Chapter 1505 Let’s take a look

Until they left Chasu Hospital, the two leaders of the school did not believe that Zhang Fan, who was widely rumored to have pulled his hair out even if he flew over, was so talkative. Not only was he willing to accept the clinical department, but he also wanted to come to other disciplines.

Of course, clinical results have been achieved, and other disciplines are not yet necessary, so the two leaders declined the proposal. Even the internship fees they prepared were not used, and the two left Chasu happily.

 Let the whole team of Chasu pick and drop off, they feel it is very honorable, Zhang Fan of Chasu respects knowledge very much!

Zhang Fan looked at the two school leaders leaving and sighed slightly.

“It’s too hasty! We shouldn’t have talked about all disciplines. We should have talked about anesthesia first, and then oral cavity. It’s unrealistic for you to ask all disciplines to come over.”

Ouyang heard Zhang Fan sigh and said something to Zhang Fan with a smile.

She is not disappointed at all. To be honest, it was very difficult for Chasu Hospital to find a medical graduate to intern in the past. Now it has almost directly hired a clinical school and is quite satisfied.

 “Alas, what a pity!”

 Modern medical care can be roughly divided into four categories: preventive medicine, health care medicine, clinical medicine and rehabilitation medicine. Although everyone is equal, in the current medical industry, unless some small and wealthy countries pay more attention to rehabilitation and health care medicine, even golden retrievers only have the strongest clinical medicine.

There are many clinical disciplines, including basics, pharmacology, anesthesia, public health, nursing, and laboratory testing. These are actually disciplines surrounding clinical practice. Clinical practice alone is not enough, so Zhang Fan is a little disappointed.

It takes a long time to study one subject, when will we get a team together!

Zhang Fan sighed, it was strange. When he was in Quark, it was winter, and he was so cold that he couldn't even buy clothes. Would he have thought that he could develop into a school that cares about others? Or a university?

 The students entered very quickly, especially the fifth-year students. Of course, not all students came. Anyway, all the students who wanted to have some ideas in the medical field came. Those who just want to stay in Bird City and enter the affiliated hospital in the future will definitely not want to come to Chasu.

 …

“Since the students are here, we must stay well, not only in terms of medical technology, but also in terms of medical quality. I don’t want to hear any complaints that will affect the students.”

On Monday, Zhang Fan held a rare hospital-wide meeting. In the past, Ouyang often did this, calling all the doctors and nurses to attend meetings when nothing happened. In Zhang Fan's era, Zhang Fan rarely organized meetings.

 Even Monday’s academic meeting can be held if possible. This time, everyone is a bit uncomfortable with the full academic meeting.

 “Why does Heimaimaijiang value student children so much?”

“I don’t know, I guess he is holding something back. Although he smiles all day long, he is actually very tired.”

The nurses finally got together and arranged for Zhang Fan to talk loudly. Yan Xiaoyu took the microphone and shouted directly: Pay attention to the discipline of the meeting. Those who are gathered together, why don't you come up and talk!

Zhang Fan didn’t care either. Although everyone didn’t pay attention to this matter, they were actually listening to it. There was no need for everyone to do it with their hands behind their backs like the children in the kindergarten.

Since you have to take care of students, you must take good care of them. The director and deputy chief physician are responsible for student teaching in the entire department, and the attending physician personally leads the students.

Even Li Cunhou brought seven or eight students, and the Chasu Hospital that he built for a while seemed a bit like the Wanzi Hospital.

A director went out with five or six students, and he was greeted like a big shot with social status.

 Zhang Fan also brings students. These students are not fixed. One department lasts for one month. Zhang Fan is currently in the thoracic surgery department, so he brings students from the thoracic surgery department.

Following Zhang Fan's four students, there was an inexplicable excitement. Now the medical role model in the border areas is no longer Lao Zhong who participated in SARS or Lao Hu who studied cardiac electrophysiology, but Zhang Fan from Chasu Hospital.

Especially for boys, everyone thinks that Lao Zhong and Lao Hu are not as happy as Zhang Fan, who can become the dean after graduation. So when Zhang Fan brought four boys into the operating room, these young men had a certain feeling. If you study hard, you might be able to copy Zhang Fan's ideas after you graduate.

“Yuan Zhang, today the second hospital sent a patient with tuberculosis beads on his chest wall!” The director of the department of thoracic surgery said after seeing Zhang Fan from a distance.

 “Okay, leave it to me, you can do other operations.”

“Can you ask Jin Leshan and his team to be your assistant?” the director of the Department of Thoracic Surgery asked Zhang Fan while signing the signature for the little doctor next to him.

“Just ask Jin Leshan to bring one person over. Don’t I have several assistants?” Zhang Fan said with a smile.

The director stopped signing and looked at the four interns behind Zhang Fan. Then he glanced at Zhang Fan strangely, but said nothing.

After Zhang Fan finished speaking, he turned to the four students and asked: "You are all in your fifth year of college. Even if you are in graduate school, you will enter clinical practice. How about it? Do you have the confidence to be my assistant?"

"have!"

“Teacher, don’t worry, when I was in class, I got full marks for animal surgery!”

“Okay, I look like he’s a good candidate for surgery!” Zhang Fan laughed.

The director on one side curled his lips and didn't say a word.

 General hospitals, not hospitals specializing in infectious diseases, generally do not have specific infectious operating rooms.

 For example, there are three operations, one for a normal appendix, one for an appendix with tuberculosis, and one for removal of a breast mass.

No matter how early you enter the operating room in the morning for appendiceal tuberculosis surgery, you must wait until the breast mass is removed, the normal appendix is ​​removed, and the tuberculosis-containing appendix can only be admitted to the operating room.

Furthermore, after other operations are completed, the operating room can continue to the next operation. However, after the tuberculosis operation is completed, the operating room will be deactivated and must undergo 24 hours of continuous disinfection before it can be used again.

  In the afternoon, after all operations were over, Zhang Fan and the others were ready to start their operations.

Zhang Fan didn't have to do anything when he entered the operating room. The interns began to sterilize and spread the sheets quite independently. Although their movements were so stiff that it made people's teeth look sour, they did not violate the sterility rules.

Because Bayin has gone home for maternity leave due to her big belly, the current head nurse of the operating room has been taken over by the former head nurse and now the nursing director.

The director of the nursing department stood aside like a tiger, watching the operations of these students eagerly. Don't look at Zhang Fan who was also on the side. If they violated the sterility rules, don't think about it, they would be kicked out of the operating room and spend the rest of their lives. Won't do it again.

"Zhang Yuan, I'm here!" After the patients were anesthetized, Jin Leshan, the thoracic surgeon, ran into the operating room.

"Are there many surgeries today?" Zhang Fan looked at the beads of sweat on Jin Leshan's forehead and knew that this guy had just undergone surgery.

“More, several times more than before.” Rubbing his hands that were white with gloves, Jin Leshan prepared to wash his hands and change clothes.

"Seize the opportunity. There are not many such opportunities. Whether you can break your bottleneck depends on this period of time. The thoracic surgery department has not yet become a leader. It depends on which of you attending surgeons can jump out first!"

 Zhang Fan said softly, and Jin Leshan, who originally planned to go home after the operation, nodded solemnly without saying a word. While brushing his hands, he thought about Zhang Yuan's words in his mind.

 Then I decided that since I wasn’t going to go home in the next six months, I should revisit my position as the hospital chief.

 In medical treatment, especially in large hospitals, there is no such thing as success without effort. Especially when it comes to the level of attending, it's just like in the army, one step at a time, if you can't get there on time, there will be no future.

For example, if a battalion commander has not been promoted within a certain period of time, all he has to do is take off his military uniform and go home. The same goes for the attending surgeon. If he does not advance to the rank of deputy director in the department during the same period, then there is no need to think about it. The future department director will become the deputy director. The subject leader has nothing to do with you.

The operation began. Zhang Fan was the surgeon and Jin Leshan was the assistant. Zhang Fan arranged for all four interns to perform the operation. Originally, two more interns would be enough, but Zhang Fan made arrangements and four interns were performed.

The patient was originally a small female patient, but she fell in love with six big men at once, and it seemed like she was having sex.

 “Knife!” The director of the nursing department personally came on stage to act as an instrument nurse.

To be honest, doctors and nurses in hospitals really don’t like to perform operations on patients with infectious diseases. Really, a few years ago, a hospital encountered an AIDS patient who suffered a fracture in a car accident, and the department went on strike. Then the department director led The deputy director performed the surgery himself.

Sometimes there is no way to talk about this matter. Doctors should not be like this, but then I think about it, what if it accidentally leads to occupational exposure? So later, an unwritten rule was gradually formed in the medical industry. Who It’s the leader who goes first.

 This is one of the reasons why the chief of surgery is so arrogant.

“Everyone, please be careful, and some classmates should pay more attention and don’t be careless about this TB patient.”

Hold the scalpel, Zhang Fan said softly when he was cutting it.

 Then without any further ado, we started the operation directly. A large S-shaped incision was made directly in a parallel direction from the medial edge of the lower edge of the patient's scapula to the key line of the spine.

The skin was gently opened, and the three layers of yellow, white and red tissue were like strawberry bread with sandwich, and the bright red juice slowly flowed out.

The electrocoagulation, gauze, and suction device make the operating room look like a barbecue kitchen. To be honest, doctors who do a lot of surgeries don’t even need to see the patients. They just smell the smoke coming out of the electrocoagulation. You can know whether the patient is fat or thin.

The thinner patients have a smell of rotten eggs because they have less fat. After the muscles are burned and the protein is burned, the smell is the smell of rotten eggs. The fatter patients have more fat. After electrocoagulation, there is a smell that is not put on the barbecue stall. The aroma of burning fat before seasoning.

The incision continues, from the junction of the trapezius and rhomboid muscles, the rongeur bites the ribs directly, snapping, snapping, snapping the ribs. The thin ribs of women are like cutting open mutton chops, and they can feel a lightness with ease. The clicking sound.

After opening the chest, we saw that the patient's chest wall was covered with pupa-like objects that looked like caterpillars about to hatch before they hatched. The blue-gray objects looked particularly eerie and pale against the surrounding bright red muscles and blood. .

The densely packed pupa-like objects instantly made the hair of a group of interns stand on end, and their whole bodies felt as if this thing could crawl on them.

“Come here, touch and feel it, this is tuberculosis bead-like lesions!”

How the teacher taught Zhang Fan back then, Zhang Fan teaches students the same way now. Just like the dermatology department back in the day, it was always a big move!

 (End of this chapter)