After the operation was completed, Zhang Fan and the director of the general surgery had the operation, and the head nurse hurriedly walked over, "Zhang Yuan, the dean called you to go to the administrative building." ”

"Did you say anything?" Zhang Fan was a little puzzled, since he became the assistant to the dean, Ouyang rarely assigned Zhang Fan to do anything anymore.

"I didn't say it, I just said it, and let you hurry over after the operation. The head nurse looked at Zhang Fan enviously, she also wanted to go, but the dean didn't let her!

"Director Zhao, I'll take a look first, you stare a little more, I'm afraid that the patient can't help but eat secretly." Zhang Fan explained another sentence to the director of the general department.

"Go ahead, don't worry, it's okay. I'm staring at it. ”

Doctors are like this, they should be careful to deal with the symptoms before the operation, and they should be careful after the operation.

But once the operation is over, I don't feel uncomfortable, I seem to have healed, and I suddenly become a junior high school graduating student.

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

"Did you have surgery?" Ouyang asked after seeing Zhang Fan.

"Well, just had surgery. "Zhang Fan didn't ask what to do, the leader told you that there must be something, and it's not good to ask.

It is estimated that he has been waiting for a while, and the secretary was a little unhappy, and said to Zhang Fan with a smile, "As a leader, try to do less physical work and think more about some ideological things." ”

What he means may be that leaders should be more pragmatic, control the line more, and be a good leader.

Before he finished speaking, Ouyang said directly: "The hospital is a place for treatment, if you don't see a doctor or have surgery, you can be the leader of any hospital!" The secretary was choked to death.

Although he and Ouyang are at the same level, they are positive, and he is the deputy! The secretary's hand squeezed and pinched, and he couldn't wait to take out the notebook immediately.

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

"Dean, what's going on, all the meetings are going to be held. "It's only when he's with the dean, it's naturally much easier to talk.

"The superiors have made it clear that a new city will be established, just on the edge of the free trade zone, and the hospitals in the new city, who will lead, support the leaders of the traditional Chinese medicine hospital and support the leaders of our hospital have been competing.

There was also a lot of controversy among the leaders above, but in the end, we still let our hospital take the lead and establish a branch hospital in the future. This is the time to talk about it. Ouyang sat in the co-pilot and told the truth of the matter.

Among the hospital leaders, let alone Zhang Fan, even the secretary doesn't know, but Ouyang alone knows.

"Oh. Zhang Fan listened to it, and he didn't go to his heart. Ouyang glanced at Zhang Fan, "Why didn't you react at all." Ouyang asked Zhang Fan with a smile.

"Ah, what's the reaction to this, besides, the city hasn't been built, and the hospital is still early. Zhang Fan was a little puzzled.

"Haha, you, I don't know what to say about you, is it God who opened the door of your technology and closed the other windows. Ouyang smiled and didn't say anything, looking out the window and not knowing what to think about.

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

"Hmm!" Zhang Fan agreed.

"Someone reported the hospital. If you have anything unclean, worry about it yourself. Ouyang said without a beginning or an end.

"What? Report what?"

"You just need to know for yourself, I don't know what will happen to this thing. Ouyang can only say this step, and it depends on Zhang Fan to comprehend it himself.

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

For the first time, Zhang Fan participated in a government meeting as the hospital's leading team. The specific environment, the solemn atmosphere, you can't afford not to pay attention to it, and you can't afford not to be nervous.

In the conference room, the big national flag and the big party flag were hung in front. Everything was so solemn that even the chairs in the conference room were lined up.

Zhang Fan sat at the very end of the office, next to him was Ren Li. After taking their seats, 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 in this meeting?" Zhang Fan asked embarrassedly.

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

"Thank you, thank you, secretary. "Everyone else has a notebook, and if you don't put one in front of you, how do you look at it, how weird. Although the leader did not ask for it.

I don't know why, the higher-level leaders will not directly talk about things by name, first talk about ideas, and then talk about how to struggle if it is difficult.

Finally, about the construction of the hospital in the new urban area in the future, one after another, Zhang Fan, who was sitting in the corner, was dizzy when he listened, and Zhang Fan was not an official depending on the situation.

After staying up for a long time, seeing that the leader would not be named, Zhang Fan directly entered the system, and it was not without benefits to become the assistant to the dean, first of all, the progress of this operation was much faster.

The progress required by the general external is almost halfway through, "After a period of time, it is estimated that the general external medicine will be full, and then you can open new subjects!"

Zhang Fan looked at the progress, and was also a little excited, this hole outside the general area is too difficult to fill. There are so many sub-projects, from head to toe, there are almost all small subjects outside the general area.

At this stage, the system is full of surgical tutorials, including various surgical tutorials, such as appendix, the system only clarifies how to do it, various types of appendix surgery, but how the appendix is formed is not explained.

For example, how to eradicate tumors and treat them surgically, without why cancer cells evolve. In other words, the current system is nothing more than a platform for technology.

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

Along the way, because of the system, Zhang Fan's life has improved too much, and so far, Zhang Fan's mood of suffering from gains and losses has slowly decreased a lot.

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

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

"This meeting is confidential!" Zhang Fan remembered this sentence in his mind. "It's all conveyed to the hospital level. What are you keeping secrets!" Zhang Fan complained by the way.

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

When I got home at noon, my home was a mess. "What's going on. How do you wear old clothes?" Zhang Fan asked curiously when he saw Shao Hua's parents wearing old clothes and about to go out.

"I heard that a new city is going to 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, and we can ask for a little more when the state subsidizes it, and we know that the news is late, and the Da Kui family next door is ready to build a house. Shao Hua's mother whispered to Zhang Fan mysteriously.

"Hehe, don't go to uncle and aunt. Zhang Fan smiled helplessly.

"Don't underestimate this subsidy, it's a lot. Shao Hua's mother looked at this future son-in-law in surprise, "Usually it's very smart!"

"I went to the government today to attend a meeting in this regard, and the people have already determined the area of building and planting by aerial photography, and the leaders have also determined that this time the subsidy will not take the construction area, but will be subsidized according to the capitation!" Although Zhang Fan did not listen carefully, he still listened to the relocation near the hospital.

"Ahh ”

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

"Uh! this ......," Zhang Fan stammered. "I knew that we were going to build a new hospital, and the relocation of the vicinity of the hospital was subsidized on a capitation basis. ”

"You just tell Da Kui's mother Zhang Fan's original words, whether to cover it or not, let the family decide for themselves. ”

Zhang Fan shook his head with a smile, it's still a secret, even the aunt who dances the square dance knows it!

Waiting for Zhang Fan to finish lunch, the old lady went out in a hurry. Zhang Fan also wanted to send it to the old lady, but the old lady didn't even say no. In the afternoon, Zhang Fan began to organize the first consultation of hospital experts.

The consultation of hospital experts must be recorded, and the director of the medical department also participates, and the officer of the medical department makes records. Whoever said what advice was recorded one by one.

If Zhang Fan is not there, the director of the medical department will preside over the meeting, and Zhang Fan will have to preside over it if Zhang Fan is there. After all, Zhang Fan is the leader of the hospital, and the director of the medical department is just a middle-level hospital officer.

"Everyone is here, let's discuss today, Mayila's condition in the special needs ward. Ma Yichen: Tell us about the patient's condition. Zhang Fan presided over the meeting.

"Okay, the patient, Mayila, female, 62 years old, was presented to a local hospital 10 years ago for a liver mass, and underwent surgery, diagnosis and treatment, the details are unknown.

Today, the patient is suffering from abdominal swelling and discomfort with coughing and poor appetite. Admitted to the special needs ward of our hospital, the physical examination showed that the patient obviously had a postoperative scar about 15 cm long on the right abdomen, and the abdomen was distended, the tenderness was obvious, and vomiting. No significant wet and dry rales were heard in both lungs, but the patient complained of coughing up a white cystic unidentified substance.

After the relevant examinations, the laboratory results reported that the color ultrasound showed clear calcification points in the liver, and clear rosette changes and bile ducts were wide.

Chest x-ray and plain abdominal x-ray showed diaphragm elevation.

CT showed that the hepatic echinococcal cyst was clear and active, and there was a high suspicion of active larvae in the bile duct.

MRI showed that there were no obvious echinococcal cysts in the heart, bones and spine.

In the immunological examination, the indirect blood coagulation test was positive,...... "Ma Yichen introduced the patient's condition very succinctly, and then sat down. Then, Zhang Fan said to the doctors and experts present: "Let's talk about it." ”

Doctors above the general surgery department, doctors with hepatobiliary department and above, and cardiothoracic doctors at or above attended the meeting. Ma Yichen was specially explained by Zhang Fan to be the doctor who introduced the medical records.

The director of the medical department began to roll call according to the doctor's age and seniority, and the youngest deputy senior of the general department began to speak: "The patient's diagnosis: the recurrence of echinococcus in the liver is clear, and the conservative treatment is estimated to be of little significance, and surgical treatment is feasible. ”

One by one, they began to speak. This disease is more common in pastoral areas, so Lu Ning is not very authoritative in this regard, but Professor Zhao Jingjin of Bird City is more authoritative.

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

"Okay, I'll just say a few words. Although this kind of disease is more common in our province, but such a serious recurrence of cases is still relatively rare, I recommend a complete chest examination, the patient complained of coughing up a white sac-like substance, although no pleurisy was found, but we can not be careless.

Conservative treatment first, larvae killed, and then surgery, and the need for cardiothoracic surgery and general surgery, hepatobiliary three departments of joint surgery, before the operation must do a good job of the patient's physical assessment, the operation is difficult, the damage is large, the operation time is long, the doctor and the 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 do a good job of relevant consultation as soon as possible, assess the patient's physical condition, contact the color ultrasound room, if the patient's physical condition supports surgical treatment, it must be operated under color ultrasound." Filing and reporting to the Health Bureau. ”

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

"Okay, I'll go down and prepare the materials and report it immediately. ”

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

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

Although this operation was not mentioned in the discussion, the experts here all knew that the patient's first operation was not done well, resulting in a recurrence of the patient, and there is a very high possibility that it has been infected to the lungs.

This kind of disease, if it is only removed, 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, the recurrence is always more difficult than the first time. Zhang Fan has already begun to prepare for this operation in his heart.