Chapter 319

Sometimes, especially in some special industries, you can be cold to strangers, but you don't say it's warm to people in your own system. At least you'll be polite. Competent medical representatives may not need high IQ, but their EQ must be high.

A group of doctors don't complain to manager Sun. He doesn't care at all. He always keeps a smiling attitude and doesn't take the initiative to find someone to clink a cup. That is to do a good job of serving tea and pouring water. A big regional manager can do this. He is really not an ordinary person. Many, many people, no matter how hard it is, let him be humble and determined not to go. In this coquettish world where money leads, who is right and who is wrong! Yes, as long as you can ensure the life of parents and children. What world peace and global warming really have little to do with us.

Zhang Fan is also learning, receiving people and treating things, and the rules in the line. This is all knowledge. We can't lack it. This is a complete social person. Without these foreshadowing, it is really unlikely to go further. However, the learning here is only learning, not indulging, not chasing it at the expense of the book. You can understand it without mastering it.

Bart's laboratory tests have also been improved. At the end of the ward round in the morning, he returned to the Department office. Lao Gao looked at Bart's inspection report and pondered for a long time without talking. He also thought again and thought about the operation plan. Leng was silent for a long time. Finally, he put down the checklist and said to Zhang Fan, "be careful. This operation really needs to be careful. Let's discuss it more, shall we? "

For Lao Gao, Zhang Fan has nothing to take into account. One said, "director, this operation is a little difficult, but as long as you and director Wang help me, it's not a big problem."

"Do you have a detailed plan?"

"Yes!"

"The way ahead? Back road? "

"The back road, the front road is a little damaged." Zhang Fan said to Lao Gao.

"Back! The difficulty of the back road is a little higher. This operation is really troublesome. I can't see the success in a short time. " Lao Gao stared at Bart's film and touched his shaved chin.

This operation is so awkward. Spinal correction is not a fracture. Whether it is successful or not can't be seen for a while. Moreover, if the doctor's level is not high or misjudged, with the child's development and growth, it will not only not correct the deformity, but also aggravate the deformity.

"Now surgery is the best chance for the child. The older the child is, the worse the effect is." Zhang Fan emphasized.

"I know. Well, first estimate the operation risk, and then talk to the family about the situation. Future risks and current risks must be made clear. Ask a pediatrician or physician for consultation when necessary. " Lao Gao was afraid that Zhang Fan had no experience and explained what he should think clearly.

"OK. I'll have a consultation in the afternoon. "

"Yes. I went to the clinic and called if I had something to do. "

Zhang Fan has to deal with these things himself. Other doctors can't tell clearly, and he's not at ease. And these things must be done after the operation, and the treatment of other patients cannot be delayed because of one patient. This is why we usually see that doctors in hospitals seem to be very busy. Once there is a special or serious patient, the doctor can keep his feet off the ground.

In the morning, there was an operation for a clavicle fracture, which was caused by a fall. It's not very broken, it's an oblique fracture. There are almost no broken bones, just an obvious broken end. This kind of operation is suitable for Wang Yanan to practice. Orthopedic doctors pay great attention to clavicle fracture. If they relax a little, they may be robbed by thoracic surgeons. Orthopedic doctors don't suffer, and they don't rob less of rib fractures outside the chest.

"Note that when fixing, you must pay attention to the lower lung tissue. Whether you are sure or not, you should take protective measures. " Zhang Fan became an assistant, but he still emphasized the matters needing attention in the operation repeatedly.

You may feel like it's unnecessary. In fact, the medical industry attaches great importance to the consolidation of knowledge. If you don't consolidate it yourself, the hospital will help you consolidate it. Once every three or four months, I take the basic exam and transfer to another exam. I'm always afraid you'll forget that, and my grades are linked to your performance salary.

The medical industry is like this, only more skilled, not the most skilled. Life is endless, study and examination will never stop. After the operation, the superior is the superior. Although Zhang Fan and Wang Yanan are inpatients, Zhang Fan is Wang Yanan's superior doctor at this time.

In the afternoon, Zhang Fan began Bart's preoperative preparation. Everything follows the normal procedure. First ask the pediatrician for consultation. Although the pediatrician didn't say anything, he just wrote a sentence on the medical record: the child's vital signs are stable, the spine is obviously deformed, and the current state is feasible for symptomatic treatment. If there are special circumstances, please contact our department. Thank you! It's such a nonsense. I don't even talk about surgery, but if it's not reflected in the medical record, even if it's an unqualified medical record, it's a problem when the superior finds something wrong. Why isn't there a pediatric consultation?

Then ask the respiratory department and cardiology department to come for consultation. The bigger the operation, the more perfect the medical record must be. Even if the other party is talking nonsense, they have to invite others to say it. This is responsible for the patients and the protection of the doctors. During the cardiology consultation, Ren Li and Ouyang came. The old lady had already said hello to Ren Li.

"Is there a precedent for this kind of operation in the municipal hospital?" When Ouyang comes, Lao Gao has to come out to greet him. The old lady turned over the medical record and asked. Although there is no question by name, everyone knows that this is Lao Gao.

"Dean, I haven't done it."

"Well, it also expands the business of the Department, but we can't be radical. Zhang Fan, please invite director Wang of the second Department of orthopedics, director Chen of the third Department of orthopedics, the director of anesthesia in the operating room, the director of Pediatrics and the director of the medical department. The personnel are all ready for discussion. "

"Yes!" Zhang Fan turned around and called the nurse station. This is the characteristic of a hospital. Private affairs will be contacted by mobile phone, and business affairs will generally be contacted by internal phone. I don't know how it came down. Although the phone bill is not much, and the hospital also reimburses, that's it. As long as it's business, it's usually the internal telephone contact of the hospital.

In a few minutes, Lao Wang and Lao Chen came. The three departments of orthopedics are connected. The three floors connected to the surgical building belong to the orthopedic system. Since Zhang Fan showed Lao Wang the film of the patient, Lao Wang was directly stunned. I can't concentrate on other things. I'm obsessed with watching movies every day, thinking about the operation plan and looking for information. My nerves are running out.

People are like this. If the operation is performed by a superior hospital, or as long as it is not performed by a doctor, Lao Wang probably won't be so interested, but once it is performed by a doctor who is familiar with tea or tea, he will be worried. Why can he do it? Why can't I do it? The old man was devastated by Zhang Fan. He couldn't eat and drink well these days. He really didn't think about the plan again.

"We're all here, aren't we. Director Gao, you can arrange it. " After several directors of other departments arrived, Ouyang said to Lao Gao.

"OK, Zhang Fan, this is your patient. Please introduce it to everyone." Lao Gao said to Zhang Fan.

"Dear leaders and experts, three days ago, our Department collected a six-year-old and seven-month-old child. After examination, the diagnosis was clear: congenital spinal deformity mixed type. Laboratory examination and body examination support diagnosis. At present, the patient is still young and has no related complications. However, in order to protect and avoid future complications, our department plans to perform corrective surgery for spinal deformity. However, considering that the child is young, and the operation time and postoperative bed time are long, please consult with experts from various departments. " In the office of the first Department of orthopedics, Zhang Fan didn't look at the medical record. He stood up and said. The director of the medical service recorded it in person because the Dean attended.

After hearing this, Ouyang nodded involuntarily, and then said to the doctors present: "let's discuss whether to do this operation or not. Do, how to do, don't do, why not do. Say it all. Starting from Wang Yanan, he said in turn. "

In addition to the doctors of the first Department of orthopedics, all the other doctors present were experts, so the little doctor spoke first.

"The vital signs of the child are stable and the diagnosis is clear, so I think we can do it." Wang Yanan then sat down.

"Don't stand up, just sit and say, save time." Ouyang added after seeing Wang Yanan sit down.

The little doctor can't say one, two or three, that is, simply say the examination and signs in the medical record. Soon I arrived at the director of the third Department of orthopedics. After staring at the film for half a day, Chen Qi said, "it's difficult. The operation is not easy. The child's physical development is immature, and there are no obvious symptoms. The postoperative effect is not easy to judge. Can we slow down first?"

Lao Chen means that the child has no symptoms. What should I do if there is abnormality or discomfort in the operation. Although a little conservative, it is also a suggestion of the old city. After all, this is a person, not an object.

After Lao Chen finished, the two orthopaedic directors frowned, but said nothing. Ouyang is also unknown. The directors of Cardiology and pediatrics have evaluated the tolerance of children from their own departments, and have not made clear suggestions on whether to carry out surgical treatment. The director of the anesthesiology department made it clear that the child could tolerate surgical anesthesia, and the speech ended.

It's the turn of the director of the second Department of orthopedics. The old man stroked his little hair and said, "it can be done. Although the children have no obvious symptoms at present, if they are treated conservatively, there will be obvious organic changes within a year. If they are operated again at that time, it will only be a dead sheep to mend up. Moreover, I have consulted many relevant papers and medical records. As long as we make a full plan, we can have surgery. "

"Are there many such operations in bird city hospitals?" Ouyang asked.

"Not much, but I can't say no."

"Effect if?"

"The earliest was a similar operation five years ago. The effect was unknown. I called the chief surgeon of the superior hospital. The patient left the border after the operation, and the follow-up visit did not continue." After all, the spine is Lao Wang's business, so he is very clear about these things.

"Director Gao, tell me." After hearing this, Ouyang said to Lao Gao.

"The reason for doing it has been mentioned by the doctors in front, and I don't need to repeat it. But how to do it needs to be discussed. "

When Zhang Fan introduced his condition, he had made it clear that the operation was feasible, so he didn't have to express his opinions. Ouyang made a direct decision: "since all experts support surgical treatment, it is also an orthopedic disease, or Dr. Zhang's patient. Director Gao, director Wang and Dr. Zhang, you three book an operation plan and submit it to the medical office. Is three days enough? "

"Yes!" The person named agreed.

This is Ouyang's means. This is an administrative order. You quarrel. Anyway, I have set the time. No matter how you quarrel within three days, you must give me a statement and a plan.

"OK, break up." After that, Ouyang went out first!