537 points are not prioritized
"Why didn't I have a postoperative examination for severe pneumonia after surgery? Why didn't I do a follow-up examination?" Zhang Fan looked through the medical records and had all the preoperative examinations, and there were no other examinations except for blood tests after the operation.
"There was pneumonia within a day after the operation, there is no need to do a re-examination, overtreatment is not good, besides, experts in Bird City and Jiangsu and Zhejiang also checked it like this. Although the director of the ICU did not speak loudly, he obviously did not look down on the doctors in the city hospital.
Zhang Fan, who was originally looking at the medical records, raised his head and stared at the director of the ICU, this director is not very old, he is in his early thirties, he looks quite charming, with a big wavy shawl, and his eyes, eyebrows, and lips are obviously carefully dressed.
Zhang Fan is a little unhappy, this is obviously not to use bean bags as dry food, not to take the doctors of the city hospital as experts, if Zhang Fan comes to fly knives today, it doesn't matter.
But today I was invited by their hospital, and I was still angry with this, and I can't talk about it. Originally, the subordinates invited the higher-level hospital to come for consultation, just to put out the fire, but this person who didn't open his eyes and squeezed Zhang Fan outside the words, Zhang Fan could only talk to their dean.
"Go, tell your dean to go!" Zhang Fan stared at the director of the ICU and raised his voice several times.
"Hmph!" The director of the ICU rolled his eyes at Zhang Fan, shook his long wavy hair with his hand, and didn't speak, nor did he make a phone call.
The director of the ICU is also fearless, first of all, the operation was not done by her, and pneumonia occurred on the second day after the operation, she felt that it had little to do with her, and there were people above her!
"Xiao Wang, record!" Zhang Fan didn't look back, staring at the director of the ICU and said to the accompanying health bureau officer.
"Okay, Zhang Yuan, you say. The young man was very neat and took out his notebook.
"It was recorded that the patient developed severe pneumonia after surgery, and the expert group believed that the patient had a nosocomial infection, and asked the health authority to take samples for symptoms. Second, the patient had obvious infection after surgery, but the Seleng County Hospital did not do the corresponding relevant examinations in time, which delayed the diagnosis and treatment time, and it is recommended to seal the medical records. Three ......"
Zhang Fan began to look for trouble one by one in front of the director of the ICU. The medical management of Huaguo is a bit strange, and the health management unit can only have the right to suggest, guide and supervise the hospital, but it has no right to interfere with the hospital.
That is to say, when there is no accident, the health bureau will at most stand aside and point fingers, and it is difficult to say whether the hospital listens or not.
Moreover, the personnel of the health management unit are generally considered laymen, and they are actually very unfamiliar with the business of the hospital.
The subordinate superior units are all laymen, and once the experts of the so-called expert pool are invited, the problem comes. Experts are originally practitioners in the medical industry, and they are inextricably linked to each other, in a word, it is not easy to get it.
When the director of the ICU heard that Zhang Fan was going to forcibly throw the black pot to her, she was anxious. "You, you, how can you ......" She stopped talking, quickly turned and twisted her ass away, her huge white coat could not cover her writhing hips.
"Zhang Yuan, what do you see?" The officer accompanying the health system was also a human spirit, and after the director of the ICU left, he handed the notebook to Zhang Fan.
He is not stupid, his superiors sent them to settle the matter. No matter what, he would not hand in this record in person, but he couldn't help but give Zhang Fan face, so after the director of the ICU left, he immediately handed over the record to Zhang Fan.
"Hehe!" Zhang Fan looked at Xiao Wang and smiled, and Xiao Wang also smiled when he looked at Zhang Fan. "I understand! Give them a chance, it depends on the attitude of their leaders. ”
Xiao Wang said with a smile.
"Zhang Yuan, I don't think it's like a hospital. Director Jumabek said that when he was in the hospital, he and Zhang Fan were a little competitive, but when they went out, they were one.
"I know, let's have a small internal meeting and hurry up and come up with a treatment plan. This infection can't be solved in a short period of time, and after a few days, it's not a hospital infection. ”
"Okay!" Ren Li and Jumabek said.
What did the director of the ICU say, he was originally a general doctor in internal medicine, and for some reason, he divorced his husband. Then, it was out of control, from a general doctor to the director of the ICU, and recently it was rumored that he was going to become the secretary of the hospital.
"Zhang Yuan, hey, my Zhang Yuan, it's all my fault, it's all my fault. I just came from the government, and I immediately brought someone to prepare a hotel for the experts. Slack, slack. A thousand mistakes, my fault. Director Li of the ICU is young and ignorant, don't take it to heart. ”
The dean wiped his sweat and rushed back from outside. He didn't tell a lie, he really went to prepare food and lodging for Zhang Fan and them. He knew that no matter whether the patient could be cured or not, he would not be able to jump to the experts of the city hospital.
If nothing happens, these specialists are invited to treat the patient. If something happens, these experts are the inspection team, so the dean must first do a good job of logistics work, and first entertain these experts, which is the main thing he is doing at present.
As for the director of the ICU, he is also more than capable of doing so, he has a short mouth and short hands, he is also in a rut, and the director of the ICU has climbed another level......
For the director of the county hospital in Seleng, Zhang Fan didn't give a good face. Everyone is saying that they will do things according to the rules and do things according to the rules. Today, if he goes to other counties, Zhang Fan really can't get his face black. Not for anything else, everyone is too familiar, from the director of surgery to the director of the hospital, who is not familiar with Zhang Fan.
As for Seleng County, Zhang Fan is not embarrassed, and there is nothing that he can't erase his feelings, and few people can get out of this in a humane society.
This is the disadvantage that the regulatory department is a layman, and if it is not done well, it will be fooled by the joint efforts of the inspector and the inspected.
"Let's arrange for the patient to get tested quickly. There is no postoperative follow-up, and your dean is enough to hang!"
"Is it dangerous for the patient to pull out of the ICU now? Do you need to ask your superiors for instructions? or do you have a doctor's order?"
"Uh!" Zhang Fan almost laughed angrily, he was really helpless, no one was willing to take responsibility, the dean spoke nicely, but he didn't leave his hands behind, and he didn't want to take responsibility at all.
"Zhang Yuan, let's have a meeting first, summarize everyone's treatment ideas, and then talk about other things, as for the examination, let them ask for instructions as soon as possible!" Ren Li was afraid that Zhang Fan would be young and vigorous, so she stood up and spoke directly.
"Okay!" Zhang Fan didn't talk to the dean of Li Selen anymore, so he organized a team of experts to go to the doctor's office for a meeting.
The director of the ICU is complaining, and the director of Seleng is asking for instructions.
"Do you have a good solution, can you treat it yourself?" asked the dean on the other end of the phone.
"The experts in the bird market are not sure, so we ...... Moreover, this primary and secondary determination, as you know, leads you, our hospital nepotism ......"
"If you don't have the ability, you just listen to your superiors, and you can call the shots?" The phone was hung up, and the dean's face turned red and white! Only the ears that were erected were red and red.
Zhang Fan They were in a meeting, and just halfway through, Ouyang's call came in, "Zhang Fan, do your best, if the patient can be transferred to our own hospital as soon as possible." Your superiors have already delegated authority to you. Don't be worried. The Municipal Health Bureau has also sent someone to assist you. ”
"Okay dean, I know that it is estimated that the patient will not be able to transfer to the hospital in the near future, and his condition is serious. Maybe a second operation will be needed, so ......"
"Okay, I got it!"
The road to medicine is smooth
The road to medicine is smooth