121st Tick!
Sell the leave and report to the medical department. Zhang Fan took a month's rest, which made several newcomers in the medical department particularly envious. The young doctor took a month off, and it was not a marriage leave, I really haven't seen it.
Zhang Fan was transferred to the urology department. The urology department of the tertiary hospital in the region is directly an old man's department, and 80% of the patients are prostate patients. The old man in the hallway scurried around with a urine bag. As long as the disease can drain the urine, there are no other problems.
The older people get, the more they can't lie down, Zhang Fan looked at the old man in the corridor wearing a hospital gown, carrying a urine bag and chatting together, just like chatting with a bird cage in the park! If you can hang your voice twice, it will directly become a park!
When I was young, I urinated against the wind, ten times a night, and I felt that I had stood at the pinnacle of mankind and despised the heroes! But don't be too happy. Retribution comes when you are sixty or seventy years old, and the stronger the male in that aspect, the more serious the prostate problems will be when you are old. When you are young, you can pee for half an hour, and when the prostate rebels, it is not uncommon for you to pee for an hour.
The stronger you are when you are young, the more you block when you are old, which is related to male hormones, of course, and lifestyle habits, long-term urine holding and sitting for a long time are related. There are very few female patients in the urology department of the city hospital, and almost all female patients go to the gynecology department.
Director Li Jianguo is the old director who entered the hospital with Ouyang, and he also fell in love with Ouyang in his early years, but later I don't know why the two broke up. Now he is very embarrassed, if he can not go to the meeting, he will not go to the meeting, if he can not see Ouyang, he will not see Ouyang, the surgical system, the urology department is the most supportive of Ouyang, what orders does Ouyang have, the urology department attaches the most importance to it.
Because the urinary has not been separated from the general for a long time, the age difference between the three deputy senior directors under the director is also one or two years apart. They all do their own things, Lao Wang disagrees with Lao Chen, and grabs the sick number very much. Li Jianguo doesn't care, as long as there is no problem, he is also happy to have infighting among the doctors below.
Zhang Fan's rescue of the soldiers, the doctors below are not very clear, but the director level is clear. Zhang Fan took the entry slip and reported to Li Jianguo.
In the director's office, Li Xiong was very polite to Zhang Fan, not the usual attitude of a senior director towards a resident doctor.
"Doctor Zhang, I'm finally here to urinate! How about it, do you want to pull the team and do it yourself, or tell the doctor, okay first, I don't care about the disease number, and I don't have many general surgeries, I heard from other departments that you are led by the director in the surgery." Why don't you go to the clinic with me every day?"
"Look at what the director said, I'm a rookie egg, just do what you tell me to do. ”
"Haha! You! stick to the hairy monkey thief, it seems that you want to do it alone, it's okay, anyway, you also have a certificate, and you can be on duty to receive the sick number. This time, there are four doctors who are transferred, and I can only give you one, so you will suffer a little bit, and you can't give more, otherwise the doctors below will not be happy!" It is really face-saving to be able to let the resident bring the transfer doctor to another group of doctors.
"Director, I listen to you. Zhang Fan is very happy to be able to operate independently. At the morning meeting, after the head nurse and the doctor were left, Director Li said: "The previous transfer doctors have all arrived at the department, and Dr. Zhang has something to do, so he will come a few days late." However, Dr. Zhang already has a practicing certificate, and his surgical attainments are very high, each of the three attending officers brings a transfer doctor, and the extra one follows Dr. Zhang, so that Dr. Zhang also sets up a group, just follow Lao Wang, Lao Wang, you will have more effort. ”
Lao Wang, Wang Zongshu, the youngest one in the deputy high school, is usually more introverted, so Li Jianguo handed Zhang Fan over to him.
"Director, no problem. Lao Wang said, and then said to Zhang Fan: "Doctor Zhang, just ask me directly if you are not sure about the patient number, you are welcome." ”
"Okay. ”
The other deputy high is so high that there is no expression, that is, the following attending is a little unhappy, one more person to lead the group, one more person to grab the sick number, and one more person to share the bonus with them, and the transfer doctor will give some money if he performs well, and he will not have a point if he does not perform well. Therefore, Zhang Fan crossed the role of transferring to the department and led the group directly, which made them very dissatisfied!
The director said that although the doctors below did not dare to object on the surface, there were many things in private. First of all, several attending patients were not convinced, and they were all transferred to the same department and hospitalized. If he is promoted to the attending department and leads the group, why does Zhang Fan lead the group when he enters the department, and it is good for a person who transfers to another department not to write medical records, not to change dressings, and to show what to show.
Zhang Fan really doesn't care about this, the other party can't figure it out, it's okay, he slowly gets used to it, he can unite as much as possible, just forget it. I don't expect them to help much.
There are two boys and two girls who transferred to the department, and there are only five people with Zhang Fan, just one more transfer student. Zhao Zipeng also came to the urology department, he really wanted to follow Zhang Fan, but he couldn't help this matter. In the end, a girl was assigned to Zhang Fan. The little girl was showy and wearing light makeup, and she couldn't be oppressed at first glance, and several other attending doctors didn't want her.
Zhang Fan doesn't matter, it's already very good to be in a single group. The little girl's name is Lu Shuyan, and the conversation scared Zhang Fan to death, and she graduated from a graduate degree in gynecology, which was specially recruited by Ouyang Special, because she was going to engage in gynecology in the future, and she came to urology to transfer to another department to understand, she was one year older than Zhang Fan.
There is no way to command, and they also have a license and a high degree of education. Lu Shuyan didn't care, she just came to see and go through the motions.
"Zhang Fan, what is your relationship, such a cow, you will lead the group when you enter the department, you haven't looked at the other directors, and your mouth is crooked. After checking the room, she and Zhang Fan didn't have a sick number for the time being, so they chatted!
"Huh!" Zhang Fan couldn't say. You can't say you're at a high level!
The first day was Zhang Fan's night shift. Because there was no sick number, Lu Shuyan went home early. There are a lot of emergency departments in the urology department at night, and many old men are embarrassed to say that they can't urinate, and they don't tell their families until they can't hold it at night.
In the emergency department, the emergency doctor is very familiar with Zhang Fan, "Director Zhang, have you come to inspect the people's situation again?" Xiao Li of the emergency department teased Zhang Fan. In the hospital, there are not many people who want to be emergency doctors, and they are all forced to do it by the hospital leaders.
"Director Li, you are polite, I came with a phone call, and said that I was inspecting the people's situation, and I wanted to make a face!" Zhang Fan also teased him.
"I didn't lead this catheterization, otherwise I wouldn't have bothered you. You can show it. "Xiao Li catheterized for a long time, but he didn't lead in, the old man was anxious, and Xiao Li had no choice but to call the urology department.
As soon as Zhang Fan entered the treatment room, his scalp was numb, and the old man was hanging with triangular eyes, blowing his nose and staring, and he was about to reach the critical point of the outbreak. After looking at the things on the treatment car again, Zhang Fan was even more depressed, and he actually used all the guide wires.
The guidewire of catheterization is a wire, and it is impossible to say how many wires it is, but it can enter the urethra anyway. "How many times?"
"Three times, the last time on the guidewire, didn't go in!" the old man did not cooperate. And he has a bad temper, blowing his beard and glaring. Xiao Li said quietly.
Zhang Fan stepped forward to take a look, can the old man be anxious, the bladder is as big as a ball, round, and Xiao Li has been upside down for more than half an hour, it hurts and swells, that is, the urine is not broken, otherwise it is possible to beat people by looking at the old man's face.
"Uncle, this catheterization is estimated to be no good, and I have to have a fistula. ”
"I don't care if I have a fistula or not, you quickly release the urine for me, hey! suffocate me!" The old man's wife stood aside and didn't dare to say anything, probably letting the old man scold.
After catheterization several times, the urethra has become edema, and even Zhang Fan can't guide it. "Prepare for fistula!~" Zhang Fan said to Xiao Li.
In a few moments, the nurses in the emergency department prepared the materials and surgical instruments.
"Doctor Zhang, pay attention, this old man has a bad temper, and he scolded his wife several times in a while. Xiao Li is too, he can't go in and don't call early, so that people will suffer this crime. The emergency nurse whispered to Zhang Fan.
"Well, sis. ”
Local anesthesia and lidocaine are used to hit the ball, a scalpel is made to make a small incision, and then a fistula is created with a fistula, a urethral catheter is inserted, and sutures are attached. After putting half of the urine, Zhang Fan turned off the urinary tube switch. "Hey, young man, why are you turned off, you still have a lot of pee, and you are still holding it badly. ”
"The old man can't put too much, let's wait a little longer. Your prostate is so bad that you need surgery. Otherwise, you won't be able to pee in the future. ”
"Isn't that enough? Why do you have to have surgery? ”
"If you can't leave this urine bag for too long, it will get infected. ”
"It's nonsense, let's talk about it. The old man put half of his urine to his senses, and his breath was not ordinary.
"Uhhh ”
"Got it. I'll come to you tomorrow! After speaking, he took the old lady and left.
The next day, the old man really came, and he didn't look for the director or other doctors, but Zhang Fan had already returned from work, and had to come to the department again.
"I said I'd come today, and you won't wait for me to get off work! ”
"Yes, uncle, let's go to the hospital, and you will be operated on after the examination. ”