406 Do's or don'ts

With the opening of the train and the increase in speed, the frontier is not so far away for the mainland.

At that time, Zhang Fan sat in a hard seat for 26 hours from Lanshi to Bird City, and then slept on the bus on the sleeper overnight before arriving at Chasu, and then took the line car and took more than four hours to arrive in Quark County.

And now it takes about 20 hours to get from Lanshi to Chasu, which is really much more convenient. The transportation is convenient, and the small Jiangnan outside the Saiwai can certainly attract people.

A large number of foreign populations flooded in, with Sanchuan, Nanhe, Dongshan, and Su Province having the largest number of people. When there are more people, the economy slowly begins to improve.

Of course, the number of hospital visits has also risen sharply. In previous years, the number of outpatient visits was not very large in the afternoon, but from this year, it suddenly seems that there are not enough doctors in the hospital.

There is a shortage of people in any department. In particular, there is a shortage of people in the operating department. Without surgery, without resuscitation, a doctor can see many patients.

But once you have to have surgery, you have to have at least two doctors. The doctors in the hospital are still in pain and happy, and the patients are mostly well-paid, but they are also relatively tired.

In the past, Zhang Fan and his family had surgery, and they could have lunch or something in the lounge of the operating room normally, but now they don't have time directly, and lunch can almost be eaten at four or five o'clock in the afternoon.

The county hospitals have shrunk severely, and almost all patients have flocked to the third-class hospitals.

"Doctor, I don't do surgery. "A fat man from Sanchuan with a depressed face.

"If you don't have surgery, there will be sequelae in the future. "Orthopedic outpatient clinic, Xu Xian is in the outpatient clinic.

"I just opened a restaurant, turtle son, why is it so back!" The fat man's face was sweaty in pain, and his lips were white, but he just refused to have surgery.

He originally opened a restaurant in the south, but as the rent increased, he made less and less money. During the Chinese New Year, I heard from a friend in my hometown that the frontier people were delicious and could make money by opening a restaurant, so he came to Chasu.

At the beginning, I opened a small storefront restaurant, because of the good craftsmanship, I made a lot of money in a short time because of the good craftsmanship of boiled meat slices and boiled fish.

The renovation looked for the fellow lane, but the fellow killed the guy and made a mess. In a hurry, when moving things, one accidentally fell down the stairs, and then supported the ground with both hands, and the huge fat weight came directly to a "click"!

The fat man cried in pain and called his mother, but he didn't have surgery. "You don't have surgery, the disadvantages of manual reduction are too great. Be obedient and have surgery. Xu Xian coaxed a child and spoke to the fat man.

"It's really not good, I don't have surgery!" Xu Xian persuaded for a long time, and the fat man finally said.

"I'll make it for you with the cheapest materials. No, it doesn't work. "Xu Xian's mother is from Sanchuan, so he has compassion. He was a fat man who thought the operation was expensive.

"No, I can't have surgery. "The fat man is also a ruin, and he went out directly for business. When you're unlucky, it's really a house leak that happens to rain overnight!

"Then what do you say!" Xu Xian was out of options.

"Put a cast on me. There is an old man in my hometown who did this. "The fat man really didn't dare to be hospitalized, he came here alone, he was afraid that if he was hospitalized, the store would be emptied of his unreliable fellow.

"It's not a plaster cast!"

"Please, doctor, be merciful and help, I really can't be hospitalized for surgery. The fat man was about to cry, and his fleshy face didn't listen to his voice, and thought he would laugh again.

You can only ask the senior doctor, you may not know this, Huaguo has the first diagnosis responsibility system, a very good system, Xu Xian has to ask the superior.

The departments are more and more detailed, and the undergraduate is also a superficial, or basic. When I was a graduate student, I was assigned to a very dedicated department, and I only learned little by little with the teacher after going to work, but in today's environment, manual reset is slowly declining.

Patients can't wait for a long recovery time, and the hospital is afraid of accidents, so the two are in sync, so when it can be done or not, it is generally directly surgical open reduction.

Director Lao Gao is now busy going to government meetings, and he can't find it, and the deputy director has undergone surgery, and he can't find it, so he can only call the assistant director.

"Dr. Zhang, I have a type II fracture of Galeazzi here, and the patient refuses to have surgery, what should I do now. Xu Xian called Zhang Fan.

In the regional tertiary hospital, even if it reaches the top under normal circumstances, there is no way to pass the buck if you want to pass the buck, even if there is no technical treatment, you must give the patient an explanation.

"How old?"

"Thirty-two years old. ”

"Okay, I'm here. ”

Zhang Fan was busy with ward rounds in the department, there were more and more patient numbers, and the intern doctors were sometimes lazy and didn't change the dressing, and as a result, there was a postoperative infection, and Zhang Fan's head was big.

This kind of thing is not to blame on the intern doctors, who is the instructor and who is responsible. Wang Yanan took others, but he didn't pay attention, and such a thing happened.

The intern doctor is a young man, and he will already start to tremble, "What's the matter with you, don't you have time to see it once every two days?" In the office, Zhang Fan cleaned up Wang Yanan.

"There have been so many surgeries recently, and you don't come in the afternoon, Xu Xian and I can't even write medical records. Now there are more than 40 sick numbers, and I can't work overtime until 10 o'clock every night. Wang Yanan said aggrievedly.

"Hey, if the medical records can't be written, they will be fined, this patient must worry about it. I'll go to the infirmary and ask for someone later. "Zhang Fan has nothing to say, there are too many patients.

"Debridement!" As soon as he finished speaking, Xu Xian called again. Now Zhang Fan is also in pain and happy, and the operation is done casually, but there are a lot of troublesome things in the department. "You get the debridement kit ready, wait for me to come back and do the debridement. ”

Zhang Fan walked quickly to the outpatient clinic and entered the office. "Dr. Zhang, you see this is this person, this is his X-ray. ”

"Why don't you have surgery?" asked Zhang Fan angrily, the other party was already in pain and his face was deformed.

"I can't do it, I want to do it, I want to do it quickly, hey! I have to keep an eye on the renovation every day. Please, doctor. Put a plaster cast to stop the pain!" the fat man was about to cry. He probably hated his fellow countrymen to death.

"Manual reset!" Zhang Fan said after carefully looking at the X-ray.

"This?technique reset?" Xu Xian directly didn't believe it, picked up the film and looked at it again.

"Yes! Zhang Fan said again.

Xu Xian glanced at the fat man's sick number, pulled Zhang Fan aside, and said, "I'm not married, and you are not married, do you really want to fight?"

"Hey, I don't want to fight, but when you look at him like that, he's crying in pain, and he doesn't want to have surgery, I guess something must be wrong. What do you say?" Zhang Fan also whispered.

"Really?"

"Well, if you really do this, if you don't want to, I won't force it, even if I accept this sick number. Zhang Fan looked down at the X-ray, and did not force Xu Xian.

"Hey, you're stupid, or I'm stupid. Just do it, but Zhang Fan, I can make it clear to you, it's very harmful. I'm a teacher like that, and now I'm lying in a box. ”

"It's not that suspenseful, and it's not done every day. Zhang Fan smiled and patted Xu Xian's shoulder, he didn't expect Xu Xian to be really willing to fight with him.

"Hey!~ Okay, my Director Zhang!" Xu Xian pouted.

After informing the operating room, Zhang Fan and Xu Xian took the fat man to the operating room.

"I'm not going to have surgery!" the fat man looked at the operating room in pain and horror.

"No surgery!" Xu Xian said angrily. "Don't worry, we won't do surgery on you, we will reduce the position manually, and then we can put a plaster cast on you. Zhang Fan explained.

The fat man gritted his teeth and followed them into the operating room, which was also very painful!