medical simulator

After Yan Haihan finished speaking, his face was full of helplessness, as if he was carrying a mountain on his shoulders.

Then he pretended to ask casually: "I heard that you intend to recommend Zhou Cheng from your group to stay in the hospital? Did you go to tell Lao Shi yourself?"

"It's completely unnecessary. If you want to keep a regular trainee, you just have to tell Director Zeng and me. Why bother?"

"We are all old acquaintances." Yan Haihan flicked the cigarette ash in a tone of consideration for Cai Dongfan.

Favors are easy to use but not to be repaid.

What Yan Haihan said was reasonable, but Cai Dongfan couldn't understand what he was thinking, so he just said, "I think Zhou Cheng is not bad, and I plan to ask for an establishment for him."

The 'hezi' in Yan Haihan's hand fell into the ashtray...

Chapter 81 You can tell my relatives about it!

With a stunned expression, Yan Haihan picked up the cigarette butt and smashed it into the ashtray, and smashed it violently, then picked one from the cigarette case and lit it again.

Then he lowered his voice and said, "Cai Dongfan, do you know what you're talking about? You want to weave for Zhou Cheng?"

First of all, the hospital clearly stipulates that the current new employees should at least be graduate students. This time, it is a special kindness to select a batch of regular students to stay in the hospital.Although this is for certain groups of people.

Compilation is not something you can give if you want.

The total amount of local administrative staffing at all levels is reviewed and determined by the central agency staffing department, and the provincial agency staffing department assigns it!

The allocation of the total establishment of public institutions at all levels in the province, as well as the allocation of provincial establishments that need to be uniformly approved by the province, shall be submitted to the provincial editorial committee for approval.

The No. [-] Hospital is an institution directly under the Hunan Provincial Health Commission, and it must also be reported to the Provincial Editorial Committee.

You took an undergraduate student to apply, not to mention that it was not in compliance with the rules, did you discuss it with me and Director Zeng, can this be settled?

How much effort are you going to spend to get this spot?

"The staffing quota in the department has to be reported by the Human Resources Department to Director Zeng Yi and the administrative director of my department. Isn't it a bit inappropriate for you to do this?"

"And when I asked you before, you didn't express your opinion?" Yan Haihan frowned fiercely.

This year, the Department of Orthopedics can report for three staffing places, and they have to take the unified examination, and then make unified arrangements.

There are only four places for contract workers left for the general training of orthopedics.

The first department of orthopedics is the department where director Zeng Yida works. Two staff quotas have been taken away, and three quotas for contract workers have been allocated to the second department of orthopedics.

Now Cai Dongfan suddenly said that he would give Zhou Cheng the preparation. Didn't this move the cake that originally belonged to him?

Because if Cai Dongfan really wants to fight harder, then Yan Haihan is really not easy to take.

Is it worth it?

But the problem is, he has already made overall arrangements on his side, and yet such a moth suddenly appeared...

Cai Dongfan nodded, and said casually: "Director Yan, actually, this matter is not just my own idea and to promote this matter."

"Yesterday, my relative, that is, my cousin's father-in-law, didn't do manual reset. Zhou Cheng helped a lot."

"You also know that this relative of mine has already consulted many professors in the province. They all came back against a wall. Sending charcoal in a timely manner is the most popular..."

"They brought it up on their own initiative."

"Director Yan, if you have any ideas, why don't you talk to them? Anyway, you are quite familiar with each other before."

Cai Dongfan certainly didn't want to break up with Yan Haihan, he had already thought of an excuse.

But if you think about it, it is still possible and necessary.

Didn't you ask why?

Don't ask, it's because that relative of mine you once wanted to curry favor with wanted to do.

As for why, you originally snatched him away, but you couldn't grasp it, so what can I do?

What can you do?

Yan Haihan's expression tightened immediately, he blinked and said, "Ah? Uh..."

"This matter? Didn't you say that this patient was helped by Professor Zhong Hua?"

Yan Haihan knew about this, but what he heard yesterday was that Cai Dongfan called Professor Zhong Hua for help, and Yang Yifeng from his own group also helped a lot in the reset!

Only then did he succeed in putting the patient who had no other choice on the right path of conservative treatment.

When I heard about it at the time, Yan Haihan was so regretful that his intestines were green. He was the one who stayed with the patient.But he couldn't find a suitable solution, so he pushed it out again.

Originally, Yang Yifeng was in his own group, and he could have invited a professor who was more important than Professor Zhong Hua to do the technique reset.

Originally, this matter should be done by myself, that would be great...

It's a pity that there is no chance of doing anything again.

Cai Dongfan said: "Director Yan, isn't that the only way to say that?"

Yan Haihan was taken aback.

Looking at Cai Dongfan, he was slightly puzzled.

What do you mean you can only say that?

"It's not easy to make Professor Zhong Hua lose face, right?"

Yan Haihan stared at him, saying so just for Professor Zhong Hua's face?

Cai Dongfan, are you serious or joking?

Associate Professor Zhong Hua, to take care of his face, how old is Cai Dongfan?

Cai Dongfan said to himself: "But in fact, it was reset by Zhou Cheng's technique and Yang Yifeng's anesthesia."

"Patients themselves are aware of what happens in the operating room."

"Professor Zhong Hua is also clear, why don't you call and ask?" Cai Dongfan continued to add!

I asked NMB to ask.

Are you my three-year-old child?

"It's not necessary."

"Then... I'll think about it here..." Yan Haihan was having a headache at the moment.

In fact, he has almost made arrangements and overall arrangements, including who should give the establishment, and who should give the contract workers to.

If Cai Dongfan insisted on keeping Zhou Cheng, Yan Hanhan would definitely give him a contract position without saying a word.

It doesn't even matter if you give two, you can leave one for Du Yanjun.

But Zhou Cheng popped up all of a sudden, and Cai Dongfan's relative paid a lot of attention to his words.

What if Cai Dongfan pushes hard?

He has to think carefully about whether his current overall planning is worth it, and whether he should play a game!

As for Cai Dongfan's proposal to talk to them about it, he didn't want to kill Yan Hanhan either.

I know them well, that's superficial, do you think they really don't know that I threw them to you?

I'm going to say it.

Say your sister said.

I also asked Professor Zhong Hua——

Hit you mama bio!

"Well, okay. Director Yan."

Cai Dongfan nodded, continued to sit opposite and took a deep breath before saying, "Director Yan, there is one more thing that I have to explain to you."

"It wasn't me who told Shi Lei about Zhou Cheng's weaving. I just called him. Then my cousin-in-law also called!"

"Zhou Cheng is in my team. Since there is such an opportunity, as his tutor, it is logically unreasonable for me not to help him."

"I actually have a bit of a headache, Du Yanjun is my student."

"Director Yan, you must have such a dilemma in your heart, right?" Cai Dongfan found a common ground and began to empathize with Yan Haihan.

Cai Dongfan knew a long time ago that it was impossible for Yan Haihan to give the establishment to Min Chaoshuo, although he met the requirements.Nor will it be given to Xu Yanlin in the group. Xu Yanlin's ability is insufficient and his congenital conditions are lacking. If he wants to give it to others, he will only leave one contract worker for his own students.

Even if Yan Haihan is the director, he must be a little entangled and guilty in his heart.

But very small.

Yan Haihan shook his head slightly, sighed with emotion...

Slowly said: "Yes!"

……

After Cai Dongfan walked out of the director's office, Yan Haihan cursed in a low voice: "Cai Dongfan from Mahler Gobi."

"This topsy-turvy ability is not lost at all!"

"It's as if I don't know that you are behind the scenes." But Yan Haihan could only mutter in a low voice, not daring to speak out in person.

After Cai Dongfan left the office, he ran to his relatives with a smile on his face, and came to a special post for rounds.

He was in a good mood, and he liked to see Yan Haihan's deflated look, but he didn't dare to complain. He really thought that since he was the director, he could dominate the department?

Of course, Cai Dongfan also knew that Yan Hanhan would definitely not believe what he said just now.

But believe it or not is his business, as long as there is nothing wrong with what he said, you can pursue it if you like, anyway, I have left room for everyone's face.

Gee!

Anyway, I didn't really think that I could successfully get Zhou Cheng to weave it, so you're welcome if you're disgusting.

It's not that Cai Dongfan is unwilling to contribute, it's true that Zhou Cheng's academic qualifications are limited here. Now that the establishment is made, unless there is a strong pressure from top to bottom, otherwise, the hospital's rigid regulations will be there.

difficult...

However, another reason why Cai Dongfan is so busy for Zhou Cheng is that this kid is also very good at performing surgery in addition to manual reset. Being able to stay is definitely a very good help for him. .

Chapter 82 Do something!Do something!

Yan Haihan and Cai Dongfan went to the director's office, and Dong Qiansheng, the deputy director of Yan Haihan's team, led a round of the ward. Currently, there are only three doctors in charge of the bed: Min Chaoshuo, Xu Yanlin and Pang Dingkun.

Yang Yifeng was not assigned the task of managing the bed, Yang Yifeng just looked around in the department like a horse on a horse, very free.

What he said is that he came here to learn this saying, and he has never been close at all...

Zhou Cheng was naturally led by Luo Yun to make ward rounds, because most of the patients in the group have already been treated. Zhou Cheng himself has four postoperative patients, and one 28-bed femur fracture patient is waiting for surgery, so there is no need to deliberately deal with it. .

As long as you routinely wait for the swelling in the thigh area to go away, you can schedule surgery.

For the patients who underwent surgery last week, the re-examination of the inflammatory indicators has returned to normal, and the pain caused by the surgery has also been greatly reduced, and the intravenous medication can be stopped one after another.

After starting to strengthen functional exercises such as getting out of bed and walking, you can also switch to oral anticoagulant therapy, and you can be discharged from the hospital at an optional date.

A patient whose fracture was reset by manipulative manipulation yesterday can start contracting the quadriceps and ankle pump function exercises from today, so as to train the muscle strength of the muscles of the lower limbs so as not to atrophy, and to fully prepare for getting out of bed later. preparation.

Of course, in addition to strengthening functional exercises, bone-promoting drugs and preventive anticoagulation drugs must continue to be used.

Otherwise, a major problem with conservative treatment is the decrease in activity, the arterial flow rate of the lower extremities will become slow, and the swelling and extrusion will cause the vascular cavity to narrow to a certain extent.

After the flow rate is slowed down, the complication that needs to be paid attention to is the formation of venous thrombosis in the lower extremities.

In fact, thrombosis is not terrible, it will only lead to local edema, just afraid of the thrombus falling off!

The thrombus flows back through the veins, and it will be blocked wherever it goes, which is terrible.

Rather than targeted anticoagulant therapy after thrombosis, it is naturally best to prevent thrombus from forming.

Preventive treatment is actually preventive treatment.

At the same time, review the X-ray results, which are the imaging results objectively recorded in the hospital system. You can re-evaluate the situation of the manipulation reduction, and at the same time leave a retreat for yourself. .

Although the chance of this is very small, Yan Haihan's words are not wrong, the most important clinical quality is stability.

In other words, it is necessary to be cautious.

Patients with intertrochanteric fractures undergoing PTFN (intramedullary nail fixation) also need to review X-rays after surgery to evaluate whether the intramedullary nail is in place and whether it is firm...

After the house inspection, Luo Yun led Zhou Cheng and others to determine the diagnosis plan.

It is Zhou Cheng and other bed doctors to complete the addition or deletion of part of the doctor's order, change the dosage of the medicine, change the medicine, and write the case.