Medical road - Chapter 1491
Academician, darling, this Zhang Fan is so wild! “I reserve my opinion!” The old man shouted and was busy preparing quickly according to Zhang Fan’s instructions.
In this case, the doctor can’t get involved, and this group of monsters is here. Otherwise, most doctors don’t know what to do now.
The old man must have an opinion, because this guide was compiled by others. It is obvious that Zhang Fan feels that he is not good enough and does not walk according to the path he has drawn, which makes the old man feel that he has been greatly humiliated.
Although the heart is quite dissatisfied, there are still some professional ethics. The guide is nothing more than rules and regulations and industry laws.
Medical clinical guidelines are not the first in China. Various university departments, such as endocardium and respiration, publish some modifications every year by the world authoritative institutions of endocardium and respiration. It’s hard to say exactly what year China began.
But this thing is quite wonderful in China. In foreign countries, we change the treatment according to the latest research. In fact, we shout: the blood pressure can’t be maintained at 140. We should pay attention.
In China, the guidelines are customized by the Chinese Medical Association. Most of them copy the latest foreign guidelines and then make some modifications. The publication is published by the Department of health.
At first, no one paid attention to it! Later, the units in charge of health and medical insurance were fooled by the following hospitals and doctors. They couldn’t make ends meet every year. This thing was valued.
Then, many experts were invited to revise and formulate this guide every year, which was far from the original purpose. The guide became a framework, such as appendix surgery, what drugs to use before operation, what drugs to use after operation, how much to spend in the hospital for a few days.
People have made it for you. As long as it exceeds this standard, I won’t reimburse you for the hospital.
On the one hand, the leaders in charge of health and medical insurance have something to base on, just like the primary school exam, they have reference answers. It is not so easy for doctors and hospitals to fool leaders. Unlike before, cheating health leaders is like cheating fools.
This thing, engage in professionals, or professionals.
But there is also a bad side. Medical treatment is not such a simple thing. In case of special circumstances, what about the treatment principles beyond the guidelines?
If it is successful, you will say that the doctor is awesome and the clinical guidelines deny such treatment, but he cured the patient!
But what if it fails?
So, after the guide, top hospitals go down, there is no genius!
Because to treat beyond this standard, doctors will put themselves in great danger. Without a strong backing, doctors dare not have the opportunity to open their brain holes.
Therefore, medical treatment has the smell of an assembly line. Get a literate dog in and you can also prescribe treatment for your patients!
Of course, the advantages outweigh the disadvantages, but for Zhang Fan, a talented doctor in the eyes of outsiders, the guide is a reference.
……
Diuretic diuresis, strong heart, dehydration dehydration. It can be said that all patients in the country may not be able to have such treatment on a few.
Young leaders in the medical field can only do chores here, and they don’t even have the right to speak.
At this time, there was only one voice giving oral medical advice. Six or seven academicians, under the mobilization of Zhang Fan, hurried to do the corresponding work.
The old men looked at each other occasionally, and they could see a kind of wronged look in each other’s eyes.
Disinfection, towel laying and clicking, the shadowless lamp turned on.
The director of the nursing department quickly dressed Zhang Fan in surgical clothes, “Dean, don’t take off your hat. This patient is…”
Whispered to Zhang Fan secretly, the dean of his family was distressed, and the director of the nursing department used to be Zhang Fan as a housekeeper in the operating room.
“What nonsense? If I don’t take off my hat, can I see it clearly? Come on, take it off!”
The director of the nursing department took off Zhang Fan’s hat in tears and quickly changed into a surgical mask.
When other surgeons saw it, the Dean threw himself out and could only follow him here.
This thing is like this. Brothers rush with me and brothers rush for me. The effect is different.
Patients with drug-resistant bacteria, in a confined space, are directly a source of poison. No one can guarantee that taking off your hat will not be infected.
But can you care now?
Forget it!
When Zhang Fan took off his hat and a group of tea vegetarian surgeons took off their hats without any complaints, several foreign academicians and old men finally weakened their grievances in their eyes.
But such people are definitely people who touch the south wall, don’t touch their heads and blood, and never look back. Even if Zhang Fan moved them, they believe that Zhang Fan’s choice is wrong.
Even some old men have thought about it. In the future, this experiment will let Zhang Fan think in the office. There is no need to come to the laboratory. If you come to the laboratory, NIMA will make trouble.
Pop! Pop! Pop!
The surgical instruments were quickly placed. Disinfection, sheet laying and Zhang Fanyi looked back and saw that the director of the nursing department also took off his protective helmet and stood on the operating table as an operating nurse, “you…”
Zhang Fan shook his head. Why are the people under his hand so stubborn? Why can’t he suffer a little injustice!
The operation began.
“We must be careful. We must pay attention to that this is a patient with drug resistance to tuberculosis. Once someone’s hand is cut by acupuncture or knife, we must deal with it at the first time and start to treat it!” With that, Zhang Fan stretched out his hand.
Pop! The scalpel was firmly placed in Zhang Fan’s hand.
While the assistants were neat and uniform, they began to pull the muscles slightly outward along Zhang Fan’s skin to be cut with gauze.
Several old men and medical researchers on the other side looked at Zhang Fan’s surgical team and were slightly amazed.
“It’s hard to say how the boy’s operation is done. It’s estimated that this team and its cooperation ability can enter the top three in the country.”
Click, click.
After opening the chest, just like the Tibetan mastiff biting the bone, the sternum is broken under the biting forceps.
Boom!
Blood flowed out.
Not only Zhang Fan, but all the faces of one and two AIDS spewed blood.
The three assistants covered the bleeding position with their hands at the first time.
“Come on, xinjieermian! Come on, wipe Zhang Yuan. Be careful not to enter your eyes!”
The nursing director’s shrill voice came out!
“I’m fine. Wipe them first. I closed my eyes in advance.”
Zhang Fan explained his situation for the first time.
“I’m fine, I closed my eyes!” Luo Zhengguo said quickly.
It’s all right! This is the doctor’s conditioned reflex.
When the blood is angry, both hands should cover the bleeding point at the first time, and the eyes must be closed tightly.
“Academician Xia, there is pulmonary embolism. The patient has pulmonary embolism. I have seen the embolic point!”
“Embolism?”
“For embolism leading to large-area pulmonary edema, it is not caused by drugs, not drugs!” Zhao Yanfang, standing behind Zhang Fan, was about to cry. He shouted loudly to several old men around him.
“If not, if not!”
The operation continued. Several people quickly cooperated, ligated and dredged, and a fat embolus was pulled out of the blood vessel.
After almost eight hours, the operation was finally over.
A group of academician old men from head to tail, their legs are soft. However, when the operation was completed and the patient’s vital signs were obviously normal, the old men looked at Zhang Fan differently.
In the past, I heard that Zhang Fan operated on cattle, but people, especially some people who are great in their own field. Although they are not surgeons, they are also doctors, so the so-called operation of a hairy boy is powerful.
There is always a feeling in my heart.
But now, it’s different. NIMA is really seeing is believing. In such a crisis, people can make a decision directly. It’s not only about the level of surgery, but also courage and responsibility!
“It seems reasonable for the state to let him be the director!”
The academician of the digital hospital said to the academician of the golden mean around him.
After the operation, Zhang Fan and his doctors were as red as rouge. They looked very much like the two regiments of plateau red.
“It seems that my guide still has shortcomings. Xin Kui has a hospital today!”
After the operation, after the patient’s state was stable, the academician of the digital hospital found Zhang Fan for the first time, and the old man was also aboveboard.
“You see what you said, you are a physician after all, aren’t you!” Zhang Fan smiled.
……
A not unexpected accident completely made the laboratory staff a collective. Sometimes people are cheap.
When things don’t happen, they go their own way and feel that they have a set.
And then it’s inappropriate for anyone to look at it.
But when everyone suffered a so-called disaster, no one had to stand up. This group of people automatically became a collective.
Does this thing have a difficult friend to say?
After an accident, although it was not caused by drugs, the patient almost suffocated and died.
But later medication, more cautious.
Teamwork is also more natural lubrication.
It’s like an accident, which makes everyone’s body produce a kind of lubricating oil.
One patient, ten patients, one hundred patients, one patient, the first phase of medication is over.
In sputum culture and pharyngeal swab examination, tuberculous flora decreased significantly.
The phase II experiment continued.
After the experimental medication, the report was sent directly to the general manager through the local military region.
To tell the truth, if you sell this report to Pfizer Roche and other enterprises in Jinmao, NIMA’s tens of billions are exaggerated, but billions are definitely no problem.
The general manager took the tea vegetable report and read it word by word very carefully. After reading it, the old man sighed a long sigh.
“Professional matters still need to be solved by professional people. Please come and visit Academician Li of the research institute!”
Nima was an old man who didn’t understand for a long time!