326 Hospitalization is not in vain

If there is a person whose ancestors have never been generous, and who has been hungry for eight lifetimes, he will never remember anything from the past, because there is nothing to remember and be proud of.

If the ancestor was rich and noble, when it reached him, there would be nothing, he had only heard of it and never seen it, and his heart was full of entanglements.

Whether it is a country or an industry, in fact, this is the same as a person or a family. For example, a shoulder dislocation, Western medicine needs the least two people to reduce, the doctor can't be too old, and he can't do it when he is old, but Chinese medicine, many old men, many old people, many old immortals, he himself can't walk steadily, but this kind of reduction, it's too simple, one person can easily reset with a chair.

Then there is the so-called picking, if there is no suitable person or other factors, there will be fewer and fewer people who will use these methods, and finally it will become a legend. Medical care is not like other industries, the creation of a method, the creation of a simple method, maybe it is slowly explored by several generations, and it is lost when it is lost.

Now science and technology are so developed, but there are many tips, a lot of empirical things, if there is no predecessor to lead, want to copy, it is really not the general difficulty, and now the medical system is different, many doctors are not willing to study or dare not innovate, anyway, according to the textbook, according to the annual medical norms, how to prescribe how to treat, it is too difficult to break through!

Zhang Fan took this middle-aged woman in her thirties and forties and sat on the examination bed. "Take off your shirt first, I'll have to take a look. Can you take it off, you can't take it off, I have scissors here. After speaking, Zhang Fan suddenly felt that something was wrong, as if he had said the wrong thing.

"It's alright, doctor, it's alright. No scissors. The woman gritted her teeth, she was already in severe pain, because of the movement of her arms, which led to more pain, and the beads of sweat the size of beans seemed to fall directly on her head.

Tattered work clothes, beads of sweat the size of beans, enduring severe pain, why? This is the world, this is the world of adults, fight, fight bravely, I hope she can fight for a future, I hope she can live the life of her dreams as soon as possible.

"How did you get injured?" Zhang Fan knew at a glance that it was a shoulder dislocation. Shoulder dislocations are the most common in generalized joint dislocations, accounting for about 50%.

Mainly, the shoulder joint is the one with the widest range of motion. Moreover, because the shoulder joint lacks anatomical stability, the glenoid is small and shallow, the humeral head is large and round, and the joint capsule is loose, so it is prone to dislocation.

In layman's terms, the head of the arm is a protruding ball, and the body has a shallow socket, and then this round head is buckled in this shallow socket.

"The rack car on the winch was pulling cement, and the iron bars blocking the rack car on the winch were missing somehow, and as soon as the winch went up, the rack car ran forward, and she saw that the rack car was about to fall, so she went to catch it. It's too melon baby, if she hadn't let go early, it is estimated that the rack car would have taken her down with the ball. It's really a big deal. ”

A man who came with him, although his tone was angry, but he was holding the woman's body hard, and his reddish eyes showed that he pitied this woman very much.

"Are you her family member?" asked Zhang Fan.

"Well, I'm her man. ”

This infrastructure, the large ones don't know, and the smaller ones seem to be onions, which are contracted layer by layer, and the profits seem to be the same as onions anyway. For these workers, what insurance, what various benefits, it seems that it is not very sound.

"Come, come down. Lie down slowly. Hold on a little. After Zhang Fan watched the film, he said to the woman and the two men who came together.

"The soil on the body is very big, you white list~~" The woman looked at the white list spread on the examination bed and hesitated a little.

"Hey, when is it, you're still worried about this, lie down, quick. Zhang Fan was really moved, what can move people is not earth-shattering, but these inadvertent small details.

"You don't have a fracture, it's a simple dislocation. It's okay. Lie down, I'll reset you. ”

"Hmm!" Although Zhang Fan said it, the woman still hesitated and lay down cautiously.

"It's true. Come over and put your hand on her shoulder. Press on both hands. ”

Shoulder dislocation is first and foremost a swelling of the injured shoulder, pain, and limited active and passive movement. Visible to the naked eye is a collapsed shoulder deltoid muscle, showing a square shoulder deformity. And if you ask him to touch his normal shoulder with the hand on the affected side, he can't touch it.

"Come on, bear with me. As he spoke, Zhang Fan took off his shoes, grabbed the woman's dislocated arm wrist with both hands, and stepped on the patient's armpit with his heel. The rehabilitation treatment given in the system, at the beginning, relied on massaging the nurse, and when I was in the county hospital, it was complete.

So for this kind of reduction, it is too simple for Zhang Fan, although it is simple, but the technique is not the best, because this system is Western medicine, not Chinese medicine. Therefore, reduction is also a Western medicine reduction method.

Continuous stretching, this stretching is to relax the muscles on the arm first, and pull the hands with steady and continuous force, pulling the middle heel outward to push the humeral head. Rotate at the same time to reposition the adducted upper arm. A sound can be heard when reset

It's very simple to say, but this method, the doctor can't do it when he gets older, and you can't do it with a muscle stretch.

Zhang Fan pulled and pulled, and when he felt about the same, his arm rotated, and his heel pushed his humerus hard, only to hear a "click", accompanied by a woman's muffled snort.

"Okay, it's back. You try, touch your shoulder on the opposite side. Zhang Fan put on his shoes and said to the woman.

"Well, all right, doctor. The woman moved slightly, and it was really fine.

"Don't worry, I'll have to tell you. This is a violent injury, and it must be fixed, otherwise it may become a habitual dislocation in the future. ”

"How?" the woman asked.

"Triangular scarves or plaster are all made. It should take at least three weeks, otherwise you won't recover. ”

"Doctor, can't you take some medicine, I can't do anything for three weeks, and his father works alone, so I can't bear it." Please, doctor. "The woman didn't scream when she was in pain, she didn't scream when she was reset, but when she heard that she couldn't work for three weeks, she was anxious.

"You listen to the doctor, you don't want an arm anymore. I can't do it. "The man held the woman in his arms, fearing that she would fall.

"Well, it's better to fix it, otherwise it's not good to leave sequelae. ”

"However, the baby and the old man at home~~"

"Fixed, doctor, listen to me, I'm the head of the family, fixed. Why is this woman so stubborn!"

"Oh, why do you want to do this, why do you want to do this!" said the woman, and began to cry. I'm not afraid of pain, I'm not afraid of suffering, I'm afraid that I won't be able to work, why?

The people who can make these hard-hearted people the most are children and self-reliant people, Zhang Fan has rarely been emotional after a long time of changing departments, and as a result, today the woman made her chest feel stuffy.

"Don't cry first, don't cry first, I want to think about it. Zhang Fan pinched the bridge of his nose and thought.

"What's there to worry about, you can't do heavy work, you can do some light work, the outpatient department, there is a lack of cleaners, do you do it? It's sweeping and mopping, picking up garbage or something. The head nurse of the outpatient clinic also spoke, and the chubby head nurse looked at such a self-reliant woman and wanted to help her.

",!" the woman looked at the head nurse with teary eyes, and quickly wiped her eyes with her earthy overalls.

"The salary may not be high, only two thousand, three or four, but you can take out these paper shells or something you pack up, and you can buy them yourself, and there is medical insurance. ”

"Thank you, thank you!" The woman ignored her arm and pulled her man to bow to the head nurse and Zhang Fan. She is doing piecework at the construction site, and there are more than 200 in a day, and now this thing is really a good thing.

"Hehe, thank you, head nurse. Zhang Fan said with a smile.

"Thank you, hurry up and fix it. Come to work after a few days off, and when the time comes, come straight to me. At this time, the chubby head nurse became more and more kind.

The outpatient clinic is like a microcosm of society, which can be used by any kind of person and can happen to any kind of person. In one day, Zhang Fan admitted seven or eight patients who were hospitalized for surgery. These surgical patients are the patient numbers of their group.

Zhang Fan was busy in the outpatient clinic, and the doctors in the department were not idle. Xue Fei and the others were admitting and discharging from the hospital and preparing for tomorrow's surgery, and their work passed day by day.

As the weather heats up, government work is also in full swing. In previous years, almost all the medical funds allocated by the state to Chasu City were returned as they were, except for buying, buying, buying.

First, the leaders do not pay attention to it, and second, the doctors in the big hospitals in the city are also tired, and they regard going to the countryside as drudgery and no one wants to go. But this time it's different, it's directly an iron-blooded policy, and doctors who want to be promoted and want to be promoted have to go to the countryside.

Moreover, because the funds for this support in the western region are abundant, all departments must draw some backbone personnel to provide support. In many cities or provinces, just a little palm-sized place, there is no problem in going to and returning on the same day.

But the frontier is not good, just one tea vegetarian area, the territory is larger than many provinces, and the highway here is not very smooth, and the people living here are scattered, and going to the countryside is not a good thing for doctors who are in the city all the year round.

It's time to pick people, those who are hospitalized and promoted to the attending department, and the deputy high to the highest, but these doctors are still a drop in the bucket for such a big place. However, for this kind of thing, Ouyang has a lot of methods.

Direct internal promotion, promotion of the so-called middle level, the middle level of the hospital is too nonsense, this thing, that is, the dean's word, at the all-staff mobilization meeting.

"The state has given such favorable conditions and such strong support, but many doctors are afraid of going to the countryside like tigers, can they say that in the past? Except for pregnant women and children under the age of two, other doctors and nurses are among the candidates. Don't talk to me about any difficulties, no matter how difficult you are, is it difficult for a doctor whose family has been in the pastoral area for thirty years?"

In the Lao Huang era, you can also find a way to communicate, or yin and yang go against it. In the Ouyang era, it was not good, and the old lady directly became steel. After the mobilization meeting, the administrative order for the department personnel also came down.

Many departments have promoted deputy directors, and in the past, there was no general hospitalization in the department, how to say this position, in fact, I learned it from the United States, and it has slowly become popular in China in recent years, in fact, it is just a sentence, let you see more doctors, do more surgeries, and improve quickly!

In the first department of orthopedics, Zhang Fan couldn't escape and became the general hospitalist, this thing Zhang Fan had expected a long time ago. Ouyang couldn't see the fact that he went to the cave and got a private hospital for a long time, so this time he pushed Zhang Fan up.

In the past, although the department of Huaguo was a tertiary diagnosis and treatment, the competition for positions in this department was a bit chaotic, and with the development of the economy, the medical industry has also begun to formalize.

If you want to be the dean, you must first be the head of the department, and if you want to be the director of the department, you must first be the general inpatient officer. Although there are also drawbacks, this kind of thing with rules to follow is fair, and it is no longer a random order or eight immortals crossing the sea.

Came home in the evening and had dinner. Zhang Fan and Shao Hua went for a walk outside, the two hadn't walked like this for a long time. Walking on the street, the breeze blows, and Shao Hua's hair dances with the wind.

"I'm going to the countryside, I'm sorry. It's up to you to decorate the house, buy furniture or something. I can't take care of it. Zhang Fan held Shao Hua's hand.

"It's okay, you can't take care of it if you don't go to the countryside. Where do you go, how long will it take. Shao Hua pursed his lips slightly, there is no way, what can he do if his lover has such a job.

"I don't know yet. Hua!" Walking under the flower bed on the side of the street, Zhang Fan gently hugged Shao Hua.

"What's wrong?" Shao Hua snuggled in Zhang Fan's arms.

"When I come back from the countryside, let's get married!" Zhang Fan said softly.

"Okay!" Shao Hua gently closed his eyes, feeling his lover's heartbeat.

With the setting sun, the two dragged a long figure and strolled through the street. "Marriage does not mean that marriage is marriage. You see, the house hasn't been cleaned up yet, there's no furniture or anything, and the uncles and aunts haven't come yet. There's a bunch of things going on. Shao Hua pulled Zhang Fan and told Zhang Fan one thing at a time.

"Well, let's solve it one thing first. My parents, hey, the great fairy hurts people. Zhang Fan sighed helplessly.

"Hehe, it's okay, communicate with the old man slowly, uncle and aunt are very reasonable. Shao Hua comforted Zhang Fan.

With the various adjustments of the hospital, the list of people who went to the countryside also came down, and there were more than 20 doctors and more than 20 nurses. The hospital gave the people two days off to prepare.

This trip to the countryside lasted for three months, and accompanied by government personnel, he wanted to transfer all the remote areas. Zhang Fan is also on the list unsurprisingly, and he and Lu Shuyan from the gynecology department are the youngest.

Lu Shuyan has a good academic background, and she has a solid work in gynecology, and her skills have improved rapidly, and this time she was also promoted to the general inpatient of gynecology.

More than 20 doctors were divided into five groups, Zhang Fan and Lu Shuyan were in one group, with two doctors who were going to be promoted to chief physician, and then four nurses. A medical team was formed.

Everything is ready to go!