Chapter 319： Three days

Chapter 319: Three Days

Sometimes, especially in some special industries, you can be indifferent to strangers, but you are not enthusiastic about the people in your system, at least you will be polite. Competent medical representatives may not need much IQ, but EQ is definitely high.

A group of doctors did not hum to Manager Sun. He didn't care at all. He always maintained a smiling attitude and didn't take the initiative to find someone to toast. What he did was to do a good job of pouring tea. It is really not ordinary people who can do this. There are so many people, no matter how hard it is, let him whisper and resolutely refuse to go. Who is right and who is wrong in this world where money leads the show! That's right, as long as you can guarantee the lives of parents and children. What world peace and global warming really has little to do with us.

Zhang Fan is also studying, accepting people and rules, which is all indispensable knowledge. This is a complete social person. Without these pavements, it is really unlikely that you want to go further. However, the learning here is only learning, not indulging, not chasing it from the ground up, and you don't need to be proficient to understand.

Bart's various laboratory inspections have also been completed. In the morning, the rounds were over, and he returned to the department office. Lao Gao looked at Bart's inspection report and groaned for a long time without talking. He also thought about the surgical plan. I didn't speak for a long time. Finally, he put down the checklist and said to Zhang Fan, "Be careful, this operation is really careful. Let's discuss it more, how about it."

For Lao Gao, Zhang Fan has nothing to consider. One said one, "Director, this operation is a bit difficult, but as long as you and Director Wang help me, the problem is not big."

"Do you have a detailed plan?"

"Ok!"

"Front road? Rear road?"

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

"The back road! The back road is a bit more difficult. This operation is really too troublesome, and the failure can not be seen in a short time." Lao Gao stared at Bart's film and scratched himself to the blue jaw.

This operation is so awkward. The spine correction is not a fracture. It has not been successful in the end, and it will not be seen for a while. If the doctor's level is not high or the judgment is wrong, as the child's development and growth, not only does the deformity not be corrected It will also worsen the deformity.

"Surgery now is the best opportunity for this child. The older the age, the worse the effect." Zhang Fan emphasized.

"I know, so, first estimate the risk of the operation, and then discuss the situation with the family. The future risks, the current risks must be clearly stated. If necessary, please call a pediatric or physician for consultation." Lao Gaosheng was afraid of Zhang Everyone who has no experience should clearly explain what should be thought of.

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

"Well. I went to the clinic. I have something to call."

To handle these matters, Zhang Fan had to get it himself. Other doctors couldn't say clearly, and he was not assured. And these things must be done after the operation is completed, and one patient can't delay the treatment of other patients. This is why everyone usually sees the doctors in the hospital seem to be particularly busy. Once there is a special or severely ill patient, the doctor can keep his feet busy.

In the morning, there was a surgery for a fracture of the clavicle, and the fall resulted in a fracture. The broken piece is not very severe, or it is an oblique fracture. There is almost no broken bone piece, which is an obvious broken end. This surgery is suitable for Wang Yanan to practice. Clavicle fractures, orthopaedic surgeons are paying great attention, and if they relax a little, they may be snatched away by the thoracic surgeon. The orthopaedic surgeon was not disadvantaged, and the rib fractures outside his chest were not underestimated.

"Attention, when fixing, you must pay attention to the following lung tissue. Protective measures must be taken whether or not you are sure." Zhang Fan is an assistant, but he still emphasizes the matters needing attention in surgery.

Everyone may feel like doing it all. Actually, otherwise, the medical industry attaches great importance to the consolidation of knowledge. If you don't do it yourself, the hospital will help you to strengthen it. There is an exam every three or four months, the basic exam is transferred to the subject exam, and that thing is repeated over and over again. I am always afraid that you will forget it, and the performance is linked to your performance salary.

This is the case in the medical industry, only more skilled and not the most skilled. Life is endless, and the exam will never stop. After surgery, the superior is the superior. Although Zhang Fan and Wang Yanan are both inpatients, Zhang Fan is Wang Yanan's superior doctor at this time.

In the afternoon, Zhang Fan started Bart's preoperative preparation. Everything went through the normal procedure. I first invited a pediatrician to the consultation. Although the pediatrician didn't say anything, I just wrote a sentence on the medical record: The child's current vital signs are stable, the spine is obviously deformed, and the current state is feasible. If there are special circumstances, please contact our department, thank you! Just such a nonsense, not even the words of surgery, but in this nonsense, if the medical record is not reflected, even if it is an unqualified medical record, this is the problem when the superior finds a problem, why is there no pediatric consultation?

Then ask the respiratory and cardiology departments for consultation. The larger the surgery, the more complete the medical records must be. Even if the other party is talking nonsense, you have to invite others to say that this is the responsibility of the patient and the protection of the doctor. Cardiology consultation, Ren Li and Ou Yang came, the old lady greeted Ren Li early.

"Is there any precedent for this kind of operation in the city hospital?" Ouyang came, and Lao Gao came to say hello. The old lady asked, turning over her medical record. Although there was no questioning by name, everyone knew that this was asking Lao Gao.

"Dean, never did."

"Well, it can be considered to expand the department's business, but we can't be radical. Zhang Fan, you go to the director of the second department of orthopedics, the director of the third department of orthopedics, the director of anesthesia in the operating room, the director of pediatrics, the director of the medical office Come here, it just happens that we have all the people ready for discussion. "

"Yes!" Zhang Fan turned around and called at the nurse's station. This is a special feature of the hospital. Private affairs will be contacted by mobile phones, and business affairs will generally be contacted by internal telephones. I do n’t know how it was passed down, although the call cost is not much, and the hospital is reimbursed, but that ’s it, as long as it is business affairs, it is usually a phone call within the hospital.

It didn't take a few minutes for Pharaoh and Lao Chen to come. The three departments of orthopedics are all connected. The three floors connected to the surgical building belong to the orthopedic system. Since Zhang Fan showed the film to the Pharaoh, the Pharaoh was directly amazed. I ca n’t help myself with other things. I am obsessed with watching movies every day, looking for surgical solutions, looking for information, and my nerves are running out.

People are like this. If this operation is performed by a superior hospital, or as long as it is not done by a certain doctor, the Pharaoh may not be so concerned, but once it is a theophylline or a doctor he is familiar with, He was anxious for the operation. On what basis can he do it, why can't my Pharaoh do it? The old man made Zhang Fan a bit miserable. These days, it ’s really hard to eat and drink.

"Everyone is here, right. Director Gao, you can arrange it." After several directors from other departments arrived, Ouyang said to Lao Gao.

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

"Dear leaders, experts, three days ago, my department accepted a six-year-old and a seven-year-old child. After the examination, the diagnosis was clear: congenital spinal deformity mixed type. Laboratory tests and physical examinations meet and support the diagnosis. Patients At present, because of the young age, there are no related complications, but in order to protect and avoid future complications, our department plans to perform spinal deformity orthopedic surgery. However, considering that the child is young, and the operation time and postoperative bed rest It takes a long time, so experts from various departments are invited to consult. "In the department of orthopedics, Zhang Fan didn't take a look at the medical records, and said when he stood up. The director of the medical service took a personal note while the dean participated.

After listening, Ouyang nodded involuntarily, and then said to the doctor present: "Everyone discusses whether this operation can be done. Do, how to do, not do, why not do it. All talk about it. From Wang Yanan's side Start talking in turns. "

Except for the orthopedic doctors, the others were all doctors at the expert level, so the little doctor spoke first.

"The child's vital signs are stable and the diagnosis is clear, so I think it can be done." Wang Yanan sat down after speaking.

"No need to stand up, just sit and say, save time." Ouyang added another after seeing Wang Yanan sitting down.

The little doctor couldn't say one or two or three. He simply talked about the examinations and signs in the medical record. Quickly arrived at the director of the third department of orthopedics. After staring at the film for a long time, Chen Qi said, "It is difficult, the operation is not difficult, the child's physical development is immature, and no obvious symptoms have yet appeared. The postoperative results are not well judged, can it be slowed down first? ? "

Lao Chen means that the child is asymptomatic, what to do if the operation is abnormal or uncomfortable. Although it is a bit conservative, it still has a suggestion from the old town. After all, this is a person and not an object.

After Chen Chen said, the two orthopedic directors frowned, but said nothing. Ouyang also did not know whether the directors of the cardiology and pediatrics had assessed the children's tolerance from their own departments, and no clear recommendations were made on whether to undergo surgical treatment. The director of the Department of Anesthesia made it clear that after the patient was tolerated for surgical anesthesia, the speech was over.

It ’s the turn of the director of the Department of Orthopaedics. After the old man frowned his hair, he said, "It can be done. Although the child has no obvious symptoms at present, if conservative treatment is used, it will definitely be obvious in less than one year. The qualitative change, and then the operation at that time, is nothing more than repairing the dead sheep. And I have consulted a lot of related papers and medical records, as long as we complete the full plan, surgery can be performed. "

"How many surgeries are there in the hospital in Bird City?" Ouyang asked.

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

"What if?"

"The earliest was a similar operation five years ago, the effect is unknown. I called the chief surgeon at the superior hospital. The patient left the border after the operation, and subsequent visits did not continue." The spine is Pharaoh's business , So be clear about these things.

"Director Gao, you talk." Ouyang said to Lao Gao after listening.

"It can be done, the doctors in the front have said it, and I don't need to repeat it. But how to do it needs to be discussed."

When Zhang Fan introduced the condition, he had clearly stated that the operation was feasible, so he did not have to express his opinion. Ouyang directly clapped: "Since all experts support surgery, it is an orthopedic disease, or Dr. Zhang's disease number. Director Gao, Director Wang, Dr. Zhang, three of you book a surgical plan and submit it to the medical office. Three Is there enough time? "

"Yes!" The person named was agreed inadvertently.

This is the method of Ouyang. This is an administrative order. You are noisy. Anyway, I have set the time. No matter how noisy you are in three days, you must give me a plan.

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

(End of this chapter)