Six Hundred and Forty-Eight Chapters 1 The Rocks Made the Waves
"To control blood pressure, it must be controlled at 130, and it must not exceed 140, otherwise the prognosis will be bad!" One patient has passed by one patient, and one treatment has passed.
When there was something that the doctors in the department did not pay attention to, Zhang Fan reminded him. He directly became the dean of internal medicine.
In the leadership team, latecomers such as Zhao Jingjin frowned, because he really couldn't understand that Zhang Fan was so good at internal medicine, but it became clear after thinking about it, after all, Zhang Fan was a genius! Especially Yan Xiaoyu, the dean of internal medicine, opened his mouth from the beginning, and was supported from beginning to end to the end! For hours!
As for Ren Li, she was really shocked. When Zhang Fan was a specialist in internal medicine, she just seemed solid and in good health. At the beginning, she just liked Zhang Fan's good health and wanted him to come to the cardiology department. If the doctor in the cardiology department is not physically good, he will have to see his heart after a few years of heart failure.
This is not a joke, look at old man Zhong, his shirt is off, his body is full of muscle bumps, how can he be an 80-year-old man?
In terms of majors, Zhang Fan's internal medicine was not outstanding at that time, so today it is too scary to see that Zhang Fan can not only talk about something in the department of gastroenterology, but also check for omissions and make up for gaps.
Could it be that after a week of ward rounds, it has improved by leaps and bounds? Mr. Ren looked at Zhang Fan carefully. She wanted to see something on Zhang Fan's face, but Zhang Fan's expression was calm.
"Director Li, the doctor's professional ability is not strong!" Back in the department, Zhang Fan said to the director of the Department of Gastroenterology.
Zhang Fan didn't ask Lao Li. After all, Lao Li was also the director killed by a sea of corpses and blood, but Zhang Fan couldn't ask Lao Li, and couldn't he ask Lao Li's doctors?
It's like I can't beat you, and I can't beat your wife?
Lao Li was embarrassed to death. In the past, Ouyang was in the heart, Ren Li was in the heart, and Laoju was in the breath. Although the Department of Gastroenterology did not have a backer at the level of the dean, it was equivalent to not having a mother-in-law at the level of the dean.
This is comfortable, if you want to eat rice, you can eat rice, if you want to eat noodles, you can be free and unrestrained, but in terms of medication and treatment, it is a bit too much.
Originally, I thought that this kind of life could go on forever, until Zhang Fan was no longer the dean or came to digest the dean.
As a result, the comfortable life could not go on!
Compared with surgery, internal medicine is more difficult to judge the effect of treatment. The treatment of some diseases is simply symptomatic treatment, or to delay the progression of the disease.
Such as diabetes and hypertension, the treatment of these two diseases,
It is to delay the progression of the disease rather than cure it.
High blood sugar can cause damage to blood vessels and nerves, especially tiny blood vessels and nerves. If blood sugar is not controlled, sugar is like a cannonball, constantly hitting tiny blood vessels and nerves. I found that I didn't feel it, or suddenly one day I couldn't see it.
In fact, to put it bluntly, the mechanisms of high blood pressure and high blood sugar are not much different, both of which attack small blood vessels. But one is physical and the other is chemical.
For example, some patients have high blood pressure and dizziness. After taking antihypertensive drugs for a few days, they feel dizzy.
To be honest, this kind of damage to the body is more serious. What the blood vessels are afraid of is that you go up and down, go in and out, because this kind of ups and downs is the most serious damage to the blood vessels and the heart and kidneys. In fact, to put it simply, this kind of blood pressure fluctuates up and down, and blood sugar fluctuates up and down, just like popping.
Too often, the pleasure turns into pain, and the skin will be worn out!
Although Zhang Fan was very polite and gentle, the internal medicine system of Chasu Hospital was blown up.
"Do you know? Zhang Yuan has been lurking in the Department of Gastroenterology for a week, and then suddenly exerted force, and the old Li in the digestive system was depressed. After the rounds in the morning, in the department, the old Li who said a few words was about to cry."
"I'm going, are you so cruel? My God, do you think Zhang Yuan will come to our department next week?"
"I do not know!"
The physicians were worried, and Ren Li started training in the Department of Cardiology first. If Zhang Fan was really caught off guard, Ren Li was not willing to do so. In terms of administrative work, Mr. Ren did not have the slightest pursuit.
To be honest, Ouyang and Zhang Fan pushed her to her current position, but in terms of clinical work, Mr. Ren still has quite high self-esteem.
Self-examination in the Department of Cardiology, and Lao Ju in the Department of Respiratory Medicine are not far behind.
"Our department is now the best department in the internal medicine department of Chasu Hospital, and the equipment in the respiratory ICU can be said to be famous in the entire Huaguo.
We can't be complacent, don't study gastroenterology, for a little profit, let Zhang Yuan say it's terrible, do you know that, during the rounds in the morning, the director of the gastroenterology department walked out with the help of the wall! "
Laoju speaks on stage!
"Lao Li is going to the buffet!" Li Hui whispered to Zhu Qianqian.
In Respiratory Medicine, Zhu Qianqian and Li Hui are the big experts in bed management.
A tube bed for children's milk powder and refueling. At the peak of Li Hui's tube bed, more than 30 patients were treated.
And there are no advanced students and interns to help him. It can be said that his treatment is to look at the patient records, and then write the case in front of the computer all day long.
And Zhu Qianqian is not a human being, she is a woman and an attending physician, she doesn't care about anything in the department, except for the sick number, she doesn't fight for anything else.
It's time to study, but she won't go.
She has no idea if she wants to be judged advanced.
Just focus on taking patients. After a month, the drug rebates can even sell a fur coat.
Whenever I entered the Department of Respiratory Internal Medicine, I saw Li Hui and Zhu Qianqian typing on the keyboard frantically. If I didn't know, I thought they went to the Internet cafe and saw the two of them confronting the Biaojin dance troupe!
"Will Zhang Yuan take the two of us for surgery?"
Normally, the two of them didn't talk much to each other because they had business competition. Now that Li Hui took the initiative to talk, Zhu Qianqian hurriedly asked.
"Probably not. We will charge less these days, especially you. Others have opinions on you." Li Hui said nonsense in a serious manner. It's hard to say whether others have opinions or not. He definitely has opinions.
"You should charge less." Zhu Qianqian glanced at Li Hui.
Zhu Qianqian was actually not too afraid of Ouyang, she would cry if Ouyang really wanted to punish her, she knew that Ouyang would protect the calf.
But for Zhang Fan, although he usually smiles like Maitreya Buddha, Zhu Qianqian felt that he couldn't understand this kid when she was taking Zhang Fan in the respiratory department, because Zhu Qianqian was well-known in the hospital.
Any doctor who transfers to the respiratory department is afraid of following Zhu Qianqian, and even some transferred doctors have had conflicts with Zhu Qianqian.
No one wants to write medical records for more than ten hours a day, and don't care about food.
But Zhang Fan back then was an exception, he kept quiet, if you can do it, I can definitely do it. You can crawl in front of the computer for more than ten hours, so can I. The only thing better is my health.
And don't talk much, don't break your mouth. Especially chicken thief, Zhang Fan has learned all of Zhu Qianqian's tricks.
It's okay, but now Zhang Fan is the dean. Zhang Fan really wanted to clean up Zhu Qianqian, who could be pinched with three fingers, and called her daddy.
Therefore, Dr. Zhu was a little worried.
endocrine
The endocrinology of Chasu Hospital, not to mention Chasu Hospital, almost all endocrinology departments that are not top hospitals are a special department.
Because after the reform, the rich people suddenly became fatter, and the endocrine diseases are mainly businessmen, rich people, and people with energy.
Then, because of the many contacts with endocrinology doctors, slowly, slowly, more and more female endocrinologists marry into rich families, and even marry into powerful families. With leaders, many girls who feel more beautiful.
It's enough to be romantic in college. I understand that in life, we must first eat and drink, so we often find ways to enter endocrine.
Immediately afterwards, blending and blending might become Mrs. Fu.
The Chasu Hospital is like this. The city is not big, and the female endocrine doctor is relatively beautiful. She wears small black leather shoes, short-waisted black stockings, and a white coat. If she is wearing small eyes with a little taste.
It's really beautiful, knowledgeable, and technical. What's more, it's a uniform temptation.
Therefore, the female doctors in this department are the trendsetters in the hospital.
The fruit phone with the notch is a new one.
You go and see, the doctors who hold the most mobile phones are all endocrinologists.
Donkey bag, Neil bag, there are definitely female endocrine doctors. To be honest, in this department, in the end, young doctors who are interested in doing business are unwilling to come, and those who want to be wives are desperate to get in.
The topic in the department is not about the latest medicine, or whether there are too many rebates recently, but about skin care, which one is rich, or a spa.
Anyway, the atmosphere is rather weird.
After Yan Xiaoyu came, the situation changed little. Because people look down on this salary and kickbacks.
To be honest, sometimes Zhang Fan would rather endocrine doctors are Li Hui and Zhu Qianqian than a bunch of gossiping wives.
After all, if Li Hui and Zhu Qianqian want to accept patients, you have to study the medicine. Regardless of how much they are in charge, patients will never have problems due to treatment. This is the skill!
"Whose bag is this? Why is it in the office? Didn't the hospital provide you with lockers?"
Yan Xiaoyu's head was a bit big when she entered the department, so after she arrived at the Chasu Hospital, through slow observation, she immediately improved her relationship with Ren Li.
She didn't know when Zhang Fan would come to endocrine lurking!
...
But surgery is different, "Oh my God, Yuan Zhang is tired of surgery now, and went to internal medicine!"
A group of rough men in orthopedics, thoracic surgery, and brain surgery can't afford to gossip anymore. Everyone listens to it, and when it's over, it's over.
In fact, Zhang Fan didn't think about going to other internal medicine after the ward round, because he didn't pass the exam in the system for gastroenterology!