Path of Medicine With a System

,!

The two leaders of the school didn't believe it until they left Chasu Hospital. It was rumored that Zhang Fan, who would have to pull a hair in the past, was so talkative. Not only was he willing to accept the clinical department, but he also wanted to invite other disciplines to come.

Of course, clinical results have already been achieved, and other disciplines are not necessary, so the two leaders declined. They didn't even use the internship fees they had prepared, and the two left Cha Su happily.

Let the whole team members of Chasu pick up and send them off again and again, they feel very face-saving, Zhang Fan of Chasu respects knowledge very much!

Looking at the two school leaders who left, Zhang Fan sighed slightly.

"It's too hasty! Shouldn't we talk about all the subjects just now? You should talk about anesthesia first, and then talk about oral cavity. It's unrealistic for you to ask people to come over all the subjects."

Hearing Zhang Fan's sigh, Ouyang smiled and said something to Zhang Fan.

She wasn't disappointed at all. To be honest, it was very difficult for Chasu Hospital to get a student who graduated from a medical university to do an internship, but now it has almost got a clinical college to come here, and she is quite satisfied.

"Oh, what a pity!"

Modern medicine can be roughly divided into four categories, preventive medicine, health care medicine, clinical medicine and rehabilitation medicine. Although everyone is equal, in the current medical field, unless some small and wealthy countries pay more attention to rehabilitation and health medicine, even golden retrievers are the most powerful in clinical medicine.

There are so many clinical disciplines, such as basic science, pharmacology, anesthesia, public health, nursing, and testing. These are actually peripheral disciplines. Clinical alone is not enough, so Zhang Fan is a little disappointed.

It takes a long time to take one subject, when will we be able to get the team together!

Zhang Fan sighed, people are very strange, when he was in Quark, it was also winter, and he was so cold that he was reluctant to buy clothes, he would think that he could develop into a school that cared about others? Still a university?

The students entered very quickly, especially the fifth-year students. Of course, not all the students came, anyway, everyone who wanted to have some ideas about medical treatment came. Those who only want to stay in Niaoshi and enter the affiliated hospital will definitely not want to come to Chasu.

...

"Since the students are here, we have to stay well, not only in terms of medical technology, but also in terms of medical quality. I don't want to hear any complaints that will affect the students."

On Monday, Zhang Fan held a rare general meeting of the whole hospital. In the past, Ouyang often did this, calling for all the doctors and nurses to hold a meeting when he had nothing to do. In Zhang Fan's era, Zhang Fan rarely organized meetings.

Even Monday's academic meeting will not be held if it can't be held. This time, the entire academic meeting made everyone a little uncomfortable.

"Why does Heimaimaijiang attach so much importance to student children?"

"I do not know,

Guess what's wrong with holding back, don't look at him smiling all day, but he's actually listless. "

The nurses got together with great difficulty, muttering to Zhang Fan, talking loudly at the top and whispering at the bottom, which made Yan Xiaoyu take the microphone and shout directly: "Pay attention to the discipline of the venue, those who get together, why don't you come up and talk!"

Zhang Fan didn't care either, although everyone didn't pay attention to this matter, they were all listening, and there was no need for everyone to do straight and straight with their hands behind their backs like kindergarten children.

Since you are going to take students with you, you have to take care of them well. The director and deputy chief physician are responsible for the teaching of students in the entire department, and the attending doctor personally guides the students.

Even Li Cunhou brought seven or eight students with him, and the Cha Su Hospital that he created for a while seemed to resemble the Wanzi Hospital.

A director went out with five or six students, and he was like a big boss with social status.

Zhang Fan also brought students, these students are not fixed, one department for a month, Zhang Fan is in the Thoracic Surgery Department recently, so he brought students from the Thoracic Surgery Department.

Following Zhang Fan's four students, there was an inexplicable excitement. Now the medical role models in the border areas are no longer Lao Zhong who participates in surgery or Lao Hu who studies cardiac electrophysiology, but Zhang Fan from Chasu Hospital.

Especially boys, everyone thinks that old Zhong and old Hu are not as good as Zhang Fan, who can be the dean after graduation, so when Zhang Fan brought four boys into the operating room, these boys had a feeling of certainty. If you want to learn well, you may be able to copy Zhang Fan's ideas after graduation.

"Zhang Yuan, today the second hospital sent a patient whose chest wall is covered with tuberculosis beads!" The director of the chest surgery said from a distance after seeing Zhang Fan.

"Okay, leave it to me, you guys do other operations."

"Is it okay to let Jin Leshan and his team be your assistants?" the director of the chest surgery asked Zhang Fan while signing for the little doctor next to him.

"Just ask Jin Leshan to bring someone here, don't I have several assistants!" Zhang Fan said with a smile.

The director outside the chest stopped signing, looked at the four interns behind Zhang Fan, and then gave Zhang Fan a strange look, but said nothing.

After Zhang Fan finished speaking, he turned his head and asked the four students: "You are all in the fifth grade, and you will enter the clinic even if you are studying for graduate school. How is it? Do you have the confidence to be my assistant?"

"have!"

"Teacher, don't worry, when I was in the class, I got full marks in animal surgery!"

"Okay, it looks like a good candidate for surgery!" Zhang Fan laughed.

The director on one side of the chest pouted, but didn't say a word.

Ordinary hospitals, not hospitals specializing in infection, generally do not have specific infection operating rooms.

For example, there are three surgeries, one for normal appendix, one for tuberculous appendix, and one for mastectomy.

No matter how early in the morning you enter the operating room for appendix tuberculosis surgery, you have to wait until the breast mass is completed, the normal appendix is ​​removed, and the appendix with tuberculosis is operated on before entering the operating room.

Moreover, after other operations are completed, this operating room can continue to the next operation, but after the tuberculosis operation is completed, this operating room will be shut down and must be continuously disinfected for 24 hours before it can be used again.

In the afternoon, after all the surgeries were over, Zhang Fan's surgeries were ready to start.

Entering the operating room, Zhang Fan didn't have to do anything. These interns began to disinfect and spread the sheets quite autonomously. Although the movements were so stiff that people's teeth were sour, they did not violate the aseptic rules.

Because Bayin has a big belly and has gone home for maternity leave, the head nurse in the operating room is now concurrently served by the former head nurse and now the nursing director.

The director of the Nursing Department stood on the side like a tiger, watching these students' operations covetously. Don't look at Zhang Fan who is also on the side. If they violate the asepsis rules, don't worry, they will be kicked out of the operating room, and then they will die for the rest of their lives. Will not do it again.

"Zhang Yuan, here I come!" After the patients were anesthetized, Jin Leshan, who was attending the chest surgery, ran into the operating room.

"Are there many operations today?" Zhang Fan saw the sweat beads on Jin Leshan's forehead, and knew that this guy had just had an operation.

"A lot, it's several times more than before." Rubbing his hands covered in white gloves, Jin Leshan was about to brush his hands and change his clothes.

"Seize the opportunity. There are not many such opportunities. Whether you can break through your bottleneck depends on this period of time. The thoracic surgery department has not yet emerged. It depends on who among you attending doctors can jump out first!"

Zhang Fan said something softly, and Jin Leshan, who originally planned to go home after the operation, nodded solemnly without saying a word. While brushing his hands, he thought about Zhang Yuan's words in his mind.

Then I decided that if I didn't plan to go home for the past six months, I should revisit the position of the general hospitalist.

In medical treatment, especially in large hospitals, there is no such thing as success without effort. Especially at the level of attending, just like in the army, one step at a time, if you can't step up on time, there will be no future in the future.

For example, if a battalion commander does not go up within a certain number of years, what he is waiting for is to take off his military uniform and go home, and the same is true for attendings. The academic leader has nothing to do with you.

At the beginning of the operation, Zhang Fan was the chief surgeon, and Jin Leshan was the first assistant. Zhang Fan arranged for four interns to undergo surgery. Originally, two more interns would be enough, but Zhang Fan arranged for four interns.

The patient was originally a small female patient, and she raped six big men at once, as if it was a so-called meeting.

"Knife!" The director of the nursing department came on stage as an equipment nurse.

To be honest, the doctors and nurses in the hospital really don’t like to operate on infected patients. Really, in the early years, there was a hospital where an AIDS patient suffered a fracture in a car accident, and all the departments went on strike, and then the department director brought The deputy director performed the surgery himself.

Sometimes there is no way to talk about this matter. It is said that doctors should not do this, but then I think about it, what if an accidental occupational exposure is caused, so gradually an unwritten rule has been formed in the medical industry. It is the leader who goes first.

This is one of the reasons why the chief of surgery is so arrogant.

"Everyone, be careful. A few students should pay more attention. Don't be careless, this tb patient."

Holding the scalpel, Zhang Fan said softly when the knife was being cut.

Then don't talk nonsense, start the operation directly. A large S-shaped incision was drawn in a parallel direction directly from the patient's lower medial border of the scapula and the key line of the spine.

The skin was gently opened, and the yellow, white and red three-layer tissue was like a strawberry bread sandwich, and the bright red juice slowly flowed out.

Coagulation, gauze, aspirator, all of a sudden the operating room is like a barbecue kitchen. To be honest, doctors who do a lot of operations don’t need to see the patients, just smell the smoke from the coagulation. You can know how fat or thin the patient is.

Thinner patients have a smell of rotten eggs, because there is less fat, and the smell of rotten eggs is emitted after the protein is burned after muscle burns, while fatter patients have more fat, and there is really a kind of smell that is not put on the barbecue stall after electrocoagulation. The aroma of burning fat before the seasoning.

The incision continues. From the junction of the trapezius muscle and the rhomboid muscle, the rongeur directly bites the ribs, and the ribs are snapped, snapped, and snapped. The thin ribs of women are like cutting lamb chops, and they can easily emit a brisk feeling. click.

After opening the chest cavity, the patient's chest wall was covered with chrysalis like caterpillars before they hatched. Against the surrounding bright red muscles and blood, the bluish-gray objects appeared a strange paleness. .

The densely crawling chrysalis made a group of interns' hair stand on end in an instant, and they felt like this thing could crawl onto themselves.

"Come on, touch it and feel it, this is the beaded lesions of tuberculosis!"

How Zhang Fan was taught by the teacher back then, Zhang Fan is now taking care of the students. Just like the dermatology department at the beginning, it's a big move as soon as it comes up!