Sometimes, especially in some special industries, you can be cold to strangers, but you can't say that you are enthusiastic about the people in your system, at least you will be polite. Capable medical representatives, IQ may not need to be high, but EQ is definitely high.

A group of doctors don't hum or haha to Manager Sun, he doesn't care at all, he has always maintained a smiling attitude, and he doesn't take the initiative to find someone to clink glasses or anything, just do a good job of serving tea and pouring water. There are many, many people, no matter how hard it is, let him keep his voice down and resolutely not go. In this world where money leads the way, who is right and who is wrong! Yes, as long as you can ensure the livelihood of your parents and children. What world peace and global warming really have to do with us.

Zhang Fan is also learning, treating people and things, and the rules of the industry, which are all knowledge that cannot be missing, this is a complete social person. Without these foreshadowing, it is really unlikely that you want to go farther. However, learning here is only learning, not indulging, not chasing it at the end of the day, just understand it and don't need to be proficient.

Barth's laboratory tests were also perfected. After the morning rounds were over, and when he returned to the department office, Lao Gao looked at Bart's inspection report and muttered for a long time without speaking. He didn't speak for a long time, and finally he put down the checklist and said to Zhang Fan: "Be cautious, this operation is really cautious." Let's discuss it more, how about it. ”

For Lao Gao, Zhang Fan has nothing to take into account. One said, "Director, this operation is a bit difficult, but as long as you and Director Wang help me, it is not a big problem." ”

"Do you have a detailed plan?"

"Hmm!"

"The road ahead, the road back?"

"The back, the front is a bit damaged. Zhang Fan said to Lao Gao.

"The back road is a little more difficult, this operation is really too troublesome, and the failure and success can't be seen in a short time." Lao Gao stared at Bart's film, touching his shaved chin.

This operation is so awkward, the spinal orthopedic is not a fracture, whether it is successful or not, it cannot be seen for a while, and if the doctor's level is not high or the judgment is wrong, with the development and growth of the child, not only the deformity is not corrected, but the deformity will be aggravated.

"Surgery now is the best chance for this child, and the older he gets, the worse the effect. Zhang Fan emphasized.

"I know, let's estimate the risks of surgery first, and then talk to the family about the situation. The risks of the future and the risks of the present must be clearly explained. Consult a pediatrician or internist if necessary. Lao Gao was afraid that Zhang Fan would be inexperienced, so he explained everything he should think of clearly.

"Okay. I'll have a consultation in the afternoon. ”

"Hmm. I went to the clinic and had something to call. ”

Zhang Fan had to deal with these things personally, and the other doctors couldn't say it clearly, and he was not at ease. And these things must be done after the operation, and the treatment of other patients cannot be delayed because of one disease. This is the reason why everyone usually sees that the doctors in the hospital seem to be very busy. Once there is a special or serious patient, the doctor can keep his feet on the ground.

In the morning, there was an operation for a broken collarbone, and a fall resulted in a fracture. The shatter is not very bad, it is an oblique fracture, and there are almost no broken bones, just an obvious broken end. This kind of surgery is suitable for Wang Yanan to practice. Orthopedic surgeons pay great attention to clavicle fractures, and if you relax a little, you may be snatched away by the thoracic surgeon. The orthopedic surgeon did not suffer either, and the rib fractures in the chest were not less.

"Note that when fixing, be sure to pay attention to the underlying lung tissue. Regardless of whether you are sure or not, you must take protective measures. Zhang Fan was an assistant, but he still took the trouble to emphasize the matters to be paid attention to during the operation.

You may think it's too much. In fact, the medical industry attaches great importance to the consolidation of knowledge, and if you don't consolidate it yourself, the hospital will help you consolidate it. Exams once every three or four months, basic exams and transfer exams, over and over that thing, always afraid that you will forget, and the grades are linked to your performance salary.

The medical industry is like that, only the more proficient and not the most skilled. Life never stops, and studying for exams never stops. After surgery, the superior is the superior, although Zhang Fan and Wang Yanan are both resident doctors, but Zhang Fan is Wang Yanan's senior doctor at this time.

In the afternoon, Zhang Fan began Bart's preoperative preparations. Everything goes through the normal procedure, first ask the pediatrician to come to the consultation, although the pediatrician did not say anything, that is, he wrote a sentence on the medical record: the child's current vital signs are stable, the spine is obviously deformed, the current state is feasible for symptomatic treatment, if there are special circumstances, you can contact our department, thank you for the invitation! Just such a nonsense, not even the words of surgery, but this nonsense, if it is not reflected in the medical record, even if it is an unqualified medical record, this is the problem when the superior finds fault, why is there no pediatric consultation?

Then invite the respiratory department and cardiology department to come for consultation, the bigger the operation, the more complete the medical record must be, even if the other party is talking nonsense, you have to invite people to come and say, this is the responsibility of the patient and the protection of the doctor. For the cardiology consultation, it was Ren Li and Ouyang who came, and the old lady had already greeted Ren Li.

"Is there any precedent for this kind of surgery in the city hospital?" Ouyang came, and Lao Gao also had to come out to say hello. The old lady asked, flipping through the medical records. Although there is no question by name, everyone knows that this is asking Lao Gao.

"Dean, I haven't done it. ”

"Well, it's kind of expanding the business of the department, but we can't be aggressive. Zhang Fan, you go and invite Director Wang from the Second Department of Orthopedics, Director Chen from the Department of Orthopedics, Director of Anesthesiology from the operating room, the director of pediatrics, and the director of the medical department to come over. ”

"Yes!" Zhang Fan turned his head and went to the nurse's station to call. This is a special feature of the hospital, and personal matters are communicated through mobile phones, and official affairs are usually communicated by internal telephones. I don't know how it was handed down, although the phone bill is not much, and the hospital also reimburses, but that's it, as long as it's a business, it's generally an internal phone call in the hospital.

Within a few minutes, Lao Wang and Lao Chen came, and the three departments of the orthopedic department were all connected, and the three floors connected to the surgical building belonged to the orthopedic system. Since Zhang Fan showed the film of this sick number to Lao Wang, Lao Wang was directly stunned. I can't pay attention to other things, and I am obsessed with watching movies every day to think about surgical plans and find information, and my nerves are about to burst.

People are like this, if this operation is done by a higher-level hospital, or as long as it is not done by a certain doctor of theophyllin, Lao Wang probably will not be so concerned, but once theophyllin or a doctor he is familiar with is going to do this operation, he will be in a hurry. Why, he can do it, why can't my old Wang do it? The old man made Zhang Fan a little miserable, he couldn't eat or drink well these days, he really didn't think about it again.

"Everyone's all together, aren't they? Director Gao, you can arrange it. After several directors from other departments arrived, Ouyang said to Lao Gao.

"Okay, Zhang Fan, this is your patient, you can introduce it to everyone. Lao Gao said to Zhang Fan.

"Leaders, experts, three days ago, our department admitted a six-year-old and seven-month-old child, and after examination, the diagnosis was clear: congenital spinal deformity mixed type. Laboratory tests and physical examination are consistent and support the diagnosis. At present, the patient is still young and has no related complications, but in order to protect and avoid future complications, our department plans to perform spinal deformity orthopedic surgery for treatment. However, considering the young age of the child and the long duration of the operation and the long time spent in bed after surgery, the experts of various specialties should be consulted. In the office of the Department of Orthopedics, Zhang Fan didn't even look at the medical records, stood up and said. The director of the medical service took notes personally on the side, as the director attended.

Ouyang nodded involuntarily after listening, and then said to the doctors present: "Let's discuss and discuss, whether this operation can be done or not." Do, how, don't do, why not. Let's talk about it all. started from Wang Yanan's side, and said in turn. ”

Except for the doctors from the Department of Orthopedics, the others were all experts and first-level doctors, so the little doctor spoke first.

"The child's vital signs are stable and the diagnosis is clear, so I think it can be done. After Wang Yanan finished speaking, he sat down.

"You don't have to stand up, just sit and talk to save time. After Ouyang saw Wang Yanan sit down, he added.

The little doctor can't say one, two, three, just simply talk about the examinations and signs in the medical record. Soon came to the director of the third orthopedic department. After staring at the film for a long time, Chen Qi said: "It's difficult, the difficulty of the operation is not small, the child's body is immature, and there are no obvious symptoms yet, and the postoperative effect is not good, can it be slowed down first?"

Lao Chen's meaning is that the child has no symptoms, and what should be done if there is abnormality or discomfort during the operation. It's a bit conservative, but it's a kind of old town suggestion, after all, it's a person, not an object.

After Lao Chen finished speaking, the two orthopedic directors frowned, but they didn't say anything. Ouyang also did not know whether the directors of cardiology and pediatrics had assessed the tolerance of the child from their own departments, and did not make a clear recommendation on whether to undergo surgical treatment. The director of the anesthesiology department concluded his speech after he made it clear that the child could tolerate anesthesia for surgery.

It was the turn of the director of the second orthopedic department, and after the old man brushed his hair, he said: "Yes, although there are no obvious symptoms in the child at present, if conservative treatment is carried out, within a year, there will definitely be obvious organic changes. And I have consulted a lot of relevant papers and medical records, as long as we do a good job of making a full plan, we can perform surgery. ”

"Are there many hospitals in Bird City for this kind of surgery?" asked Ouyang.

"Not much, but you can't say no. ”

"What if?"

"The earliest was a similar operation five years ago, the effect is unknown, I called the chief surgeon of the superior hospital, the patient left the frontier after the operation, and the follow-up visit was not continued. "After all, the spine is Lao Wang's business, so he is very clear about these things.

"Director Gao, tell me. After listening to this, Ouyang said to Lao Gao.

"Yes, the reason has been said by the previous doctors, and I don't need to repeat it. But how to do it is debatable. ”

Zhang Fan had already made it clear that the surgery was feasible when he introduced his condition, so there was no need to express his opinion. Ouyang made a direct decision: "Since all the experts support surgical treatment, it is an orthopedic disease, and it is still Dr. Zhang's disease number." Director Gao, Director Wang, and Dr. Zhang, the three of you book a surgical plan and submit it to the Medical Office. Is three days enough?"

"Yes!" the people who were named agreed in unison.

This is Ouyang's means, this is an executive order, you quarrel, anyway, I have set the time, no matter how you quarrel within three days, you must give me an explanation and a plan.

"Okay, adjourn. After speaking, Ouyang went out first!

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