Chapter 69 Financial Claims

Latest URL: It is not easy to be a doctor. Apart from other things, whether a patient’s disease can be seen by oneself depends on the basic skills of a doctor. You can’t prescribe intravenous injections for every cold. Of course, dawdling doesn't count.

Being a doctor is not easy, and being a good doctor is even more difficult. If you want to be a good doctor in a small hospital, as long as you work hard, you will always succeed.

When I go to work, I see a doctor, and when I get off work, I look for various materials and journals to study and seize the opportunity to study, and I will always be recognized by the hospital or the patient.

But when it comes to large hospitals, especially the top tertiary hospitals, there are only two types of doctors in such hospitals, those with good talents and those with mediocre talents.

Effort is the basic survival skill of doctors in these hospitals. The doctors who can enter this kind of hospital are almost all boiled to the point of master's degree.

That's it, if you don't work hard, you may not be able to keep up with other people's footsteps. The hospital is also working hard to make doctors work harder.

Resident doctors, at the earliest time, were actually a process of learning in the inpatient department by obeying and implementing the doctor's orders of superior doctors and closely observing patients.

But the hospital doesn't explain it that way, a resident doctor, a resident doctor, is a doctor who lives in the hospital!

When it came time to take care of the patients, the hospital felt that they still couldn’t let it go, so they brought out another resident doctor. All the resident doctors stayed in the hospital, and the inpatients were not allowed to eat, drink, and lax all in the hospital?

Working so hard and being so dedicated, in fact, most doctors in top hospitals just want to keep up with others and not fall behind too much.

The importance of talent is fully reflected when one has truly reached the top medical peak.

Suturing, the simplest medical skill, can be mastered by general hospitals and doctors after a few weeks of practice.

But it won't work in top hospitals. People can suture the inner membrane of eggs without a microscope. And some people have sewn thousands of eggs, but still can't get it out.

With this technology, it will be handy to suture the nerve sheath. This is the basic skill of a top hospital room doctor.

Is this because the doctor is not working hard? Some doctors, in order to practice this technique, eat eggs for the whole family and the cholesterol exceeds the standard, but they just can't get it off.

What this is, this is talent.

Dr. Ye is at Shanhua Hospital,

It is a very talented doctor. How many people and how many hospitals are there in Huaguo? It's not easy to make a name for neurosurgery in these hospitals, even if you don't have any talent, don't even think about it.

This kind of hospital is like Tsinghua University and Peking University when I was a student. Of course, it is impossible for the top departments of this kind of hospital to rely on extra points and rely on their own father to get in.

Because it is not worth it, he will be despised and looked down on when he enters, and if he has the ability to enter this kind of hospital, he will not enter the Ministry of Health as a...?

When Dr. Ye saw Zhang Fan's knife entering his abdomen, he knew that this young man was not simple.

Just like a good thing, it is very comfortable to look at.

Zhang Fan's operation is too smooth. The knife is passed over the mat, layer by layer, one knife after another, the hands do not stop, and the feet do not mess up.

The place where the blood should be bleed has been prepared in advance, and the place where the line should be hung up will never be remembered until it is in front of your eyes.

Every move, every knife is not superfluous, not even a single superfluous movement.

What is fast, this is fast, coupled with the precise coordination that can be seen by the eye.

Dr. Ye let go of the tightly held heart. If Zhang Fan's technique was not good enough today, Dr. Ye would probably lose his temper.

"Mr. Wu, this doctor was stuffed in by one of your students. It's not bad, he's a good seed!"

Don't worry, he said to Mr. Wu with a smile.

"Hehe, this is my nephew, a disciple of Jade Bird Luyuan!"

"Oh, oh, academician Lu's disciple? So young! No wonder, no wonder!"

After muttering a few words, Dr. Ye said to Zhang Fan, "Young man, my name is Ye Yun, the leaf of the leaf, the cloud of Baiyun, what's your name!"

This is a recognition of Zhang Fan. Otherwise, this kind of talented doctor would not only have talent, but also emotional intelligence, and could become a director, and he would also be the supernatural director of the magic capital Shanhua. Be good, don't be too arrogant.

"Hehe, hello, Teacher Ye, my name is Zhang Fan, Zhang, Gongchang..."

While undergoing the operation, Zhang Fan imitated the other party to introduce himself. Last time he applied for his name, but the other party had never heard of it, and his old face was blushing. This time Zhang Fan learned his lesson!

But before he finished speaking, Doctor Ye directly interrupted Zhang Fan's words.

"Zhang Fan? That Zhang Fan who has gone to several departments in foreign affairs?" Dr. Ye opened his mouth.

"Ugh!" Something weird in Zhang Fan's heart was like a mouthful of white steamed buns, unable to get down or get up.

Also in Shanghai, although many top hospitals don't think they are foreign-related, their foreign-related technology is actually just a little bit worse.

It can't compete with other hospitals in Shanghai, but it still has a certain reputation in Huaguo.

Moreover, many foreign-related doctors are classmates and friends of Dr. Ye. A few days ago, Zhang Fan made it impossible for the doctors of the foreign-related hospital to come down. At that time, the doctors of Shenwai were going to call Dr. Ye to save face.

Back then, the foreign doctor was not ashamed to tell Dr. Ye that he was a brat. This time, Dr. Ye was surprised, he was too young.

"Hehe, the dean of his senior brother's foreign affairs, haha!" Mr. Wu smiled, as if he had eaten a pistachio.

"Oh, you are engaged in general surgery? You also dabble in divine surgery?" After listening to Mr. Wu's explanation, Dr. Ye stared at the back of Zhang Fan's head as if he didn't believe it.

As for the preparations before entering the abdomen, Zhang Fan can do it even with his eyes closed, so Zhang Fan smiled and said softly: "Yes! There are not many surgeries performed outside of the gods."

"You didn't do much! My boy, if you do too much, you'll pay it back! Mr. Wu, my classmate's director of foreign affairs.

He told me that a patient with cerebral hemorrhage, Dr. Zhang Fan, was pulled into the operating room after a physical examination without CT.

It is said that after the operation, the patient woke up directly. At that time, I thought I was a supernatural expert, but I didn't expect it, I didn't expect it to be a general practitioner! "

"Hehe..." Elder Wu was about to speak, but Zhang Fan said, "It's in the abdomen, the duodenum is bleeding, stop the bleeding!"

The elderly love gastric ulcers, young people love duodenal ulcers, but no one can guarantee where the bleeding occurs due to stress.

"Hemostat, disconnected." Once the critical moment is reached, Zhang Fan will go all out regardless of the size of the operation. This is not repairing a machine. If it is broken, there will be replacement parts.

When Zhang Fan entered the state, all he had in his eyes was the operation, and all the pleasantries and politeness were forgotten in the back of his mind.

"Turn down the lights, the light is not good!" The cold voice kept mobilizing the surgical staff.

...

"I heard you're going to Zhibian this time?"

"Well, I'm going to the deputy high school soon, and I can't get promoted if I don't support it. Are you going too?"

"Where are you going?"

"I'm going to get rid of the tea."

"Me too!~"

Fang Dong's two doctors chatted.

The local specialties from Cha Su La were thrown out in the hospital as if they were free of money.

"Director Lu, look at this raisin, how good it is, don't spit it out, chew it up and swallow it, it's good for the prostate.

Let me tell you, you can’t buy this kind of raisins in Shanghai with money. They are specially sold for going abroad to Europe and America to exchange dollars or euros!

The scenery of Chasu is absolutely unpolluted by human beings, where are the mountains and where is the water, to be honest, it is called a...

When you go, it is a paid vacation, just like going to Northern Europe. "

The director of the Cha Su Medical Office took the top-quality raisins from southern Xinjiang to fool the people of Mordor.

He was Zhang Fan's vanguard, and he used small favors to win over the doctors who were going to the side, and some doctors with higher qualifications, he couldn't do it.

"Well, the deputy director of the liver and gallbladder doesn't really want to go to Chasu. He wants to go to the snow mountain. Hey, don't we have a snow mountain in Chasu? Xiao Chen is going to find out what the director's hobbies are. At that time, Zhang Yuan will have a Prepare."

"Well, good sir."

...

The director of the Chasu Medical Office begged for help all over the world, and medical equipment manufacturers all over the world begged him.

"Leader, try it, this is the ice cream I just bought from outside, it's still very comfortable to eat two bites in this weather.

Please tell Zhang Yuan, although the equipment outside is not well-known, it is expensive because of its high cost performance. "

...

As Zhang Fan was about to leave Shanghai, some equipment dealers with ideas lost their way like big-headed flies.

"I asked specifically about the jade that my junior brother bought for you. It is a very good Tianhe jade, and he has helped me so much. What do you think we can give you?" The elder brother's daughter-in-law chatted with the elder brother.

"Send a better set of surgical instruments?" The elder brother spoke to his daughter-in-law in a puzzled tone.

"Hehe, haven't you seen that the famous equipment dealers are all around them these days. Can you have some constructive suggestions?"

"Uh, what did you say to give!" The elder brother was not happy.

"That's what I thought. I bought a better watch for my younger brother. I didn't find him wearing a watch when we met twice."

"Yes, yes!" Zhang Fan's elder brother nodded in a grandiose manner.

"Isn't he going to get married soon? The cosmetics I bought in Europe last time was brought to his fiancée. This is almost a little bit more than..."

"Okay, that's not the case with my junior brother."

"Look at you, you can't let the little brother suffer, right? Let me tell you..."

Brother Zhang Fan's ears started to buzz.

...

In the operating room, Zhang Fan started to stop the bleeding. There is a saying in the medical field, facing a crappy doctor, the only weapon for a patient under anesthesia to resist is bleeding.

Bleeding, surgeons have various surgical hemostasis methods with different levels. For example, a doctor with poor flexibility chases every blood vessel and every red blood cell.

Using an electric knife, I can't wait to roast the fat into burnt mutton skewers, and I can't rest assured that every piece of exposed tissues and organs should be branded with a soldering iron.

This is one extreme, and the other extreme is the butcher surgeon, whose belief is that the bleeding will always stop.

So, in the field of surgery where the blood was pouring profusely, they marched forward bravely to stop the bleeding? No, the patient can automatically stop the bleeding by relying on the coagulation mechanism!

In fact, the best coagulation factor is the surgeon. The diffuse oozing, the whole surgical field of view is slowly oozing as if surrounded by blood, this must be a problem with the veins.

And when the bright red blood rushed to the ceiling, it must be an artery injury.

The more severe the bleeding, the more calm the doctor must be. Once the doctor is in a mess when faced with bleeding, the patient will die without even thinking about it.

At this time, the doctor must first determine whether it is arterial bleeding or venous bleeding, and also predict which part is bleeding.

This is the prerequisite for rescuing bleeding patients. If these two prerequisites are ignored, the patient will be rummaging around like a big-headed fly, and the patient will directly slip into the triad of death (acidosis, hypothermia, and coagulation disorders.)

Once you enter this field, it's too late.

As soon as Zhang Fan entered the abdominal cavity, he judged the bleeding method and location.

This method of judgment is based on a lot of surgical experience, as well as human body anatomy and human physiology. It is definitely not a dice guessing.

One quick step, one quick step, and the accuracy of guessing, can hold the patient who is slipping into the abyss ahead of time on the line of life and death. The doctor who can hold the patient in front of the life and death line is the most handsome doctor.

"Electric knife!" Zhang Fan's hand was like the palm of a Tathagata, and he punched down directly on the bleeding part.

After holding the fist for 30 seconds, the anesthetist raised his head and said, "The blood pressure is up!"

As far as this sentence is concerned, there is no need for everyone to doubt or question it. Zhang Fan's judgment is quite accurate.

"Doctor Zhang, there is no need for an electric knife, we have energy transmitters!" Doctor Ye quickly reminded.

This is where the greatness of a large hospital lies. For general bleeding, to stop the bleeding, it must be ligated and sutured with sutures, just like the old lady sewing the crotch. It must be beautiful and practical.

Or use things like gelatin sponge and collagen hemostatic net, just like sandbags to block a dam, a large amount is advantageous.

And others, there is something more advanced, the ultrasonic knife! What is this thing.

When this thing was first invented, it was to stop bleeding.

In the end, I don’t know why, but it didn’t make a big difference in hemostasis. Instead, it was regarded as a magic tool in beauty. It is said that it was used by beauty salons to smooth out wrinkles, just like Viagra, which surprised the inventor.

In fact, it uses high-energy sound waves to go deep into the skin for repair. At a depth of about 1.5.6-4.5mm under the skin, a focusing plane is formed through a radio frequency electric field, which strongly impacts the dermal tissue, and produces an electric field concentration effect on the dermal tissue, making the subcutaneous temperature Raise it to about 60-75°C to ensure that the heat is in the dermis, and then let the blood vessels contract and close the muscles.

In layman's terms, this thing is a microwave oven that can be directed, just like the microwave oven used to defrost cold meat at home. This thing is used to stop bleeding, and the effect is very good.

"Oh!" Zhang Fan looked over like a curious baby, he doesn't know how to use this thing!

Many people have a sense of repulsion towards new technologies, especially the higher their status, the more they are repelled from not knowing it. In fact, this is timidity, which is a manifestation of aging.

But Zhang Fan couldn't, he wanted to move Shanhua's operating room away, so when the other party said that there was a new type of equipment, he immediately handed over the position of the chief surgeon to his uncle.

Then, staring at the master's operation with bright eyes, he watched the master's operation from beginning to end without blinking.

When the hemostasis was completed, before Zhang Fan opened his mouth, the uncle spoke first: "This is from the United States! I can help you get in touch."

Mrs. Wu knew Zhang Fan well, and the closer she was to leaving the city, the more Zhang Fan acted like a wealthy landlord, walking on round stones on the road, wanting to get tea back!

For stitching, Zhang Fan remembered Dr. Ye's stitching technique, and after thinking about it in his mind, he began to sew like a cat or a tiger.

"Hey! This kid actually stole the teacher!"