Path of Medicine With a System

Sell ​​fakes and report to the medical department. Zhang Fan rested for a month, which made several newcomers in the medical office envious. The young doctor is on vacation for a month, and it's not a wedding vacation. I really haven't seen him.

Urology! Zhang Fan was transferred to the urology department. The urology department of the top tertiary hospitals in the area is directly an old man's department, and 80% of the patients are prostate patients. The old men all over the corridor were running around with urine bags in their hands. As long as the disease can pass the urine out, there is no other problem.

As people get older, they become more and more unable to lie down. Zhang Fan looked at the old men in hospital gowns all over the corridor, chatting together with urine bags, as if chatting with a bird cage in a park! If you can hang your throat twice, it will directly become a park!

When I was young, I pissed three feet against the wind, and I was a man ten times a night. I felt that I had already stood at the pinnacle of human beings and despised the heroes! But don't be too happy. The retribution will come when you are sixty or seventy years old. The stronger a man is in that aspect, the more serious his prostate problems will be when he gets older. When you are young, you can pee for half an hour. When the prostate gland rebels, it is not uncommon for you to pee for an hour.

It is stronger when you are young, and the blockage is more serious when you are old. It is related to male hormones. Of course, it is also related to living habits, such as holding back urine for a long time and sitting for a long time. There are very few female patients in the urology department of the city hospital, and almost all female patients go to the gynecology department.

Director Li Jianguo is the old director who entered the hospital with Ouyang. He had a relationship with Ouyang in the early years, but they broke up for some reason. Now he is very embarrassed. If he can not go to the meeting, he will not go to the meeting. If he can not see Ouyang, he will not see Ouyang. The surgical department and the urology department are the most supportive of Ouyang. If Ouyang has any orders, the urology department is the most important.

Because urology has not been separated from general surgery for a long time, the ages of the three deputy seniors under the director are also one or two years apart. They all do their own things, Lao Wang refused to accept Lao Chen, and robbed sick patients fiercely. Li Jianguo doesn't care, as long as there are no problems, he is also happy for the doctors below to fight among themselves.

The doctors below are not very clear about Zhang Fan's rescue of the soldiers, but the director level is very clear. Zhang Fan took the admission slip and asked Li Jianguo to report.

In the director's office, Li Jianguo was very polite to Zhang Fan, not the usual attitude of a director Zhenggao towards a resident doctor.

"Doctor Zhang, it's finally time for urination! How about it, should you pull the team to do it yourself, or talk to the doctor first, I don't care about the number of patients, and there are not many general operations. I heard from other departments that in You are taken by the director of the department of surgery. Why don’t you go to the outpatient clinic with me every day?”

"According to what the director said, I'm just a recruit, so I can do whatever you tell me to do."

"Haha! You! You are more thief than a monkey if you stick hair on it. It seems that you want to do it alone. Anyway, you also have a certificate, and you can take in patients on duty. This time, four doctors came. If you are alone, you will suffer a little, and you can’t give more, or the doctors below will not be happy!” Lao Li said it nicely, and he did a good job. It really saves face to let the resident doctor bring the transfer doctor to open another group.

"Director Xing, I'll listen to you." Zhang Fan was very happy to be able to operate independently. At the morning meeting, after only the head nurse and the doctors were left, Director Li said: "All the transfer doctors in front have arrived in the department. Dr. Zhang has something to do, so he came a few days late. But Dr. Zhang already has a practicing certificate, and he has surgical knowledge. It's very high, each of the three attending doctors will bring a transfer doctor, and the extra one will follow Dr. Zhang, and ask Dr. Zhang to set up a team, just follow Lao Wang, Lao Wang, you will spend more time."

Old Wang, Wang Zongxu, the youngest of the deputy high school, is usually reserved, so Li Jianguo handed Zhang Fan over to him.

"Director Xing, no problem." Lao Wang said, and then said to Zhang Fan: "Doctor Zhang, if you are not sure about the patient number, just ask me directly, you are welcome."

"OK."

The other vice-senior officers were expressionless, but the attending physicians below were a little unhappy. If one more person led the team, one more person would grab the patient number, and one more person would share the bonus with them.

If the transferred doctor performs well, he will be given some money, and if he performs poorly, he will not be given any points. So Zhang Fan bypassed the role of transfer department and led the team directly, which made them very dissatisfied!

The director said that although the doctors below did not dare to object on the surface, there were many things in private. First of all, several attending doctors were not convinced, and they were all transferred to different departments and hospitalized in the same way. He led the team only when he was promoted to the attending department, so why did Zhang Fan lead the team when he entered the department? A transferred department should not write medical records, change medicines, and show off.

Zhang Fan really doesn't care about this point, it's okay if the other party can't figure it out, and he will get used to it slowly, if he can unite as much as possible, then let it be. Don't expect them to help.

There are two boys and two girls who were transferred from another department. With Zhang Fan, there are five people, which happens to be one more transfer student. Zhao Zipeng also came to the urology department. He really wanted to follow Zhang Fan, but he couldn't let him do this. Finally, a girl was assigned to Zhang Fan. The little girl was gorgeous, with light makeup on, and she couldn't be oppressed at first glance, and the other attending doctors didn't want her.

It doesn't matter to Zhang Fan, it's already pretty good to be in a single group. The girl's name is Lu Shuyan, but Zhang Fan was frightened to death after chatting with her. She graduated from gynecology and was recruited by Ouyang Te, because she will be engaged in gynecology in the future, and she came to the urology department just to understand. She is one year older than Zhang Fan .

There is no way to command, and he also has a practicing certificate and a high degree of education. Lu Shuyan didn't care, she just came to see it, just for a formality.

"Zhang Fan! What's the matter with you? You're so good. You led the team when you entered the department. You didn't see the other attendings, and your mouth was so angry." !

"Ah!" Zhang Fan couldn't help but say. You can't say that your level is high!

The first day was Zhang Fan's night shift. Because there was no sick number, Lu Shuyan went home early. There are many emergency departments in the urology department at night, and many old men are embarrassed to say that they can't pee, and they tell their family members only after the night is really hard.

In the emergency department, the emergency doctor was very familiar with Zhang Fan, "Director Zhang, have you come to inspect the people again!" Xiao Li from the emergency department teased Zhang Fan. In the hospital, there are not many people who want to be emergency doctors, and they are all forced to do so by the hospital leaders.

"Director Li, you are welcome, I came as soon as you called, and said that I was inspecting people's conditions, so I want to show my face!" Zhang Fan also teased him.

"I didn't do the catheterization, otherwise I won't bother you. You can take a look." Xiao Li in the emergency department had catheterized for a long time, but he couldn't do it. The old man was impatient, so Xiao Li called the urologist.

As soon as Zhang Fan entered the treatment room, his scalp became numb. The old man had triangular eyes, blowing his nose and staring, and he was about to explode. After looking at the items on the treatment cart, Zhang Fan was even more depressed, because the guide wires were all used.

The guide wire for urinary catheterization is just a piece of iron wire. It is hard to tell what size the wire is, but it can enter the urethra anyway. "How many times have you guided?"

"Three times, the guide wire was put on the last time, but it didn't go in! The old man didn't cooperate. And he has a bad temper, blowing his beard and staring." Xiao Li said quietly.

Zhang Fan stepped forward and looked, could the old man be impatient? It is possible to hit someone with the old man's face.

"Master, this catheterization probably won't work, it needs a fistula."

"I don't care whether there is a fistula or not, you should quickly release the urine for me, hey! I'm suffocating!" The old man's wife stood aside, not daring to say anything, probably because the old man scolded him.

After catheterization several times, the urethra was already swollen, and even Zhang Fan couldn't catheterize it. "Get ready to make a fistula!" Zhang Fan said to Xiao Li.

After a while, the nurses in the emergency department prepared the materials and surgical instruments.

"Doctor Zhang, pay attention. This old man has a bad temper. In just a short while, he scolded his wife several times. The same is true for Xiao Li. If he can't be guided in, he won't call earlier, so he will suffer." The emergency nurse whispered to Zhang Fan.

"Yes, ma'am."

Local anesthesia and lidocaine were applied to the ball, a small incision was made with a scalpel, and then a fistula was made, a urinary catheter was inserted, and sutured. After releasing half of the urine, Zhang Fan turned off the catheter switch. "Hey! Hey! Young man, why are you shutting it down? You're still peeing a lot, and you're holding back too much."

"The old man can't release too much, let's release it later. Your prostate is too serious, you need an operation. Otherwise, you won't be able to urinate in the future."

"Isn't that all right? Why do you have to have an operation?"

"This urine bag can't be kept for too long, it will be infected."

"It's just nonsense, let's talk about it." The old man regained his energy after urinating half of it, and his tone was unusually hard.

"Ah! You have to come to change the dressing regularly, otherwise you will really get infected."

"Understood. I'll come to you tomorrow! I'm suffocating." After speaking, he took the old lady and left.

The next day, the old man really came, and he went to Zhang Fan without looking for the director or other doctors. Zhang Fan had already returned from get off work, so he had to come to the department again.

"I told you to come today, and you got off work without waiting for me! That's not good, young man."

"Yes! Uncle, let's go to the hospital. After the examination, we will operate on you."