Vol 2 Chapter 1363: Zhang Faner

   Chapter 1363 Zhang Faner
   Zhang Fan asked the director of the Gastroenterology Department, the director of the Gastroenterology Department, white hair sweat.
  If Zhang Fan can't find it out today, he is not afraid. But today Zhang Fan found it out.
  The director of the Gastroenterology Department's heart is like a willow leaf in the wind, swaying leisurely, "I was not so good last time, how long has it been? Why is it so good this time!"
  He opened his mouth, not knowing what to say. It is useless to explain now. If an orthopedic doctor can find out your medical disease, what else can the internist say?
  You have to lower your head and listen to what people call you. Who makes your business poor?
  "Look, look, your department, a gastroesophageal shunt disease, or the first time you see a doctor, it is imported omeprazole directly, is it a good commission, why not use octreotide?
  Look, a patient with hepatic encephalopathy, you give people calf blood! "
  Zhang Fan took the medical record and patted the medical record, the director's face was pale. Can't say a word.
  If Zhang Fan did not succeed in the examination today, it is estimated that there will be a doctor who will come forward and start to argue about pharmacology for Zhang Fan from the medical history and physiology, from the biochemical internal medicine department.
  But, now everyone dare not, because they discovered that Zhang Fan's internal medicine level seems to have suddenly increased.
  They can't stand the change, and they can't fool around.
  If you want to say that they are wrong, it is correct, because the medicine is correct, but it is also wrong to say that they are wrong, because there are cheaper alternative medicines.
  Before, Zhang Fan was not easy to manage things like this. Don't look at him as the dean, it's really hard to manage. Just like what others say, there are people who are wronged in queuing to shoot them, and if they are shot one after another, they will definitely slip through the net.
  Furthermore, doctors used to have low wages and the hospital was located in the frontier. You made it stricter, and people quit the job, and went to the south. You really have nothing to do.
There is an example of this. It is said that a new dean came from a county in the border area. He confiscated all the drug rebates under the guise of not letting physicians use drugs indiscriminately. Of course, after the confiscation, it is said that he bought it for his mistress Mini.
  As a result, several departments of the internal medicine department of the county hospital, under the leadership of the department director, directly contacted a private medical group, and the overall change of jobs made it too late for the dean to cry.
  In the frontier, really, sometimes talents are really talents, even if it is Mr. Nan Guo, people can block your pit, and the leader must say that he is a great talent with his teeth.
  But it's different now. The salaries of the tea hospitals, and the Manchuria public hospitals, are hardly higher than them.
  At present, even if the Gangwan Fishing Village United Hospital in the fishing village, this special hospital, the salary is barely on the same level as that of the tea.
  So, Zhang Fan is already very tough when talking and cursing. Moreover, Zhang Fan's internal medicine level can overwhelm them. Technical units, who have the skills to scold others, are confident but not necessarily sufficient. Those who are rich and skilled can scold others, but they are thick and big.
   "Come on, tell me about this treatment now, and you tell me how to treat it now." After finishing packing the director, Zhang Fan began to ask the bedside doctor and let the bedside doctor give an order on the spot.
Ouyang looked at Zhang Fan, and his heart bubbling, "When did this kid have such a high level of internal medicine, he was not as good as me before, but now he is even higher than me." Thinking about it, she looked at Ren. Korea.
  Ren Li smiled slightly, "I am not as good as him in digestion!" whispered to Ouyang.
  Ouyang glanced at Ren Li with what he wanted you to do.
   Then I can only watch Zhang Fanzhang 13 quietly.
  "Ampicillin, sulbactam, 3.0g per day..." The doctor of the tube bed thought about it for a minute, and then began to talk about the treatment plan.
After listening to Zhang Fan, he said: "Ciprofloxacin, metronidazole 500mg, liquid diet, change the diet as the symptoms change according to the doctor's order, after three days is effective, it is recommended to have a high-fiber diet and check blood routine regularly. If white blood cells increase , It is recommended to review CT!~
  What do you think, mine and your doctor’s advice, who’s good! "
  After finishing the doctor’s order, Zhang Fan immediately put forward his plan, without asking other people, he asked the doctor.
  The tube bed doctor wanted to roll his eyes, but he didn't dare to roll his eyes, because his own is not as good as Zhang Fan's. She wanted to say that Zhang Fan was bullying, but she thought about it again. She is so much an orthopedic doctor, she can only say, "Good dean!"
   "Don't be convinced, I haven't read much internal medicine books, comrades must be careful!"
  The doctor on the tube bed is almost mad, but there is no way, people can blow it whatever they want now!
  A dean of surgery came to the internal medicine department to check the doctor's order. Really, this is so awesome!
  Erosion, ulcer, sinus, fistula, cavity, diverticulum. When explaining the terms of the pathology exam, Zhang Fan was particularly unforgettable about this diverticulum.
  The explanation of medical terms is all in English.
   must be translated into Chinese first, 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. He wanted to show his skills with joy. As a result, he knew English and suddenly found that he could not write Chinese characters.
  Really, Zhang Fan at that time was as uncomfortable as a dog, as if he wanted to find a thank you for your patronage, but it turned out to be another bottle. The mood at that time, whoever understands.
  At that time, Zhang Fan almost used Pinyin! Really, a college student uses pinyin when taking an exam, and it is a joke to say that Nima is.
  Diverticulum, what is this thing? The explanation in many textbooks is: a kind of hernia inside the intestine.
  This thing is bullying. If you explain this to a student who has not been in contact with the clinic, it is the same as if there is no explanation. It is very dissuasive. Because a noun was not understood, a new noun was formed.
   Therefore, self-study is more difficult for medicine. Sometimes it is troublesome to learn to learn.
  At that time, Zhang Fan and the others had just finished studying pathophysiology, and they gave themselves a diagnosis when they coughed, and they cried out in their hearts, cancer! Just like everyone is suffering from the mother's disease now, I can scare myself to death.
  In fact, if Zhang Fan were to explain this diverticulum, it would be much simpler. In fact, the underwear of the intestines is recessed,
  Broken one's own organ is a hernia. For example, the spermatic cord takes the intestine to burst the muscle layer of the groin and thigh, which is a hernia.
   The top is not broken, and a hole is ejected, which is a diverticulum.
  If you still don’t understand, there is a more classic explanation. A beautiful woman wears two layers of socks, and the white stockings on her toes are covered with black stockings again.
  Of course, this beauty's big toe is longer. When the white stockings are not broken and the black stockings are broken, this is a hernia. When the white stockings are broken, but the black stockings are not broken, this is an ulcer. When the white stockings and black stockings are all topped and the thumb leaks out, this is called the sinus.
  The diverticulum is the little finger that has not broken the white stockings and black stockings, but it has formed a nest.
  The intestinal tract is called diverticulum, which is toward the muscle layer, and polyps are protruding toward the inside of the lumen.
  This stuff, if you remember it literally, it seems simple to separate one by one, but similar terms can be mixed together, which can often confuse students.
  There must be its own way here. For example, Zhang Fan, understanding that polyps means standing in the intestines and peeing.
  Really, this is not driving. It is medical textbooks that push medical students to a dead end.
  Many people say that surgeons drive aggressively. In fact, this has the root cause. You go to the medical school to listen to the lectures of those old professors, especially the closer you are to clinical subjects, the more serious the driving.
  The more female teachers, the older the female teachers, the more aggressive they are to drive.
  It’s very strange. The male teachers in the medical school were very coquettish when they were young, and when they got older, they looked like moral gentlemen one by one. As for the female teachers, when they were young, they were cold and frosty, opening their mouths and shutting their mouths to avoid even a fart word, but when they got older, when the baby was able to drink soy sauce, she let her go.
  After checking the room, Zhang Fan disbanded the team of doctors, and then said to Ouyang, "European Academy, let's organize a meeting with the director of the organization."
"Row!"
  Then, the director of the digestive medicine department, as well as several deputy deans in charge of the internal medicine department, were gathered in the office of the director of the digestive medicine department for a meeting.
  Zhang Fan sat in the chair of the director.
  Lao Ju also came, because he was in the Department of Respiratory Medicine.
  Of course, when he came, he had an expression that we had no problem breathing, why did you let me come.
  "In the future, the gastroenterology department will not be able to unify the prescriptions. Now the income has been raised. I didn't say anything before. From now on, I can't unify a prescription."
  Zhang Fan and the others started talking.
  The director of the Gastroenterology Department has a green face, but today Zhang Fan's underwear was pierced, and he has no face to speak.
  What is the unification?
  In fact, after the doctor has issued a prescription, the patient takes the prescription and goes to the pharmacy to get the medicine.
  Then, at the end of the month, the drug dealers go to the pharmacy department to start statistics on prescriptions per prescription.
  Who prescribes a few bottles of medicine, who prescribes a few bottles of medicine, let the director of the pharmacy department count it, and then pay the doctor accordingly.
  Of course, the director of the pharmacy department can't escape, and count how much a prescription is. This is all clearly marked.
   "Why, not happy?" Zhang Fan looked at the director of the gastroenterology department.
  "No, it’s not that I’m not happy, but we only have our gastroenterology department. I can’t tell the doctor below.
"I still have a face. The gastroenterologist in the full department is not as good as an orthopedic surgeon. I am embarrassed to mention it. I am here to ventilate everyone. Today is the gastroenterology department, but today is not the end, but the beginning. The past will not be blamed, and the future will never show mercy.
  Also, the gastroenterology department has carried out a one-month training of skills, but the second or even third-level outpatient clinics below the customs will cancel the laboratory salary subsidy! "
  This is dying.
   "Do other internal medicine also start?" Ouyang asked.
  "First internal medicine, then surgery. One department comes, until all hospitals stop unifying. The European Academy, this is to save them again, not to harm them!"
   "Well, I support Zhang Yuan!"
   "I also support it!" After Ouyang finished speaking, Ren Li was the first to support.
  Other deans also support, especially Lao Ju, who looks like it should have been long ago.
   Yan Xiaoyu looked at this team, and his heart was overwhelmed.
  If this regime is not a country, which president would dare to say something wrong?
   But, today, Zhang Fan said it was broken.
  This Nima is too good.
  (End of this chapter)