Chapter 333

Name:Medical road Author:臧福生
If there is a person whose ancestry has never been rich and has been hungry all his life, he will never remember anything before, because there is nothing to remember and be proud of.

If the ancestors were rich and powerful, when they came to him, there would be nothing. He had only heard of it and had not seen it. His heart was full of tangles.

Country or industry, in fact, this is the same as people or families. For example, for a shoulder dislocation, the reduction of Western medicine requires at least two people. The doctor can't be too old and can't work when he is old. However, Chinese medicine, many old men and many old people, can't walk steadily, but this kind of reduction is too simple. One person, one chair, can be easily restored.

Then there is the so-called selection. If there are no suitable people or other factors, there will be fewer and fewer people in these methods, and finally it will become a legend. Unlike other industries, the creation of a method and a simple method may be slowly explored by several generations, and the loss will be lost.

Now science and technology are so developed, but many tips and empirical things are really not difficult if they do not have predecessors to lead and want to copy. Moreover, due to the different medical system, many doctors are unwilling to study or dare not innovate. Anyway, they follow the textbooks and the annual medical norms, how to stipulate how to treat them, It's too hard to break through!

Zhang Fan took the middle-aged woman in her thirties and forties and sat on the examination table“ Take off your coat first. I have to see it. Can you take it off? I can't. I have scissors here. " With that, Zhang Fan suddenly felt wrong, as if he had said the wrong thing.

"It's okay, doctor, it's okay. No scissors. " The woman was biting her teeth. She had severe pain originally. Moving her arm led to more pain. The beads of sweat as big as beans fell directly on her head. It fell down directly. It really fell down.

Ragged overalls, beady beads of sweat, enduring severe pain, why? This is the world, this is the world of adults, fight, fight bravely, I hope she can fight for a future and live her dream life as soon as possible.

"How did you get hurt?" Zhang Fan knew at a glance that it was shoulder dislocation. Shoulder dislocation is the most common in total joint dislocation, accounting for about 50%.

Mainly, the shoulder joint is the most extensive joint. Moreover, because the shoulder joint lacks stability in anatomical structure, the glenoid is small and shallow, the humeral head is large and round, and the joint capsule is loose, dislocation is easy to occur.

Generally speaking, the head of the arm is a prominent ball, while the body has a shallow nest, and then the head is buckled in the shallow nest.

"The shelf car on the winch pulled the cement. The iron bar blocking the shelf car on the winch somehow disappeared. As soon as the winch rose, the shelf car ran forward. She looked at the shelf car falling down and went to catch it. It's too melon. If it hadn't been for letting go early, it's estimated that the shelf car would have taken her down with the ball. It's really lucky. "

A man who came together, although his tone was angry, could see that he held the woman's body hard and his reddish eyes, he knew that he sympathized with the woman.

"Are you her family?" Zhang Fan asked.

"Well! I'm her man. "

I don't know about the large-scale infrastructure. The smaller ones seem to be onions, contracting down layer by layer. Anyway, the profits seem to be the same as onions. For these workers, what kind of insurance and various benefits do not seem to be very sound.

"Come on, get down. Lie down slowly. Yes, hold on. " After seeing the film, Zhang Fan said to the woman and the two men who came together.

"The soil on the body is very big, you white list ~ ~" the woman looked at the white list spread on the examination bed and hesitated.

"Hi! What time is it? You still worry about this. Lie down and hurry. " Zhang Fan was really moved. What can move is not earth shaking things, but these casual details.

"You have no fracture, just a simple dislocation. it will be OK. Lie down and I'll reset you. "

"Yes!" Although Zhang Fan said it, the woman still hesitated and lay down with a little heart.

"It's true. Come on, you go and put your hand on her shoulder. Press your hands. "

Shoulder dislocation is first of all injury, shoulder swelling, pain, and limited active and passive movement. Visible to the naked eye is the collapse of the shoulder deltoid, showing a square shoulder deformity. And you can't let him touch the normal shoulder with the affected side's hand.

"Come on, bear it." Speaking, Zhang Fan took off his shoes, grabbed the woman's dislocated arms and wrists with both hands, and stepped on the patient's armpits with his heels. The rehabilitation treatment given in the system is complete at the primary stage by massaging nurses in the county hospital.

Therefore, this reset is too simple for Zhang Fan. Although it is simple, the technique is not the best, because the system is western medicine, not Chinese medicine. Therefore, reduction is also the method of Western medicine.

Continuous traction, which is to relax the muscles on the arm first, pull the hands with stable and continuous force, pull the middle heel and push the humeral head outward. Rotate at the same time and retract the upper arm to reset. Audible noise during reset

It's very simple, but this method can't be done when the doctor is a little old. You can't move when a muscle pulls you.

Zhang Fan pulled and pulled. When he felt almost the same, his arm rotated and his heel pushed his humerus. He only heard a "click", accompanied by a woman's stuffy hum.

"Well, it's back. You try and touch your opposite shoulder. " Zhang Fan put on his shoes and said to the woman.

"Well, all right, doctor." The woman moved gently. It's really good.

"Don't worry, I have to tell you. You are violently injured and must be fixed, or you may become habitual dislocation in the future. "

"How to fix it?" Asked the woman.

"Triangular towel or plaster. At least three weeks, or you won't recover. "

"Doctor, can I take some medicine? I can't do anything for three weeks. My father works alone and can't afford it. Doctor, please. " The woman didn't cry when she was in pain and didn't cry when she was reset, but she couldn't work for three weeks. She was worried.

"You listen to the doctor. Do you want your arm or not. I can't do it. " The man helped the woman and was afraid that she would fall.

"Well! It's better to fix it, or it's bad to leave sequelae. "

"But the children and old people at home ~ ~"

"Fixed, doctor, listen to me. I'm the head of the family, fixed. Why is this woman so stubborn! "

"Ouch! Why, why! " The woman began to cry. Pain is not afraid, pain is not afraid, just afraid that it will not survive. Why?

The people who can most make these hard hearted people emotional are children and self-improvement people. Zhang Fan has been transferred to another department for a long time, but he is rarely emotional. As a result, women are stuffy in his chest today.

"Don't cry, don't cry, let me think, let me think." Zhang Fan is thinking with the bridge of his nose.

"There's nothing to worry about. If you can't do heavy work, you can still do light work. There's a shortage of cleaners in the clinic. Will you do it? It's sweeping the floor and cleaning up the garbage. " The outpatient head nurse also spoke. The fat head nurse looked at such a self-improvement woman and wanted to help her.

"Dry, dry!" The woman looked at the head nurse with tearful eyes and quickly wiped her eyes with earthy overalls.

"The salary may not be high, just 234, but you can take out these paper shells and buy them yourself, and there is medical insurance."

"Thank you, thank you!" Regardless of her arms, the woman took her man and bowed to the head nurse and Zhang Fan. What she did at the construction site was piecework, which was more than 200 a day. Now this thing is really a good thing.

"Oh, thank you, head nurse." Zhang Fan said with a smile.

"Thank you. Fix it quickly. Come to work after a few days off. Come to me directly at that time. " At this time, the fat head nurse became more and more kind.

Outpatient service is like the epitome of a society. Any kind of people use it and any kind of things can happen. In one day, Zhang Fan received seven or eight hospitalized patients for surgery. These surgical patients are patients in their group.

Zhang Fan is busy in the clinic, and the doctors in the Department are not idle. Xue Fei and his colleagues are going through the procedures of admission and discharge and preparing for tomorrow's operation. This is how the work goes day by day.

With the hot weather, the government work has been carried out in full swing. In previous years, the state allocated medical funds to tea vegetable city in addition to buying! Buy! Buy! Almost everything else was returned as is.

First, the leaders do not pay attention. Second, the doctors in big hospitals in the city are also tired. They regard going to the countryside as hard work, and no one is willing to go. But this time it's different. It's the iron blood policy directly. Doctors who want to get a professional title or a position have to go to the countryside.

Moreover, because the western support fund is strong, all departments should draw some backbone to support. In many cities or provinces, there is no problem going to and returning from the same day.

But not in the frontier. A tea vegetable area alone has a larger territory than many provinces. Moreover, the highway here is not very smooth, and the people living here are scattered. Going to the countryside is not a good thing for doctors who are in the city all year round.

It's time to pick people. Those who are hospitalized are promoted to be the main treatment, and those who are deputy high are promoted to be high, but these doctors are still a drop in the bucket for such a big place. However, Ouyang has many ways to deal with this kind of thing.

Direct internal promotion, promotion of the so-called middle-level, the middle-level of the hospital is too bullshit, this thing, that is, the president's word, at the full mobilization meeting.

"The state has given such favorable conditions and strong support, but many doctors are afraid of going to the countryside. Can you say it in the past? Except for pregnant women and children under the age of two, other doctors and nurses are among the candidates. Don't talk to me about difficulties. If you are any more difficult, is it difficult for a doctor who has been in the pastoral area for 30 years? "

In the age of Lao Huang, we can also find ways to communicate, or we can worship Yin and violate Yang. In the Ouyang era, it was even worse. The old lady directly and strongly became steel. After the mobilization meeting, the administrative orders for the personnel of the Department came down.

Many departments have promoted deputy directors, and in the past, there was no general hospital in the Department. How to say this position? In fact, it was learned from the United States. In recent years, it has gradually become popular in China. In fact, it is a word that allows you to see more doctors, do more operations and improve quickly!

In the first Department of orthopedics, Zhang Fan became the general manager of hospitalization. Zhang Fan had long expected this. Ouyang couldn't see him go to acupoints and get a private hospital for a long time. This time, he pushed Zhang Fan up.

In the past, although the departments in China were three-level diagnosis and treatment, the job competition for this department was a little chaotic. With the development of economy, the medical industry began to be standardized.

If you want to be a dean, you must first be a department director. If you want to be a department director, you must first be a chief inpatient. Although there are disadvantages, this kind of rule-based thing is fair. It is no longer random to point generals or eight immortals across the sea.

I came home in the evening and had dinner. Zhang Fan and Shao Hua went out for a walk. They haven't taken such a walk for a long time. Walking in the street, the breeze blew and Shaohua's hair danced with the wind.

"I'm going to the countryside. I'm sorry. It's up to you to decorate the house and buy furniture. I can't care. " Zhang Fan holds Shaohua's hand.

"It's all right. You can't care if you don't go to the countryside. Where are you going and how long will it take? " Shao Hua slightly tilted his mouth. There's no way. His lover has set up such a job. What can he do.

"I don't know yet. Hua! " Walking under the flower bed on the street, Zhang Fan gently hugged Shaohua.

"What's the matter?" Shaohua nestled in Zhang Fan's arms.

"When I come back from the countryside, let's get married!" Zhang Fan said softly.

"Good!" Shao Hua gently closed his eyes and felt his lover's heartbeat.

With the setting sun, they dragged their long figures to walk in the street“ Marriage doesn't mean getting married. You see, the house hasn't been cleaned up, there's no furniture, and neither have my uncles and aunts. There's a lot more to do. " Shaohua took Zhang Fan and told Zhang Fan one thing at a time.

"Well, let's solve it one by one. My parents, hey! The immortal is harmful. " Zhang Fan sighed helplessly.

"Hehe, it's all right. Communicate with the old man slowly. Uncles and aunts are very reasonable." Shaohua comforts Zhang Fan.

With the various adjustments of the hospital, the list of personnel going to the countryside has also come down, with more than 20 doctors and more than 20 nurses. The hospital gave these personnel two days off to prepare.

This trip to the countryside will last for three months. Accompanied by government personnel, we should turn over all remote areas. Zhang Fan is also on the list, and he and LV Shuyan of gynecology are the youngest.

LV Shuyan has a good academic background, solid work in gynecology and rapid technical improvement. This time, she was promoted to the General Hospital of gynecology.

More than 20 doctors were divided into five groups. Zhang Fan and LV Shuyan were in one group, with two doctors to be promoted to chief doctor, and then four nurses. A medical team was established.

Everything is ready, just waiting to go!