Medical road - Chapter 1504
The two leaders of the school didn’t believe it until they left the tea vegetable hospital. It is widely said that Zhang Fan, who used to drag the roots of a bird, was so talkative that he was not only willing to accept the clinical department, but also wanted other disciplines to come.
Of course, clinical achievements have been made, and other disciplines are not necessary, so they were declined by the two leaders. They didn’t even use the internship expenses they prepared. The two happily left tea vegetarians.
Let the members of the whole team receive and send tea. They feel very face-saving. Zhang Fan of tea respects knowledge very much!
Zhang Fan looked at the two school leaders who left and sighed slightly.
“It’s too hasty! You shouldn’t talk about all subjects just now. You should talk about anesthesia first, and then oral cavity. It’s unrealistic for you to let people come over all subjects.”
Ouyang heard Zhang Fan’s sigh and said a word to Zhang Fan with a smile.
She was not a little disappointed. To tell the truth, it used to be hard for tea vegetable hospital to want a medical university graduate to practice. Now it has almost got a clinical college directly, which is quite satisfactory.
“Oh, what a pity!”
Modern medicine can be divided into four categories: preventive medicine, health care medicine, clinical medicine and rehabilitation medicine. Although it is said that everyone is equal, in the current medical industry, unless some small and rich countries pay more attention to rehabilitation and health care medicine, even Jinmao is only the most powerful clinical medicine.
There are many clinical disciplines, such as foundation, pharmacology, anesthesia, public health, nursing and testing. In fact, these are all peripheral disciplines. Clinical alone is not enough, so Zhang Fan is a little disappointed.
It’s only a subject for a long time. When can we get together!
Zhang Fan lamented that people are very strange. When he was in Quark and was reluctant to buy clothes in winter, would he think that he could develop to a school that cares about others? Or a university?
The students entered very quickly, especially the fifth year students. Of course, not all the students came. Anyway, those who want to have some ideas on medical treatment came. Those who only want to stay in bird city and enter the Affiliated Hospital in the future are certainly unwilling to come to tea.
……
“Now that the students are here, we should stay well, not only in medical technology, but also in medical quality. I don’t want to hear anything full of complaints affecting the students.”
On Monday, Zhang Fan held a rare general meeting of the whole hospital. In the past, Ouyang often did this. When he had nothing to do, he called for all doctors and nurses to have a meeting. In the era of Zhang Fan, Zhang Fan rarely organized meetings.
Even Monday’s hospital affairs meeting can not be held. This whole hospital meeting makes everyone a little uncomfortable.
“Why does heimaijiang attach so much importance to student babies?”
“I don’t know. It’s estimated that he’s holding something bad. Although he smiles all day, he’s actually wilting.”
The nurses managed to get together and murmured to arrange Zhang Fan. They spoke loudly and quietly. Yan Xiaoyu took the microphone and shouted: pay attention to the discipline of the venue. Those who get together, why don’t you come up and talk!
Zhang Fan doesn’t care. It doesn’t matter if everyone doesn’t pay attention. In fact, they all listen. There’s no need to make everyone do it straight with their back hands like the children in the kindergarten.
Since you want to take students, you should take them well. The chief physician and deputy chief physician are responsible for the student teaching of the whole department, and the attending physician personally takes the students to start.
Even Li Cunhou brought seven or eight students. For a while, the tea vegetable hospital seemed to look like a pill hospital.
A director went out with five or six students. He was like a big man with social status.
Zhang Fan also brought students. These students are not fixed. One department is a month. Zhang Fan has been in thoracic surgery recently, so he brought students of thoracic surgery.
There is an inexplicable excitement with Zhang Fan’s four students. Now the medical model in the border areas is no longer an old clock involved in SARS and an old Hu studying cardiac electrophysiology, but Zhang Fan of tea vegetable hospital.
In particular, boys feel that what old clock and Hu are not as good as Zhang Fan, who can be the Dean after graduation. Therefore, when Zhang Fan takes four boys into the operating room, these boys have a feeling that they must learn well and maybe they can copy Zhang Fan’s idea after graduation.
“Zhang Yuan, today the second hospital sent patients with tuberculosis beads on the chest wall!” When the director outside the chest saw Zhang Fan, he said from a distance.
“OK, leave it to me. You can do other operations.”
“Can Jin Leshan and his team be your assistant?” The director outside the chest asked Zhang Fan while signing for the little doctor next to him.
“Let Jin Leshan bring someone over. Don’t I have several assistants!” Zhang Fan said with a smile.
The director outside the chest stopped his signing hand, looked at the four interns behind Zhang Fan, and then looked at Zhang Fan strangely, but he didn’t speak.
Zhang Fan then turned to the four students and asked, “you are all senior five. Even if you go to graduate school, you will enter the clinic. How about being an assistant for me? Do you have confidence?”
“Yes!”
“Teacher, don’t worry. When I was in class, I got full marks for animal surgery!”
“Well, at first glance, it’s a good seedling for surgery!” Zhang Fan smiles.
The director outside his chest glanced and didn’t say a word.
General hospitals, not specialized infectious hospitals, generally do not have specific infectious operating rooms.
For example, there are three operations, a normal appendix, an appendix with tuberculosis, and a breast mass resection.
No matter how early you enter the operating room in the morning, you have to wait until the breast mass is completed and the normal appendix is cut off, and the appendix operation with tuberculosis can enter the operating room.
Moreover, after other operations, the operating room can continue the next operation, but after tuberculosis surgery, the operating room will be stopped and can be used only after 24 hours of continuous disinfection.
In the afternoon, when all the operations were over, Zhang Fan’s operation was ready to start.
After entering the operating room, Zhang Fan didn’t want to do anything. These interns began to have quite independent disinfection sheets. Although they were stiff and could make people see dental acid, they didn’t violate the aseptic rules.
Because Bayin has gone home for maternity leave, the head nurse in the operating room is now concurrently held by the former head nurse and the current nursing director.
The director of the nursing department stood on one side like a tiger, eyeing the operation of these students, although Zhang Fan was also on the other side. If they violated the aseptic rules, they would be driven out of the operating room, and then they would never do it again in their life.
“Zhang Yuan, I’m coming!” After all the patients were anesthetized, Jin Leshan, the attending physician outside the chest, ran into the operating room.
“Are there many operations today?” Zhang Fan saw the sweat beads on Jin Leshan’s forehead and knew that the goods had just been operated on.
“More, several times more than before.” Rubbing his white hands covered with gloves, Jin Leshan is ready to brush his hands and change his clothes.
“Seize the opportunity. There are not many such opportunities. Whether you can break your bottleneck depends on this period of time. Thoracic surgery is not sharp yet. It depends on who can jump out first!”
Zhang Fan gently said that Jin Leshan, who originally planned to go home after the operation, solemnly nodded without saying a word. While brushing his hands, he thought about Zhang Yuan’s words in his mind.
Then he decided that if he was not going home in the past six months, he should review the general position of hospitalization again.
In medical treatment, especially in large hospitals, there is nothing that can succeed without paying. Especially at the level of governance, just like in the army, step by step. If you can’t step on it on time, there will be no future in the future.
For example, if a battalion commander doesn’t go up in a certain number of years, what he is waiting for is to take off his military uniform and go home, and so is the chief treatment. If he doesn’t take the lead in entering the ranks of deputy directors in the Department at the same time, don’t think about it. In the future, the Department Director and discipline leader have nothing to do with you.
At the beginning of the operation, Zhang Fan took the lead and Jin Leshan helped. Four interns were arranged for the operation by Zhang Fan. Originally, two more would be enough, but Zhang fan arranged for four.
The patient was originally a small female patient. He fell in love with six big men at once. It seemed like the so-called meeting.
“Knife!” The director of the nursing department took the stage as an instrument nurse in person.
To tell the truth, the doctors and nurses in the hospital really don’t like the operation of infectious patients. Really, in the early years, a hospital encountered an AIDS patient with a car accident fracture, which caused the departments to strike, and then the director of the department took the deputy director to the operation in person.
Sometimes there is no way to say this. Normally, doctors shouldn’t do this, but on another thought, what if a person accidentally becomes an occupational exposure, so an unwritten rule gradually formed in the medical industry, who is the leader first.
This is one of the reasons why the chief of surgery is so arrogant.
“Everyone should be careful. Several students should also improve their attention. Don’t be careless. This TB patient.”
Holding the scalpel, Zhang Fan said softly when he cut the knife.
Then without nonsense, start the operation directly. A large S-shaped incision was made directly in a parallel direction from the lower edge of the patient’s scapula, the medial edge and the key line of the spine.
The skin opened gently. The yellow, white and red tissue was like a sandwich of strawberry bread, and the bright red juice slowly flowed out.
Electrocoagulation, gauze and attractor are the same as the barbecue kitchen. To tell the truth, doctors who do more surgery do not need to see the patient. Just smell the smoke from electrocoagulation, you can know the patient’s fat and thin.
Thinner patients have a smell of rotten eggs, because there is less fat. After muscle burns, the smell of rotten eggs is emitted after protein burns, while fatter patients have more fat. After electrocoagulation, there is really a smell of fat burning before seasoning is put on the barbecue stand.
The incision continues. After the junction of trapezius muscle and rhomboid muscle, the bone biting forceps directly bite the ribs, and the ribs are broken by cards, cards and cards. Women’s thin ribs can easily make a light click like a lamb chop.
After opening the chest cavity, I saw that the chest wall of the patient was covered with pupae like caterpillars before hatching. The cyan gray objects looked particularly strange and pale against the surrounding bright red muscles and blood.
The dense pupae made the hair of a group of interns stand up in an instant, and there was a feeling that this thing could climb onto themselves.
“Come on, you touch it and feel it. This is the beaded lesion of tuberculosis!”
How did the teacher take Zhang Fan back then, and how does Zhang Fan take the students now. It’s like the original dermatology department. It’s a big move as soon as it comes up!