Seven Hundred and First Zhang Faner

Zhang Fan questioned the director of the Department of Gastroenterology, and the director of the Department of Gastroenterology was covered in white sweat.

If Zhang Fan can't find out today, he is not afraid. But today Zhang Fan found out.

The director of the Gastroenterology Department's heart was like a willow leaf in the wind, swaying leisurely, "The last time I came here, I wasn't so powerful. How long has it been? How come this time, I'm so powerful!"

He opened his mouth, not knowing what to say. It is useless to explain it now. If an orthopedic doctor can find out your internal diseases, what else can a physician say?

When people scold you, you have to bow your head and listen, who made you not good at business.

"Look, look, your department, a gastroesophageal shunt disease, it's the first time to see a doctor, it's just imported omeprazole, isn't it a good commission, why don't you use octreotide?

Look, a patient with hepatic encephalopathy, you give calf blood to someone else! "

Zhang Fan took the medical record and slapped it, the director's face was pale. Can't say a word.

If Zhang Fan didn't succeed in the examination today, it is estimated that some doctors will stand up now, from the medical records to physiology, from the biochemical internal medicine department, and start to argue with Zhang Fan about the pharmacology.

But now everyone is afraid, because they found that Zhang Fan's internal medicine level seems to have suddenly improved.

They can't stand it anymore, they can't fool around anymore.

It is right to say that they are wrong, because the medicine is right for the symptoms, but it is also wrong to say that they are wrong, because there are cheaper alternative medicines.

In the past, things like this were not easy for Zhang Fan to manage. Don't look at him as the dean, it's really hard to manage. Just like what people say, there are people who are wronged in queuing up to be shot, and those who shoot one after another will definitely slip through the net.

Moreover, the salaries of doctors were not high in the past, and the hospital was located in the borderlands. If you made it stricter, people gave up their picks and quit, and went to the south. You really have nothing to do.

There is an example of this. It is said that in a county in the frontier, a new dean came. He confiscated all the drug rebates under the guise of preventing physicians from using drugs indiscriminately. Of course, after the confiscation, it is said that he bought it for his mistress. a mini.

As a result, several internal medicine departments of the county hospital, under the leadership of the department directors, directly contacted a private medical group, and the whole team switched jobs, and it was too late for the dean to cry.

In the frontier, really, sometimes a talent is really a talent. Even if it is Mr. Nan Guo, if someone can block your pitfalls, the leader will say that Mr. is a great talent.

But now it's different. The salary of Chasu Hospital, Manhuaguo public hospital, is hardly higher than them.

At present, even the Harbor Fishing Village United Hospital in the fishing village, the salary of this special hospital is barely on par with that of tea.

Therefore, Zhang Fan is already very tough when he speaks and curses. Moreover, Zhang Fan's level of internal medicine has been able to convince them. For technical units, it is emboldened but not enough to curse people with technology, but it is thick and big to curse people with money and technology.

"Come on, tell me about this treatment now, and tell me how to treat it now." After cleaning up the director, Zhang Fan began to ask the doctor in charge of the bed, asking the doctor in charge of the bed to give a doctor's order on the spot.

Ouyang looked at Zhang Fan, and his heart was bubbling, "When did this kid become so good at internal medicine? He was not as good as me before, but now he is even higher than me." After thinking about it, she looked at Ren Korea.

Ren Li smiled slightly, "I'm not as good as him in digestion!" she whispered to Ouyang Yi.

When Ouyang heard this, he glanced at Ren Li with eyes that wanted nothing from you.

Then he could only quietly watch Zhang Fan pretend to be 13.

"Ampicillin, sulbactam, 3.0g a day..." The doctor in charge of the bed thought for a minute before talking about the treatment plan.

After Zhang Fan listened, he said: "Ciprofloxacin, metronidazole 500mg, liquid diet, change the diet according to the doctor's order as the symptoms change, and after three days are effective, a high-fiber diet is recommended.

Regularly check the blood routine, if the white blood cells increase, it is recommended to review CT! ~

Who do you think is better, mine or your doctor's order! "

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

The doctor in charge wanted to roll his eyes, but he didn't dare, because his own was really not as good as Zhang Fan's. She wanted to say that Zhang Fan was a bully, but after thinking about it again, he is an orthopedic surgeon, so she had to say: "Good job, Dean!"

"Don't be unconvinced, I haven't read much internal medicine books, comrades should be careful!"

The doctor in charge of the bed was almost pissed off, but there was nothing he could do about it, he could say whatever he wanted now!

A head of surgery came to the internal medicine department to check the doctor's order. Really, this is so awesome!

Erosion, ulcer, sinus tract, fistula, cavity, diverticulum. When explaining the terms of the pathology exam, Zhang Fan was particularly engraved with this diverticulum.

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

First translate into Chinese, and then explain the meaning of this word.

These are all words related to holes, of course there are deep holes and there are shallow holes. At the beginning of the exam, Zhang Fan knew a diverticulum's English, and he was excited to show his skills. As a result, he knew English, but suddenly found that he couldn't write Chinese characters.

Really, at that time Zhang Fan felt like a sick dog, as if he wanted to find someone to thank for his patronage, but he ended up ordering another bottle. Whoever felt the mood at that time understood.

At that time, Zhang Fan was forced to use pinyin! Really, it is a joke for a college student to use pinyin during the exam.

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

This stuff is for bullying. If you explain it like this to a student who has no clinical experience, it will be the same as not explaining it. It is very discouraging. Because a noun is not understood, and a new noun is formed.

Therefore, self-study is more difficult for medicine, and sometimes it is troublesome if you learn it crookedly.

Back then, Zhang Fan and the others had just finished studying pathophysiology, and when they coughed, they made a diagnosis for themselves, and there was a clatter in their hearts, cancer! Just like everyone's mother's disease now, you can scare yourself to death.

In fact, it would be much simpler if Zhang Fan were to explain this diverticulum now. In fact, there is a piece of dented underwear in the intestines, just like a boy with a toothpick erected a tent on his underwear after he had a morning erection.

If it is not pierced, the dimple formed by the underwear is a diverticulum, and if it is pierced, it is a sinus tract. Of course, this thing should be thin, if it is thick, it is not a diverticulum, but a hernia.

What is a hernia is that one's own organs push out one's own tissue into an abnormal depression, and it doesn't count if it breaks through, no matter if it breaks through its own or someone else's, it doesn't count.

A hernia is a rupture of one's own organs. For example, the spermatic cord takes the intestinal tract and ruptures the muscle layer of the groin, which is a hernia.

If the top is not broken, there is a hole in the top, which is the diverticulum.

If you still don't understand, there is a more classic explanation. A beautiful woman wears two layers of socks, with white stockings sticking to her toes, and black stockings on the outside.

Of course, this beauty's big toe is relatively long. When the white stockings are not broken but the black stockings are broken, it is a hernia. When the white stockings break but the black stockings do not, it is an ulcer. When both the white stockings and black stockings are pierced and the thumb comes out, it is called a sinus path.

And the diverticulum is that the little finger has not pierced the white stockings and black stockings, but it has formed a dimple.

The intestinal tract goes outwards and goes toward the muscle layer, which is called a diverticulum, and the one protruding toward the inside of the lumen is a polyp.

If you memorize these things literally, it seems easy to separate them one by one, but similar nouns can often confuse students when they are combined together.

It needs to have its own method and method. For example, Zhang Fan understands that polyps are peeing while standing in the intestines, which is awesome. Diverticulum is squatting to pee, there are seams.

Really, it's not driving, it's medical textbooks driving medical students to their death.

Many people say that surgeons drive violently. In fact, this has its roots. You go to medical school to listen to the lectures of those old professors, especially the closer to the clinical discipline, the more serious the driving.

The more female the teacher is, the older the female teacher is, the more aggressive the driver.

It is very strange that the male teachers in the medical school were very coquettish when they were young, but when they are old, they look like moral gentlemen. As for the female teachers, when they were young, they were as cold as ice one by one, and they had to avoid even talking when they opened and shut their mouths, but when they got older, after the baby knew how to make soy sauce, she let herself go.

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

"Row!"

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

Zhang Fan sat on the director's chair.

Lao Ju also came, because he is a respiratory medicine specialist.

Of course, he came with the look that we can breathe well, what do you want me to do.

"In the future, gastroenterology can no longer be unified. Now that the income has been raised, I didn't say anything before. From now on, not a single prescription can be unified."

After Zhang Fan and the others were all done, they started talking.

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

What is a unified party?

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

Then, at the end of the month, drug dealers will go to the pharmacy department to start counting prescriptions one by one.

Who prescribed a few bottles of medicine, and who prescribed a few bottles of medicine, let the director of the pharmacy department calculate it, and then pay the doctor accordingly.

Of course, the director of the pharmacy department can't get away either, and counts how much a prescription costs, which are all clearly marked.

"Why, you're not happy?" Zhang Fan looked at the director of the Department of Gastroenterology.

"No, it's not that I don't like it, it's just our gastroenterology department, I can't tell the doctors below."

"I still have a face. The gastroenterology doctors in the department are not as good as an orthopedic doctor. I am so embarrassed to mention it. I am here to let everyone know. Today is the gastroenterology department, but today is not the end, but the beginning. Everyone, get the finishing touches early. Don't blame the past, and never show mercy in the future.

Also, the Department of Gastroenterology conducts a one-month skill training, but the second-level or even third-level clinics below the pass will cancel the laboratory salary subsidy! "

This word is about to die.

"Have other internal medicines started?" Ouyang asked.

"Internal medicine first, then surgery. Departments come one by one, until all hospitals are under control. European Hospital, this is to save them instead of harm them!"

"Okay, I support Zhang Yuan!"

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

Other deans also supported it, especially Lao Ju, as it should have been long ago.

Yan Xiaoyu looked at this team and felt overwhelmed.

If it is not the country, which president dares to speak out about this unified party?

But today, Zhang Fan broke the news.

This nima is too awesome.