The hospitals are getting bigger and bigger, and they look much more luxurious than the small hospital of the past. They have all kinds of advanced operating rooms that even make you think you have arrived in the future world.

In fact, this place lacks a kind of flavor and human touch compared to the past. Many people talk about hospitals, and at most they talk about medical skills and technology. This word is rarely mentioned, because to be honest, the bigger the hospital, the better.

The thinner the taste, it can even be as thin as standing on Mount Everest.

To be honest, the doctors and nurses in the hospital are facing lawsuits one after another. Really, it has reached the point where change is imminent.

Tired, who is not tired? This world is not a pure land, everyone has his own suffering. And the hospital, to be honest, here brings together the greatest sorrow and suffering in the world.

Is the bigger the hospital better? I didn’t know for the first 30 years, but it became clearer and clearer for the next 30 years.

They are all exactly the same, just paste and copy the treatment plan. The treatment is like treating a doll on the assembly line. Antibiotics are used according to their price. Ineffective Chinese patent medicines are added for free. Whichever one has a higher commission, use that one!

"Calculate, does this patient still need to eat? Calculate, how much body fluid replenishment has been achieved? Calculate, with so many amps of fluid, how many hours will it take for him to lie in bed to complete the transfusion.

Is this medical treatment? This is a crime."

Zhang Fan directly threw the medical records into Lao Ju's arms. Lao Ju's originally red face looked like two purple balls hanging on his fair face. He was really ashamed.

Zhang Fan didn't say a word to the doctor in charge of the bedside. The doctor in charge of the bedside was so frightened that he didn't know what to do.

"us……"

"Don't explain it to me. I don't need you to explain it to me. How do you explain it to the patient?" Zhang Fan didn't let Lao Ju say anything. "I don't care what you do for one day. You can improve it within one day and eat it."

Spit it out for me. Once you've vomited it out and you're satisfied with the revision, let's leave it at that.

If you are lucky, haha..."

After saying that, Zhang Fan left the ward.

Outside the ward and in the corridor, many patients who came from distant counties were reluctant to eat or drink. They took naan bread as hard as a stone and slowly tore it into a bowl of warm water, waiting for it to soften before letting it go.

The old man eats a little.

Withered hands, coughing body, holding a shaking bowl of water, ripples in circles seemed to hit Zhang Fan's heart.

In the past two years, Zhang Fan has been focusing on high-level medical skills. He always feels that as long as the hospital develops, it will always be better. But today's ward rounds made Zhang Fan feel uncomfortable. What is the sadness of medical treatment? Too

It is expensive but cannot be used, which is the greatest tragedy.

"Isn't the salary given by the hospital enough?" Zhang Fan seemed to be asking himself, or asking the doctors and nurses in the respiratory department.

I don’t know when the trend of competing for patient numbers among hospital departments and between doctors within departments started to spread. Zhang Fan usually turns a blind eye to this kind of competition.

It is beneficial to the development of the department and the hospital.

Now, he understands that the human heart is never full.

After entering the office, Zhang Fan's anger had subsided a lot, but he was still serious.

In the internal medicine department of Tea Su, especially the respiratory department and cardiology department, most of the doctors in these two departments have climbed out of hard times. Because their family conditions are slightly better, they are not willing to come to these two departments.

Tired, there are many patients, and the respiratory department deals with all kinds of phlegm every day. Who in the family is a little richer wants to queue up to watch fresh red sticky phlegm cough out one after another just after eating sun-cooked eggs in the morning?

It's warm and sticky like egg yolk just out of the pan.

Therefore, in terms of their learning and professional abilities, they can be said to overwhelm any department. As for their endocrinology skills upstairs, they are simply incomparable in front of the doctors from these two departments.

Their motivation is so terrifying that it is unimaginable. But what is the driving force behind it?

Since this place is about technology, let's use technology to kill these arrogant warriors today. Zhang Fan usually gives Lao Ju a lot of face. He feels that Lao Ju is a pure doctor, even more like a doctor than himself.

His protectiveness, his persistence, and even his unreasonableness were all admired by Zhang Fan. But today, Zhang Fan was angry. Some patients were so poor that they couldn't even bear to drink milk for breakfast. Tea on the edge of the grassland

As a vegetarian, milk is really cheap and it is really a habit. Some people even feel weak if they don’t take a sip of milk in the morning.

But here, these guys have made them quit drinking milk, and they have to give cefoperazone sodium and sulbactam sodium to the patient within half a month. What is this going on? This is just robbery with a knife.

Lao Ju was so confused that he stared at the ICU sent by Maran Ziguo, thinking exclusively about new technologies and developing cutting-edge technology. Instead, he became more relaxed about basic diseases.

Zhang Fan also understood that the King of Chu had such a slim waist that many people died of starvation in the palace! This was inseparable from his problems in the past two years.

However, today, the arrogance of these guys, the pride in the hearts of these guys, they still felt that Zhang Fan was being unreasonable.

In internal medicine, I have opened up the heart and breathing.

I was not good at internal medicine before, but now you are not good at internal medicine.

"Close the door!" Zhang Fan said with a cold face. The head nurse, Wang Hong, and Xiao Chen quickly closed the door as if they were racing.

The floor-to-ceiling windows were crowded with patients eating melons, coughing so hard that they almost suffocated, and curiously looking into the office.

"What is this little dean going to do? His face is so angry!"

"I heard that the doctor didn't treat her attentively and the black-faced dean got angry. This dean is quite reliable."

"Hey, it's true. I looked at him and he doesn't look very good. Look, he has a burnt yellow color on his face. This is because his liver is not good. He is too angry!" An old man said with an old man.

Huajing, holding a book that said it is better to seek medical treatment than seeking oneself, lowered his head to look at Zhang Fan, and then raised his head to read the analysis in the book.

The head nurse opened her mouth and wanted to chase people away.

Zhang Fan slapped the table and said, "Pray, patients still have expectations for you and are still so stupid to believe you. Don't you pride yourself on your high level? Okay, let me see today what level your respiratory department has."

.”

After finishing speaking, Zhang Fan started directly: "Let's talk about your three patients. According to his disease, it can be determined that the proteins in different stages of the cell cycle in cyclins, in the gene product of late g1 phosphorylation, will cause lung disease.

The tension of surfactants has decreased, so if you want to reduce this decrease in tension, what is the most appropriate treatment method?"

The human lungs actually have a layer of mucous membrane, which is just like the sticky synovial fluid on fish. This thing has many functions.

To put it more simply, it is a collection of sleeves, lubricants, fillers, springs, acid-base balance fluids and a series of functions. The more functions such a thing has, the less in-depth the research is.

Zhang Fan's question is very tricky. It involves both scientific research and clinical practice. It doesn't really go beyond the scope, but it falls into the category of Olympiad questions.

"Come on, Li Hui, let's talk about it."

Li Hui's scalp was numb. When he saw Zhang Fan getting angry, he knew that he would definitely be the first one to go under the knife today. "Because, because, because of the poor production of lactic acid, diamond, 5-hydroxytryptamine, and oxygen on the surface of the lungs."

Free radicals increase the content of catecholamines, leading to increased vascular permeability.

We should first dilate, dilate, dilate the blood vessels, give oxygen, and then..."

Zhang Fan nodded inwardly. Although Li Hui didn't understand the question, his guess was probably in the right direction. He had already achieved the so-called clinical feeling.

This feeling is very mysterious, especially when you are in the emergency room of a critical patient. You can't diagnose the disease, but you can feel what you should do. How can I put it this way? It's like seeing a beautiful woman. Although you don't recognize it, you still feel it.

You can be absolutely certain that whether she has a partner or not, the correct one can scare people.

"If you don't give a diagnosis, you will give a treatment. Is this what your director told you? People are dead, and you still treat them like a hammer!"

After scolding Li Hui, Zhang Fan's former teacher cried. Her intuition told her that she would definitely be called upon by Zhang Yuan next.

To be honest, the thing that Li Jingjing regrets most in the past few years is that she became Zhang Fan's tutor.

The doctors who had taken care of Zhang Fan in other departments were somewhat arrogant because they had taken care of Zhang Fan, but Li Jingjing was afraid. When she was treating tuberculosis, she had gone too far, and she regrets it now. If she had known about Zhang Fan's future

If she could become the dean and become so powerful in the future, even if someone from the temperate zone offered her 100,000 yuan, she wouldn't want it.

"Teacher Li, come on, tell us. Teacher Li is the most authoritative person below the director of the Respiratory Department. Come on, tell us your opinion."

It sounded like he was praising Li Jingjing, but under Zhang Fan's cold tone, Dr. Li almost cried.

"First, give intermittent positive pressure ventilation, then promote internal circulation in the body and increase oxygen saturation..."

She is a little higher than Li Hui. If compared according to the degree of completion of treatment, her handling method is 20 or even 30 percentage points higher than Li Hui's.

On normal days, Zhang Fan would smile and praise them, but not today. Zhang Fan wanted to get rid of their inexplicable arrogance.

"Don't you know how to use swan-ganz? If there is no definite value, just give positive pressure ventilation. Do you think you have rich experience or do you think you are superb? With your kind of rescue, the patient will not have time to go into surgery and his body temperature will be cold."

Teacher Li, should I ask which drug has a higher price and which drug has a higher commission? Do you have more experience? You and Li Hui are arrogant and domineering in the department. You will take patients who are yours, but you will also take patients who are not yours.

Rob.

The amount of antibiotics the two of you use for a month is equivalent to the amount used by an orthopedics department. You lie in front of the computer all day long and calculate your own little abacus, relying on your little bit of pitiful experience. Do you think that one trick will be enough?

enough.

You are still far behind. Don’t you just know how to use a few crappy instruments? Don’t you just publish a few inexplicable papers in crappy journals? Let me tell you, you are far behind.

I can't even solve the problem of being a surgeon, so why do you have the shame to brag about it? I tell you, if you want to work hard, but if you don't want to work, I'll just pack it up and leave. There are a lot of doctors waiting to be fooled.

Dean Ju, I want to see your letter of apology this afternoon."

After saying that, Zhang Fan stopped checking the room and left directly.

When Lao Ju heard Zhang Fan's roll call, he originally wanted to stand up and answer the question to earn some face for the Department of Respiratory Medicine, but he didn't let Lao Ju answer. It seemed like he was giving Lao Ju face. This is a naked bully.

.
Chapter completed!