"The patient was admitted to the hospital for three days with dizziness, nausea, and vomiting. After a complete examination, there was no obvious abnormality in the examinations, and after a physical examination, the attending doctor Hu Zengxiang and I accidentally found that when the patient lowered his head, the muscles in the cervical spine C4 were tense, and there were paroxysmal soreness, combined with the signs, the diagnosis was clear, and the compensatory hyperplasia of the lower longitudinal bundle compressed the vertebral artery. "Technical unit, technology is king, although Zhang Fan said very tactfully, what accident, what interruption, took care of everyone's face, in fact, this is a more professional comparison, but the attitude must be there.

After introducing the diagnostic process, the director of the Department of Gastroenterology said: "Don't talk nonsense, this disease is not a manifestation of cerebral hypoxia and ischemia." X-rays of the cervical spine do not show any changes in curvature. Do you understand?"

"How is this nonsense? Signs and physical examinations are consistent with symptoms. Zhang Fan didn't know the situation, out of respect for the habit of senior doctors, Zhang Fan spoke very politely.

"Zhang Fan, don't worry, what do you think, let go and say, Director Chen is no longer a doctor in our hospital. Ouyang said.

"Oh, it's actually very simple. The patient's ligament is slightly left than ordinary people, although the perennial desk work and head bowing action have not led to the deformation of the cervical curvature, but the ligament has been compensated for the thickening, if not corrected in time, it is estimated that the cervical spine will definitely be deformed in the future. ”

"It's nonsense, imaging doesn't support it, what do you know, do you say thickening if you say thickening?"

"First of all, there is no MRI of the neck in the examination of this patient, only X-ray, can the ligament be seen in the X-ray? I can't see how to support it, and secondly, the hyperplasia of this thickness is estimated to be MRI, and you can't see it, because you are not professional. The repeated insulting remarks made Zhang Fan angry. But what Zhang Fan said is right, I really can't see that the hyperplasia of this thickness is not related to the spine.

"Joke! What do you know about a little resident. Then he walked to the bedside and said to the patient: "I am the director of digestion of the Affiliated Medical Center of Di University, I think your disease needs further examination, I can help you contact more advanced examinations." After saying that, he felt that the patient would immediately agree even if he was not grateful.

"Oh, no! The city hospital is not bad. After Zhang Fan had a corrective treatment, the effect was obvious, the patient was not stupid, and she had the best experience of whether it had any effect, so she directly rejected the director's proposal.

When Ouyang and the doctors at the hospital heard this, smiles appeared on their faces. This patient number is too powerful, and it directly makes the director of the gastroenterology department who rebounds unable to get off the stage.

"Well, you can think about it, your symptoms are very serious, don't delay, it's too late to regret a minor illness to a major illness!" Although he didn't know what was going on, it had reached this point, so he could only continue.

"We also have the examination of the provincial hospital, and we will give you a perfect examination later!" said the director of the medical office.

Both the patient and the patient number wondered, "What's the situation, why is it suddenly so popular!" The husband and wife looked at each other, and they could see the incredulity in each other's eyes.

They are a little shaken, they are all ordinary people, where have they received such attention, they are a little frightened. "How do you feel, why don't we go to the Bird Market?" said the husband to his wife with some doubts.

"I don't know!" the wife was unsure.

"Look, don't be fooled by them, let's go to the bird market. "The director of the gastroenterology department who jumped back was very proud, and he crushed a hospital by himself!

In fact, this is not his strength, but the contest between higher-level hospitals and grassroots hospitals. This is also a headache for the medical community in recent years, patients do not trust the grassroots hospitals, and go to provincial hospitals for slightly more serious diseases, and even go to the capital and Shanghai. And then these large hospitals do the basic work, which leads to dissatisfaction with both patients and hospital doctors.

Who is to blame for this question? I can't answer it!

"It's okay to go to a higher-level hospital, the higher-level hospital is more professional, and I won't force you to treat it, but let's put it this way, how many times a day can you vomit since you got sick?" Zhang Fan did not veto the patient's idea, the more he objected at this time, the more the patient would feel that there was a problem.

"There must be twenty times!" said the patient, after a moment's thought.

"Now there are two ways to determine your disease, one is that we will go to do an MRI now, but even if we do, it is estimated that some people will not be able to understand it, although it is a doctor from a higher-level hospital, I guess I can't get along and come here to fish in troubled waters." The director of the gastroenterology department wanted to speak, but Zhang Fan didn't give him a chance, and then said: "Although the second one is time-consuming, it can be regarded as the gold standard, and now it is three o'clock, according to your usual number of vomits, that is, you can have uncomfortable symptoms once an hour on average." From now on, if you still vomit before 10 p.m., I'll pay for you to go to the bird market. ”

Zhang Fan is absolutely sure, he's been in the liver for two years, if he doesn't even have this certainty, what else is he messing with, take off his white coat and forget it! Moreover, this director has torn his face several times and said that Zhang Fan has turned into a human being? How do you look like a guy!"

The sick number is not happy, the heart of vomiting these days is upset, and now some people are laughing at her for being uneducated, this is really her pain point, college students are not uncommon in recent years, she is a high school student in the unit was a little inferior, and now when she comes to see a doctor, the doctors laugh at her, can you bear it!

If a middle-aged woman breaks out, it is really not something that ordinary people can parry, and in public, people will scold the gang, and the director of the gastroenterology department will have a yellow face.

"You talk nonsense again, be careful that I complain about you!" and then smiled at Zhang Fan and said: "It's really good, I can feel it myself, I used to be dizzy if I was a little excited, but it was really refreshing just now!" Not only the director of the gastroenterology department, but even her husband's face was wrinkled into a rag!

"How did you treat it!" the director of the gastroenterology department asked a little unwillingly, he also saw that the sick number had really improved, just in the morning, a languishing woman was now like a congested shrew, how could she look like a sick person! This time it was a shame!~

Zhang Fan was just about to speak, Ouyang said: "This is an internal matter of our hospital, so I won't bother you, please send it, and your file will be sent to the talent center later!"

Even if the gastroenterology department can't go on, Ouyang won't compromise, and a woman as strong as a man will compromise with him! It is estimated that the matter of him going to the Chinese medicine hospital will be yellow! If Eurasia can give up, it will not be Ouyang.

In the dean's office, Ouyang pointed to the sofa opposite her office and said, "Sit!"

After Zhang Fan sat down, he wanted to explain. Ouyang waved his hand and said, "This is a small section, I won't say more." But you must know that you are no longer an ordinary doctor, your future will definitely not stop here, and how far you can go in the future depends on how self-disciplined you are. Now what your skills lack is tempering, if you can achieve self-discipline that others can't do, I believe that there will be a place for you in the future Huaguo medical community. ”

"Got it! Zhang Fan didn't plan to explain again, he also understood Ouyang, it is not easy for the director of a tertiary hospital to be so attentive to you, first of all, this hospital is not her family, not her private. Yes, the hospital is king about technology, but it is not that the hospital will not be able to operate without anyone, she is a woman, who can withstand the pressure to carry the former president to develop a department into a famous person in the province, and there is no vanity under the fame!

And to make a simple analogy, when Zhang Fan was the chief surgeon, if the assistant did not focus on him and had his own intentions, the operation would not be done, and the hospital as a whole had rules and regulations for its operation.

The dean gives you face and says two words to you, don't give you face and stop your surgery, you have no way at all, you just can't win anywhere, an organization and a system must first maintain its own operating laws, and it will not change because of a genius, unless this day can overthrow this system, otherwise a word, no obedience, can directly negate you, don't believe it, especially this kind of national medical system, you cattle, try. Old Zhong Niu, no? That's a long way off.

No matter what kind of cow you are, if you want to mix in the physique, don't talk about the others first, you have to obey first. Today people say two words about you, you think you are a cow, throw down the white coat and leave, but what about tomorrow? What if you meet a stricter leader?

Yes, you can go to a private hospital to make a lot of money, so much money that you can't count, but for a person who has a system, money is no longer the most important, in the health system, no matter how powerful and talented an individual is, there is no platform behind him, and he can't do anything. Don't say anything else, just talk about anti-cancer drugs, Pfizer will stop when it says stop, and won't sell it! Huaguo is amazing, but what can you do with me?

In the future, the medical system will pay more and more attention to individualized differentiation, and this goal and concept can only be achieved on a national platform.

The collective is a group that wears out the will of the individual, unless you have begun to lead the collective, and you really can't obey it, then jump out of the public hospital, go to a private hospital or open a clinic by yourself! If you want to open it, you don't want to open it and sleep, no one cares about you, so if you want to stand out in any organization and collective, you must first be able to mix, if Zhang Fan is really a powerful person, he will not come to the frontier, and go directly to the south to mix!

Also, this leadership concept varies from person to person, and the main reason for the map is to move people with interests in the county hospital, after all, a county hospital is limited. And the municipal hospital, it's different, there are all kinds of people, the leader already has his own leadership characteristics, Ouyang is an iron lady, unconvinced, she is already in the position of the dean, reasonable and unreasonable, her management method is like this, play and then give a benefit, will never let you rest assured She just wants you to be tamed, this is a way and method, there is no right or wrong, only good and bad.

"Well, you have a good attitude, you are still young, you have to walk a lot, I haven't seen a genius, but how many can really shine? So now you not only have to exercise your medical skills, but also establish a correct world view, read more autobiographies of celebrities, although there are exaggerations, you will have a little inspiration. The quota of the top ten outstanding young people in Chasu City has come down, and you are the only one in the medical system. Remember, don't lose a big deal because of a small thing!" Ouyang's last sentence was to stand up and say.

"I know!" Zhang Fan also stood up and said, and then said with a little embarrassment: "What is this quota for!"

Ouyang almost hit him with a teacup, "Honor! understand, this is an honor, it is the recognition of the municipal party committee, the hospital, and the people, do you think this honor is not as important as the milk gift box?"

Zhang Fan quickly admitted his mistake! The more economically developed the region, the smaller the government. But in places like the frontier, it's different. People's sense of honor and discipline is quite strong, when it snows heavily, both adults and children go to the streets to clear the snow, the cotton is ripe, the university is down, the fourth grade of primary school is up, you must participate in cotton picking activities, and you must pick a certain weight of cotton every day, which you may scoff at and call them stupid.

Let's talk about the militia, on this side of the border, there can be no army at 500 kilometers of the national border, only armed police, and no heavy weapons, this is a contract signed between China and other countries. In fact, there are a lot of filthy disputes between countries, and whenever a major event occurs, what should we do if there are not enough troops? If it is impossible to transfer troops, our country will have to lose face! I am also a superpower!

At the sound of an order, you go to see the frontier, which is full of green uniforms and no epaulettes and no firearms, each with a uniform shovel handle. One by one, big trucks went out into the streets, and there were not a few million, just a hundred thousand troops got up. If you really want to go to war, you will be issued weapons directly, these people are usually either farm workers or employees of various units, they are usually ordinary people, but they will set a time to train every year. Serious training, live ammunition and death quotas!

In special places, more emphasis is placed on people's obedience and discipline. Moreover, the hospital also attaches great importance to the obedience and discipline of doctors, not to mention the quality of obedience and discipline, this thing is originally the product of power, but can a place like the hospital not pay attention to discipline and obedience? No, the epidemic is coming, there is no usual training, doctors and nurses take off their white coats and run!

Why don't military hospitals be disbanded or reduced, this is the last line of health defense reserved by the country for the people or for the country! At the critical moment, these people can be sacrificed at any time~! Don't believe it! It's not to raise the bar, this industry is too special, you can't stand any grievances, then don't do it, the sick number can anger you!