231 Hospital Ecosystem

The west wind blows, telling the world a few sorrows, the hospital is a place where the joys and sorrows of the world are staged every day. The joy of a new life, the grief of a death, repeats this life every day.

From a layman's point of view, the doctors and nurses working in the hospital don't seem to have the slightest emotion and are insensitive. Zhang Fan was not used to other people's statements and opinions at first, but after two years of work, he was also used to it. The heart is the most important, as long as you can see the disease well, you can treat other people's diseases well is the best doctor.

This is a hospital, not a club. Others are here to see a doctor, not to make friends, so Zhang Fan slowly understood that the core here is to treat diseases. It's better to be technically sophisticated.

The biggest surgery in the anorectal department is rectal cancer, which has a large number of patients in northwest China, and the terrible thing about this disease is that the breadth and breadth of its target population are too large. And with the development of medical statistics and epidemics, the terrible aspects of this disease have been slowly unveiled by scholars.

First of all, a large number of patients with this disease are young adults. This is also the abomination of this disease, and the second is that after surgery, generally speaking, there is no quality of life after surgery, and for a young man, the smell of feces is a kind of torture.

Rectal cancer surgery used to be done externally, but after Zhang Fan became the acting director, he was not an ordinary strong, as long as it was an intestinal disease, he grabbed it all. The doctors under the department are also very face-saving! Everyone wants to be awesome! Standing on the right outlet, pigs can take off, and now that's it, Zhang Fan has entered the fast lane with the anorectal department.

On Monday, Zhang Fan held a morning meeting in the department. "Comrades, in the last two weeks, the number of patients has been very high, but there are also many problems. If the dressing is not changed in time, and the attitude towards the patient is bad, I will not name it all, I think this is everyone's unintentional fault, so I will gather to say that medical treatment is no trivial matter, and I hope that there will be no similar problems in the future. There are gods three feet above your head, I hope you will worry a little more. Let's go to work!"

Monday's morning meeting is very important, to summarize the work of the previous week, arrange the work of the next week, announce the work plan with a work plan, and eliminate work problems if there are problems, so the morning meeting on Monday is very important for the work of a department, which is why many people can't find the director and experts in the morning when they go to see a doctor on Monday.

Zhang Fan went to the outpatient clinic with two nurses and a transfer doctor, which is now Zhang Fan's standard, he is young, pretending to be ignorant and ignorant of the rules, and grabbing the patient number under the nose of the general surgery. The other departments didn't know how to feel, anyway, the doctors from the second and third orthopedic departments trembled a little when they saw Zhang Fan so domineering.

The operation can't be done, and the leaders attach great importance to it, and the new orthopedic graduate student learned about Zhang Fan's past, and his face was dead. There is not much difference in age, but he is so good, as long as he does not leave this hospital, it is estimated that he will live in the shadow of Zhang Fan forever in this life!

For these things, Zhang Fan has no way to scruples, and there is no need to scruples, he must be low-key when he first comes to the hospital, because the sign has not been erected yet, and now it is different, Zhang Fan's signboard is already a banner, and the director who is as strong as the general outside must also give Zhang Fan a certain amount of respect, this is strength.

In the outpatient clinic, Zhang Fan has just started to work, a nurse in his heart, Chen Yan came to Zhang Fan, and the excellent nurses in his heart have a temperament, a temperament that is in full swing! "Zhang Fan, help my relatives take a look. Because when Zhang Fan was in her heart, Chen Yan and Zhang Fan had a good relationship, and she took good care of Zhang Fan, who had just entered the department at that time, so although Zhang Fan was out of the department, the contact between the two was quite frequent.

"What kind of relatives are you, bring them in, and greet me, it's not your personality. Zhang Fan said with a smile.

"Aren't I worried, you've become a director, if you don't give me face as a little nurse, you won't give it to me, I don't care if I'm embarrassed, but I can't be embarrassed in front of my relatives. Chen Yan also said to Zhang Fan with a smile, in fact, this is a respect, and it is nothing to bring it in directly, but it is better to say hello in advance, isn't it!

"Look at what you say, bring it in. ”

"This is Dr. Zhang, the director of the anorectal department, cousin, if you feel unwell, just tell him, Director Zhang, I will go to work first, and I will call if I have something. As she spoke, Chen Yan squeezed her eyes mischievously at Zhang Fan and left.

"What's wrong, what's uncomfortable?" asked Zhang Fan as he looked at the patient. The first thing to look at is the person's nutritional status, the second is to look at the mental outlook, and the third is to look at the consciousness, so an excellent doctor is also a master of observing words and feelings.

"Recently, I have a little blood in my stool, and the frequency of stool has increased, and I always feel that I can't pull it clean, and I want to go to the bathroom. "Chen Yan's cousin, forty-three years old, has a poor face and is in poor spirits. But it's okay to look at the nutritional status, and the body size is on the fat side. Judging from the way of dress, the quality of life should be considered to be relatively well-off.

"Is there anything else uncomfortable?" Zhang Fan asked while writing the outpatient medical record, this outpatient medical record is a preliminary diagnosis information, although it is a simple medical record, but there are hundreds of words, and the number of words to be written is a lot according to the calculation of fifty patient numbers a day.

"It doesn't seem to be anymore. ”

"Is there a fever, is there nausea and vomiting, how is the diet, is it sleeping well. ”

"Nope. It's all ok. ”

"Poop about a few times a day. Is there any pain in the anus?" Zhang Fan then asked.

"There are about five or six times, which is not a lot, anyway, I just want to go to the bathroom at any time. There is no pain, but this is a frequent bowel movement. Cousin Chen Yan said a little embarrassed.

"Is the stool formed?"

"It doesn't seem to be formed, it's a little bit every time!"

When Zhang Fan heard this, he felt that something was wrong. "Is it that after going to the bathroom, I still don't have that refreshing feeling after pooping?"

"Yes. ”

"How long?"

"It's been two months!"

"Oh, Dr. Zhao, you take him to the examination bed first to prepare, and do a digital examination. Zhang Fan said to Zhao Zipeng.

"Okay. You come with me, unbuckle your belt, take off your pants, and lie on it. Zhao Zipeng explained to the patient what to pay attention to, and at the same time prepared to check the things he wanted.

When the patient was preparing, Zhang Fan hurried to see a patient, because the number of outpatient patients in one day was not small, and there was surgery in the afternoon.

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