Path of Medicine With a System

After the operation was over, Zhang Fan and the director of general surgery performed the operation, and the head nurse hurried over, "Yuan Zhang, the director called you to go to the administration building."

"Did you say something?" Zhang Fan was a little puzzled. Since becoming the assistant to the dean, Ouyang seldom assigned Zhang Fan to do anything.

"I didn't say anything, I just told you to go there immediately after the operation." The head nurse looked at Zhang Fan enviously, she also wanted to go, but the director refused!

"Director Zhao, I'll go and have a look first, you just keep an eye on it, I'm afraid the patient can't help but secretly eat." Zhang Fan explained to the director of the general surgery.

"You go! Don't worry, it's okay. I'm watching."

Doctors are like this. Before the operation, they need to treat the symptoms carefully, and after the operation, they should be careful and worry. Before the operation, when many patients are uncomfortable, the doctor will do what they say, and behave like a child in the middle class of kindergarten.

But once the operation is over, I don't feel uncomfortable anymore, it seems to be cured, and I will become a junior high school graduating student all of a sudden. If you don't let me do anything, I will do it, or do it secretly! This kind of illness is also a headache for doctors.

After Zhang Fan explained, he walked quickly to the administrative building. When I knocked on the office door, it was rare to see that the hospital secretary was also in the director's office, and Lao Gao, several vice presidents, and Ren Li were all there, and the hospital's management team was only short of Zhang Fan.

"Have you had surgery yet?" Ouyang asked after seeing Zhang Fan.

"Well, I just had the operation." Zhang Fan didn't ask what he was going to do, the leader told you that something must happen, so it's not good to ask.

It must have been waiting for a while, the secretary was a little unhappy, and said to Zhang Fan with a smile, "When you are a leader, try to do as little physical work as possible, and think more about ideological things."

What he might mean is that the leader should be more realistic, control the route more, and be a good leader.

Before he finished speaking, Ouyang said directly: "A hospital is a place to treat diseases. If you don't see a doctor or perform an operation, you should be the leader of a hospital!" The secretary was choked to death.

Although he and Ouyang are at the same level, they are right and he is vice! The secretary squeezed and squeezed his hands, wishing he could take out the notebook immediately.

"Let's go to the meeting, Zhang Fan, I'll take your car." Ouyang Lin went out and said again. "Hey! All right."

"Dean, what's the matter, we all go to the meeting." When it was only him and the dean, it was much easier to talk.

"The superiors have made it clear that

To establish a new city, just on the edge of the Free Trade Zone, the hospitals in the new city, who will lead, the leaders who support the hospital of traditional Chinese medicine and the leaders who support our hospital have been competing.

There was also a lot of controversy among the leaders above, but in the end, our hospital was allowed to take the lead and establish a branch hospital in the future. This time I'm going to talk about it. "Ouyang sat in the co-pilot and told the whole story.

Among the leaders of the hospital, not to mention Zhang Fan, even the secretary didn't know, only Ouyang knew.

"Oh." Zhang Fan listened and didn't take it seriously. Ouyang glanced at Zhang Fan, "Why is there no reaction at all?" Ouyang asked Zhang Fan with a smile.

"Ah, what's the point of this? Besides, the city hasn't been built yet, and the hospital is still early." Zhang Fan was a little puzzled.

"Haha, you, I don't know what to say about you. Did God close the other windows after opening the door of your technology?" Ouyang smiled and said nothing, looking out the window I don't know what to think about.

After being silent for a while, Ouyang suddenly said: "By the way, there is one more thing, you just need to know it, don't spread it."

"Yes!" Zhang Fan agreed.

"Someone reported the hospital. If there is anything dirty about you, worry about it yourself." Ouyang said without beginning or end.

"What? Report what?"

"It's fine for you to know it yourself. You don't know what will happen to this matter." Ouyang could only talk about this step, and it was up to Zhang Fan to comprehend it himself.

"Oh! Okay." Anyway, Zhang Fan himself had nothing to report, and he didn't take it to heart.

For the first time, Zhang Fan participated in a government meeting as a hospital leadership team. The specific environment and the solemn atmosphere cannot help you not to pay attention to it, and you cannot help yourself not to be nervous.

In the meeting room, a big national flag and a big party flag hang in front of it. Everything is so solemn, even the chairs in the conference room are arranged in a line.

Zhang Fan sat at the end of the office, and next to him was Ren Li. After being seated, everyone took out their notebooks. At this time, Zhang Fan was embarrassed, he didn't bring anything!

"Secretary Ren, do you want to take notes for this meeting?" Zhang Fan asked shyly.

"Just make sense, you didn't bring a notebook, so I'll give you one." Ren Li handed Zhang Fan a notebook.

"Thank you, thank you secretary." Everyone else was holding a notebook, if you didn't put a notebook in front of you, how would you look at it, how weird. Although the leader did not ask for it.

In a meeting, I don’t know why, but the superior leaders don’t directly mention things by name. They first talk about ideas, and then talk about how to fight if there are difficulties.

Finally, it was about the construction of the new urban hospital in the future. Zhang Fan, who was sitting in the corner, was dizzy when he spoke one after another. Looking at the situation, Zhang Fan was not qualified to be an official.

After staying up for a long time, seeing that the leader did not know how to roll the roll, Zhang Fan directly entered the system. It is not without benefits to become the assistant to the director. First of all, the progress of the operation is much faster.

Nearly half of the progress required for general foreign education has passed. "After a while, the general foreign language is estimated to be full, and then new subjects can be opened!"

Looking at the progress, Zhang Fan was also a little excited. It was too difficult to fill in the pit of the general foreigner. There are too many sub-projects, from head to toe, there are almost general and minor subjects.

The current system is full of surgical tutorials, including surgical tutorials for various surgical methods, such as the appendix. The system only clarifies how to do it and various types of appendix operations, but it does not explain how the appendix is ​​formed.

For example, tumors are also treated with surgery to eradicate them, but there is no reason why cancer cells evolve. In other words, the current system is nothing more than a technical platform.

After doing a simulated operation, "I don't know, what will happen to the system's second-level subjects after all the basic subjects are completed!" Zhang Fan thought with a little emotion.

Along the way, because of the system, Zhang Fan's life has improved a lot. So far, Zhang Fan's worry about gain and loss has gradually diminished a lot.

Two years ago, Zhang Fan was worried all the time, worried that the system would suddenly disappear. He was deeply afraid that when he woke up, everything would be like a dream, so Zhang Fan forced himself to keep removing his liver, and tried every means to find surgery. , to improve their surgical techniques.

With the improvement of technology, Zhang Fan's mentality has gradually changed now, and he is no longer as anxious as before. Although the technology has improved a lot, Zhang Fan did not relax about the system upgrade, but became more and more curious.

"This meeting is confidential!" Zhang Fan remembered this sentence. "It's been conveyed to the level of the hospital. Why are you keeping it a secret!" Zhang Fan complained by the way.

On the way back, Ouyang had a smile on his face. Of course the old lady was happy. A hospital that can be built according to her own wishes, as long as the hospital is established, will be a monument to her career.

When I got home at noon, the house was a mess. "What's the matter? Why are you wearing old clothes?" Zhang Fan asked curiously when he saw Shao Hua's parents wearing old clothes and about to go out after entering the room.

"I heard that a new city will be established. It is said that it seems to be on the side of our farm. Your uncle and I are thinking about building a few houses. It is a little bit more when the state subsidizes it. We know the news too late. Next door Dakui's house is ready to build a building." Shao Hua's mother whispered to Zhang Fan mysteriously.

"Hehe, don't go to uncles and aunts." Zhang Fan smiled helplessly.

"Don't underestimate this subsidy, it's quite a lot." Shao Hua's mother looked at the future son-in-law in surprise, "It's usually pretty smart!"

"I went to the government to attend a meeting on this issue today. People have already determined the building and planting area by aerial photography, and the leaders have also confirmed that this time the subsidy will not be based on the building area, but on a per capita basis!" Although Zhang Fan didn't pay attention Listen, but about the relocation near the hospital, I still listened to it.

"Ah! Let me tell Da Kui's mother that they are going to build a five-story building! Don't cause problems then."

"Are you sure? Don't subsidize according to the construction area at that time, people don't blame us!" Shao Hua's father said immediately.

"Uh! This..." Zhang Fan was tongue-tied. "I knew that we were going to build a new hospital, and the relocation near the hospital was subsidized on a per capita basis."

"Just tell Dakui's mother the original words of Zhang Fan, and let them decide whether to cover it or not."

Zhang Fan shook his head with a smile, and kept it a secret, even the aunt who danced in the square knew it!

Waiting for Zhang Fan to finish his lunch, the old lady hurried out. Zhang Fan also wanted to give the old lady a gift, but the old lady even said no. In the afternoon, Zhang Fan organized the first consultation with experts in the hospital.

The expert consultation in the hospital must be recorded, and the director of the medical department also participated, and the director of the medical department kept records. Whoever said what suggestions were recorded one by one.

If Zhang Fan is not there, the director of the medical affairs department will preside over the meeting. If Zhang Fan is present, Zhang Fan has to preside over the meeting. After all, Zhang Fan is the leader of the hospital, and the director of the medical department is just the middle-level of the hospital.

"Everyone is here. Let's discuss the condition of Mayila in the special needs ward today. Ma Yichen, please introduce the patient's condition." Zhang Fan chaired the meeting.

"Okay, patient Mayila, female, 62 years old, was treated at a local hospital ten years ago because of a liver tumor, and underwent surgical treatment, diagnosis and treatment, the details are unknown.

Today, the patient is accompanied by cough and poor appetite because of abdominal swelling and discomfort. He was admitted to the special-needs ward of our hospital, and the physical examination showed that the patient had an obvious postoperative scar about 15 years old on the right abdomen, and the abdomen was distended, with obvious tenderness and vomiting. No obvious dry and wet rales were heard in both lungs, but the patient reported that he had coughed up white cystic unknown substances.

After relevant examinations were performed, the laboratory results were reported: Color Doppler ultrasound showed clear calcification points in the liver, clear rosette changes, and dilated bile ducts.

X-chest and abdominal plain films can be seen: the patient's diaphragm is elevated.

t shows: hepatic hydatid cyst is clear, and it is active. It is highly suspected that there are active larvae in the bile duct.

ri showed: no obvious hydatid cysts were found in the patient's heart, bones, and spine.

In the immunological examination, the indirect hemagglutination test was positive,..." Ma Yichen briefly introduced the patient's condition, and then took his seat. Then, Zhang Fan said to the doctors and experts present: "Let's talk about it, everyone. "

Doctors with a sub-high degree in general surgery, doctors with a sub-high level in liver and gallbladder, and doctors with a sub-high level in cardiothoracic surgery all participated in the meeting. Ma Yichen was specifically asked by Zhang Fan to be a medical record introduction doctor.

The director of the medical department began to roll the names of doctors according to their age and qualifications, and the youngest deputy senior general of general surgery began to speak: "The patient's diagnosis: the recurrence of echinococcosis in the liver is clear, conservative treatment is estimated to be of little significance, and surgical treatment is possible. "

Start speaking one by one. This disease tends to occur in pastoral areas, so Lu Ning is not very authoritative in this regard, but Professor Zhao Jingjin from Bird City is more authoritative.

After all the general doctors in Chasu Hospital had finished speaking, Zhang Fan said to Zhao Jingjin, "Professor Zhao, can you say a few words?"

"Okay, let me just say a few words. Although this kind of disease is more common in our province, such serious recurrence cases are relatively rare. I suggest to improve the chest examination. The patient complained that there was coughing up of white cystic substances. , although no pleurisy was found, but we can not be careless.

Conservative treatment is performed first, after the larvae are killed, and then the operation is performed, and the combined operation of the three departments of cardiothoracic surgery, general surgery, and hepatobiliary surgery is required. The patient's physical assessment must be done before the operation. The operation is difficult, the damage is large, and the operation time is long. Both doctor and patient are a test. "

After Lao Zhao spoke, Zhang Fan pondered for a while, and said, "Doctor in charge, please ask the relevant departments to make relevant consultations as soon as possible, evaluate the patient's physical condition, and contact the color Doppler ultrasound room. Downward surgical treatment. File and report to the Health Bureau.”

Although Mayila is not a resident of China, this disease still needs to be reported to the Health Bureau.

"Okay, after I go down and prepare the materials, I will report immediately."

"Record the consultation records and explain the condition to the family members." Zhang Fan continued to explain.

"Okay, Zhang Yuan!" The director of the hepatobiliary department agreed.

This operation is difficult. Although everyone did not mention it in the discussion, all the experts present know that the patient's first operation was not done well, which led to the recurrence of the patient, and there is a very high possibility that the infection has already spread to the lungs.

If this kind of disease is only removed, it is not difficult, just like a cyst, but the difficulty lies in how to clean the cyst and prevent recurrence.

As long as it is surgery, recurrence is always more difficult than the first time. Zhang Fan had already started preparing for the operation in his heart.