Path of Medicine With a System

Seven Hundred and Thirty First Perfect Fit

"Zhang Yuan, you are here! The last time I went to Shanghai for a meeting, Mr. Li, the dean of foreign affairs, asked me to greet you for him!"

The chief director of the attached one general foreign affairs school was very polite. After seeing Zhang Fan, he bent slightly, showing that he regarded Zhang Fan as an elder.

The director of a department, especially the chief director. If you are in the capital, Shanghai, you must at least have the experience of studying abroad. Many doctors broke their heads because of this quota when they were in the deputy high school. Because if you don't go out once, you will never be considered as a director.

But in other provinces, especially relatively poor provinces, such as the frontier, the chief department director of a tertiary hospital, the minimum requirement is to study in the capital or Shanghai for more than one year, and this will be considered.

At the beginning, Xu Guangwei, who was attached to the first general education department, stepped up to a higher level and became the dean. The director of general surgery fell on Yang Hao. As for Yang Hao, he first went to the East when he was studying ten years ago, and he was with Mr. Wu's students.

After returning, his level improved significantly, and the organization decided to let him go out again. The second time was when he went to study five years ago, and then went to foreign affairs and followed Master Zhang Fan.

Of course, their heel is not the same as Zhang Fan's heel. They are like an assembly line, they go in waves one after another, and then the doctors in the magic city take them to the surgery wave after wave, and arrange jobs of different difficulties according to their respective abilities, which opens their eyes.

But in name it is a teacher, but a teacher is different from a teacher, especially among surgeons, many of them are not called teachers, but masters.

Wang Hao can be regarded as a disciple outside the wall of Qiu Sect. Although this is the case, everyone is still clear in their hearts, and understands who their level of improvement comes from. Moreover, Zhang Fan hadn't come to the frontier before he was in his early days.

He is a relatively young leader in the frontier.

So when he saw Zhang Fan, Yang Hao had a very low profile, and he took the initiative to explain his background. The meaning was up to Zhang Fan. If Zhang Fan didn't say anything, he wouldn't have much contact with him in the future.

"Oh? Director Wang was with the big brother back then? Hey, what do you mean, we are a family. I haven't contacted the big brother for a long time. How is he?"

Zhang Fan smiled and held Yang Hao's hand, everyone handed over a note to talk, Zhang Fan would definitely not refuse, and the senior brother seemed to have said it before, but at that time the senior brother said it unclearly, and Zhang Fan couldn't remember clearly Not in vain.

I figured it out today, this guy was with my senior brother.

"In conclusion, you are my little uncle!" If Zhang Fan didn't talk about his family, he would feel that he couldn't open his mouth. Doesn't he have a reputation? After all, he is also the director of the top three in the frontier.

"Hey, it's all about things, I debuted late, and I have been honored by Master!" Zhang Fan really didn't think of refusing.

Zhang Fan came to Bird City for the first time to give a speech, and several big bosses of Frontier Digital Hospital almost hung Zhang Fan in the air like dried meat. The second time he came to Bird City for surgery, many people in the hospital attached to him questioned it. This time when I came to the Bird City to compete, my team seemed to be a public enemy, and I asked everyone to block it.

Can this Nima do it?

Although Zhang Fan threw knives a lot, and the flying knives in Bird City were almost all Zhang Fan's private land, but these guys not only wanted to use Zhang Fan, but also guarded Zhang Fan all the time like thieves.

So, today I met a director who was considered one of my own, and Zhang Fan would definitely accept it. As for the senior brother, is this his own business?

In fact, in the medical field, the matter of birth is very important. The simplest ones, such as Mizuki and Zhongyong in the financial circle, are said to be monopolized.

The same goes for medical care. For example, the two deputy directors have similar professional capabilities and the same in terms of life. In the final competition for the director, don't say that you don't know your background, it was brought out by an ordinary teacher, and no one knows if you tell it.

The other one just opened his mouth and said that I am old man Zhong's student, I am old man Hu's student, and my master is old man Qiu's apprentice. When he heard it, he immediately changed.

This is the so-called invisible benefit brought by connections.

The more this kind of place outside the border mountain is attached more importance to,

Just like the dim sum pea yellow in the capital back then, what is there that is different from other places, I can't eat it, but Nima eats it differently.

"No, no, I still understand the principle of standing at attention and taking a rest. I didn't have the nerve to come to the door before, because I didn't know the etiquette. If I meet you today, if I don't follow the rules, how can I see Master in the future!"

This guy is also on the road, from a teacher to a master. It was quite like Zhang Fan's posture of bluffing and deceiving under the banner of old man Lu.

"Hehe, that's enough, that's enough, let's not discuss about your uncles and nephews. Is Director Yang in the nine-bed hospital? Let the doctor bring over the medical records. I finally invited Zhang Yuan here today. I must let Zhang The school gives everyone a good class."

Xu Guangwei, the dean of the First Attachment, saw that it was almost done, so he interrupted the two people's implicit questioning. They were both thousand-year-old foxes on the mountain. He couldn't understand what Zhang Fan was thinking and what Yang Hao was thinking, so no one could understand Don't act for anyone.

When he met Zhang Fan last year with Zhao Jingjin and Luo Zhengguo, formerly the director of the extra-brain department attached to Yiyi and now the vice president of Chasu, he still thought that Zhang Fan was a technical madman. As for social science, well, he was a layman.

Damn, look again this year, this guy has improved so fast, what kind of medicine did he take, the effect is so good!

Xu Guangwei didn't say anything, but in fact, he was still envious to death in his heart. He has good technology, and he understands the system and people's hearts. He is a dog at such an old age. How can he be so old?

"Please, Dean, please, Junior Martial Uncle, please!" Yang Hao had confirmed his reputation as a disciple of the Qiu Sect. After entering the department, other doctors were already standing at the door of the office to greet him.

"Zhang Yuan, here we come!"

"Hello Zhang Yuan!"

Generally speaking, Zhang Fan still has confidence after all. "Little uncle, let me introduce to you, this is the new doctoral student in our department this year, and this is the new master's student in our department."

Director Yang introduced each newcomer this year, and Zhang Fan got to know each other with a smile.

And other doctors, especially doctors with similar qualifications to Yang Hao, are stupid now, with question marks all over their heads, "Didn't you say that you are just going to study, you are not a disciple outside the Great Wall Why, why did you have a relationship with Zhang Fan today?"

In the past, the boss should not make fun of the second, everyone came out of the Frontier Medical University. When so and so went to school, everyone knew what happened to the girl after chasing girls, and it was clear to each other who had holes under their underwear.

But now, not to mention the fact that this guy became a director, he suddenly became a disciple of the Qiu faction. Did this guy pay for it? How much is it, can you count me in!

Seeing some high-professional doctors who were not peaceful around him, with disbelief on their faces, Yang Hao was even happier than when he announced the director. He was even more confident in his heart, he must follow the little uncle well.

Suddenly, the middle-aged bald man looked at Zhang Fan differently.

"Others, you are familiar with my uncle, so I won't introduce them. This is a patient's case. You can take a look. I was planning to have an operation the day after tomorrow, but after several rounds of discussions in the department, there is no definite operation plan." , take your pulse."

There is a saying that goes well, three lives are unlucky, the magistrate is attached to Guo; three lives are evil, and the neighboring provincial capital is attached. It's good that Yang Hao became the chief director of PSU, but Dean Nima came from PSU.

This is good, the funds are sufficient first, can the dean not support his own backyard! Moreover, doctors are also delicate. For example, the orthopedic department used more antibiotics, and the clinical pharmacist who prescribed the prescription stopped the antibiotics directly for the orthopedic department.

And no one said how to use it for general surgery, because the boss is his own.

For ordinary general surgery doctors, they are very happy, and it is convenient to ask for leave for further studies, but for the new director Yang Hao, this shit is a disaster.

All the hilltops in the department led the younger brothers to rebel, and if there was a slight problem, they directly talked to the dean.

Once the dean intervened again, Nima, the director of general foreign affairs, was so exhausted that she wanted to resign.

Today's patient is an example.

Yang Hao advocated hiring the flying knife, and the other director advocated doing it in his own department. In the end, the lawsuit came to Xu Guangwei.

Old Xu hesitated, and there was disagreement in the department. For an operation, Du Nima became the rhythm of the team. Coincidentally, I ran into Zhang Fan today, and when Xu thought about it, he might as well invite one of the most authoritative people in the frontier to take a look.

Although Lao Xu was also worried about Zhang Fan's coming to Bird City, before Zhang Fan came to Bird City, it was great for a department director.

It's different now, in terms of rank, if Zhang Fan really came to Bird City, none of the directors of these top three hospitals in the provincial capital would be worried that his position would collapse.

Zhang Fan took a look at the medical records and frowned.

Esophageal anastomotic fistula!

No wonder the opinions in the department were not unified, so old Xu insisted on dragging Zhang Fan to consult.

An esophageal anastomotic leak is one of the most frightening surgical complications.

At that time, a world-class leader from the outside world said such a sentence, the esophagus is woven by loose muscle tissue, and the anastomosis of the esophagus is tantamount to forcibly pulling together those that cannot be sutured at all.

And this kind of anastomotic leakage is a common disease, almost reaching 25% of esophageal surgery. And the death rate is as high as 30.

Zhang Fan took the medical records and began to read them. The patient is 48 years old. According to the patient's oral statement, he accidentally swallowed a fishbone when eating fish a year ago, which caused pain in swallowing. After self-treatment, he swallowed the dough, but swallowing steamed buns didn't work. The patient didn't pay attention at that time.

Half a month later, the patient developed fever and chills, and had obvious difficulty in swallowing. After seeing a doctor in a local hospital, he was given esophagoscopy. The details of the treatment process are unknown. The patient felt better after the operation and was discharged from the hospital.

Three days ago, the patient suddenly developed a high fever and severe cough, rushed to the local hospital for treatment, and then transferred to our hospital.

This is probably a chief complaint and history of present illness of the patient.

If it was ten years ago, this case would be unqualified, because this case did not mention the patient's previous treatment and effect at all, but if it is now, this case can be used as a template. Without a trace of cause and effect.

After Zhang Fan read it, "Is there a leak in the chest?"

"Yes, the patient had a problem with the suture under the laparoscope, which caused the wound to suppurate, and then a fistula appeared. When he arrived at the hospital, the patient had already developed septic shock." Yang Hao explained.

"Okay, let's see the patient first." Zhang Fan closed the medical record and said. This medical record is only checked and checked, nothing else can be seen, and the writing is tight and tight. In this case, you are a layman to file a lawsuit?

Not to mention laymen, even if it is an expert in the medical field, there is no problem. Therefore, sometimes good things are not necessarily all good things!

Chapter 1470/2653
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Path of Medicine With a SystemCh.1470/2653 [55.41%]