433 Dumbfounded!
"Come, sit, don't stand, let's have a good talk. Your surname?" the expert asked Zhang Fan kindly.
"His name is Zhang Fan, the pillar of surgery in our city hospital, Lu Lao, who studied under the Jade Bird Surgery, and his senior brother has also come to the city hospital in the past few days.
In addition, Professor Li Housen, an expert in the Capital Burn Department, also came to our hospital to carry out a skin graft laboratory.
Professor Zhao Jingjin's portal system experiments have also been carried out in our hospital, and these works are led by Dr. Zhang. ”
Without waiting for Zhang Fan to introduce himself, Ouyang chopped, chopped, chopped, chopped, and instantly raised Zhang Fan from an ordinary young doctor by several grades.
Although it is true, there is still an exaggeration, Zhang Fan has taken the technical path in these experiments, rather than being good at research.
But Ouyang's meaning is also obvious, don't think about digging people. The experts of the capital, the experts of the blue bird, and the experts of the bird market have not succeeded, and you don't want to think about it.
"Hehe, is it, academician disciple, or ancestral disciple, amazing, it's a pity!" Anyway, he and the local hospital are not the same system, and he doesn't worry about what makes people angry or not, he doesn't care, after speaking, he saw Ouyang's face turned red with anger, and then then said: "Come, Doctor Zhang, talk about war trauma surgery." ”
"Where to start?" This subject is not a small subject, and Zhang Fan really doesn't know where to start.
"From what you know, let's have a good chat, and now the superiors are discussing the establishment of a military hospital in the border area.
I still give this fund to local hospitals and let them develop this area, so as a member of the expert group, I also have the right to know the level of doctors in local hospitals first. ”
As soon as he said this, hey, Ouyang, who had originally smashed the field and withdrew the stall, his eyes were pricked up, quietly retracted his momentum.
"Go, pour some tea for the experts, turn on the air conditioner, talk slowly, not in a hurry. Then send someone to take notes. It is not easy for experts to come down once, and we should form a summary of the meeting. ”
It seems that Ouyang is snobbish, but it is not snobbish, this is obviously a sign of snobbery, if it weren't for the fact that there were chairs in the conference room, it is estimated that these experts in front of them would not even have a place to sit.
At this time, Ouyang directly poked to the end with a rod to form the meeting minutes, as long as the superiors had this meaning.
The city hospital is ahead of the other hospitals! You see, we even want the minutes of the meeting of the expert group, are you embarrassed not to give the project to our hospital!
That's what the old lady thinks, and she's going to do it.
Before that, drinking tea? Thinking too much, isn't tea considered office expenses?
Zhang Fan was about to cover his face, and he could also see that this old lady was too philistine. He was still young and thin-faced.
"Hurry up, talk to the experts, and ask for more advice!" Ouyang patted Zhang Fan on the shoulder, and added a little strength, which means: behave well.
After thinking about it, Zhang Fan said:
Speaking of war surgery, we have to talk about the origin, the earliest medical books on the treatment of war wounds appeared in the 11th century B.C., the Zhou Li of Huaguo appeared, among which there was a "ulcer doctor" came out, which is the world's earliest known systematic surgical classics.
The classic book of the Cold Weapon War is the Jin Chuang Treatise written by Liu Juanzi during the Northern and Southern Dynasties of China, which is also a must-read book for surgeons in the early years.
In the 18th century, the French surgeon Dr. Deasult was the first to propose that the wound should be cut and expanded, and the necrotic tissue and foreign body in the wound should be removed, and the initial suture should not be done. This theory is still the classic standard for war wounds.
His student Larry established the first battlefield rescue team during the Napoleonic era, using the principle of rapid rescue, and they were both teachers and students, and they are considered the originators of war-wounded medical treatment.
The real change in the treatment of war wounds was the French microbiologist Professor Bade, who used the heat sterilization method, which is now called pasteurization, and this theory formed the basis of the disinfection theory of surgery.
According to Professor Pasteur's theory, the British professor continuously sprayed calthocarbonic acid on the operating table, which significantly reduced the suppuration of the wound, and then Professor Pasteur's theory was carried forward.
The two world wars made great progress in the development of war injury medicine, and the modern war injury surgery compiled by Academician Li Ao of Huaguo has also become a symbol of the establishment of war trauma surgery in Huaguo. Zhang Fan began to speak with a little reminiscence.
"Can you know this, I guess I've read a lot of surgical classics, right?" The experts of the General Hospital were really surprised, not to mention the level of surgery, this reading volume is estimated to be able to teach the history of medical development in medical schools.
Zhang Fan scratched his head embarrassedly, "I haven't read all of them, I don't read much classical Chinese and some foreign languages, and I can even guess and take Meng, and I have read some translated versions of foreign classics for war injuries, and the original version is too difficult to read." ”
Zhang Fan has a lot of medical books in the system, and most of the classics that can be recognized by the system are not translated as long as they are foreign. Therefore, Zhang Fan looked very struggling.
"There shouldn't be any of these classic teas, you read them in the Blue Bird, after all, it's still a big city! Zhang Fan has indeed aroused the interest of the experts of the General Institute.
Speaking of this problem, Zhang Fan also began to be upright, he was working behind closed doors in the system, there are many classics in the system, and there are arguments, and the system will not have explanations.
There are some controversies, and Zhang Fan can still see the clues from the systematic surgical tutorials, because the results of some controversies are not reflected in the operation at all.
And some other controversial conclusions will appear in the surgical tutorial, although the frequency is different, but human life is a matter of heaven, so Zhang Fan does not dare to generalize or blindly determine that it is right.
Now that there are more professional experts in this area, it is just an opportunity, and Zhang Fan naturally can't let it go.
"Trauma ballistics, in addition to exploring the mechanism of injury caused by projectiles such as warheads and fragments, should also consider the special effects of special environments, such as the characteristics of firearm injuries under altitude conditions.
For example, mine injuries, in addition to local injuries, can also form generalized contusion-concussion syndrome, and antibiotics and surgery should be given within 1 hour after the injury to limit continued necrosis. The mechanisms of injury to firearms are divided into five categories.
The first is direct cutting and crush injuries.
The second is the formation of homeopathic cavities. It is equivalent to the tearing and collapse of tissues.
The third is the shock wave, which is very controversial, some experts believe that this injury has little effect, while some experts believe that this injury is fatal.
Fourth, secondary projectile damage. If the injured bone stubble becomes scattered, a secondary injury is formed.
The fifth is blood flow interference, the huge energy formed by firearms in the body in an instant, directly causing the collapse of peripheral blood vessels, forming blood flow interference waves, such as lower limb injuries, and punctate hemorrhage of the heart, brain and lungs.
......" Zhang Fan said, the expert listened, and from time to time he also explained in a voice, the two chatted happily, and the hand of the medical officer was about to break, "MMP, what are you talking about, so many words!"
"I can't explain some of your problems, and I can't explain them, there are thousands of injuries and diseases, and there is no best treatment, only the most suitable. This requires you to summarize in your work, what is the most appropriate, what is the most effective.
This is the so-called medical experience, and it has been a long time, and I think it is very effective for your abdominal surgery, and the maximum effect has been obtained with the least damage, which is good. You're kind of qualified to sum up the experience.
How about it, are you interested in enlisting in the army, the army is a melting pot for training talents, and this kind of war wounds can only be seen by the army, as long as you are willing, you can take the special talent channel. How?"
"How can there be a war now, this kind of trauma is actually more local, and there are certainly more fights than wars! Besides, he has to preside over tens of millions of scientific research projects, and he can sum up experience in local work. Ouyang was not happy, why did he dig into the corner of the wall while talking.
Zhang Fan is actually not very reluctant, the rules and regulations are too restrictive.
"I still like to have surgery, I like any kind of surgery, it's too simple and boring. Zhang Fan said with a smile.
When Ouyang heard this, he was not in a hurry, picked up the boss's cup, and drank a sip of astragalus water very posturefully, the bitter old lady bared her teeth, but her smile did not change.
"Oh! Actually, ......" The expert paused, the general hospital also wants to save face, forget it if he doesn't come, the world's talents are not inferior to him in the army.
"However, we can find a time, you come to the main institute to give a lecture, and you will talk about your understanding of ballistics, although you are taking a wild road, but you are almost out of a Roman road, and the lecture can also open your mind. ”
"I lecture on this, I haven't talked about it, I don't know ......" Zhang Fan was a little timid, going to a large hospital to give a lecture, at least he had to be a long-river scholar!
"Why haven't you lectured, didn't you give a lecture to everyone for the medical practitioner exam in our hospital. And last time I had a huge liver tumor surgery, doctors from all over the region came to listen to you, not that it was very good, and you can't be too modest. Ouyang put down the cup and immediately began to correct it.
"Grandma, which one can compare with this!" Zhang Fan was about to cry.
"Hehe, it's all the same, actually. That's it, just recently, let's make an appointment, and you come to the main hospital to report. It can also be regarded as beating the side drum for the local hospital. ”
The expert, a staunch supporter of local hospitals, believes that rebuilding is wasteful and that rational application is the best approach.
"No problem, please ask the experts of the higher-level hospital to set a time, and our lower-level hospitals will fully cooperate. Ouyang directly began to finalize the time with the experts, and by the way, the city hospital has become a subordinate hospital of the general hospital!
"Next Wednesday, give you a few days to prepare. I hope you can conquer more experts with a wonderful debriefing next Wednesday as you did today. Try, young man!"
Ouyang took Zhang Fan and a group of people from the medical department to personally send the expert group away.
"Hehe, I know, I know, good. Give you a few days off, as long as you have done the surgery in the laboratory, the rest of the time is at your disposal, and the hospital will not call you again if there are no special circumstances.
I'm going to prepare the materials for submission now, and I'm going to apply for you for the position of assistant dean!"
"Dean, no, I ......" Zhang Fan didn't think about being an assistant to the dean, the assistant director of the orthopedic department was enough!
"Okay, you are too young to be the dean, and being the vice president is not as powerful as the assistant dean. Doctors, how can they do a good job without a big picture. This position is the best platform to exercise your overall view, so hurry up and have fun!"
Ouyang didn't wait for Zhang Fan to reply, he left with a group of people, and the director of the medical department looked at Zhang Fan with complicated eyes, "Assistant to the dean! God, the youngest director of the city hospital has been released, and you can't call Xiao Zhang in the future!"
The others left, leaving Zhang Fan, who was standing on the side of the road and getting confused. "How did you become the assistant to the dean?"
The government's jurisdiction over the medical system still has a little bit of freedom, and it is estimated that it is not a big problem to put Ouyang's proposal in the meeting for casual discussion.
Zhang Fan, who returned home, hadn't reacted yet. Speaking of the assistant director of the orthopedic department, it is actually a matter of the team leader, that is, the leader of the hospital.
And the assistant to the dean, but Zheng'er Bajing is considered a position. As the old saying goes, this is equivalent to becoming a cadre.
"What's the matter, it's almost in my nose when I eat. Shao Hua looked at Zhang Fan with a smile, and then wiped his mouth with a tissue, "I'll come by myself, I'll come by myself." Zhang Fan looked at the old couple a little embarrassed.
"Hmmm, cough, have you finished eating, the news broadcast has started, you can watch TV. The old lady took the old man away, and the little couple seemed to have something to say, what was the matter with his ears on his back!
"You, hum!" the old man crooked his mouth, put down his chopsticks and left.
"Zhang Fan, give it, I got you a little radishes, you eat some cold dishes, I'll go to the kitchen to wash the pot." As she spoke, the old lady closed the kitchen door.
"What's wrong? absent-minded. Are you tired?" Shao Hua looked at Zhang Fan with concern.
"I'm going to report to the Bird City Headquarters next Wednesday!"
"Yes, haha, Xiaoshi, you're so good, now you're going to report to the main hospital? God, hurry up, don't eat it, I'll take you to buy a suit, you can't wear T jeans to report!"
Shao Hua is happier than Zhang Fan, and the Bird Market is also a second-tier city, and it is so good to be able to make a report in the best hospital in a second-tier city! Shao Hua, who was born in an ordinary person, how can he not be happy.
"Uh, don't worry about it!"
"What's the matter, if you listen to me, you will definitely clean up your Lilisuo, and you will look like an expert professor at a glance!" Shao Hua began to look forward to Zhang Fan being dressed up by her.
"Let's go!" Shao Hua began to urge!
"One more thing!" Zhang Fan said a little uncertainly, because he didn't know if Ouyang was just saying it.
"What's the matter, tell me quickly, Vientiane City is closing!"
"The dean said nominate me to be the dean's assistant!" Zhang Fanyi said this.
Shao Hua was also dumbfounded. "Assistant to the Dean?"