Chapter 1364 Zhang Faner

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

If Zhang Fan can't find out today, he won't be afraid. But today Zhang Fan found out.

The director of the Department of Gastroenterology’s heart was as sharp as a willow leaf in the wind, swaying leisurely, “It wasn’t this great last time, how long has it been since I came here, why is it so great this time?”

 He opened his mouth, not knowing what to say. No matter how you explain it now, it's useless. An orthopedic surgeon can detect your internal diseases, so what else can the internist say?

You have to lower your head and listen to whatever people scold you. Who makes you not good at your business?

“Look, look, in your department, a patient with gastroesophageal shunt disease is seeing a doctor for the first time, and it is imported omeprazole. Isn’t it very comfortable to get commission? Why not use octreotide?

 Look, you are giving calf blood to a patient with hepatic encephalopathy! "

Zhang Fan took the medical records and patted them. The director's face turned pale. Not a word could come out.

If Zhang Fan fails to check successfully today, a doctor will probably come forward soon and start to quibble about pharmacology for Zhang Fan from the medical records, physiology, biochemistry and internal medicine.

 But now, no one dares to do so because they discovered that Zhang Fan's internal medicine skills seemed to have suddenly improved.

 They can’t stand the changes, and they can’t be fooled by the changes.

 It is not wrong to say that they are wrong, because the drugs are correct for the symptoms, but it is also wrong to say that they are wrong, because there are cheaper alternative drugs.

 In the past, things like this were not easy for Zhang Fan to manage. Even though he is the dean, he is really difficult to manage. As people say, if you line up to be shot, some people will be wronged, but if you shoot every other person, there will definitely be people who slip through the net.

Furthermore, doctors' salaries were not high in the past, and the hospital was located in a border area. If you were too strict, people would give up their job and go to the south. You really had no choice.

There is an example of this. It is said that in a border county, a new hospital director confiscated all the rebates on the medicines under the guise of preventing physicians from using medicines indiscriminately. Of course, after confiscating the medicines, it was said that he bought them for his mistress. A mini.

As a result, several internal medicine departments of the county hospital, under the leadership of the department director, directly contacted a private medical group and all of them changed jobs. The director was too late to cry.

In the border areas, it is true that sometimes talents are really talents. Even if Mr. Nan Guo can block one of your pitfalls, the leader will grit his teeth and say that Mr. Nanguo is a great talent.

 But it’s different now. Salaries at Chasu Hospital and public hospitals in Manhua are almost no higher than theirs.

 At present, even at the Gangwan Fishing Village United Hospital in the fishing village, the salary of this special hospital is barely the same as that of Cha Su.

 So, Zhang Fan is already very tough when he speaks and curses. Moreover, Zhang Fan's level of internal medicine was enough to convince them. For technical units, if you have the skills to curse people, you have the confidence, but it may not be enough. If you have money and technology, you will be bold and powerful.

"Come on, tell me about this treatment now. Now tell me how to treat it." After cleaning up the director, Zhang Fan began to ask the doctor in charge of the bedside, and asked the doctor in charge of the bedside to give medical orders on the spot.

Ouyang looked at Zhang Fan, her 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 better than me." After thinking about it, she looked at Ren Korea.

Ren Li smiled slightly, "My digestion is not as good as his!" She whispered to Ouyang Yi.

When Ouyang heard this, he glanced at Ren Li with a look that said, "What's the use of you?"

 Then I could only watch Zhang Fan pretending to be 13 quietly.

"Ampicillin, sulbactam, 3.0g per day..." The doctor in charge of the bedside thought for a minute before starting to explain the treatment plan.

After listening, Zhang Fan said: "Ciprofloxacin, metronidazole 500mg, liquid diet, and the doctor's instructions will be changed as the symptoms change. After three days, it is recommended to eat a high-fiber diet and check blood routine regularly. If the white blood cells increase, , it is recommended to review CT!~

 Who do you think is better, mine or yours? "

After the doctor in charge of the bedside gave the order, Zhang Fan immediately put forward his own plan and asked the doctor in charge of the bedside without asking anyone else.

The bed doctor wanted to roll his eyes but didn't dare because his own was really not as good as Zhang Fan's. She wanted to say that Zhang Fan was bullying others, but then she thought about it, he is an orthopedic surgeon, so she could only say: "Well done to the director!"

 “Don’t be dissatisfied, I haven’t read many internal medicine books, comrades, please pay attention!”

The doctor in charge of the bed is almost **** off, but there is nothing he can do, they can do whatever they want now!

A surgical director came to the internal medicine department to check the doctor's orders. Really, how awesome is this!

 Erosion, ulcer, sinus tract, fistula, cavity, diverticulum. When explaining the terminology for the pathology examination back then, Zhang Fan was particularly impressed by this diverticulum.

  The explanation of the terms of medical school is all in English.

　　 First we need to translate it into Chinese, and then we explain the meaning of this word.

 These are all words related to holes. Of course, there are deep holes and there are shallow holes. When he first took the exam, Zhang Fan knew the name of a diverticulum in English, and he was excited to show off his skills. However, after learning the English, he suddenly discovered that he could not write Chinese characters.

Really, Zhang Fan felt as uncomfortable as a dog in the sun at that time, as if he was looking for a favor to thank him for his patronage, but ended up ordering another bottle. Whoever bought it will understand his mood at that time.

Zhang Fan was so forced that he almost used Pinyin! Really, it’s a joke for a college student to use pinyin when taking an exam and say it’s all wrong.

Diverticulum, what on earth is this thing? The explanation in many textbooks is: a hernia inside the intestine.

This thing is meant to bully people. If you explain it to a student who has no clinical experience, it will be the same as not explaining it at all. It is very discouraging. Because if a noun is not understood, a new noun is formed.

 So, it is difficult to learn medicine by yourself. Sometimes you just have to learn, but if you learn incorrectly, you will be in trouble.

At that time, Zhang Fan and the others had just finished studying pathophysiology. When they coughed and diagnosed themselves, they thought, Cancer! Just like how everyone treats mother-in-law's disease now, it scares them to death.

 Actually, if Zhang Fan were to explain this diverticulum now, it would be much simpler. In fact, it's just a dent in the underwear of the intestines.

 A hernia occurs when one's own organs are ruptured. For example, when the spermatic cord takes the intestines and ruptures the inguinal and femoral muscle layer, it is a hernia.

The top is not broken, but a hole is left in the top, which is a diverticulum.

If you still don’t understand, there is a more classic explanation. A beautiful woman wears two layers of socks. White stockings are attached to the toes, and black stockings are put on the outside.

Of course, the big toe of this beauty is relatively long. If the white stockings are not broken but the black stockings are broken, it is a hernia. When the white stockings are broken but the black stockings are not broken, it is an ulcer. When the white stockings and black stockings are both broken and the thumb is exposed, this is called sinus tract.

 And the diverticulum is the white stockings and black stockings that are not broken by the little finger, but it forms a dimple.

 The ones that go outward from the intestine toward the muscle layer are called diverticula, and the ones that protrude toward the inside of the lumen are polyps.

If you memorize this thing according to the literal meaning, it seems very simple to separate them one by one, but similar nouns put together can often confuse students.

You have to have your own methods for this. For example, Zhang Fan understands polyps as standing up to urinate in the intestines.

Really, this is not driving, this is medical textbooks driving medical students to a dead end.

 Many people say that surgeons drive aggressively. In fact, this has its roots. If you go to medical school and listen to the lectures of those old professors, especially the closer to clinical subjects, the more serious the driving.

The more female teachers are, and the older they are, the more aggressive they drive.

 It is very strange that the male teachers in the medical school were very coquettish when they were young, but as they get older, they all look like moral gentlemen. As for the female teachers, when they were young, they were all as cold as ice, and they would avoid even the word "fart" when they opened and closed their mouths. But as they got older, they started to let themselves go after they learned how to make soy sauce.

 After checking the ward, Zhang Fan dismissed the team of doctors, and then said to Ouyang, "Ouyang Hospital, let's organize a meeting between the director and the president."

"OK!"

Then, the director of the Department of Gastroenterology and several vice presidents in charge of the Department of Internal Medicine gathered for a meeting in the office of the director of the Department of Gastroenterology.

 Zhang Fan sat on the director's chair.

 Lao Ju is also here because he is a respiratory medicine specialist.

Of course, when he came, he had an expression like "We're breathing well, why did you ask me to come here?"

“From now on, gastroenterology can no longer regulate prescriptions. Now that the income has been raised, we didn’t say anything before. From now on, we can’t regulate even a single prescription.”

 After Zhang Fan and others were all gone, he began to speak.

The director of the Department of Gastroenterology turned green, but today his underwear was pierced by Zhang Fan, and he was too embarrassed to speak.

 What is Tongfang?

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

 Then, at the end of the month, the drug dealer goes to the pharmacy department to start counting prescriptions one by one.

Let the director of the pharmacy department count who has prescribed how many bottles of medicine, and then pay the doctor accordingly.

Of course, the director of the pharmacy department can't escape either. He calculates how much a prescription costs, and it's all clearly marked.

 “What, you’re not happy?” Zhang Fan looked at the director of the Department of Gastroenterology.

“No, it’s not that I’m not happy, it’s just that we are in the Department of Gastroenterology and I can’t tell the doctors below.”

"I'm still brave. The gastroenterologists in the department are not as good as one orthopedic surgeon, so I'm embarrassed to mention it. I'm here to give everyone a break. Today is the gastroenterology department, but today is not the end, but the beginning. Please finish the finishing touches as soon as possible. Let bygones be bygones in the past, and show no mercy in the future.

Also, the Department of Gastroenterology has carried out a one-month skills training, and for those who do not pass the second-level or even third-level outpatient clinics, laboratory salary subsidies will be cancelled! "

These words will kill you.

“Are other internal medicine departments also started?” Ouyang asked.

“First internal medicine, then surgery. One department after another, until all hospitals have stopped unified treatment. European Hospital, this is to save them instead of harming them!”

 “Okay, I support Zhang Yuan!”

 “I support it too!” After Ouyang finished speaking, Ren Li was the first to support.

 Other deans also supported it, especially Lao Ju, who looked like it was long overdue.

Yan Xiaoyu looked at the team and felt her heart turn over.

If this unified power is not the country, which dean would dare to break it?

 But, today, Zhang Fan made it clear.

This is awesome.

 (End of this chapter)