It's over. The operation was done a few times, but it did not reach Zhang Fan's goal. It's a pity that I didn't go home for the amount of surgery, and the gains outweigh the losses.

Out of the department, Zhang Fan transferred to the Department of Cardiology. Originally, he wanted to continue to transfer to surgery, but the medical department arranged internal medicine, but there was no way. It's not interesting to go to Ouyang for this matter.

Ouyang would definitely not greet the medical office in advance for Zhang Fan, otherwise this dean would be too worthless.

Cardiology, opposite the Department of Surgery, is on the upper floor of the Department of Internal Medicine. The entire two floors are considered the largest internal medicine department. Ouyang is born in the heart, and there is also intervention in the heart, and there are many patients.

In Northwest China, the dietary fat intake is relatively high, and the base of patients with hyperlipidemia, hypertension and hyperglycemia is large, and there are many doctors in the department, with more than 20 people. The current department director is Ouyang's apprentice.

is also a female director, Ren Li, in her forties. The only graduate student in the hospital, it is said that he used to work in a large hospital in the province, because the department of the provincial hospital was very difficult and uncomfortable, and he was finally dug up by Ouyang to the city hospital.

Ren Li's profession is quite strong, and she is also beautiful, but her emotional intelligence is slightly worse and she will not come to trouble. After she became the director of Xinnei, the department developed by leaps and bounds.

The number of doctors sent to study abroad is also the largest number in internal medicine, and new technologies and papers are top-notch in internal medicine. The junior doctors also admired her. She does not do things alone, let her ability speak, and her income is also attached to her ability. It's kind of a fair director.

The Department of Cardiology is the most authoritative department in the hospital of Chasu City. Ouyang's support for her was also great, and in the Lao Huang era, Ouyang's other internal medicine departments almost gave up.

Hold on to your heart, and in order to get more resource support, you often argue with Lao Huang. The establishment of the interventional department is actually specially made for the heart.

That year, the city approved a special health fund, and Lao Huang was ready to set up one, an orthopedic disease research center, but Ouyang strongly opposed it. She suggested the establishment of an interventional unit.

For this matter, the two took the lawsuit to the municipal party committee. After half a year, Ouyang finally won, and the funds were used to set up an interventional department. Lao Huang has always been obsessed with it, and he has never been equipped with reserve forces for the interventional department.

Ouyang was also hard-hearted, and he insisted on taking Ren Li and them to develop their hearts and interventions. After the intervention developed, the income increased dramatically, and many young doctors wanted to get into their hearts.

Ren Li specially set up an entrance exam. But no, absolutely not, she has Ouyang's support, and the hospital has no good way. Technical unit, technology is king, you can't do it, people don't want you if you can't get in, there's really no way to say.

After Zhang Fan entered the department, his scalp was numb. Cardiology is not like surgery, there are also elderly people, but the heart is almost all elderly. Those who hold on crutches, those who use wheelchairs, those who walk, those who are staggering, and those who look dangerous.

Surgery and internal medicine are almost two systems, although in a hospital, there is not much communication in general, except for consultations. Zhang Fan spends his days in the operating room, and he is not very familiar with the doctors in the internal medicine department.

He made a name for himself in surgery, but few people knew about him in internal medicine. Here, he is a small doctor, a resident doctor who has been transferred to another department. The privileges of surgery are gone, let alone respected.

The system has not yet opened the internal medicine, and he can only rely on his own liver. There are also two girls in the heart. One came from gynecology and one from pediatrics. They are all scheduled to engage in internal medicine.

Zhang Fan was assigned to Ye Jing, an indicator. In his thirties, he was unknown in the cardiology department. In a department, there are so many backbones, and there are only a few positions, and there is no chance if you don't fight for it and don't work hard.

Ye Jing's husband is a civil servant and has a good income. She doesn't have any ideas about business, it's just a job. Her main mind is at home, taking care of her children and serving her husband is her pursuit.

It's understandable, they're all ordinary people, this is what most people think, but in a technical unit, if you don't work hard, you can only end up as a marginal person. Zhang Fan is a doctor in the Department of Internal Surgery, and he can be regarded as a soy sauce maker when he comes to surgery, so he can't count on it. So I gave Zhang Fan to her.

On the first day of entering the department, I met the dean's rounds. Doctors and nurses, doctors in advanced studies, intern students, and medical staff are almost 50 people.

That's it, many nurses didn't participate, because there were a lot of fluids to match, and they couldn't participate.

Internal medicine rounds are not like surgery, surgery is very clear, what surgery should be done, what surgery should be done, and it really can't be checked, then laparotomy exploration. The most discussed is the technique, who is in charge.

In internal medicine, we must first talk about the mechanism and mechanism, the classification of diseases, and the types of drugs. Which drug is better, how long, how many doses, and whether there are any contraindications.

Ouyang didn't let go of her business when she became the dean, she was still studying, she had to ask questions during ward rounds, and asked questions about the doctors who attended, transferred, interned, and advanced in bed. The doctor in charge is also responsible for reporting the condition. The treatment plan, whether it is suitable or not, should be discussed at that time.

If it is not suitable, you have to order a suitable treatment plan on the spot, and you can't check it all in the morning.

and couldn't check it halfway through, so they went straight to the noon rounds. The doctor who is almost in good health will definitely not survive. I can't stand still, let alone take the time to revise the doctor's order for the day.

Zhang Fan is not a big problem, and several medical students and those who are studying are a little unbearable, because they have never encountered this kind of high-intensity ward rounds, and occasionally secretly stand against the wall for a while. Because they still have the case in their arms. Although it is a plastic clip, it is also heavy to stack more than a dozen cases together.

Ouyang's questions were very professional and meticulous, and the junior doctors who often asked were speechless and couldn't answer. She was more strict, and asked the senior doctor to answer on the spot, but if the senior doctor couldn't answer, she immediately turned the book and didn't give any affection.

When she made rounds, the doctors were nervous to death. In the ward, in front of the sick number, let her count down, it was really uncomfortable.

Today's ward rounds didn't ask questions about Zhang Fan, Zhang Fan was determined to be surgical. Maybe she can't answer, she doesn't understand the relationship between Zhang Fan and Li Xiao, so she can be regarded as giving Li Xiao face, and she didn't let Zhang Fan get off the stage.

Old Mrs. Ouyang, who is not tall, can bring her own dean halo, which puts a lot of pressure on everyone. In addition, she is very strict, which makes a few people who transfer to another department tremble, and her aura is compelling.

After the ward check, there are still a lot of disease courses to record. Today is a big round, and the doctor in charge and the junior doctor all carry notebooks with them, and they have to record the verbal medical instructions of the senior doctor on the spot.

And then it has to be reflected in the case. Medical cases are much more demanding than surgical cases. For example, in the case of an orthopedic car accident, it is very simple, that the car accident caused the bone to be fractured. The time, place, person, and degree of injury are OK.

Internal medicine is not good, it has to be refined from the onset of the disease, whether it has been treated, what kind of treatment, what is the effect, whether it has been aggravated, and whether there are complications. Have you been treated with medication at any time?

Cases in internal medicine are very particular about the choice of words and tone. Words such as "Ke", "Okay", "Good", etc., are used in different places, if you want to use the wrong one, Ouyang can use his fingers to kill you.

There are also many kinds of drugs, such as antibiotics, hemostatic drugs, blood-invigorating drugs, and great use of albumin, plasma, and energy. Just dome as consumed.

Internal medicine is not good, the same type of drugs varies greatly from person to person, some people can use it, and some people cannot.

Rough internal medicine is very simple, a resident doctor in the department for three months is about enough, but it is difficult to be proficient. First of all, the foundation is solid, from physiology to pathology, from embryology to biochemistry, you have to be proficient in it, and you can use it when you pick it up.

I only turned the book when I encountered a disease, and it was just an introductory doctor. A good internist can analyze your physical condition from your taste, and have a general understanding of your physical condition by looking at your face.

To achieve this level of physicians, there are no more than ten years of solid study, thinking and summarizing, and don't even think about it.