Chapter 366: Liver Damage (Third Watch)
Fang Han was very puzzled and came to Fang Haoyang's office again.
When he left, he left from Fang Haoyang's office, and when he came back, Fang Haoyang called him again, didn't he say everything that should be said before?
Several residents in the emergency department watched with envy as Fang Han pushed the door into the director's office.
"Dr. Fang's entry into Director Fang's office now is like entering his own office. ”
"Yes, now Dr. Fang is better than several deputy directors. ”
In addition to Guo Mingqiang in the emergency department, there were not a few deputy directors before, plus Fang Haoyang was full of four, and now Fang Haoyang has been promoted to director, there are still three deputy directors of the emergency department, Li Wenjun is the second-in-command under Fang Haoyang, and the authority of the other two deputy directors is much smaller.
As the deputy director, everyone has to lead a treatment team, like the emergency department of other hospitals, there are also surgical emergencies, internal medicine emergencies, fever emergencies, pediatric emergencies, etc., the emergency department of Jiangzhong Hospital did not have a detailed division of small departments before, but each treatment team also has its own strengths.
Li Wenjun's treatment team is good at surgery, and if he wants to have some patients with wound sutures and the like, the nurses will arrange Li Wenjun's treatment team, like another deputy director, He Youkun, who is mainly responsible for pediatrics.
Now the emergency department is ready to officially set up an emergency department, and the first emergency department to be set up is the bone injury department, and at that time, Fang Han, the person in charge of the bone injury department, is really not much worse than the other deputy directors.
"Dr. Fang's current medical qualification is just a medical qualification, and when Dr. Fang's medical qualification is in hand, he will have his own office at that time. The flat-headed resident doctor was full of embarrassment.
"It seems that the registration for the medical qualification is in April this year, and the exam is in September, so if you calculate it, Dr. Fang will be able to get the medical qualification in more than half a year?"
"I heard that Dr. Fang plans to study for graduate school on the job, so that Dr. Fang's inpatient career and regular training career can be combined in two, and he can be promoted to attending in three years at most?"
Several resident doctors did not consider Fang Han's failure in the medical qualification examination, but only calculated the number of years for Fang Han.
Generally speaking, the medical university students who graduated from the bachelor's degree are the main treatment, and the short period is about five years, and the longer ones are seven or eight years.
If Fang Han is studying for graduate school on the job, the training certificate and the graduate certificate will come down at about the same time, and when the time comes, he will have the weight of the hospital, and he will be promoted to the attending department in three years at most, which is simply terrifying.
"Dr. Fang is only 24 years old this year, right?"
"I'm 25 years old after the Spring Festival. ”
"Even if you are 25 years old, you will be promoted to the chief at the age of 28, and you will be able to become the deputy director at the age of 33?"
The conditions for the attending physician to be promoted to deputy chief physician are a master's degree and five years of attending experience, and this condition will inevitably not be discounted on Fang Han, or even shorter.
"33-year-old deputy director?"
The resident doctor of Mazi was full of surprise: "It seems that the youngest deputy chief physician in our province is Leng Cen from the Department of Thoracic Surgery of the Medical Affiliated Hospital, right?"
It seems that Leng Cen is also 33 years old, but he graduated from Harvard Medical School and interned at Hopkins Hospital, and when he returned, he was wrapped in a halo. ”
"If Dr. Fang continues to take the diploma on the job, he may be promoted to deputy director before the age of 33!" the flat-headed resident interjected again.
They had no doubt that Fang Han had such energy and ability, and if Fang Han's diploma could be improved and a few influential papers could be published, the five-year period could be shortened.
Several of the residents were a little unexpected.
Leng Cen is really incomparable, there are a few doctors like Leng Cen in the country, Harvard Medical School is not so easy to get into, and Hopkins Hospital is not so easy to enter.
It is definitely a miracle that a medical university graduate who graduated from a second-rate medical university was promoted to deputy director at a younger age than a high-achieving student like Leng Cen, who returned from a gold-plated return.
......
Fang Han pushed the door and walked into Fang Haoyang's office, and saw Qin Xuening, the head nurse, standing in front of Fang Haoyang's desk.
Seeing Fang Han come in, Qin Xuening also gave Fang Han a smile: "Doctor Fang is here!"
"Hello head nurse. Fang Han gave Qin Xuening a polite smile.
"Dr. Fang's smile is really infectious, no wonder the little nurses under my command are fascinated by Dr. Fang. Qin Xuening joked with a smile.
Nurse Qin, who was already in her early fifties, naturally wouldn't fly her cheeks when she saw Fang Han's smile like a little girl, but looking at Fang Han's smile, Nurse Qin still felt pleasing to the eye.
Fang Haoyang glanced at Fang Han and continued to speak to Qin Xuening: "Head Nurse Qin, after you go down, sort out the personnel list as soon as possible, our bone injury division will soon start to enter patients, and there must be no mistakes in nursing." ”
"Director Fang, don't worry, I will do it well. The head nurse hurriedly assured that the expansion of the emergency department would also increase the number of nurses, and the number of people under Head Nurse Qin would increase, and the power would also increase.
As a medical staff, the head nurse has no opinion on whether the hospital is a combination of traditional Chinese and Western medicine, and from this perspective, the expansion of the department is what she is most happy to see.
"That's okay, Nurse Qin, go get busy. Fang Haoyang gave an eviction order.
When Qin Xuening left, Fang Haoyang looked at Fang Han: "How many hours have you been there?"
"Well, that elder's condition is a bit complicated. Fang Han nodded and briefly explained Old Feng's situation.
Fang Haoyang originally listened very casually, but when Fang Han finished listening, Fang Haoyang sat up straight and said with some regret: "It's a pity, the conditions of our hospital are not mature now, otherwise this case is a very typical case of integrated Chinese and Western medicine." ”
As a new department, what is needed most is naturally the result.
Although the emergency department of Jiangzhong Hospital is not a new department, it is actually no different from the new department after this restructuring.
This time, Feng Lao's situation is indeed more typical, and the postoperative problems of Western medicine surgery are solved by means of traditional Chinese medicine, which is a typical example of the combination of traditional Chinese and Western medicine.
It's a pity that there are no conditions for rectal cancer resection surgery in Jiangzhong Hospital, and it is impossible for Fang Han to send Feng Lao to Jiangzhong Hospital at that time.
"Step by step, many aspects of our emergency department are now just beginning, are you too big in your heart?" Fang Han was speechless at Fang Haoyang's regret.
Now that the emergency department of Jiangzhong Hospital is preparing to establish a bone injury division, Director Fang regrets because of rectal cancer patients, rectal cancer surgery is not a minor operation, and Jiangzhong Hospital can't even think about it in a short time.
"I use you to teach?" Fang Haoyang waved his hand impatiently: "Get out, go to the department, don't dangle in front of my eyes, it's annoying to look at you." ”
Fang Han opened his mouth, but he had to walk away, and there was no way to reason with the leader.
Obviously, Boss Fang asked him to go, but now it has become his own eyesore.
As soon as Fang Han walked out of Fang Haoyang's office, he ran into Ye Kai head-on.
"Doctor Fang, I'm looking for you. ”
"What's the matter?" Fang Han asked directly.
After being in the emergency department for such a long time, Ye Kai, Jiang Feng, even Chen Yuan, and the first people they looked for when they were in trouble were Fang Han, and Fang Han had long been accustomed to it.
"Just came to the emergency room with severe liver damage and may need to have a liver resection!"
If this is usual, when encountering such a patient, Ye Kai will naturally transfer the patient to the hospital as soon as possible, and Jiangzhong Hospital does not have the conditions for liver resection surgery.
But now it's different, there is still a patient with liver resection living in the observation room, the patient's surgery was done by Fang Han, he has been out of the ICU, and now he is recovering well, Ye Kai thought about whether this patient Fang Han can also do it, if such an operation can be done in the emergency department of Jiangzhong Hospital, then the reputation of the emergency department of Jiangzhong Hospital will be completely out.
"Let's go see the patient first, what about the patient?" Fang Han asked.
"For the time being, I am still in the treatment room, and if it doesn't work, I plan to transfer the patient to the hospital. Ye Kaidao.
"Let's go, let's go see the patient first. Fang Han said and strode towards the treatment room, and Ye Kai hurriedly followed.
As an emergency department, there are many distinctions in various areas, such as treatment rooms, disposal rooms, rescue rooms, operating rooms, etc., and the rescue rooms are generally connected to the operating room, and the difference between the treatment room and the rescue room is that there is less first-aid equipment.
Walking into the treatment room, Chen Yuan and Jiang Feng were already there, and the nurse was examining the patient.
Seeing Fang Han come in, Jiang Feng hurriedly stepped forward to report the situation: "Doctor Fang, in addition to severe liver damage, the patient also has diabetes, and the situation is very complicated. ”
Ye Kai's face changed when he heard this, and he hurriedly said: "Doctor Fang, if the patient still has diabetes, this operation cannot be done, and the risk is very high. ”
It is common sense that the wounds of diabetic patients are extremely difficult to heal, even traditional Chinese medicine doctors like Jiang Feng and Ye Kai know it.
If a liver resection is performed, not to mention leaving an incision on the liver, the patient's abdomen will also have to be incised about 30 cm, and if such a long wound does not heal, it will be fatal.
Fang Han also frowned slightly, Ye Kai and Jiang Feng's worries were not unreasonable, not to mention that the current conditions of Jiang Zhongyuan were not ripe for liver resection, liver resection and joint replacement were different, if joint replacement was done, with Wen Xueyi's help, plus Jiang Feng, this operation could be completely sat down.
The reason why the last liver resection was successfully completed was because Tian Yitao of the provincial hospital was present, whether it was Tian Yitao or Fang Han, the two helped each other, which is equivalent to a doctor who can also do the main surgery, but now, Fang Han copied Tian Yitao's liver resection, and the main knife is naturally no problem, but where to find this assistant?
"If you really can't do it, let the patient be transferred, right?" Ye Kai proposed: "I'll go and ask Director Fang." ”
"Go ahead, listen to Director Fang first. Fang Han nodded, if the patient was transferred to the hospital, Fang Haoyang would naturally know, if Fang Haoyang could invite foreign assistance, this operation was actually not impossible.