Chapter 124

Report on returning from leave and entering the medical department. Zhang Fan's rest is a month, which makes several newcomers in the medical department particularly envious. The young doctor is on vacation for a month. It's not marriage leave. I really haven't seen him.

Urology Department! Zhang Fan transferred to the urology department. The urology department of the third class hospital in the region is directly an old man department, and 80% of the patients are prostate patients. The old man in the corridor ran around with a urine bag. As long as the disease can excrete urine, there will be no other problems.

The older people get, the more they can't lie down. Zhang Fan looks at the old people all over the corridor wearing sick clothes and carrying urine bags to chat together, which is like chatting with bird cages in the park! If you can raise your voice twice, it will directly become a park!

When I was young, I peed three feet against the wind and ten times a night. I felt that I had reached the peak of mankind and despised the heroes! But don't be happy too soon. Retribution comes when you are 60 or 70 years old. The stronger men are in that area, the more serious the problem of prostate in old age. When you are young, you can urinate for half an hour. When the prostate revolts, it's not uncommon for you to urinate for an hour.

The stronger when you are young, the more severe the blockage when you are old. It is related to androgen, of course, and living habits. It is related to long-term holding urine and sedentary. There are few female patients in the urology department of the municipal hospital, and almost all female patients have gone to gynecology.

Director Li Jianguo is an old director who went to the hospital with Ouyang. He fell in love with Ouyang in his early years. Later, I don't know why they broke up. Now he is very embarrassed. If he can't go to the meeting, he can't go to the meeting. If he can't see Ouyang, he can't see Ouyang. The surgical system and urology department support Ouyang the most. If Ouyang has any orders, urology department attaches the most importance to it.

Because urology is not separated from general surgery for a long time, the age difference between the three deputy high school directors is also one or two years. They all did their own things. Lao Wang refused to accept Lao Chen and robbed the patient seriously. Li Jianguo doesn't care. As long as there is no problem, he is also willing to fight among the doctors below.

The following doctors are not very clear about Zhang Fan's rescue of soldiers, but the director level is clear. Zhang Fan takes the entry sheet and reports to Li Jianguo.

In the director's office, Li Jianguo was very polite to Zhang Fan, not the usual attitude of director Gao towards residents.

"Doctor Zhang, here we are at last! How about pulling the team to do it yourself, or talking to the doctor first. I don't care about the patient, and I don't have much in general surgery. I heard from other departments that you are led by the director in surgery. Why don't you go to the clinic with me every day? "

"Look at what the director said. I'm a recruit egg. Just do what you tell me."

"Ha ha! You! It seems that you want to work alone. Anyway, you also have a certificate. You can take the patient on duty yourself. There are four transferred doctors this time. I can only give you one. You'll be more involved. You can't give more, otherwise the doctors below won't be happy! " Lao Li speaks well and does well. It's really saving face to let the resident doctor take the transferred doctor and open another group.

"Director, I'll listen to you." Zhang Fan is very happy to have an independent operation. At the morning meeting, only the head nurse and the doctor were left. Director Li said, "all the transferred doctors in front have arrived at the Department. Dr. Zhang has something to do. Come a few days later. However, Dr. Zhang already has a practice certificate, and his surgical attainments are very high. Each of the three attending doctors brings a transferred doctor. The extra one follows Dr. Zhang and asks Dr. Zhang to set up a group to follow Lao Wang. Lao Wang, you will spend more snacks. "

Lao Wang, Wang Zong ashamed, the youngest in the vice high school, is usually relatively introverted, so Li Jianguo gave Zhang Fan to him.

"No problem, director." Lao Wang said, and then said to Zhang Fan, "Doctor Zhang, if you are not sure about the patient, just ask me directly. You're welcome."

"OK."

The other vice doctors are so expressionless that the following main doctors are a little unhappy. More people take the group, more people grab the patient, and more people share the bonus with them. If the transferred doctor performs well, he will give some money, but if he doesn't perform well, he won't give a point. So Zhang Fan took the group directly beyond the role of transfer, which made them very dissatisfied!

The director said that although the doctors below dare not object on the surface, there are many things in private. First of all, several attending doctors are unconvinced. They are all transferred and hospitalized in the same way. Only when he is promoted to be the attending doctor can he take the group. Zhang fan can take the group with whatever reason he enters the Department. A transferred student should not write a medical record or change his dressing.

Zhang Fan really doesn't care about this. The other party can't figure it out. It's all right. He gets used to it slowly. If he can unite as much as possible, he can't even if he can't. I don't expect them to help.

There are two boys and two girls who have been transferred. Add Zhang Fan to five people, and there is just one more transferred student. Zhao Zipeng also came to the urology department. He really wanted to follow Zhang Fan, but he couldn't help it. Finally, a girl was given to Zhang Fan. The little girl is gorgeous and painted with light makeup. At first glance, she can't be oppressed. Several other attending doctors don't want her.

Zhang Fan doesn't matter. It's good to be in a group alone. The little girl's name is LV Shuyan. As a result, Zhang Fan was scared to death. She was recruited by Ouyang to graduate from gynecology, because she wants to engage in gynecology in the future. It's just an understanding to transfer to urology. She is one year older than Zhang Fan.

There is no way to command. People also have a practice certificate and a high education. LV Shuyan didn't care. She just came to have a look and walked through the stage.

"Zhang Fan! What's your relationship? You're so good. You take the group when you enter the Department. You don't see the other indications. Your mouth is crooked. " After checking the room, she and Zhang Fan had no patient for the time being, so they chatted!

"Well!" Zhang fan can't say. You can't say your level is high!

The first day was Zhang Fan's night shift. Because there was no patient, LV Shuyan went home early. There are many emergency cases in urology department at night. Many old men are embarrassed to say that they can't pee out. They don't tell their family until they can't hold it at night.

The emergency department, emergency doctors and Zhang fan are particularly familiar with, "director Zhang, have you come to inspect the situation of the people again!" Xiao Li in the emergency department teased Zhang Fan. In the hospital, there are not many people who want to be emergency department doctors. They are forced to do it by the hospital leaders.

"Director Li, you're welcome. I'll come as soon as you call. I also said that I was inspecting the people's situation and asked for a face!" Zhang Fan also teased him.

"I didn't get this catheterization, otherwise I wouldn't bother you. Show me. " Xiao Li in the emergency department had catheterization for a long time, but he didn't go in. The old man was anxious and couldn't help it. Xiao Li called the urology department.

Zhang Fan's scalp became numb as soon as he entered the treatment room. The old man hung his triangular eyes and blew his nose and stared. He was about to reach the critical point of outbreak. After looking at the things on the treatment car, Zhang Fan was even more depressed. He even used the guide wire.

The guide wire of catheterization is a piece of iron wire. I can't say how many iron wires can enter the urethra anyway“ How many times? "

"Three times, the guide wire on the last time, didn't go in! The old man didn't cooperate. And he has a bad temper and a beard. " Xiao Li whispered.

Zhang Fan came forward to see if the old man could be quick eyed. His bladder was as big as a ball and round. He let Xiao Li mess with it for more than half an hour. It hurt and rose again. That is, he didn't break out until he peed. Otherwise, it's possible to hit people by looking at the old man's face.

"Sir, this catheterization may not work. I have to make a fistula."

"I don't care whether I have a fistula or not, you hurry to release your urine for me, alas! I'm suffocating! " The old man's wife stood aside and didn't dare say anything. It is estimated that the old man scolded her.

After catheterization for several times, the urethra has edema, and even Zhang fan can't get in“ Prepare for fistula! ~ " Zhang Fan said to Xiao Li.

After a while, the nurses in the emergency department prepared materials and surgical instruments.

"Doctor Zhang, be careful. The old man has a bad temper. He scolded his wife several times in a short time. So is Xiao Li. He can't get in and doesn't call early. He makes people suffer. " The emergency nurse whispered to Zhang Fan.

"Well, OK, sister."

Under local anesthesia and lidocaine, the ball was played, the small opening was cut with a scalpel, then the fistula was made with a fistula maker, the urinary catheter was inserted and sutured. After half of the urine was released, Zhang Fan turned off the catheter switch“ Hey! Hey! Young man, why did you turn it off? You still pee a lot and hold it badly. "

"The old man can't put too much. Let's put it later. Your prostate is too serious. You have to have an operation. Otherwise, you will not be able to pee in the future. "

"That's all right. Why do you have to have surgery? "

"This urine bag can't be put for too long. It will be infected."

"It's pure nonsense. Let's talk about it." The old man let out half of his urine to refresh himself. His tone was not ordinary.

"Well! You have to change your dressing regularly, or you will really get infected. "

"I see. I'll come to you tomorrow! I'm suffocating. " Then he took the old lady and left.

The next day, the old man really came. Without looking for the director or other doctors, he went to Zhang Fan. Zhang Fan had gone back from work and had to come to the department again.

"I told you to come today, and you left work without me! It's not good, young man. "

"Yes! Sir, let's go to the hospital. After the examination, I'll operate on you. "