Chapter 413

A year's plan lies in spring. With the opening of trains and the improvement of speed, the frontier is not so far away from the mainland.

In those years, Zhang Fan took a hard seat from LAN city to Xinjiang to bird city for 26 hours, and then slept on the bus on the sleeper for one night. Then he took a line bus and took more than four hours to quark county.

Now it takes about 20 hours to get from Lanshi to tea plant, which is really much more convenient. With convenient transportation, the small Jiangnan beyond the Great Wall is certainly attractive.

A large number of foreign population flooded in, with the largest number in Sanchuan, Nanhe, Dongshan and Su province. With more people, the economy slowly began to get better.

Of course, the number of hospital visits also suddenly increased. In previous years, the number of outpatients to the afternoon was not many, but from this year, it suddenly seemed that there were not enough doctors in the hospital.

All departments are short of people. Especially in the surgical department, there is a greater shortage of personnel. Without surgery and rescue, a doctor can see many patients.

But once you have to have an operation, there must be at least two doctors. The doctors in the hospital are now in pain and happy. Many patients have high income, but they are also relatively tired.

In the past, Zhang Fan and his family had an operation and could normally have lunch at the lounge of the operating room. Now there is no time. They can eat lunch almost at four or five in the afternoon.

County hospitals have shrunk so much that almost all patients have flocked to class III hospitals.

"Doctor, I don't have surgery." A fat man in Sanchuan with a depressed face.

"If you don't have surgery, there will be sequelae in the future." Orthopedic clinic, Xu Xian is in the clinic.

"I just opened a restaurant, turtle son, how can I carry it so back!" The fat man's face was sweaty and his lips were white, but he just refused to do the operation.

He originally opened a restaurant in the south, but with the increase of rent, he made less and less money. During the Chinese new year, I heard from my friends in my hometown that frontier people are delicious and can make money by opening restaurants, so he came to tea.

At the beginning, a small restaurant was opened. Because of its good workmanship, it made a lot of money by cooking sliced meat and boiled fish. In order to improve, it borrowed from everywhere to build a restaurant with a larger store.

The decoration was done by the villagers. As a result, the villagers were cooked and made a mess. Anxious and angry, when moving things, a accidentally fell down the stairs, and then supported the ground with both hands. The huge and fat weight directly came a "click"!

The fat man cried his father and mother in pain, but he just didn't have an operation“ You don't have surgery. Manual reduction has too many disadvantages. Be obedient and have an operation. " Xu Xian coaxed the child and spoke to the fat man.

"I can't. I don't have surgery!" Xu Xian advised for a long time, and the fat man finally said.

"I'll make it for you with the cheapest materials. Is that all right? " Xu Xian's mother is from Sanchuan, so he has compassion. He is a fat man who thinks the operation cost is expensive.

"No, I can't have an operation." The fat man is also desperate. He's going out directly for business. When you're unlucky, it's really a leak in the house. It rains at night!

"What do you say!" Xu Xian has no choice.

"Give me a cast. An old man in my hometown did it like this. " The fat man didn't dare to be hospitalized. He came here alone. He was afraid that he would be hospitalized. The store could empty his unreliable fellow.

"This is not a plaster problem!"

"Please, doctor, be merciful and help me. I really can't be hospitalized for surgery." The fat man was almost crying. On his face, he didn't listen to his voice. He thought he would laugh again.

You can only ask the superior doctor. You may not understand this. China has a first diagnosis responsibility system. It is a very good system. Xu Xian had to ask the superior.

The division of departments is becoming more and more detailed, and undergraduate students will learn a superficial or basic course. When I was a graduate student, I was assigned to a very specific department. For manual reduction, only the teacher at work can learn it bit by bit, but in this environment, manual reduction is also slowly declining.

Patients can't wait for a long recovery time, and the hospital is afraid of an accident. The two are in harmony, so when they can or can't do it, they usually go directly to open reduction,

Director Lao Gao is busy going to the government meeting now. Generally, he can't find it. The deputy director has an operation and can't find it. He can only call the assistant director.

"Dr. Zhang, I have a Galeazzi type II fracture here. The patient refuses to operate. What should I do now?" Xu Xian calls Zhang Fan.

In general, the third class hospitals in the region can't pass the buck even if they reach the top. Even if they don't have technical treatment, they must explain to the patients.

"How old are you?"

"Thirty two."

"OK, I'm coming."

Zhang Fan is busy with ward rounds in the Department. There are more and more patients. Sometimes interns are lazy and don't change their dressing well. As a result, there is a postoperative infection. Zhang Fan's head is big.

This kind of thing is not to blame on other interns. Who is responsible for teaching and who is responsible. Wang Yanan took others with him. As a result, he didn't care, so such a thing happened.

The intern was a young man, and he began to tremble. "What's the matter with you? Don't you have time to see it once in two days?" In the office, Zhang Fan is cleaning up Wang Yanan.

"There have been so many operations recently, and you don't come in the afternoon. Xu Xian and I can't even write the medical record. Now there are more than 40 patients. I can't work overtime until 10 o'clock every night. " Wang Yanan said wrongfully.

"Hi! If they can't finish writing the medical records, they will be fined. The patient must worry. I'll go to the medical office to ask for someone later. " Zhang Fan has nothing to say. There are too many patients.

"QingChuang handle!" Just after that, Xu Xian called again. Now Zhang Fan is also painful and happy. He can do the operation casually, but there are many troublesome things in the Department at ordinary times“ You prepare the debridement bag and wait for me to come back for debridement. "

Zhang Fan hurried to the clinic and entered the office“ Dr. Zhang, look, this is the man. Here is his X-ray. "

"Why don't you have an operation?" Zhang Fan asked kindly. The other party's face had changed in pain.

"I can't do it. I also want to do it. I also want to hurry up. Oh! I can't say. I have to watch the decoration every day. Doctor, please. Give me a cast to stop the pain! " Fat people are crying. He probably hates his fellow countrymen.

"Manual reset handle!" Zhang Fan said after looking at the X-ray carefully.

"This? Manual reset? " Xu Xian didn't believe it directly. He picked up the film and looked at it and said.

"Yes! C-arm lower reset handle. " Zhang Fan said again.

Xu Xian took a look at the fat man's illness, pulled Zhang Fan aside and said, "I'm not married, and you're not married yet. Do you really want to fight?"

"Ah! I don't want to fight, but you look at him. He's crying and unwilling to have surgery. It's estimated that there must be something wrong. What do you say? " Zhang Fan also whispered.

"Really?"

"Well, if you don't want to, I won't force you. I'll accept this patient." Zhang Fan looked down at the X-ray and didn't force Xu Xian.

"Ah! Are you stupid or am I stupid. Just do it, but Zhang Fan, I can make it clear to you that it is very harmful. One of my teachers is like this. Now he is lying in the box. "

"It's not so suspense. It's not done every day." Zhang Fan smiled and patted Xu Xian on the shoulder. He didn't expect that Xu Xian was really willing to fight with him.

"Ah~ Well, my director Zhang Da! " Xu Xian tilted his mouth.

Inform the operating room. Zhang Fan and Xu Xian take the fat man to the operating room.

"I don't have surgery!" The fat man looked at the operating room in pain and panic.

"No surgery!" Xu Xian said angrily“ Don't worry. If we don't operate on you, we can restore it by manipulation, and then we can cast you. " Zhang Fan explained.

The fat man bit his teeth and followed them into the operating room. It was also very painful!