Chapter 65: In heart

Chapter 65
The general public is over. The operation was done a few, but Zhang Fan's goal was not achieved. Unfortunately, I didn't go home for the amount of surgery.
Out of the department, Zhang Fan transferred to the Department of Cardiology. Originally he wanted to continue to be transferred to surgery, but the medical department arranged internal medicine, but there was no way. It's not interesting to go to Ouyang for this.
Ouyang would certainly not say hello to Zhang Fan in advance, otherwise the dean would be too worthless.
Cardiology, upstairs in the internal medicine department opposite the surgical building. The entire two floors are regarded as the largest internal medicine. Ouyang was born in the heart, with intervention in the heart, and there were many patients.
Northwest China has a high dietary fat intake, a large base of patients with hyperlipidemia, hypertension, and hyperglycemia, as well as more department doctors and more than 20 young people. The current director of the department is Ouyang's apprentice.
She is also a female director, Ren Li, in her forties. The only graduate student in the hospital is said to have worked in the provincial hospital before, because the departments of the provincial hospital were so hard to deal with, and did not feel comfortable, and eventually was dug by Ouyang to the city hospital.
Ren Li's profession is very strong, and she is also beautiful, but her emotional intelligence is slightly worse and she won't come. After she became the director of the heart, the department took a leap forward.
Doctors studying abroad are also the most in internal medicine, and new technologies and papers are top-notch in internal medicine. The junior doctor also admired her. She is not alone in her ability to speak, and her income depends on her ability. Be a fair director.
The Department of Cardiology is in the Chasu Hospital, which is the most authoritative department. Ouyang also gave her great support. In the age of Lao Huang, Ouyang's other internal medicines almost gave up.
I kept on holding my heart. In order to get more resource support, I often argued with Lao Huang. The establishment of the intervention department was actually made for the heart.
At that time, a special health fund was approved in the city. Lao Huang was going to set up a research center for orthopedic diseases. She suggested setting up an intervention department.
For this matter, the two brought a lawsuit to the municipal party committee. After half a year, Ouyang won, and the funds were used to set up the intervention department. Lao Huang was always in a state of anxiety, and he never provided a reserve force to the intervention department.
Ouyang was also irritable, and she took Ren Li to develop her heart and intervention. After the development of the intervention, the income increased sharply, and many young doctors wanted to get in their hearts.
Ren Li set up a special entrance examination. But off, definitely not. She has Ouyang's support, and the hospital has no good way. Technology unit, technology is king, you ca n’t, you ca n’t get in, people do n’t want you, there ’s really no way to say.
After Zhang Fan entered the department, his scalp became numb. Cardiology is not like surgery, but there are older ones, but the elderly are almost all in the heart. People with crutches, wheelchairs, walking around, shaking, looking dangerous.
Surgery and internal medicine are almost two systems. Although in a hospital, there is usually little communication except consultation. Fan Zhang was in the operating room every day, and he was not very familiar with doctors in internal medicine.
He had a reputation for surgery, but few people knew him in internal medicine. Here he is a little doctor, a resident of the department. The privilege of surgery is gone, let alone respect.
The system has not opened the internal medicine, he can only rely on his own liver. There are two girls in my heart. One came from gynecology and one came from pediatrics. Are scheduled to engage in internal medicine.
Fan Zhang was assigned to Ye Jing, an attendant. In his thirties, he was obscured in his heart. In a department, there are so many backbones, and there are only a few positions. There is no opportunity for no effort or effort.
Ye Jing's husband is a civil servant with a good income. She has no idea about the business, just a job. Her main thoughts are at home, taking care of her children, and serving her good husband is her pursuit.
It is understandable that they are ordinary people. This is the idea of ​​most people, but in the technical unit, you can only be a marginal figure without refueling. Zhang Fan is a doctor of internal surgery, so surgery can be considered to be soy sauce, can't be expected. So Zhang Fan was assigned to her.
On the first day of entering the department, I encountered the dean's rounds. Doctors and nurses, doctors in training, students internships, and the medical office are almost 50 people.
At this point, many nurses did not participate, because there was a large amount of liquid to be compatible, and there was no way to participate.
Medical ward rounds are not like surgery. Surgery is very clear. What kind of surgery should be done and what surgery can't be detected, then open a laparotomy. The most explored is the technique, who is the main knife.
In internal medicine, we must first talk about the mechanism, the classification of disease types, and the types of medications. Which drug is better, how long, how many doses, and are there any contraindications?
Ouyang became the dean and did not quit her business. She was still studying. She had to ask questions during the rounds, and asked the doctors attending, transferring, interning, and studying on the bed. The doctor in charge is also responsible for reporting the condition. The treatment plan is suitable and inappropriate, and it will be discussed at that time.
Inappropriate, but also order a suitable treatment plan on the spot, can not be checked all morning.
They can't finish half of the inspection, they are directly connected to noon rounds. The doctor who was almost in the body couldn't stand it. Can't stand anymore, let alone take the time to modify the doctor's order for the day.
Fan Zhang is not a big problem. A few medical students and advanced students are a bit overwhelmed, because they have never encountered such high-intensity rounds, occasionally standing against the wall for a while. Because they still have cases in their arms. Although it is a plastic clip, it can be very heavy for more than a dozen cases.
Ouyang's questions are very professional and meticulous, and the lower-level doctors who often ask them can't answer them dumbly. She was more severe. She would have to answer the doctor on the spot. If the doctor could n’t answer it, she would immediately flip through the book and refuse to give anything.
The doctors were anxious to die when she rounded the room. In the ward, in front of the sick person, let her count the meal, it was really uncomfortable.
Today's rounds did not ask Zhang Fan, Zhang Fan decided to surgery. Maybe she couldn't answer. She didn't understand the relationship between Zhang Fan and Li Xiao. It was for Li Xiao's face that Zhang Fan couldn't leave the stage.
The old lady Ouyang is not tall, she can bring her own aura, which puts a lot of pressure on everyone. In addition, she is very strict, making several transfers to fight, and the aura is compelling.
After checking the room, there are still many medical records to be recorded. Today is the big round, both the doctor in charge and the subordinate doctor have notebooks with them, and they need to record the oral doctor's order on the spot.
Then it must be reflected in the case. Medical cases are much better than surgical requirements. For example, in an orthopedic car accident, it is very simple. The car accident caused the bone to fracture. Time, place, person, and degree of injury are OK.
Internal medicine is not good, it must be refined from the beginning of the disease, have not been treated, what kind of treatment, how effective is it, has it worsened, and whether there are complications. Did you take medicine for treatment?
The cases of internal medicine are very sophisticated in terms of words and tone. The words "can", "fair", and "good" are used in different places. You have to use the wrong words. Ouyang can use his fingers to point you to death.
Medications are also complicated, which are the types of surgical medications, antibiotics, hemostatics, and blood-activating drugs. It is amazing to use albumin, plasma, and energy. It is enough to administer according to consumption.
Internal medicine does not work, the same class of drugs vary greatly from individual to individual, some people can use it, and some do not.
The rough internal medicine is very simple. A resident doctor is enough for three months in the department, but it is difficult to master. First of all, the foundation is solid. From physiology to pathology, from germ to biochemistry, you must be familiar with it, and you can use it when you pick it up.
When I met the disease, I turned the book. It was just an entry doctor. Touch the bypass, a good physician, can analyze your physical condition from your taste, glance at your face, you can get a general understanding of your physical condition.
To achieve this level of physicians, there is no more than ten years of solid study, thinking and summary, don't think about it.
Tomorrow's new book recommendations will be removed from the shelves. Whether other recommendations can be made depends on these two days. Please support them. Many thanks!
(End of this chapter)