to obedience and discipline. Moreover, the hospital also pays great attention to the obedience and discipline of doctors. Not to mention the quality of obedience and discipline, this thing is a product of power, but can a place like a hospital not emphasize discipline and obedience? No, the epidemic is here, without the usual training, doctors and nurses take off their white coats and run away!

Why don’t the military hospitals disband or reduce the establishment? This is the last line of health defense reserved by the country for the people or for the country! At critical moments, these people can sacrifice at any time~! Don’t believe it! It’s not an argument, This industry is too special, you can’t bear even a little bit of grievance, then don’t do it, the sick number will piss you off! ()