People's inertia is quite terrible, Zhang Fan, who had just graduated, once pedaled a bicycle to run a provincial capital city, and in less than two years, he was already inseparable from the car.

Zhang Fan went to the hospital in the morning, and then went to Ma Wentao's hospital to see Wang Yongyong at noon. Wang Yongyong is recovering well, and the swelling of the knee joint has begun to subside.

Shao Hua's cousin's newsstand also opened, and business was good. My cousin's good pasta has also come into play, steaming a basket of steamed buns in the morning, because the ingredients are sufficient and clean, the doctors and nurses in the hospital buy them from her. Day by day, the faces of the husband and wife are also ruddy, money is the backbone of people in this world, and the days without money are really difficult.

Usually my cousin-in-law reads the newsstand, my cousin goes outside to do some odd jobs, the two of them are good, Zhang Fan is busy, Shao Hua is not idle, overtime in the bank is a common thing, and the physical work at home is directly contracted by my cousin, and it is not okay to do it. Relatives are like this, courtesy is still exchanged, and the more they go, the closer they become.

The gastroenterology department of the city hospital has never improved, and the old director was poached by Ma Wentao after he retired, and the director's heart dug from outside did not work in the department, and the sick number slowly lost a lot. Whether the technology is good or not, listen to the reputation of the masses, once or twice there is a problem, the reputation of the gastroenterology department is not very good, and there are many complaints.

Ouyang doesn't have any good solutions, and there are no good mature doctors to replace them for the time being, and the doctors who come to apply for the job are either too harsh or not skilled.

On Tuesday, a special patient came to the gastroenterology department, a woman, who was admitted to the hospital with intermittent vomiting and dizziness for three days, and the director who dug it recently had an eyebrow with the Chasu City Hospital of Traditional Chinese Medicine, because the Hospital of Traditional Chinese Medicine had already issued a price, as long as he went to the Hospital of Traditional Chinese Medicine, let him become the vice president, and now he used this as a weight to coerce Ouyang. Either give an official position, or add money.

The vice president of a tertiary hospital at the municipal level is not a president who can make the decision, and it is impossible to increase the money, and what is the income level of other doctors! Ouyang disagreed, and the director of the gastroenterology department began to grind foreign workers, but he did not contribute to the work, and he had already negotiated the conditions with the Chinese medicine hospital.

This female patient is very special, all the examinations are normal, but nausea, vomiting, and dizziness. The doctor in charge of the Department of Gastroenterology had no choice, and the first diagnosis was electrolyte imbalance, and then the patient's condition was reported to the medical department and applied for a hospital-wide consultation.

This kind of consultation is not a consultation between departments, but a hospital-wide expert consultation on this case. Consultations at this level must be signed off by the Superintendent, and the Medical Service takes the lead in coordinating the time of specialists from each department.

Ouyang is also an internal medicine expert, and after she saw the case, it was also very strange that any examination was normal, but the patient's vomiting symptoms did exist.

On Tuesday afternoon, experts from various departments gathered in the ward of the Department of Gastroenterology for an in-hospital consultation. At the end of the consultation, the experts of each department were very puzzled, and no abnormalities were found. Discussion comes and goes, and there are no good conclusions.

"Why don't you ask the experts from the TCM hospital to take a look. This disease should need to be regulated. The new director of the gastroenterology department said at the expert meeting that he was not afraid of big things when he saw the excitement, and with a good place to go, he no longer regarded himself as a doctor in the city hospital.

Since the establishment of the city hospital, it has been suppressing the traditional Chinese medicine hospital, only the traditional Chinese medicine hospital invites experts from the city hospital to consult, how can the city hospital invite the traditional Chinese medicine hospital to consult, Ouyang can't afford to lose this person.

But there is no good way at present, Ouyang's face is ugly. Although there are incurable diseases in primary hospitals, the total amount is not much. The new director of the gastroenterology department is the deputy director of the provincial hospital, and he can't see it, but he thinks about it, and after bringing this patient number to the traditional Chinese medicine hospital, he will contact his former colleagues and make sure to fire the first shot in the traditional Chinese medicine hospital.

Ouyang was unwilling, so he squeezed Ouyang with words, "It's not strange that the disease that can't be seen is not surprising, even in the provincial hospital, there are times when we can't get it accurately, but we can't do it behind closed doors." If we are not responsible for anything else, even if it is for the health of the patient, we should also brainstorm ideas. ”

His words were so high-sounding that Ouyang couldn't even say anything to refute them, could he say: No, I can't afford to lose people! Or do I look down on the experts of the traditional Chinese medicine hospital? Just when I was in a dilemma, the director of the hospital office got up to answer the phone, and after Ouyang glanced at it, he said, "Let's discuss it again." Maybe there's something we've overlooked. ”

"Hehe!"

The internal leaders of the hospital hold a meeting, there is no rule to turn off the phone, this is a special unit, maybe there will be a critical patient number or emergency surgery at any time, so the expert director will not turn off the phone.

This sarcastic laughter was a naked slap in the face, a slap in the face of the doctors in the entire hospital. When faced with interests, when facing official positions, some people really have no scruples.

After answering the phone, the director of the medical department pushed open the door and whispered a few words to Ouyang with a smile, after Ouyang listened, he turned his head to look at the director of the medical office, and the director of the medical office nodded affirmatively.

"There is no need to invite experts from other hospitals to consult, the city hospital is the hospital with the highest medical level in Chasu City. The diagnosis of the disease has been confirmed. You are a provincial expert who does not concentrate on the diagnosis and treatment of patients, but is bent on borrowing external forces, I think you are no longer suitable for the work of our hospital, from now on, our agreement is over!" This sentence Ouyang said sonorously and powerfully.

The director of the Department of Gastroenterology, who was dug up, took the establishment of talent introduction, and he also wanted Ouyang to let Ouyang go and let him go to the Hospital of Traditional Chinese Medicine. Because only the city hospital has the establishment of introduced talents, other hospitals do not. Now in this situation, it's not that he can't look down on the listed hospitals, but that the city hospitals don't look down on him anymore, even if he goes to the hospital of traditional Chinese medicine, he is a vice president at the top, and the experts who are kicked out are still experts?

"Can you let me know which master's methods are?" He knew very well that the hospital experts were all here, and it was impossible for the experts not to be inferior doctors! ”

"Yes!" Ouyang said disdainfully.

Time moved forward, after Zhang Fan returned to the department, he found that the director of the oncology department was not there, so he asked the transfer doctor: "Why are you so idle today, director?" Because Zhang Fan went to the acupuncture points in the morning, and when he came in the afternoon, he had to say to the director.

"Big guy, the director has gone to attend the general consultation in the hospital!~" Zhang Fan's special status, in the eyes of the transfer doctor, Zhang Fan is already an alternative who has left the team.

"Hehe, don't squeeze me! Which department's serious illness number?" Zhang Fan didn't care, if he didn't even care about other people's words, then he wouldn't be able to live.

"Gastroenterology!Zhang Fan, you are not busy all day, help me with something." "The transfer doctor is a female doctor, one year later than Zhang Fan's graduation, but he entered the hospital in the same year as Zhang Fan. is a little bit beautiful, and it is one of the more sought-after among young people.

The other doctors in the department were busy today, and she was idle, so Zhang Fan asked, but the result was endless, and Zhang Fan regretted it.

"Oh! Big shoulders don't necessarily help you!"

"Look at you cowardly, there are too many medical records, I just took a break, you see my fingers are swollen, you can help me write a few medical records." As he spoke, he put his finger in front of Zhang Fan's eyes, his fingers were slender and white, and a faint fragrance came to his nose. With a coquettish demeanor and big watery eyes, it's no wonder that many people are pursuing.

Zhang Fan has the time to write medical records for her, if Zhang Fan didn't have a difficult life in college, the experience of the past two years after graduation may be confused by her, especially in the past two years, Zhang Fan has seen too many people, so her Taoism is still shallow.

"Oh! I remembered, I left something at the door!" The lame reason is the best reason, it is estimated that this girl will never use the Dafa of Confusion on Zhang Fan in the future.

Zhang Fan turned around and went to the Department of Gastroenterology. Lao Hu of the Department of Gastroenterology is now the pillar of the department, and the directors are more wonderful than the other. Now he is leading the ward rounds of the Department of Gastroenterology.

"Brother Hu, isn't it a general consultation, why didn't you participate. Zhang Fan said with a smile, that is, he can only joke like this if he has a good relationship with Lao Hu, otherwise he would not dare to say this, he can participate in the general consultation of the whole hospital at least at the deputy senior level, and Lao Hu is an attending officer.

"Well, I'm done with my opinion! The dean thinks what I said makes sense!"

"Believe you, a ghost!"

"You rabbit cub, you know that your brother is not qualified enough, and you still come to tease your brother, why are you here. ”

"Missed you!"

"You're getting more and more slippery! What about the simple Zhang Fan from before! You said we haven't seen each other for a long time!" Although they are all in the same hospital, they are really busy, and they haven't seen each other in normal times.

"Aren't you busy! What a sick number today, such a big battle. After making a few jokes, Zhang Fan asked.

"A sick number of vomiting! All tests are normal, but intermittent vomiting. Lao Hu said.

"That's weird! Brother, take me to study?"

"Wait a minute, I'll type this conversation out. You start by looking at her case. Lao Hu said.

After Zhang Fan sat down, he looked at the patient's case, a woman, 45 years old, an office clerk, who denied a history of injuries and acute and chronic diseases. Denial of history of alcohol and drug abuse, and denial of various family genetic histories.

Zhang looked at the examination items in the case, and there were no abnormalities in blood routine, biochemistry, chest X-ray, and brain CT. Because he didn't see the patient, Zhang Fan couldn't see anything special.

"Let's go, I heard that your kid is now treated like a director. Lao Hu teased Zhang Fan on the road.

"What kind of director treatment!" Zhang Fan asked puzzled.

"Pretend, the hospital knows it, you don't have to be on duty and you don't need to write medical records, isn't it at the director level?"

"Eh! Zhang Fan is also helpless, there are always people who are not convinced, but people are not jealous of mediocrity, Zhang Fan doesn't care, what should he do.

"It's this sick number, you see, vomiting intermittently. Lao Hu pointed to the female patient number in the single ward and said.

Because I had to go to the clinic and the family members of the sick number had talked to someone, I stayed in a single room. After entering, Zhang Fan found that the patient and the patient's family had a bad face.

Both of the patients are civil servants in the urban area, the husband is in the Education Bureau, and the sick unit is in the Disabled Persons' Federation, although they are not leaders, but Chasu City is so big, how can they find a little relationship, and now they have been hospitalized for several days, and their condition has not improved at all.

"This is Dr. Zhang from our surgery, and he came to show you. Lao Hu introduced.

"Don't bother, we have already contacted the Affiliated Hospital of Di University. I'll be transferred to the hospital tomorrow. "The tone of the sick husband is not very good.

"No trouble, that's what we should do. Zhang Fan pretended not to understand, and said to the patient and family with a smile on his face.

Stretch out your hand and don't hit the smiling people, and they can't do without Chasu City, so they can't offend the doctors of the city hospital too much, "Then take a look! The director of your surgery didn't see anything." ”

The common problem of cultural people is that they can't be angry, but they just can't pull down their faces. 10,000 are unwilling, but they can only let Zhang Fan check again.

On the way here, Zhang Fan kept holding his hands in his pockets to warm up, which is a doctor's literacy problem. There are many reasons for vomiting, but most of them are digestive tract or brain problems.

There are no problems with the liver, gallbladder, kidney and spleen, and the abdomen is soft and there is no tenderness and rebound tenderness. "Have you eaten any particular food in the recent past, such as mushrooms or something? ”

"Nope!"

Zhang Fan began to check his brain, and all nerve reflexes were normal, what was the reason?"Under what circumstances will make you vomit worse?"

"It's just that when I'm a little tired at work, I'm nauseous, and I'm dizzy and can't stand. ”

"What does the eldest sister do? Do you usually have any hobbies?" Zhang Fan asked with a smile, Zhang Fan's attitude was too good, his tone was sincere, his attitude was gentle, and the unconscious patients began to cooperate slowly. Zhang Fan already has the means of a mature doctor, how to contact patients.

Zhang Fan understands their feelings, if they are sick, they can't make a clear diagnosis, people will be angry and anxious, and they can't worry about others because of this.

"I'm an office clerk. I don't have any hobbies. ”

"What about the main content of the work? What do you do at home when you are resting? ”

"Well, it's just some kind of writing work, and at home it's doing cross-stitch or something. ”

"Oh, have you done the cervical spine X-ray?" Zhang Fan asked Lao Hu.

"It's done!"

"The film is here!" Zhang Fan is serious and responsible, even if he can't be diagnosed today, his family and the patient won't say anything, and the husband of the sick number took out an X-film from the cabinet.

Zhang Fan looked at the X-ray and didn't find any problems. "Strange!"

Zhang Fan said to the patient again: "Sister, lie down and I'll check your cervical spine again." ”

Zhang Fan began to examine the cervical spine, and when he touched C4, Zhang Fan let out a surprised sound, "Huh!" After the system orthopedics was upgraded, the rehabilitation treatment of orthopedics was also upgraded.

Basic orthopedics is general orthopedic diseases, and the upgraded orthopedics is more specialized, although it is not the highest level of orthopedics, but it is already relatively specialized, and the future system is also very special for the setting of medicine, requiring doctors to basically master all the diseases in the second stage before opening the content of the third stage.

Zhang Fan's current highest-level discipline is orthopedics! The main reason is that the pit outside the general world is too deep! Zhang Fan hasn't climbed out yet~!