Chapter 165: Step by Step (Subscription Requested)
Outside the room where the first bed of the ward rounds was located, Director Wu Guonan and Xue Tao were waiting for Shen Tao.
Yesterday, I knew that Shen Tao had an excellent relationship with Fang Ziye's teacher!
So Shen Tao, who knew that there was a certain degree of difference between the ideas of Hong Du and Director Zhang Mingcan, was not surprised at all that after seeing Fang Ziye being planted with a task in the morning, he would take him aside to do some explanations and explanations.
Everyone is an adult, and the path is chosen by themselves.
Fang Ziye followed behind Shen Tao, and the expression on his face did not change in the slightest.
"Teacher Shen, today, why don't you come and do a teaching round, and let's learn from you together?" Wu Guonan said very politely.
"Director Wu, let's do it together, it's not a teaching round, there are still four surgeries to be done today, let's do a routine round."
"If you teach ward rounds, you will have free time in the future, and then you will give Director Wu a face." Shen Tao didn't seem to be interested, and as he spoke, he kept glancing at the direction where Fang Ziye was, obviously a little worried.
When Wu Guonan saw this, he immediately realized that although Shen Tao's mouth was constantly open to Fang Ziye's master Yuan Weihong yesterday, and even occasionally scolded a few words, but in fact, the personal relationship was very good, and Shen Tao was still worried about Fang Ziye's situation.
Wu Guonan explained: "Teacher Shen, you don't have to take what you said in the morning too seriously. ”
"The general attendant is not directly on duty, and our hospital has never had such a configuration, so whether Ziye goes to emergency consultation or not, what he wants to do, is not something that the doctor on duty can control."
What is a follower, a follower is not on duty, not responsible, not active, if you have the opportunity, you can go, you can go if you want, this TM is a follower.
If there is a regular general rule of hospitalization in the department, but if not, Fang Ziye said that he is very tired and does not go to the emergency consultation, will you go to the doctor on duty?
Wu Guonan knows more about Zhang Mingcan, so he naturally knows that Zhang Mingcan is picking out words while expressing his respect for the old director of Hongdu.
When Shen Tao heard this, he couldn't help but laugh after carefully understanding it.
Well, it was because he was too stereotyped, so he directly regarded Fang Ziye's assignment as the total stage of hospitalization that he had experienced.
"Huh!" As soon as Fang Ziye heard that Wu Guonan and Shen Tao were given a conclusion about their whereabouts according to their own understanding, he wanted to scold his mother in his heart!
"Let's go, rounds." Shen Tao hugged Fang Ziye into the ward.
Fang Ziye could only smile bitterly and shook his head, and said secretly in his heart, sure enough, in the prefecture-level city hospital, it is not as easy to mix and so free as Zhongnan Hospital.
What Fang Ziye was thinking at the moment was, can you two not overunderstand my choice.
What's always bad about being hospitalized?
First of all, Fang Ziye has already tried to do fracture incisional reduction and internal fixation in the operating room, which is a super mature and basically rotten operation, even if he is the main surgeon, the knowledge points that can be obtained are quite limited.
Pretty much in the single digits, right?
Well, just like that, even if you do ten units a day, you may not be able to use manual reduction surgery to reduce one fracture that should be within the scope of surgical indications.
Because this is a new treatment, others may not have done it or realized it.
If it was before, Fang Ziye naturally felt that it was unreliable to do manual reduction, and wanted to forcibly reverse the surgical adaptation to do manual reduction, wouldn't it be boring?
But now it's different, my own theory and operation have arrived. No matter how bad it is, you can add some to yourself.
In the future, where will there be so many fracture patients in the department to do manual reduction for themselves?
And emergency consultation is the best raw material.
If you say that after being admitted to the hospital by the doctor on duty, you will take the initiative to provoke the proposal of manual reduction without surgery, isn't this?
It is equivalent to taking out food from other people's bowls and eating it yourself, which is to provoke hatred.
After all, in the understanding of reality, most people, even 99% of doctors, think that it is okay to have surgery for fractures, so they can get more surgical performance through surgery.
Fang Ziye wants to pull the patient to do manual reduction, isn't this smashing other people's jobs or what?
The best way, in fact, is that before the patient is hospitalized, I am the first person in line to receive the patient, so I have the autonomy of choice and advice.
Good guy, you really think you're being completely used as a gun, right?
Fang Ziye always remembered the words of his teacher Yuan Weihong.
Talk less, commit less, do more.
Fang Ziye thought about it carefully, and now let Wu Guonan and Shen Tao go over at once, and according to their own understanding, they did a little bit of "slapstick operation" on their choices.
Forget it, you don't have to explain, go your own way, persuade if you can, and be a disobedient wonder at most if you are not convinced.
Soon, Fang Ziye's messy thoughts were all covered.
Shen Tao is the same age as Yuan Weihong, but one level lower, because Shen Tao was in World War II when he took the exam, but his talent is also excellent.
Being able to rise to a vice-high school at such an age, whether it is scientific research or clinical accumulation, Fang Ziye is shocked.
Shen Tao's understanding of fractures, the control of theories, and the in-depth analysis of the treatment of diseases made Fang Ziye immersed in it at once, as if it was a teacher and Professor Deng Yong, and there were a lot of things that could be pondered in detail.
And ah, after being transparent, Shen Tao, after his mood became better, he regained his festive face again, and when he spoke, he was also more neutral, and occasionally joked with patients.
"No, no, no, I'm not an expert from the Provincial People's Hospital, you're a nobleman, isn't it, I just came to Enshi to serve you?" In a few words, Shen Tao took care of the patient who was originally touting him.
The patient's family said, "Eh, Professor Shen, you are so good at talking, you don't know how many girls and children you can fool." ”
Shen Tao said: "Don't hide it, sister, I haven't chased a girl yet." ”
"Didn't you just say next door that you went home to see the cubs some time ago?" The eldest sister was stunned when she heard this, but she didn't expect Shen Tao, an expert from the Provincial People's Hospital, to have no frame at all, and joked very down-to-earth.
"Yes, sister, have you ever considered it, maybe because my charm is greater, and my wife is chasing me?" Shen Tao was getting up, standing upright, and touching his hair at the same time.
The eldest sister didn't know how to reply, and after a moment of silence, Fang nodded.
Shen Tao then said: "Okay, no kidding, my brother-in-law's situation is not complicated, just routine surgery, and the postoperative effect is also predictable." ”
Seeing that the eldest sister was going to say something, Shen Tao said: "It's not okay not to do surgery, this Director Wu and Director Huang Haitao, who is the best in Enshi to do manual reduction, have seen it many times, you, just put this heart back." ”
"Surgery is not a demon, as long as it can solve the problem......
Compared with many people Fang Ziye has seen before, Shen Tao's personality is relatively out-of-the-box, especially when communicating with patients, parents are short, make a few jokes, and the atmosphere is indeed better.
These things can be learned by Fang Ziye.
Then, in the process of ward rounds, Fang Ziye also found an interesting phenomenon, that is, the newcomer Zhupei Mao Mao, who is indeed quite good in memory.
Within ten minutes, he took over six patients, and he actually counted the results and information of the examination as if he had made a mistake with a specific number of examination results.
The reason why Fang Ziye knew that this number was wrong was that Huang Yunxiao had specially consulted him yesterday, so Fang Ziye remembered.
Of course, Fang Ziye didn't say it, because a little bit of indicators does not affect the final result.
He's also a very interesting person.
……
When Wu Guonan and Shen Tao returned to the doctor's office after checking the room, it was probably because Shen Tao and Wu Guonan's ward rounds slowed down a little, so they were the latest to arrive in the office.
Inside, Zhang Mingcan has already led the team to undergo surgery, and Guo Yunlei is the only one in a large group.
But Director Hongdu's group, although Huang Kai and others are gone, Director Hongdu is still sitting cross-legged in the doctor's office, as if waiting for someone.
As soon as he saw Fang Ziye walk in, Hong Du stood up with a smile and said politely: "Director Wu and Teacher Shen are back from their rounds." ”
Wu Guonan and Shen Tao both shouted Director Hong respectively, and the others did not speak.
Hong Du combed a big back today, but he still couldn't cover the white hair on his forehead, but the whole person looked a lot more energetic: "Director Wu, since Ziye has agreed to be the head of the department, Director Wu, you should cooperate." ”
"The follow-up is very beneficial to the development and promotion of the department. I believe that Dr. Fang will definitely be able to manage the ward well, and let Ziye first set a rough rule for the doctors in charge of the bed in the department, and then do what he wants to do. ”
"After forming a habit, in fact, there won't be a lot of things that need to be done in the sub-business, what do you think?"
Hong Du stayed here, as if he had guessed what Wu Guonan would say to Fang Ziye.
Hong Du smiled and looked at Wu Guonan.
As the saying goes, don't hit the smiling person, Wu Guonan was brought up by the old director of Hongdu, when Wu Guonan came to work, Hongdu was the old director, and now seventeen or eighteen years have passed, and the affection and respect are still there.
Although I didn't understand Director Hongdu's arrangement for Fang Ziye, he could only cater to him superficially: "Director Hong, okay, then let Dr. Fang try it first, anyway, now that we have Teacher Shen in our group to guide the operation, I can also make up for the position of an assistant, and the manpower is not bad." ”
"Teacher Shen has no opinion, right?" Shen Tao didn't answer, as a person from a higher-level hospital, Hong Du still gave Shen Tao a lot of face.
"Director Hong, then you are joking, speaking of which I am an outsider." Shen Tao was in the Hongdu group last month, so he is very familiar with Hong, and he also knows his position, he has already told Fang Ziye what he should say, and what he should hear is also heard from Wu Guonan.
As long as Fang Ziye is not used with a gun and used to a certain extent, it is inevitable.
"Teacher Shen is joking." Director Hong said.
"Director Hong, why don't you call me Xiao Tao or Shen Tao, otherwise I'm afraid that after I go back, those old professors will find out and beat me." Shen Tao said.
Hong Du didn't say anything, and confirmed this matter, which is a good thing.
Fang Ziye is just one factor, and it is naturally impossible for Hong Du to say that the absolute focus of building trauma surgery is placed on Fang Ziye, and the trauma center of Naen Central Hospital should not think about playing.
After Director Hong Du said that he was going to the operating room and left, Wu Guonan could only sigh slightly: "Ziye, then you will be on symbolic duty in the department for the time being today, and according to your understanding, you will probably standardize and summarize the medication and doctor's instructions in the department." ”
"If there is anyone who is disobedient or does not listen to the greeting, you can tell me directly, and I will deal with it."
Although Hong Dushou is here to add a burden to Fang Ziye, it is impossible for Wu Guonan not to help Fang Ziye with anything, but to watch Fang Ziye fight alone in the department, which is not what a good superior should do.
"Thank you, Director Wu." Fang Ziye was overjoyed when he heard this.
With such a sentence, Fang Ziye is equivalent to having a Shang Fang sword.
……
Soon, Fang Ziye saw Wu Guonan and Shen Tao and took Xue Tao and a few people to the operating room, leaving only him and the newcomer Zhupei Mao Mao to take care of the patient's medical orders, dressing changes and other matters in the department.
There are only five people left in the department now, there are eight computers, no matter how bad it is, there are three more in the deputy high office next door, and Fang Ziye can use it in the past.
After Fang Ziye sat down, he cleaned up his doctor's orders for the patients in charge of his own affairs, and said, "Mao Mao, when I just went down, didn't Cao Zhen hand over his doctor's orders in charge of the bed to you, then I will only open Brother Tao's doctor's orders and change the dressing for the patients." ”
But Mao Mao smiled in a low voice when he heard this: "Brother Ye, if this is not the case, I will change the medicine, and you will prescribe all the doctor's orders, so that you can relax." ”
Mao Mao is very sensible, although he looks like an otaku, he actually has a little understanding of human feelings.
"That'll do fine." Fang Ziye felt that he must be guarding the ward today, so he simply put more effort into the scrutiny of this group of doctors' orders.
"Hey, okay, then I'll go change the dressing." Mao Mao had already made such a plan, so he recorded the patients who were going to change the dressing in the notebook.
The number of patients who changed dressings is quite large, eight in total.
It is equivalent to the number of patients who have not been operated, and there are only thirteen left, because a group of fracture patients have been cleaned out by manual reduction before, but it is foreseeable that after three or four days, the preoperative patients in the group can be cleaned up.
After Mao Mao left, Guo Yunlei of Zhang Mingcan's director group said with a smile: "Brother Ye, what will this resident general care about, if there is any mistake or omission in our brothers in the future, you can be merciful, don't report it." ”
Although I don't know what the hospitalization will be, the hospitalization is the biggest head of the resident.
At present, there are actually four real residents in the department, Guo Yunlei, Mao Mao, and Li Ruokai, who is newly assigned to Director Hong's group.
When Fang Ziye heard this, he smiled bitterly and said, "Xiao Guo, don't be nervous. ”
"What hospitalization is always not hospitalized, in fact, I am to cooperate with you, if there is an urgent consultation, you are not good to go directly, call me to take a look."
"Other people, such as Brother Cao Zhen, Brother Jinchuan and Brother Guang Shiqing, when they are on duty, I dare to point fingers, and I don't dare to move the patients they are in charge of."
In the department, there are only two deputy senior officers who have obtained their titles, Huang Kai and Xue Tao. There is also Li Yuanhong, who is about to get the deputy high school, is studying in Zhongnan Hospital, and Fang Ziye can't get in touch with him.
The other ones are basically indications.
Zhong Xuegao and Guang Shiqing of Director Zhang Mingcan's group, as well as Wang Zhongxing of his own group and Cao Zhen of Director Hong's group, can they all be managed by themselves?
Who gave his own face?
Therefore, it is precisely because of this that Fang Ziye feels that it is always no problem for Zhang Mingcan to let himself be a follower, and his free time is still very abundant.
It is equivalent to as long as Guo Yunlei, Li Ruokai and Mao Mao are on duty, they can occasionally run for an emergency consultation, which will increase the efficiency of their own knowledge points, and if they can engage in a few special fracture manual reductions, it is also a very considerable amount of knowledge point income.
For example, when the deputy senior and the old chief attendees are on duty, will they let Fang Ziye run the consultation?
It is estimated that they can't pull their faces, and Wu Guonan is not wrong about this.
It's just that a few days ago, Fang Ziye needed to go through a form.
"May I take a look at your duty schedule?" Fang Ziye greeted.
The duty schedule is that there is an electronic file in the large group on duty, and Fang Ziye has not had time to enter it for the time being, so after Fang Ziye asked Guo Yunlei to pull him into the group, there was no historical news.
Guo Yunlei immediately sent the duty schedule to Fang Ziye.
Fang Ziye found that there were still a lot of people in the department, and there were eight people on duty in the general ward.
In addition to Li Ruokai, who does not have a medical practitioner qualification certificate, and Deputy Chief Physician Huang Kai who does not participate in direct duty, other people, including Xue Tao, are on duty.
Eight-day round......
Xue Tao, Zhong Xuegao, Guang Shiqing, Guo Yunlei, Wang Zhongxing, Mao Mao, Zhang Jinchuan, Cao Zhen.
Therefore, in this way, as long as Guo Yunlei and Mao Mao are on duty, they will need to run for an emergency consultation even if it is thirty days, or at most eight days.
There is not much time, but it is better to arrange the time.
After reading it, Fang Ziye continued to manage his own group of doctors, while Guo Yunlei and the newcomers Li Ruokai and Cao Zhen were each doing their own things.
Time was like water, and it was close to ten o'clock before Fang Ziye sorted out the medical orders of more than 20 patients in the group.
At this time, Li Ruokai and Cao Zhen, who were next door, were still frantically handling the discharge medical records, because Fang Ziye was too powerful yesterday, and eight fractures were reduced by manual reduction, and they can all be discharged today.
Fang Ziye patted his ass and came back, but the discharge medical records and discharge orders were all to be opened, and it was impossible to be discharged directly after the manual reset yesterday.
Seeing that everyone was busy, Fang Ziye was suddenly idle.
However, Fang Ziye was not in a hurry, looking at his knowledge points, he rose three points again, and came to 1135.3, Fang Ziye's mood was much better.
Don't be in a hurry, just take it step by step.
The person on duty today is Guo Yunlei, so Fang Ziye has to be guarded by the department, and it is estimated that he will have to be guarded in the next few days, and he will be guarded to show Director Hongdu, who gave Fang Ziye as the general hospital.
It wasn't until noon that Guo Yunlei received a call from the emergency department.
After listening, he glanced at Fang Ziye, who was playing with his mobile phone.
Fang Ziye understood, and said with a smile: "Yun Lei, I'll go for a run first......
(End of chapter)