Vol 2 Chapter 1329: Someone is still working hard

   Chapter 1329 Someone is still working hard
"Zhang Yuan, if you are not satisfied with my job, you can transfer me to the community clinic, or transfer me to the branch hospital. You are holding the knife like this, and I am under too much pressure. The director of the gastroenterology department cried a lot. Time again."
  If the director of endocrinology was a decade younger, she would definitely be a little enchanting young woman.
It’s not her face, but her unignorable look. There’s no way to describe this thing, but between the eyebrows, there is a feeling that makes a man ding and clanging. Really, a little bit. It's not an exaggeration.
This kind of women, if they read more books and bring some bookish air, really, what Dongzi’s milk tea girl, what kind of stars, are definitely not inferior to them, and the endocrinologist feels like that kind of big house. The son's wife in here.
  Because of the son-in-law, he is tough, but because there are in-laws on him, he also has a trace of weakness. Zhishu Dali wants to play a little temper.
  Zhang Fan looked at her and said nothing. His complexion hasn't changed much. It's good to have pressure, and even more good to have shame, so dead pigs who are afraid of honor and disgrace are not afraid of boiling water. I'm just like this, what can you do to me, come on, I'll spread my legs and stay motionless, what can you do to me!
  "Endocrinologists now have sixteen doctors. Five of them have companies. They drive either Audis or Mercedes-Benz cars to work. There is also a daughter-in-law of a winery boss. She said that she had low blood sugar after working a little overtime.
  Others are not the wife of the director, or the daughter-in-law of the director, what do you want me to do! I did a glucose tolerance test last time, and it turned out that one was more tired than the other, and I didn't pay overtime. It's hard for me, don't I want to be a good director.
  It’s hard for me too! "
  The objective factors she said do exist.
  The smaller the city, the more concentrated some characters sometimes, and the less pressure is relatively speaking. These people, if you give less money, they really don't move a bit, just click on the point and wait for retirement. You let her resign and you need this job to save face. After all, it seems too shame for an energetic daughter-in-law to be a housewife.
  Giving too much money, Zhang Fan is definitely not happy.
"Tell me about yourself. You have published several papers in core journals in the past few years. You are the director of endocrinology, not a doctor who opens long-term outpatient clinics and waits for retirement. Look at you, Bian Da was the first batch to study in the capital. Director of Endocrinology.
  The same group of people who went with you, let’s not say that Dean Yan Xiaoyu was a classmate with you at that time? Regardless of the position, you look at the achievements of others in the past few years, and then you look at yourself. I think you spend more time turning through fashion magazines than you turning through periodicals.
  Look at your office, can you pull out an up-to-date endocrinology journal? Think about it for yourself! "
After saying that Zhang Fan got up and left, the director of endocrinology was almost being trained to cry. Watching Zhang Fan press the elevator up to the 16th floor, the director of endocrinology said in a crying voice: "Who said that Zhang Yuan is going to endocrinology? , The old lady is going to tear her mouth apart today!"
  When I heard that Zhang Fan had entered the endocrine system, the directors of the various internal medicine departments were relieved. Men and women know that, just a few times, the most feared are the first three.
  Especially the director of the Department of Gastroenterology, felt that she had passed the test. When she heard Zhang Fan entered the internal medicine building in the morning, her heart was almost jumping out of her mouth. As a result, Zhang Fan went to endocrinology.
   "You said Zhang Yuan is not as fierce as Dean Ou. Why do I always feel frightened when facing Zhang Yuan."
   "It's probably because of Zhang Yuan's youth!"
  The director of the Gastroenterology Department and the head nurse learned that Zhang Fan had entered the endocrine system, and they stood at the elevator door and said something casually.
  Then the director of the gastroenterology department took the doctors to the ward round.
  As a result, I haven’t checked a few patients yet, and the head nurse Huarong came up with a faint look, "Zhang Yuan is here, Zhang Yuan is here, and I have arrived at the nursing station!"
  The director of the Gastroenterology Department is so eager to urinate.
  Everyone feels that the system is cruel, but the medical industry is actually even more cruel.
  For example, if you fail to compete within the system, you can transfer a department or even a unit, but the medical treatment is different.
  Especially in the tea plant, now the tea plant hospital is dominated by one family, you are really going to be exempted as a department director, and you have nowhere to go.
  You are in the department, so that the new director and colleagues are unable to carry out their work. The new director will definitely suggest to the leader to let you leave.
  But where can you go? Go to Hua Hospital? Go to the branch? Or go to a community clinic as an outpatient director?
  So, the current situation of the tea is that you can only go up but not down. Once you get down, unless you change the place, it will be really embarrassing.
   And Zhang Fan clearly expressed his dissatisfaction with internal medicine at the doctors' meeting. It didn't give Ouyang Renli face at all, let alone Yan Xiaoyu later.
  Especially those who refer to the name and surname said about gastroenterology and endocrinology. In Zhang Fan’s words, they are capable and cannot leave.
   "Zhang Yuan..." The director of the Gastroenterology Department glanced at Zhang Fan in fear and greeted him.
  "Continue the rounds!" Zhang Fan said nothing.
   just behind the doctors, following the rounds, while the head nurse followed Zhang Fan, secretly looking at Zhang Fan’s face, trying to figure out Zhang Fan’s mood.
  The doctors in the Gastroenterology Department are active at this time. The director is afraid of Zhang Fan, so they are not afraid, and some even have to behave in order to get ahead in front of the leaders.
  So, when the director asked questions, one answer was more exciting than one answer. Especially after Zhang Fan made a statement that he was dissatisfied with the Gastroenterology Department, the doctors worked hard in private.
  "Abdominal pain, the tube bed doctor tells me how this abdominal pain is formed." In bed 9, the patient has chronic abdominal pain and idiopathic abdominal pain all the year round.
  Idiopathic, in fact, to put it bluntly, but I don’t know the reason. Anyway, people are here, and you don’t know where they came from or where they went.
  Dr. Wu, a senior vice senior in the Department of Gastroenterology, because of the limited number of hospitals, he has been suppressed in the vice senior position.
  Before, I didn't take part in the battle in the department. Especially in the fight for drug dealers, he will never matter.
  Since the hospital is getting better and better, he has thoughts in his heart.
  When the director of the gastroenterology department asked a question, the resident doctor was about to speak, and he spoke directly because he was the superior physician of this tube bed doctor.
"Abdominal pain, we must first clarify the mechanism of abdominal pain. The total epithelial cell area of ​​the gastrointestinal tract is larger than that of a tennis court. In such a large area, there are intricate neurons and ganglia. It has between 10 million and 10,000 neurons. Between ten thousand, which is equivalent to the sum of neurons in the spinal cord.
  And this is an independent nervous system, which has a complex and systematic interaction with the central nervous system.
  According to the current research, the development of symptoms of irritable bowel syndrome has a clear relationship with the enteric nerve, autonomic nerve, and central nervous system, especially in..."
  Old Wu Yue said that the more he felt, the more he said the more profound. The head of the Gastroenterology Department's face was green, but he still had to pretend to listen very seriously.
  Other doctors don't know what to think, but Zhang Fan listened very seriously.
In a word of this stuff, everyone has everyone's understanding, not to mention this kind of internal medicine disease, one person has his own opinion, and the senior doctors who have studied, through a lot of clinical experience, their own experience is absolutely equivalent. It's amazing.
  This is what Zhang Fan needs most now. The treatment of medical diseases is diversified, and it is not the same as surgery.
  Surgery is also said to be diversified, but in fact it is relatively single compared to internal medicine.
   Always try to cut the knife around the lesion. Even with the current minimally invasive and interventional procedures, the ultimate goal is still the lesion.
  The internal medicine is different.
  So Zhang Fan listened carefully at the end.
  Irritable bowel syndrome. Many people have heard of this disease. It is actually similar to cardiac syndrome. Clinically, most abdominal discomfort diseases are classified as irritable bowel syndrome.
Therefore, some patients feel comfortable after taking a certain medicine, and the intestines are comfortable, and then recommend their medicine to another patient. As a result, the other patient can't pass the stool for a week after taking it, and even wants to insert it. Let's dredge a rice field eel.
  In fact, this is a disease, although it is a name, it is not actually a disease.
  This disease kills you, but it also makes you uncomfortable. According to evidence-based medicine in the Golden Retriever country, people in the Golden Retriever country have 1/6 of IBS (Irritable Bowel Syndrome), and the incidence rate is higher in women than in men. People over the age of 60 have a lower incidence, and 30% of patients have spontaneous symptoms disappear over time.
Moreover, the more troublesome thing is that many patients with irritable bowel syndrome rarely seek medical treatment. Once they enter a tertiary hospital, 40% to 60% of patients often have mental symptoms, especially those who have received it. People who are physically or sexually abused (a) are more likely to develop severe irritable bowel syndrome.
  There is another special point, that is, those who have experienced psychological trauma in childhood are prone to this symptom.
  Such as constipation and bloating, sometimes it’s not because you are eating too much. Maybe you are a patient with irritable bowel syndrome. But you don’t know.
  "What about the treatment? According to the conventional treatment, does this disease require the intervention of psychotropic drugs!"
  Zhang Fan asked, when Old Wu finished speaking, Zhang Fan asked immediately. At this moment, all of them collectively stood at attention and then turned to look at Zhang Fan.
  Is this going crazy again? The thoughts of ordinary doctors.
  Is this right? This is the director's idea.
"No, Golden Retriever is more inclined to give psychotropic drug intervention. Although my data is relatively small and has no reference value, since I took over the first IBS patient that year, I found that first of all, the life span of the patient is no different from that of a normal person. .
  And the doctor’s comfort and explanation seems to be more effective than medicine for the treatment of this disease. Our current treatment is often biased towards symptomatic treatment. Constipation is treated for constipation, diarrhea and diarrhea are relieved, and antispasmodic is given to pain.
  But I have done a single-blind trial. After treating the patient with a placebo, I gave a lot of explanations and comfort on the side, and the patient said that the drug has a good effect! "
  Doctor Wu looked at Zhang Fan and said.
   "Naughty!" Zhang Fan said softly.
  When Dr. Wu heard it, his face became dark. Zhang Fan turned around and left, but when he left, he added another sentence: "Apply for experimental funds from the hospital for this experiment. Don't do this next time!"
   "Okay!" Only he knew what Old Wu felt. But there is hope.
  And Zhang Fan hurriedly left because the gastroenterology department in the system was about to start testing again.
  (End of this chapter)