Chapter 2149 Flesh-colored Forest

 As hospitals become larger and larger, hospital consultations are less valued than before.

For example, if you invite doctors from a certain department, the doctors who can come on the day are usually the doctors below the attending level. Originally, each department of Chasu Hospital had a full-time outpatient clinic every day, or even two or three, because there were general outpatient clinics and specialist outpatient clinics.

 In the past, there was no difference between specialist outpatient clinics and general outpatient clinics.

However, as the tea hospital becomes more and more powerful, the specialist clinic is not enough.

 Zhang Fan told the outpatient director and the leader in charge of outpatient clinics, Lao Chen, about this matter. He specifically said that the number of specialist outpatient clinics cannot be limited. If there are too many patients, more experts should be arranged.

For thousands of kilometers of foreign patients, they can save a day earlier, and they can save one day for people to eat horse chewing.

 Many hospitals restrict specialist accounts.

To be honest, experts today are too busy.

 Surgery, scientific research, teaching, lecturing, and some non-clinical tasks are sometimes more important than clinical personnel tasks. There are even capable people who secretly let their sister-in-law run companies in fields related to themselves.

 Sometimes, it’s strange, especially in this kind of sneaky company, usually the person is either a sister-in-law or a sister-in-law.

 There are very few brothers-in-law and brothers as partners.

 And what’s strange is that the more people are encouraged, the less likely they are to do it.

For example, a long time ago, some experts suggested that capable doctors could open their own clinics or hospitals.

 Let alone tea hospital, this kind is almost rare even in other developed cities. Because the labor intensity of China's medical industry can be classified as manual labor.

Not only are there very few doctors from tertiary hospitals who open their own clinics, but those who do open hospitals are above the Jianghe level.

But there are a lot of people starting companies.

For example, in some prefectures and counties, the chief equipment dealer of the orthopedics department is a sister-in-law wearing black stockings.

 The most irritating thing is that sometimes the equipment dealer has more say than the deputy director in private. There are even sisters-in-law in some departments who not only interfere with the daily work of the department. Some directly turned the department into their own department.

For example, introducing one's own girls to young doctors. A family with many girls sometimes directly monopolizes the department.

However, for those who start their own companies, because Zhang Fan improved their income methods after coming to power, the sisters-in-law and sisters-in-law of this group generally cannot continue to work.

 Because these equipment cannot enter the hospital, and due to the rise of tea hospitals, most equipment can be purchased directly through the factory or doctor.

 Another important reason is that there are many teaching surgeries at Chasu Hospital. Frequently, patients are directly exempted from treatment costs because of teaching surgeries.

This part is shared by the hospital, equipment manufacturers, pharmaceutical companies and the government. At this time, the company opened by the director's sister-in-law cannot continue. If there are thirty teaching surgeries a month, this kind of surgery can be directly performed. The Caotai team was dragged to death.

 When Zhang Fan arrived at the Department of Gynecology, the relevant departments for consultation were already in place.

 Physical examination, medical records, and discussion.

 In fact, the proportion of difficult and complicated diseases in the hospital is very small.

 It is not every day that extremely strange diseases appear, so patients with some rare diseases are more miserable. Sometimes not only cannot they be diagnosed, but even if they are diagnosed, there is no medicine available.

Ordinary hospitals can’t do anything about this disease. Only when the hospital becomes better will patients with this disease travel thousands of miles to seek treatment.

The current patient in the gynecology department is a farmer from Mongolia. If it had been done in the past, he would not have come to the border areas. He would have gone directly to the capital or Harbin.

 A city and a hospital sometimes complement each other, such as the Harbin Hospital back then. It can be said that almost no other city in the south, except for the three towns of Changhe and Magic City, could beat others.

 After a physical examination, the consulting doctors from each department will give their own relevant opinions.

 Hair, to be honest, is important, but not important, in fact, in today’s society, hair is of no use.

After all, you don’t rely on your hair to keep warm!

  But this patient’s symptoms are not as simple as hair loss.

 The director of the medical office presided over the consultation meeting, probably repeated the patient's condition, and then introduced the invited consultation departments and consulting doctors.

 Because the hospital is so big, not all doctors from other departments may know each other.

And because there are so many doctors coming to the hospital for further study, internship, and internship, this kind of introduction will also help them get to know the teacher.

After the introduction, Director Xiao Chen from the Medical Department looked at Zhang Fan who was sitting aside. Zhang Fan had no instructions, so she asked Lu Shuyan from the Department of Gynecology to start speaking.

 The consultation office is located in the doctor's office.

 In hospital departments, doctors have offices and duty rooms.

 The office is actually the place where you usually work, and the duty room is the place where you sleep when you are on duty.

 In relatively large departments, there are also offices for the director, head nurse, deputy director, and even the teaching secretary.

 The department is relatively small, so only the director has an office, and even the head nurse cannot be in the office.

  The obstetrics and gynecology department is a relatively large department in the hospital. Not only does it have its own building, it also has its own delivery room, obstetrics operating room, gynecological operating room, neonatal emergency room, and gynecological emergency room.

 Because the state provides particularly strong support for maternal and child care, other departments gathered around Zhang Fan all day long. When the dean in front of and behind him wanted to ask for more funds.

Most of the equipment on the obstetrics and gynecology side is paid for by the state. Originally, the Chasu government wanted to place the gynecology department of the Chasu Hospital under the Maternal and Child Health Hospital.

At that time, the maternal and child health care hospital was struggling to survive. I thought that after being transferred to the past, the maternal and child health care hospital could always be strengthened.

As a result, Ouyang went to the government every day to argue, refusing to allow obstetrics and gynecology to be exempted. We are the largest hospital in China, and we are a comprehensive tertiary hospital. If we exclude obstetrics and gynecology, wouldn’t we be a Chinese hospital?

 The Chinese Hospital here in Chasu is more cautious and does not have an obstetrics or pediatrics department.

 Because of Ouyang's strength, Chasu Women's and Children's Hospital has never been established.

 The maternal and child funds and equipment subsidized by the state finance have always been equally shared between Chasu Hospital and Chasu Maternal and Child Health Hospital.

 After Zhang Fan came to power, on this basis, he created a behemoth through coercion and deception. Although the current gynecology department of Chasu Hospital is considered to be one department.

 In fact, it is much bigger than Chasu Maternity and Child Health Hospital, and the technology is not to mention.

It was originally better than the Maternal and Child Health Hospital. Later, doctors from the Maternal and Child Health Hospital did not need to go to other places for further training. They came directly to Chasu Hospital.

Lu Shuyan has always wanted to turn the gynecology department into a maternal and child research institute.

However, Zhang Fan did not agree. The department turned into a research institute, which had many benefits, and was somewhat similar to a city under separate state planning.

Not only have there been more hospital beds and wards, but also greater autonomy. The most important thing is that there are policies for deductions.

Zhang Fan disagreed, not because he was afraid that they would become independent, but because the technology of the Obstetrics and Gynecology Department of Chasu Hospital has not yet reached the level of a so-called research institute.

Chasu's orthopedics department cooperates with special orthopedics. Even a lot of scientific research in Shuitanzi is now focused on Chasu. This is because Chasu has good equipment and many technical talents for various surgeries.

 It can be complementary to Shuitanzi.

 The Hepatobiliary Research Center of General Surgery, not to mention other things, just a group of second generations from the ancestral line is enough.

 The Pancreatic Gastrointestinal Center is because the level of research here has reached the level of a research institute.

 And most importantly, these are a single organ that becomes an institute.

 The name of the Institute of Obstetrics and Gynecology is too great.

Lu Shuyan is not ashamed, but Zhang Fan is afraid of embarrassment. When the time comes, when other colleagues come to take a look, they will laugh their big teeth off. “The patient underwent antiviral and anti-infective treatment in the local hospital and was suspected of having unspecified gynecological diseases. After eight days of treatment with levofloxacin and moxifloxacin, the patient did not improve. He was then switched to isoniazid and rifampicin, but there was still no significant improvement.

In order to confirm the diagnosis and treatment, he was transferred to our department. After a systematic physical examination in our hospital, it was found that the patient's function was normal, tuberculosis bacteria were negative three times, and blood culture was negative three times. Considering that there are currently no clear symptoms in our department, we invited experts from the department Come to our department for consultation. "

It’s just a short sentence, and a layman can’t tell anything.

It doesn’t seem to be anything special.

 As soon as the professionals saw it, they started to frown.

 The patient was admitted to the hospital with respiratory symptoms and no respiratory disease was found. However, other hospitals gave the patient antibacterial and antiviral treatment and considered sexually transmitted diseases.

To be honest, China’s control of antibiotics is too liberal.

 Some clinics give top-notch antibiotics at first sight, but then when they see that they have no effect, they send them to the hospital, where the doctors are helpless~!

Furthermore, it is obvious that this patient did not undergo systematic examination and systematic consideration. He was put on the hospital bed and given various antibacterial and antiviral treatments just like a pig was slaughtered.

 As a result, the patient's condition became more and more serious.

After Lu Shuyan spoke, experts from various consultation departments began to speak:

“Based on the patient’s case and diagnosis and treatment experience, there is currently no significant improvement after anti-inflammatory and viral treatment in other hospitals, and the fungal test results are weakly positive, but I think that anti-fungal treatment should be given…”

 The deputy director of the Department of Infectious Diseases spoke first.

 Then the speeches from the Department of Rheumatology and Immunology, the speeches from the Department of Medical Imaging, and after the speeches from each department.

 Everyone looked at the director of the Medical Department.

The director of the medical office looked at the others, "Who has any other suggestions?" In fact, she was asking Zhang Fan.

Xiao Chen still hasn't exercised himself. If Lao Chen and Wang Hong presided over the meeting at this time, they would directly ask Zhang Fan with a smile, "Please give the speech to Zhang Yuan!"

The tables in the conference room and office are all experts. The first circle around the desks is a group of masters and doctors, the second circle is a group of doctors who come for further training, the third circle is interns, and the fourth circle is trainees.

The people in the third and fourth circles are all soy sauce people. Bringing them here is to feel the atmosphere and gain knowledge.

 Don’t underestimate this long-term insight, why are ordinary doctors in awesome hospitals better than ordinary doctors in ordinary hospitals?

 It is because of being well-informed.

Zhang Fan frowned. The plan given by everyone was good, but it still missed the point. Although Zhang Fan didn't know what the point was.

 But after working in this business for a long time, even if he doesn't know how to treat, he can still understand effective treatment and ineffective treatment.

 The consultation of a group of people is all about treating the symptoms and not the cause.

 Because the diagnosis is still unclear.

At this time, a master's degree student outside the child raised his hand hesitantly. The little girl originally wanted to follow Zhang Fan, but Zhang Fan didn't want to.

 Because my physical condition is not very good.

This physical condition, not to mention fierceness, legs, and charming face.

 This refers to height and physical fitness.

This little girl is so short that if she were on duty alone and met a patient weighing 300 pounds, she might not even be able to lift his arms.

 But he was a top student, so Zhang Fan got the job of pediatric surgery.

Academician Liao of the Department of Pediatric Surgery directly accepted the little girl as a master's degree. This is the second year.

 Because mothers and children are not separated from each other, there was a newborn with cryptorchidism today, and she came to take a look. As a result, I came across this consultation meeting.

 Small in stature, he could sneak in and even stand in the crowd without being noticed.

When Director Xiao Chen from the Medical Department was about to speak, she noticed someone raising their hand. She curiously asked the other person to start speaking.

In this kind of meeting, most people who are standing will not speak. Allowing the floor to speak is actually just a formality.

Even experts can’t figure out what you can do if you don’t even have a seat!

“Hello teachers, I’m just a little doubtful about that...”

The little girl was a little nervous, and she probably didn't realize she was stuttering when she spoke.

Zhang Fan took a look and said, "Haha, Xiao Cui, it's okay. Don't be anxious. Speak slowly."

 After the interruption, the little girl obviously improved a lot.

“I considered all the patient’s symptoms to be complications rather than the main disease. When my mentor and I were together for a few months, we went to the Capital Children’s Research Institute.

 When I encountered a similar disease, no problem was found in any department.

  However, the patient’s mother said that the child’s stools were always unformed, but there was no diarrhea. "

 “Oh?” As soon as Zhang Fan said this, he felt something.

Not only Zhang Fan feels it, but also several other directors.

“Contact the gastrointestinal department and ask them to do a colonoscopy, as well as a stool sample from the pathology department, and use different methods to see if there are any abnormalities!”

 After a while, the middle-aged woman was brought into the laparoscopy room.

 At this time, the woman was already scared, "I won't be cured, I won't be cured!"

Zhang Fan thought the woman was shy. When he was about to ask a female doctor to check, the woman’s husband said it was okay, it was okay, and the family’s donkey could still last for a few days after being sold! ~

“Haha, don’t worry, this time your disease can be completely exempted from treatment costs! But you have to listen to our arrangements.”

After Zhang Fan whispered something to Wang Hong, Wang Hong took the female patient's hand and explained it to her with a smile.

 Women are more nervous, why? Nothing good has ever happened to me in my life, why don’t you want money? Are there any hospitals that offer free medical treatment?

The explanation was not clear for a while, and Wang Hong said directly, "When you are seeing a doctor, we will bring students in to study. Shouldn't we have to pay the master for this study? You are not only a patient now, but also a master, so you don't have to pay for it." Out."

As soon as she said this, the woman became less nervous and said, "Hey, I'm just a little embarrassed. It's quite uncomfortable for a big girl or a big guy."

 After the colonoscope was inserted, a group of people gasped for air conditioning.

Not to mention other people, Zhang Fan took over the colonoscope and used it himself.

 The intestines, especially those under colonoscopy, are actually very beautiful.

 Pink and tender, with various folded tissues, just like the folded stamens of a flower bud.

 But inside this patient's intestines, it was like entering a flesh-colored forest.

 Large tracts of intestinal vegetation are washed away by the water flow, really like seaweed on the bottom of the sea.

The area is too large, and if it is large, it feels like the growths can come out along the intestines and crawl on one's body. It’s creepy to look at.

 (End of this chapter)