Chapter 1364

Zhang Fan questioned the director of the Department of Gastroenterology. The director of the Department of Gastroenterology was sweating with white hair.

If Zhang fan can't find out today, he's not afraid. But Zhang Fan found out today.

The director of the digestive department has a sharp heart, like willow leaves in the wind, "I didn't come so badly last time. How long has it been? How can I come so badly this time!"

He opened his mouth and didn't know what to say. It's useless to explain now. An orthopedic doctor can find out your internal diseases. What else can a physician say?

You have to bow your head and listen to what people scold you. Who makes you incompetent.

"Look, look, your department, a gastroesophageal shunt disease, is the first time to see a doctor. It is imported omeprazole directly. Is it cool to get a commission? Why not use octreotide?

You see, a patient with hepatic encephalopathy, you give people home calf blood! "

Zhang Fan took the medical record and patted it. The director's face was pale. I can't say a word.

If Zhang Fan doesn't succeed in the examination today, it's estimated that some doctors will come forward and give Zhang Fan a sophistry on pharmacology from the medical records, physiology and biochemistry internal medicine.

However, now we dare not, because they found that Zhang Fan's level of internal medicine seems to have suddenly increased.

They can't stand the change. They can't deceive the change.

It is also right to say that they are wrong, because the drugs are symptomatic, but they are also wrong, because there are cheap alternative drugs.

In the past, Zhang Fan was not easy to manage. Although he is the Dean, it's really hard to manage. As people say, there are wronged people who are shot in line. If they fight one after another, they will definitely miss the net.

Moreover, the doctor's salary was not high before, and the hospital was located in the frontier. You were strict. People left the job and went to the south. You really have no choice.

This is an example. It is said that in a frontier County, a new president confiscated all the drug rebates under the guise of not allowing physicians to use drugs indiscriminately. Of course, after the confiscation, it is said that he bought a mini for his mistress.

As a result, several internal medicine departments of the county hospital, under the leadership of the department directors, directly contacted a private medical group, changed jobs as a whole, and it was too late for the president to cry.

In the frontier, really, sometimes talents are really talents. Even Mr. Nanguo, if people can block one of your pits, the leaders will say that Mr. Guo is a great talent.

But now it's different. The salary of tea vegetable hospitals is almost no higher than that of Manchurian public hospitals.

At present, even if the harbor Fishing Village United Hospital in the fishing village, this special hospital, the salary is barely in line with that of tea.

Therefore, Zhang Fan has been very tough now. Moreover, Zhang Fan's level of internal medicine has been able to convince them. Technical units, technical curse, this is a foundation, but not enough, rich and technical curse, is thick and big.

"Come on, now tell me about this treatment. Now tell me how to treat it." After cleaning up the director, Zhang Fan began to ask the bed doctor to give the doctor's orders on the spot.

Ouyang looked at Zhang Fan and said, "when did this boy have such a high level of internal medicine? He was not as good as me in the past. Now he is even higher than me." Thinking, she looked at Ren Li.

Ren Li smiled, "I'm not as good as him!" Whisper to Ouyang.

Ouyang looked at Ren Li with a pair of eyes that wanted you to use.

Then I can only watch Zhang Fan install 13 quietly.

"Ampicillin, sulbactam, 3.0g a day..." the doctor in charge of the bed didn't think for a minute and began to say the treatment plan.

After hearing this, Zhang Fan said: "ciprofloxacin, methylnitrate file 500mg, liquid diet, change the diet doctor's advice corresponding to the change of symptoms. After three days, it is recommended to take a high fiber diet and check the blood routine regularly. If the leukocyte increases, it is recommended to recheck CT~

You think, my and your doctor's advice, whose is good! "

After finishing the doctor's advice, Zhang Fan immediately put forward his plan, and asked the doctor without asking anyone else.

The bed doctor didn't dare to roll his eyes when he wanted to roll them, because his is really not as good as Zhang Fan's. She wanted to say that Zhang Fan bullied people, but on second thought, she was an orthopedic doctor. She had to say, "the dean's good!"

"Don't be unconvinced. I haven't read much about internal medicine. Comrades should pay attention!"

The doctor in charge of the bed is dying of anger, but there's no way. People can blow it now!

A dean of surgery came to the internal medicine department to check the doctor's orders. Really, what a cow!

Erosion, ulcer, sinus, fistula, cavity, diverticulum. When explaining the terms in the pathology examination, Zhang Fan was particularly impressed with this diverticulum.

The term explanation of medical school is all in English.

First translate it into Chinese, and then explain the meaning of the word.

These are all words related to caves. Of course, there are deep caves and shallow caves. At the beginning of the exam, Zhang Fan knew the English of a diverticulum and wanted to show his skills. As a result, he suddenly found that he couldn't write Chinese characters.

Really, at that time, Zhang Fan was as uncomfortable as a dog. It was like looking for a favor to thank you for your patronage. As a result, he became another bottle. Who knew the mood at that time.

At that time, Zhang Fan almost used Pinyin! Really, a college student uses Pinyin in the exam. NIMA is a joke.

Diverticulum, what the hell is this. Many textbooks explain that there is a hernia in the intestine.

This thing is bullying. If you explain it to a student who has no contact with clinical practice, it's the same as not explaining it. It's very persuasive. Because a noun doesn't understand, it forms a new noun.

Therefore, self-study of medicine is more difficult. Sometimes it's difficult to learn, and if it's wrong, it's troublesome.

When Zhang Fan had just finished learning pathophysiology, he gave himself a diagnosis as soon as he coughed. He clattered in his heart. Cancer! Just like everyone's Du Niang disease now, he can scare himself to death.

In fact, it would be much easier for Zhang Fan to explain this diverticulum now. In fact, the underwear of the intestines is concave. It's like a toothpick boy who put up a tent on his underwear after chenbo.

If there is no top break, the nest formed by underwear is a diverticulum. If there is a top break, it is a sinus. Of course, this thing should be thin. If it's thick, it's not a diverticulum, but a hernia.

What is a hernia? It means that your own organs push your own tissue out of an abnormal depression. It doesn't count if you break it. It doesn't count whether you break your own or someone else's.

Breaking one's own organs is a hernia. For example, the spermatic cord breaks the muscle layer of the inguinal thigh with the intestine, which is a hernia.

The top is unbreakable. A hole is a diverticulum.

If you don't understand, there is a more classic explanation. A beautiful woman wore two layers of socks, white silk stockings next to her toes, and black silk stockings outside.

Of course, the beautiful woman's thumb is longer. When the white silk stockings are not broken but the black silk stockings are broken, this is a hernia. When the top is broken, the white silk stockings and the black silk stockings are not broken, it is an ulcer. When the white silk stockings and black silk stockings are all broken, the thumb leaks out, which is called Dou Dao.

The diverticulum is that the little thumb breaks the white silk stockings and black silk stockings, but it forms a nest.

This kind of diverticulum that goes outward to the muscular layer of the intestinal tract is called a diverticulum. What protrudes toward the inside of the lumen is a polyp.

If you remember this thing literally, it seems very simple to separate it one by one, but similar nouns can often confuse students.

There should be their own ways and means. For example, Zhang fan understands that polyps are standing urination in the intestines. The diverticulum is squatting and peeing, with seams.

Really, it's not driving. It's medical textbooks that drive medical students to death.

Many people say that surgeons drive fiercely. In fact, this has its roots. You go to medical school to listen to the lectures of old professors, especially the closer to clinical disciplines, the more serious driving is.

The more female teachers, the older female teachers, the more fierce they drive.

It's strange that male teachers in medical school were coquettish when they were young, but when they were old, they looked like moral gentlemen one by one. Female teachers, when they were young, were as cold as ice one by one. They opened their mouth and shut up. They even had to avoid farting. But when they were old, they released themselves after they could make soy sauce.

After checking the room, Zhang Fan dissolved the doctor team and said to Ouyang, "Ouyuan, let's organize a meeting between the director and the president."

"OK!"

Then, the director of Gastroenterology and several vice presidents in charge of internal medicine were gathered in the director's office of Gastroenterology for a meeting.

Zhang Fan sits in the director's chair.

Lao Ju also came because he was in respiratory medicine.

Of course, when he came, he looked like we had no problem breathing. What did you want me to do.

"In the future, the Department of Gastroenterology can't unify prescriptions. Now the income has been raised. I didn't say anything before. From now on, a prescription can't be unified."

After Zhang Fan and others had finished, he began to speak.

The director of Gastroenterology turned green, but Zhang Fan pierced his pants today, and he had no face to speak.

What is Tong Fang?

In fact, after the doctor prescribes, the patient takes the prescription to the pharmacy to get the medicine.

Then, at the end of the month, drug dealers go to the pharmacy to start counting prescriptions one by one.

Who prescribed a few bottles of medicine, who prescribed a few bottles of medicine, let the director of pharmacy count it out, and then pay the doctor accordingly.

Of course, the director of the pharmacy department can't run away. The price of a prescription is clearly marked.

"Why, don't you like it?" Zhang Fan looked at the director of Gastroenterology.

"No, I'm not happy. It's just our gastroenterology department. I can't tell the following doctors."

"I have a face. A digestive doctor in a full department is not as good as an orthopedic doctor. It's interesting to mention. I'm here to give you a breath. Today is the digestive department, but today is not the end, but the beginning. You should clean up the ending early. Let bygones be bygones and never be merciful in the future.

In addition, the gastroenterology department carries out a month's skill training. If it fails to pass the level II or even level III clinic, the laboratory wage subsidy will be cancelled! "

That's going to kill you.

"Do other internal medicine also start?" Ouyang asked.

"First internal medicine, then surgery. From one department to another, until all hospitals stop unified prescription. Ouyuan, this is to save them again, not harm them! "

"Well, I support Zhang Yuan!"

"I also support it!" Ouyang said, Ren Li was the first to support.

Other presidents also supported, especially Lao Ju, as he should have done for a long time.

Yan Xiaoyu looked at the team and turned the pot in her heart.

If this unification party is not a country, which President dares to break it?

But today, Zhang Fan broke it.

This NIMA is awesome.