Zhang Fan questioned the director of the Department of Gastroenterology. The director of the Department of Gastroenterology was sweating white.

If Zhang Fan couldn't find out today, he wouldn't be afraid. But today Zhang Fan found out.

The director of the Department of Gastroenterology's heart was as sharp as a willow leaf in the wind, "It wasn't this great last time. How long has it been since I came here? Why is it so great this time?"

He opened his mouth and didn't know what to say. No matter how you explain it now, it's useless. An orthopedic surgeon can detect your internal diseases, so what else can the internist say?

When people scold you, you have to lower your head and listen. Who makes you not good at your business?

"Look, look, in your department, a patient with gastroesophageal shunt disease is seeing a doctor for the first time. He is directly treated with imported omeprazole. Isn't it very comfortable to get commission? Why not use octreotide?

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

Zhang Fan took the medical records and patted them. The director's face turned pale and he couldn't say a word.

If Zhang Fan fails to check successfully today, a doctor will probably come forward soon and start to quibble about pharmacology for Zhang Fan based on medical records, physiology, and biochemistry.

However, no one dared to do so now, because they discovered that Zhang Fan's internal medicine skills seemed to have suddenly improved.

They can't stand the change anymore, and they can't be fooled by the change anymore.

It is not wrong to say that they are wrong, because the drugs are correct for the symptoms, but it is also wrong to say that they are wrong, because there are cheaper alternative drugs.

In the past, things like Zhang Fan were not easy to manage. Even though he was the dean, he was really not easy to manage. As people say, if there are people who are unjustly accused of being shot in a queue, but if they shoot every other person, there will definitely be people who slip through the net.

Moreover, doctors' salaries were not high in the past, and the hospital was located in a border area. If you were too strict, they would give up their job and go to the south. You really have no choice.

There is an example of this. It is said that in a border county, a new hospital director confiscated all the rebates on the medicines under the guise of preventing physicians from using medicines indiscriminately. Of course, after confiscating the medicines, it was said that he bought them 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 all of them changed jobs. The dean had no time to cry.

In the border areas, indeed, sometimes talents really are talents. Even if Mr. Nan Guo can block a hole in you, the leader will grit his teeth and say that Mr. Nan Guo is a great talent.

But it’s different now. Salaries at Chasu Hospital and among public hospitals in China are almost none higher than theirs.

At present, even at the Harbor Fishing Village United Hospital in the fishing village, this special hospital, the salary is barely the same as that of Chasu.

Therefore, Zhang Fan is already very tough when he talks and curses. Moreover, Zhang Fan's internal medicine skills can already convince them. In a technical unit, if you have the skills to curse, you have the confidence but not necessarily enough. If you have money and skills, you can curse.

Thick and big.

"Come on, tell me about this treatment now. Now tell me how to treat it." After cleaning up the director, Zhang Fan began to ask the doctor in charge of the bedside, and asked the doctor in charge of the bedside to give medical orders on the spot.

Ouyang looked at Zhang Fan, her heart bubbling, "When did this kid have such a high level of internal medicine? He was not as good as me before, but now he is even better than me." After thinking about it, she looked at Ren

Korea.

Ren Li smiled slightly, "My digestion is not as good as his!" she whispered to Ouyang Yi.

When Ouyang heard this, he glanced at Ren Li with a look that said, "What's the use of you?"

Then I could only watch Zhang Fan pretending to be 13 quietly.

"Ampicillin, sulbactam, 3.0g per day..." The doctor in charge of the bedside thought for a minute before starting to explain the treatment plan.

After Zhang Fan listened, he said: "Ciprofloxacin, 500 mg of metronidazole, a liquid diet, and the doctor's instructions will be changed as the symptoms change. After three days, it is recommended to eat a high-fiber diet and check blood routine regularly. If the white blood cells are increased,

, it is recommended to review CT!~

Which one do you think is better, mine or yours?"

After the doctor in charge of the bedside gave the medical orders, Zhang Fan immediately put forward his own plan and asked the doctor in charge of the bedside without asking anyone else.

The doctor in charge wanted to roll her eyes but didn't dare because hers was not as good as Zhang Fan's. She wanted to say that Zhang Fan was bullying others, but then she thought about it again. He is an orthopedic surgeon, so she had to say: "

Well done, Dean!”

"Don't be dissatisfied. I haven't read many internal medicine books. Comrade, you should pay attention!"

The doctor in charge of the bed is almost pissed off, but there is nothing he can do, they can do whatever they want now!

A surgical director came to the internal medicine department to check the doctor's orders. Really, how awesome is this!

Erosion, ulcers, sinus tracts, fistulas, cavities, and diverticula. When the terminology of the pathology examination was explained back then, Zhang Fan was particularly impressed by this diverticulum.

The explanations of medical school terms are all in English.

First, we need to translate it 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. When he took the exam, Zhang Fan knew the English word for a diverticulum, and he was excited to show off his skills. As a result, he recognized the word in English and suddenly

I found that I couldn’t write Chinese characters.

Really, at that time, Zhang Fan felt as uncomfortable as a dog on a date, as if he was looking for a favor to thank him for his patronage, but ended up ordering another bottle. Whoever bought it will understand the mood he felt at that time.

Zhang Fan was so embarrassed that he almost used Pinyin! Really, it would be a joke for a college student to use Pinyin when taking an exam.

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

This thing is meant to bully people. If you explain it to a student who has no clinical experience, it will be like not explaining it, and it will be very discouraging. Because if you don't understand a noun, a new noun will be formed.

Therefore, it is difficult to learn medicine by yourself. Sometimes you have to learn more and more, but if you learn incorrectly, you will be in trouble.

Back then, Zhang Fan and the others had just finished studying pathophysiology, and when they coughed and diagnosed themselves, they thought, cancer! It was just like the disease that everyone treats their mothers for now, and they would scare themselves to death.

In fact, if Zhang Fan were to explain this diverticulum now, it would be much simpler. In fact, it is a dent in the underwear of the intestines, just like a toothpick guy put a tent on his underwear after having a morning erection.

If it is not broken, the dimple formed by the underwear is a diverticulum. If it is broken, it is a sinus. Of course, this thing must be thin. If it is thick, it is not a diverticulum, but a hernia.

What is a hernia? It means that your own organs push out your own tissue into an abnormal depression. It does not count if it ruptures, whether it ruptures your own or someone else's, it does not count.

A hernia occurs when one's own organs are ruptured. For example, when the spermatic cord takes the intestines and ruptures the groin and femoral muscle layer, it is a hernia.

If the top is not broken, a hole will appear, which is a diverticulum.

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

Of course, the big toe of this beauty is relatively long. When the white stockings are not broken but the black stockings are broken, it is a hernia. When the white stockings are broken but the black stockings are not broken, it is an ulcer. When both the white stockings and the black stockings are broken, it is a hernia.

When the thumb is pushed out and the thumb leaks out, this is called sinus tract.

And the diverticulum is the little finger that doesn't break through the white stockings or the black stockings, but it forms a nest.

The ones that go outward from the intestine toward the muscle layer are called diverticula, and the ones that protrude toward the inside of the lumen are polyps.

If you memorize this thing according to its literal meaning, it seems very simple to separate them one by one, but similar nouns put together can often confuse students.

This requires your own methods. For example, Zhang Fan understands that polyps are when you urinate standing up and have a stick in your intestines. Diverticula are when you urinate while squatting and have slits.

Really, this is not driving, this is medical textbooks driving medical students to a dead end.

Many people say that surgeons drive badly. In fact, this has its roots. If you go to medical school and listen to the lectures of those old professors, especially the closer to clinical subjects, the worse the driving.

The more female teachers are and the older they are, the more aggressive they drive.

It's very strange that the male teachers in the medical school were very coquettish when they were young, but as they get older, they all look like moral gentlemen. As for the female teachers, when they were young, they were as cold as ice, and they would avoid even the word "fut" when they opened and shut their mouths.

But as I got older and my child learned how to make soy sauce, he started to let himself go.

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

"OK!"

Then, the director of the gastroenterology department and several vice presidents in charge of the internal medicine department were gathered in the office of the director of the gastroenterology department for a meeting.

Zhang Fan sat on the director's chair.

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

Of course, when he came, he had an expression like "We're breathing well, why did you ask me to come here?"

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

After Zhang Fan and others were all gone, he started talking.

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

What is Tongfang?

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

Then, at the end of the month, the drug dealer goes to the pharmacy department to start counting prescriptions one by one.

Let the director of the pharmacy department count who has prescribed how many bottles of medicine and who has prescribed it, and then pay the doctor accordingly.

Of course, the director of the pharmacy department can't escape either. When calculating how much a prescription costs, it's all clearly marked.

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

"No, it's not that I'm not happy, it's just that we only have a gastroenterology department and I can't tell the doctors below."

"I'm still brave. The gastroenterologists in the department are not as good as one orthopedic surgeon, so I have the nerve to mention it. I am here to give everyone a break. Today is the gastroenterology department, but today is not the end, but the beginning. Please finish the finishing touches as soon as possible.

Let the past be forgotten, and the future will be merciless.

Also, the Department of Gastroenterology will carry out a one-month skills training, and for those who fail to pass the second-level or even third-level outpatient clinics, the laboratory salary subsidy will be cancelled!"

This would be fatal.

"Are other internal medicine departments also started?" Ouyang asked.

"First internal medicine, then surgery. One department after another, until all hospitals have unified their prescriptions. European Hospital, this is to save them instead of harming them!"

"Okay, I support Zhang Yuan!"

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

Other deans also supported it, especially Lao Ju, who looked like he should have done it long ago.

Yan Xiaoyu looked at the team and felt upset.

If this unified formula is not the country, which president would dare to break it?

But, today, Zhang Fan made it clear.
Chapter completed!