One Hundred and Fifty-Six, It Is Not as Good as a Surgeon

The hospital is getting bigger and bigger, and it looks much more luxurious than the small house hospital back then. All kinds of advanced ones even thought it was an operating room in the future world.

In fact, it lacks a kind of taste and human touch compared with the past. Many people talk about hospitals, at most they talk about medical skills and technology, and rarely mention this word, because to be honest, the bigger the hospital, the thinner it is, and it can even be as thin as standing in a hospital. Same on Mount Everest.

To be honest, the lawsuit faces of the doctors and nurses in the hospital, really, have reached the point of imminent need to change.

Tired, who is not tired, the world is not a pure land, each has its own suffering. And the hospital, to be honest, is where the greatest sorrow and suffering in the world are gathered.

Is the hospital bigger the better? I didn't know it in the first 30 years, but everyone became more and more clear about it in the next 30 years.

They are all exactly the same, just pasting and copying the treatment plan, the treatment is like treating a doll on an assembly line, antibiotics are expensive, and ineffective Chinese patent medicines are added without money. That commission is high, use that!

"Do the math, does this patient still need to eat? Do the math, how much body fluid has been replenished? Do the math, how many hours does it take for him to infuse such a large amount of fluid in bed.

Is this medical? This shit is a crime. "

Zhang Fan directly threw the medical records into Lao Ju's arms. Lao Ju had a red face, but on his fair face, it was as if there were two purple balls. He was really ashamed to the extreme.

Zhang Fan didn't say a word to the doctor in charge of the bed, and the doctor in charge of the bed was already scared and at a loss.

"us……"

"Don't explain it to me. I don't need you to explain it to me. How do you explain it to the patient?" Zhang Fan didn't let Lao Ju say anything. "One day, I don't care what you do, just improve it for me within one day, and spit out what I eat. If you spit it out, and the revision is satisfactory, let's forget about it.

If you're lucky, hehe..."

After speaking, Zhang Fan left the ward.

Outside the ward, in the corridor, many patients came from distant counties, reluctant to eat and drink, holding naan bread that was as hard as a stone, slowly tearing it and putting it in a warm water bowl, waiting for it to soften, let The old man eats a little.

With withered hands, coughing body, holding a shaking water bowl, the circles of ripples seemed to hit Zhang Fan's heart.

In the past two years, Zhang Fan has been focusing on high-level medical skills, always thinking that as long as the hospital develops, it will be better, but today's rounds made Zhang Fan feel uncomfortable. What is the tragedy of medicine? Too expensive to afford, this is the greatest tragedy.

"Could it be that the salary given by the hospital is not enough?" Zhang Fan seemed to ask himself, or the doctors and nurses in the respiratory department.

Hospital departments fight for patient numbers, and doctors in departments fight for patient numbers. I don't know when this trend started. On weekdays, Zhang Fan kept his eyes open. He felt that this kind of competition was beneficial to the development of the departments and the hospital.

Now, he understands that Nima's heart cannot be filled.

After entering the office, Zhang Fan's anger had subsided a lot, but he was still very serious.

The Department of Internal Medicine, especially the Department of Respiratory Medicine and Cardiology, most of the doctors in these two departments have climbed out of hard times. Because the family conditions are slightly better, they are not willing to come to these two departments.

Tired, many patients, the respiratory department deals with all kinds of sputum every day, and the family is a little richer, who wants to wait in line to see the fresh red sticky phlegm coughed up one by one after eating sun eggs in the morning, who wants to look at a The warm phlegm is as sticky as egg yolk just out of the pan.

Therefore, their learning and business ability can directly crush any department. As for the endocrinology of their upstairs, in front of the doctors of these two departments, it is directly incomparable.

Their drive is horrendous beyond imagination. But what is the driving force behind this?

Since this place talks about technology, let's use technology to kill these arrogant soldiers today.

Zhang Fan usually gives Lao Ju a lot of face. He feels that Lao Ju is a pure doctor, even purely more like a doctor than himself.

Zhang Fan appreciates his calf protection, his persistence, and even his unreasonableness, but today, Zhang Fan is angry. Some patients are reluctant to drink milk for their poor breakfast. Vegetarian, milk is really cheap, it's really a habit. Some people even feel powerless if they don’t drink a sip of milk in the morning.

But here, this group of people even quit milk, and cefoperazone sodium and sulbactam sodium were given to patients in half a month. What is this for? This is directly robbing with a knife.

The old man was gone, staring at the ICU given by Wanziguo, thinking about the new technology, thinking about making cutting-edge technology. On the contrary, the basic diseases are relaxed.

Zhang Fan also understood that the King of Chu had a thin waist, and he starved to death in the palace! This is inseparable from my own problems in the past two years.

But today, the arrogance of this group of bastards, the pride in their hearts, they still feel that Zhang Fan is making trouble for no reason.

In internal medicine, Lao Tzu has opened up the heart and breathing.

I was not good at internal medicine before, but now you are not good at internal medicine.

"Close the door!" Zhang Fan said with a cold face, and the head nurse, Wang Hong, and Xiao Chen quickly closed the door like a race.

The side of the floor-to-ceiling glass windows was full of melon-eating patients, who were almost choking from coughing, and looked into the office curiously.

"What is this little dean going to do? His face is black with anger!"

"I heard that the doctor didn't pay attention to the treatment, and the black-faced dean got angry. This dean is quite reliable."

"Hey, it's reliable. I look at him and his complexion is not very good. Take a look, his face has a kind of burnt yellow. It's because the liver is not good. The anger is too strong!" An old man led the old man Huajing, holding a book that seeks medical treatment is worse than self-seeking, looked down at Zhang Fan while looking up at the analysis in the book.

The head nurse opened her mouth, wanting to chase her away.

Zhang Fan patted the table, "Pray, the patients still have expectations of you, and they still believe in you so foolishly. Don't you boast that you have a high level? Well, let me see today, what is the level of your respiratory department?" .”

After finishing speaking, Zhang Fan started directly: "Just talk about your three-bed patient. According to his disease, it can be determined that the proteins in different phases of the cell cycle in cyclins, among the gene products of late G1 phosphorylation, can cause lung cancer. The tension of the surfactant has decreased, so if you want to alleviate this decrease in tension, what treatment method is the most suitable."

The lungs of the human body actually have a layer of mucous membrane, which is just like the sticky synovial fluid on a fish. This thing has many functions.

To put it simply, it is a series of functions such as a collection of sleeves, lubricating oil, fillers, springs, and acid-base balance fluid. The more this kind of multi-functional thing, the less in-depth research it is.

Zhang Fan's question is very tricky. It has both scientific research and clinical practice. It is not beyond the scope of the question, but it belongs to the category of Olympiad questions.

"Come on, Li Hui tell me."

Li Hui's scalp was numb, and when he saw Zhang Fan go crazy, he knew that he was definitely the first to sacrifice the knife today, "Because, because, because of the poor surface of the lungs, lactic acid, diamond, serotonin, and oxygen were produced. Free radicals increase the content of catecholamines, leading to increased vascular permeability.

We should first expand, expand, expand blood vessels, give oxygen, and then..."

Zhang Fan nodded inwardly. Although Li Hui didn't understand the topic, he probably guessed in the right direction. This guy has already developed the so-called clinical feeling.

This kind of feeling is very mysterious, especially in the case of critically ill patients in the emergency department. It is impossible to diagnose what the disease is, but you can feel what you should do. How should I put this thing, it's like seeing a beautiful woman, although I don't know her, but I can be absolutely sure that she has a partner, the right one can be scary.

"If you don't give sex, you will be given treatment. Is this what your director said to you? Everyone is dead, and you still need to treat with a hammer!"

After scolding Li Hui, Zhang Fan's former teacher cried. Her intuition told her that the next step would be to be called by Zhang Yuan.

To be honest, the thing that Li Jingjing regrets the most in the past few years is that she served as a tutor to Zhang Fan back then.

The doctors in other departments who had taken care of Zhang Fan were somewhat arrogant, because Zhang Fan and the others had taken care of him, but Li Jingjing was scared. When she was admitted to treat tuberculosis, she went too far, and now she regrets it so much. If she had known that Zhang Fan would be the dean in the future, and would be so powerful in the future, even if she was offered 100,000 yuan by a temperate person, she would not want it.

"Ms. Li, come on, tell me. Mr. Li is the most authoritative person below the director of the respiratory department. Come and tell us your opinion."

It sounded like he was praising Li Jingjing, but under Zhang Fan's cold tone, Dr. Li was about to cry.

"First, give intermittent positive pressure ventilation, and then promote internal circulation in the body and increase oxygen saturation..."

She is a bit taller than Li Hui, and if compared in terms of completeness of treatment, her treatment method is 20 or even 30 percent higher than Li Hui's.

On a normal day, Zhang Fan would laugh and boast, but not today, Zhang Fan wanted to get rid of their inexplicable arrogance.

"Can't you use Swan-Ganz? If you don't have a certain value, just give positive pressure ventilation. Do you think you have rich experience or a high level? With your rescue, the patient has no time to go into surgery, and the body temperature is cold.

Teacher Li, should I ask which drug has a high price and which drug has a high commission, do you have more experience? You and Li Hui were arrogant and domineering in the department, even if it was your patient number, you would also rob it if it wasn't your patient number.

The amount of antibiotics the two of you use for a month can match the amount used by a department of orthopedics. You just lie in front of the computer and calculate your own abacus all day, relying on some poor experience, don’t you think it’s just a trick? enough.

You are still far behind, don’t you just know how to use a few broken instruments, don’t you just publish a few inexplicable papers in broken journals! Let me tell you, you are far behind.

Even I, a surgeon, can't solve the problem, so what face do you have to brag about yourself. Let me tell you, if you want to do it, if you don't want to do it, pack up and leave, there are a lot of doctors waiting for you.

Dean Ju, I want to see your self-criticism this afternoon. "

After finishing speaking, Zhang Fanfang didn't check the room anymore, and just left.

Lao Ju listened to Zhang Fan's roll call, and originally wanted to stand up and answer the question, so as to earn some face for the Department of Respiratory Medicine, but they didn't let Lao Ju answer, it seemed as if they were giving Lao Ju face, this damn is a naked bully .

Laoju was crying. When I ate my family’s tiaozi, bowl after bowl, I turned my face and refused to recognize anyone after eating it!

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