At about three o'clock in the afternoon, a new mixed hemorrhoid patient was admitted to the department, and Zhang Yuxiang, the head nurse, handed over the medical records directly to Wu Qixin, the director of the department's business. After a few brief greetings between the two, Zhang Yuxiang turned around and was about to leave, and Gong Yue, the doctor on duty who was sitting by the window, asked angrily, "Yuxiang, stop, I was on duty in the afternoon, why did you give the patient to him?" ”

Zhang Yuxiang is thirty-five or sixteen years old, not tall and slightly fat, with short hair and ears, a pair of big round eyes giving people a sense of yin and yin, a pear face, and an obvious black mole on the left side of the mouth.

Gong Yue is delicate-looking, straightforward and fast-talking, and her voice is loud and crisp, and she is unforgiving. Although she has no culture and is struggling to even write, she has won the true inheritance of her mother in the treatment of hemorrhoidal fistula, and she also has a small reputation in the Pingxi anorectal medical community.

This hospital was founded by her old man, and several members of her family have made extremely important contributions to the construction, development and technical inheritance of the hospital since its establishment. With the changes of society and the times, although she is the only heir of the Gong family, the glory of the family is still in her heart, and the pride and superiority are still reflected in her.

In the medicine of the motherland, the common anorectal disease is called hemorrhoidal fistula. Symptoms include hemorrhoids, anal cryptitis, perianorectal abscesses, anal fistulas, anorectal prolapse, colorectal polyps and polyposis, anal fissures, anorectal congenital malformations, anorectal cancer, and anodermatoses.

For thousands of years, the Chinese medicine has accumulated rich and valuable experience in the understanding and treatment of these diseases. Through the long-term repeated understanding from practice to theory, and from theory to practice, it has gradually formed a unique specialized discipline.

The word "hemorrhoid" was recorded in the oracle bone inscription as early as the Xia and Shang dynasties (21st to 11th centuries BC), and the names of "hemorrhoids" and "fistula" were first proposed in the "Classic of Mountains and Seas" in the Western Zhou Dynasty (11th century BC-771 BC), and have been used since then.

Since the early Qing Dynasty, the ancestors of the Gong family have been engaged in the treatment and research of hemorrhoidal fistula disease, accumulated a lot of treatment experience, and developed a lot of unique treatment drug recipes, which have been passed down from generation to generation to Gong Yue's father, Gong Wanliang, for eight generations. During the Republic of China, in the war-torn era, Gong's hemorrhoidal fistula was well-known in Zhongzhou, and he was treated with dozens of generals and celebrities of the national army. The Japanese invasion of China was swept away, and the Gong family was not spared, and his family was secretly transferred and protected by the national army.

During the Liberation War, the Gong family was rescued from the Nationalist Army by the Communist Army in Shanxi and returned to Pingxi with their family.

In the early 50s, Gong Yue's father, Gong Wanliang, and mother, Zhou Qin, actively responded to the call of New China and contributed all the secret recipes and techniques for the treatment of hemorrhoidal fistula to the government, continuing to take on the important task of inheriting the traditional Chinese medicine culture of the motherland. With the strong support of the new government, Gong Wanliang and Zhou Qin established Pingxi Anorectal Hospital, which widely absorbed local hemorrhoidal fistula professionals, and became one of the only anorectal specialized hospitals in the country at that time, alongside Liaoning Anorectal Hospital and Kyoto Anzhenmen Anorectal Hospital.

In the mid-seventies, the hospital developed rapidly and reached its peak. She has trained six nationally renowned authoritative experts in anorectal medicine, and her father and her cousin Gong Mingxuan are both standing committee members of the National Anorectal Disease Professional Society. Patients from all over the country come to the hospital for treatment, and two to three hundred people operate on them a day. Locals have no chance of hospitalization at all, and the shops around the hospital are full of patients from other places waiting in line for treatment.

In the 80s, the old man Gong Wanliang and the technical backbone of the founding period passed away one after another, and some professionals were dissatisfied with the influence of the hospital's leadership team and internal personnel by the aftermath of the Cultural Revolution. Many hospitals have seen that the cost of treating patients with hemorrhoidal fistula is low, the benefit is high, and the risk is small, and they have opened hemorrhoidal fistula departments. By the late 80s and early 90s, there was even a decline of less than 10 outpatients per day. In the mid-90s, under the influence of the personnel system of government institutions and institutions, there were very few personnel in the hospital, and many traditional technologies could not be effectively inherited and continued, let alone developed.

The changes in the era of reform and opening up have imperceptibly changed people's ideological concepts, values, and understanding of the social environment. Except for Gong Yue and cousin Gong Mingxuan, who followed their mother Zhou Qin to learn hemorrhoidal fistula technology, or in business, or teaching, or as an official, no one is willing to engage in this industry anymore. A few years ago, Zhou Qin and Gong Mingxuan left the hospital one after another due to age and physical reasons, and most of the old comrades' complexes with the Gong family and their families were not diluted and forgotten because of the departure of the two, and they respected the only heir of the Gong family very much.

Two years ago, in order to mobilize the enthusiasm and enthusiasm of doctors, expand the influence of the hospital, and reshape the glory of the hospital, President Fu Deyi adopted a series of incentives and punishment measures for doctors, one of which is to implement quantitative assessment of doctors, where the outpatient doctor on duty admits an inpatient, he will be rewarded with 20 yuan, the ward doctor will be rewarded with 30 yuan for treating a patient, and the patient will be named to find a doctor for treatment and give 50 yuan for the search fee. Refuse to accept or let go of an admitted patient and withhold the full bonus for the month. The doctor treats the patient outside the hospital and finds that there is a demerit once, and the year-end bonus is cancelled.

This policy has had a great impact among doctors, everyone wants to see more patients and get more bonuses, no longer silent and refuse to accept patients, and the service attitude has also followed, and at the same time, doctors who work part-time outside in their spare time do not dare to touch the high-voltage line, and the hospital's outpatient volume and economic income have increased significantly.

Due to the limited number of inpatients, the competition between doctors is very fierce, and the relationship between doctors is often strained due to the allocation of inpatients. Later, the task of assigning patients was handed over to the nursing staff, and the nurses had more freedom in the allocation of inpatients, with some doctors treating more patients each month and receiving higher bonuses, while others had fewer doctors, and the relationship between doctors and nursing staff became increasingly unbalanced and hostile to doctors with more incomes.

Gong Yue's straightforward and unforgiving personality has made many nursing staff have a lot of opinions and opinions about her, especially when she had a conflict with the head nurse Zhang Yuxiang for a period of time a few years ago. In the past few months, there are very few patients admitted by themselves, three or four per month, most of them are introduced by acquaintances, and there is hardly a single patient admitted to the outpatient clinic, compared with Wu Qixin and Shi Bianqiao, they get six or seven hundred yuan less bonuses and commissions per month, and their hearts are extremely unbalanced, and they have long been holding back their anger and have nowhere to vent.

Gong Yue didn't receive a patient for a week, she was very anxious, and finally accepted a patient in the outpatient clinic of her class, but Zhang Yuxiang handed it over to Wu Qixin, choking her angry, and "snapped" the medical records in her hand, "Be a head nurse and see what she can, do whatever she wants, give the patient to whomever she wants, there are no rules at all, my aunt and grandmother can't get used to the virtue of her kind of force, and I have endured it for a long time. ”

Gong Yue came to the nurse's office with a scolding, and when he saw Zhang Yuxiang, he pointed to his nose and shouted, "Zhang Yuxiang, why did you give the patient to Wu Qixin, who gave you the power?" ”

Zhang Yuxiang glared and said indifferently, "The dean has explained that all complex patients are given to Director Wu Qixin and Dr. Shi Bianqiao, and ordinary patients are given to other doctors. The outpatient examination is a complex patient, and Director Wu is in the administrative class, so of course he will handle it. ”

Gong Yue scolded, "Putting your bullshit is pure nonsense, don't talk to the dean about me, no one from the president of the conference or the functional department of the hospital said it at the meeting." I can see it a long time ago, the two of you are wolves, you don't do good things, and you deliberately bully us. Nurses can distinguish between simple and complex conditions, what else do we doctors do, have the ability to deal with it ourselves, don't put it in the doctor's office. ”

Zhang Yuxiang is not a fuel-efficient lamp, and he does not follow the Tao, "Who do you say is a traitor, I am acting according to the instructions of the dean, don't mess around here, I don't believe you ask him to go." ”

Gong Yue took half a step forward and shouted loudly, "I'll just say that you wolf bèi are traitors and do some shady things, what can you do with me!" ”

Zhang Yuxiang said with a blushing face, "If you put your mouth full of guns, I will tear your mouth and deduct all your bonuses this month." ”

Gong Yue was not subjected to this kind of ridicule and grievance, let alone suffered the loss of others, he was annoyed and angry, stepped forward and slapped at Zhang Yuxiang's cheeks, crackled and incredulated, and kept scolding, "If you want to tear your aunt's mouth, you are still tender, I will swell your unwanted face, let you know who your aunt and grandmother are, let you have a good memory, and let you taste what it is like to cut hemorrhoids in your aunt's hands......"

Her pungent temper came up, and the energy accumulated and exploded in her whole body was no less than that of ordinary men, who cared about anything, she used all her strength, instigated and kicked up, and a storm fell on Zhang Yuxiang's body.

The nurses on the side were all dumbfounded by the sudden change, and stood stunned and didn't dare to squeak, and no one stepped forward to dissuade them, watching Zhang Yuxiang being beaten passively.

Although Zhang Yuxiang has a somewhat arrogant personality, she is much weaker than Gong Yue, and in the face of Gong Yue's indiscriminate bombardment, she has no chance to fight back, so she has to passively accept it. In an instant, his cheeks were swollen, his calves were hot and painful, his footing was unstable, and he fell to the ground.

Gong Yue didn't mean to stop, kicked Zhang Yuxiang a few times in a row, and was just about to pull Zhang Yuxiang's hair sideways, when suddenly one hand was stuck by Liu Xiantao, the retired and rehired head nurse in the dressing room.

"Gong Yue, stop, don't fight anymore. What's the big deal that can't be said and solved calmly, do you have to make a lot of noise, hit people, so that patients don't feel embarrassed about their identity and affect the image of the department and the hospital? ”

Gong Yue shouted loudly, "She's a shameless slut, I just want to give her some color and let her know that my aunt and grandmother are not easy to bully." ”