Chapter 65

It's over. Several operations were performed, but Zhang Fan's goal was not achieved. Unfortunately, I didn't go home for the amount of surgery. The gain is not worth the loss.

Out of the Department, Zhang Fan transferred to the Department of Cardiology. Originally, he wanted to continue to transfer to surgery, but the medical department arranged internal medicine, but there was no way. It's no fun to go to Ouyang for this matter.

Ouyang will certainly not say hello to the medical office in advance for Zhang Fan, otherwise the dean is too worthless.

Cardiology, opposite the surgery building. The whole two floors are the largest internal medicine. Ouyang is born in the heart, with intervention in the heart. There are too many patients.

In Northwest China, the intake of dietary fat is high, the population base of patients with hyperlipidemia, hypertension and hyperglycemia is large, and there are more than 20 doctors in departments. The current department director is Ouyang's Apprentice.

She is also a female director, Ren Li, in her forties. It is said that the only graduate student in the hospital used to work in a large hospital in the province. Because the departments of the hospital in the province fought fiercely and did not feel comfortable, he was finally dug up by Ouyang to the municipal hospital.

Ren Li's profession is quite strong and beautiful, but her EQ is a little poor and there will be no trouble. After she became the director in her heart, the Department developed by leaps and bounds.

The number of doctors sent abroad to study is also the largest in internal medicine, and new technologies and papers are top-notch in internal medicine. Lower level doctors also admire her. She does things not only, let the ability speak, and her income depends on her ability. A fair director.

The Department of Cardiology is in the hospital of chasu City, which is the most authoritative department. Ouyang gave her great support. In the age of Lao Huang, Ouyang almost gave up other internal medicine.

I always hold on to my heart. In order to get more resource support, I often argue with Lao Huang. In fact, the establishment of intervention department is specially made for the heart.

When the city approved a special health fund, Lao Huang was ready to set up an orthopedic disease research center, which Ou Yanli opposed. She suggested setting up an intervention department.

For this matter, they brought a lawsuit to the municipal Party committee. After half a year of wrangling, Ouyang finally won and the funds were used to establish the intervention department. Lao Huang always resented the intervention department and was not equipped with a reserve force.

Ouyang is also tough, just with Ren Li, they develop their inner heart and intervention. After the intervention developed, the income increased sharply, and many young doctors wanted to enter their hearts.

Ren Li specially set up an entrance examination. No, absolutely not. She has Ouyang's support, and the hospital has no good way. Technical units, technology is king, you can't, can't get in, people don't want you, really can't say.

After Zhang Fan entered the Department, his scalp became numb. Cardiology is not like surgery. There are also old people, but almost all the old people in the heart. Walking on crutches, in wheelchairs, walking by hand, staggering, looking dangerous.

Surgery and internal medicine are almost two systems. Although in a hospital, there is not much communication except consultation. Zhang Fan goes to the operating room every day and is not familiar with internal medicine doctors.

He became famous in surgery, but few people knew him in internal medicine. Here, he is a little doctor, a transferred resident. The privilege of surgery is gone, let alone respected.

The system hasn't opened the internal medicine yet. He can only rely on his own liver. There are also two girls in my heart. One from gynecology and one from pediatrics. It's all scheduled for internal medicine.

Zhang Fan was assigned to Ye Jing, a chief physician. In his thirties, he was unknown in cardiology. In a department, there are so many backbones and only a few positions. There is no chance if you don't strive and work hard.

Ye Jing's husband is a civil servant with a good income. She has no idea about business. It's just a job. Her main thoughts are at home. Taking good care of her children and serving her husband are her pursuit.

It's understandable that they are all ordinary people. This is the idea of most people, but in technical units, if you don't refuel, you can only become a marginal figure. Zhang Fan is a doctor of internal surgery. He comes to surgery to make soy sauce. He can't count on it. So I gave Zhang Fan to her.

On the first day of admission, I met the ward round when I grew up in the hospital. Doctors, nurses, advanced doctors, interns and medical staff are almost over 50.

In this regard, many nurses did not participate, because there was a lot of liquid to be compatible, so they couldn't participate.

Internal medicine ward round is not like surgery. Surgery is very clear. What surgery should be done? If you really can't find it, then open the abdomen for exploration. The most discussed is the technique, who is the master knife.

In internal medicine, we must first talk about a mechanism, disease classification and drug types. What kind of drug is better, how long, how many doses, and whether there are contraindications.

Ouyang became the Dean, but she didn't give up her business. She was still studying. She had to ask questions during the ward round and asked the doctors attending, transferring, interning and studying in bed. The doctor in charge is also responsible for reporting the condition. Whether the treatment plan is appropriate or not should be discussed at that time.

It's not appropriate. We have to make an appropriate treatment plan on the spot. We can't check it all morning.

They can't finish half of the rounds. They go straight to the noon rounds. A doctor with poor health can't stand it. I can't stand it. Anyway, I have to take the time to modify the doctor's orders on that day.

Zhang Fan doesn't have a big problem. Several medical students and advanced students can't bear it, because they've never met this kind of high-intensity ward round. Occasionally, they secretly stand against the wall for a while. Because they still have cases in their arms. Although it is a plastic clip, more than a dozen cases are stacked together.

Ouyang's questions are very professional and meticulous. The subordinate doctors who often ask are speechless and can't answer them. She is quite strict. She will ask the superior doctor to answer on the spot. If the superior doctor can't answer, she will turn over the book immediately and won't show any kindness.

The doctors were nervous to death when she went round the room. In the ward, in front of the patient, let her scold, really uncomfortable.

Today's ward round didn't ask Zhang Fan any questions. Zhang Fan had internal surgery. Maybe she couldn't answer. She didn't understand the relationship between Zhang Fan and Li Xiao. She gave Li Xiao face and didn't let Zhang Fan down.

Old lady Ouyang is not tall, but she can bring her own Dean aura, which puts great pressure on everyone. In addition, she is very strict, which makes several transferred students tremble and have a threatening atmosphere.

After checking the room, there are still many disease courses to be recorded. Today is a big ward round. Both the doctors in charge and the doctors at lower levels carry notebooks with them to record the oral orders said by the doctors at higher levels on the spot.

Then it should be reflected in the case. Medical cases are much more demanding than surgery. For example, in an orthopedic car accident, it is very simple that the car accident broke the bone. The time, place, person and degree of injury are OK.

Internal medicine is not good. You have to refine it from the onset. Have you been treated, what kind of treatment, how the effect is, whether it has been aggravated, and whether there are complications. Have you taken medicine at ordinary times.

The cases of internal medicine are quite exquisite in terms of words and tone. But, fair, good and other words are used in different places. If you want to use them wrong, Ouyang can kill you with his fingers.

Medication is also complicated. There are only a few kinds of surgical medication, antibiotics, hemostatic drugs, blood activating drugs, great use of albumin, transfusion of plasma and energy. Just give the medicine according to the consumption.

Internal medicine is not good. There are great individual differences in the same kind of drugs. Some people can use them and some can't.

General internal medicine is very simple. A resident in the Department for three months is probably enough, but it is difficult to master it. First of all, the foundation is solid. You have to be proficient in physiology, pathology, embryogenesis and biochemistry. You can use it when you pick it up.

It's just an introductory doctor to open a book only when you encounter a disease. By analogy, a good physician can analyze your physical condition from your taste, take a look at your face, and have a general understanding of your physical condition.

Physicians who want to achieve this level do not have more than ten years of solid learning, thinking and summary, and don't even think about it.