From small clinic to medical empire

Chapter 4 At My Risk
This eldest sister surnamed Lu didn't care about the money for filming, she cared more about her daughter's health, and she seemed very anxious along the way.

"Dr. Zhang, do you think our Xiaonan is so young, will the radiation from the CT scan greatly affect our development?"

Zhang Zifan explained patiently: "CBCT is the abbreviation of Cone beam CT, which is cone beam CT. Its principle is completely different from that of general spiral CT, and the radiation dose is hundreds of times smaller.

Well... Let's put it this way, the radiation dose of a CBCT is only 1/40 of that of a normal chest X-ray, and it is only equivalent to taking a long-distance flight. "

"Uncle, is there radiation when flying?" Xiao Nan, who had been silent all this time, suddenly asked.

"Of course, radiation is everywhere in our daily lives."

Zhang Zifan nodded, "A lot of radiation is harmless, such as electromagnetic radiation, such as mobile base stations. At least the existing research has not found their hazards. Of course, X-rays are harmful to the human body, but let's talk about toxicity regardless of dose. It's unscientific."

"It feels strange that the knowledge has increased again!" Xiao Nan smiled, turned to her mother and said, "Mom, let's take the medical exam for the college entrance examination!"

"Okay, okay, doctor, this is a good job!" Sister Lu nodded in satisfaction, and said to Zhang Zifan, "As expected of a high-achieving student, Doctor Zhang, you explained carefully, so we can rest assured."

Persuading people to study medicine is like lightning strikes...

Zhang Zifan opened his mouth and was speechless.

……

The KaVo Beidou Dental 60D Imaging System is a three-in-one machine that costs about RMB [-] to [-]. It is a low-end CBCT, but it is enough to meet the needs of a clinic.

According to the requirements of the health department, the filming room must have special isolation measures, mainly to protect the filming doctors and waiting patients from being exposed to leaked radiation.

Especially for radiologists, if the protective measures are not up to standard, it will cause great harm to the body over the years.

Checking the details of the clinic layout in the system, we can see that although this filming room looks a little old, the thickness of the walls, the sealing of the lead doors, etc., are completely qualified.

In the First Affiliated Hospital, special doctors or technicians would be in charge of taking X-rays for patients, but here, Zhang Zifan had to take X-rays for patients himself.

Amidst the whining sound, the cantilever of the CBCT began to swing, and the machine warmed up successfully, which made Chusheng heave a sigh of relief.

If this kind of equipment is not used for a long time, it is afraid of various failures.

After asking Xiaonan to take off her glasses, metal hair accessories and earrings, Zhang Zifan put her in lead protective clothing and then asked her to enter the shooting position.

Lead is a very heavy and dense substance. Although it is awkward and uncomfortable to wear lead clothing, it can effectively block X-ray radiation and can focus on protecting glands such as the thyroid that are prone to radiation deposition.

The little girl may be a little afraid of closed environments. Zhang Zifan gave her an encouraging look, then guided her to gently bite the probe covered with a disposable protective film, then adjusted the angle of the cranial face and used a hood to cover her head. fixed.

"Hold on, 1 minute will be fine!"

With that said, Zhang Zifan walked out of the filming room and pressed the start button through the protective glass.

The machine beeped again, and the little girl cooperated and remained still. After the CT rocker arm rotated for a full circle, the image acquisition was completed.

……

Taking the mother and daughter back to the consultation room again, Zhang Zifan opened the relevant software on the computer to check the image data.

At this time, Dr. Liu and Dr. Tang, who had been paying attention to "Director Xiao Zhang", also came to watch.

"This ambush tooth is too... hiss..."

When Liu Jianming saw the deeply buried tooth that was almost upside down at [-] degrees and fitted with the inferior alveolar nerve, he was about to speak in surprise, but was quietly kicked by Doctor Tang.

"Let's not talk too much, let's see how Xiao Zhang handles it." Dr. Tang whispered in Liu Jianming's ear.

Tang Renbin was completely in a state of watching a show.

At noon, the personnel from the Beauty Beauty Clinic had already called and confirmed to sign with him with a guaranteed contract of [-] yuan.

As people go to higher places, water flows to lower places. Staying at this Haoran Dental Clinic is a waste of time.

But I didn't expect that there would be a good show to watch before leaving.

When Tang Renbin was young, he took the exam for dental practitioner eight times in ten years before he got the certificate.

Therefore, from the bottom of his heart, he doesn't like young people born in large classes. He thinks that they are all high-scoring and low-energy. When proving that "reading is useless", I can't help but cry out.

In fact, the theory that reading is useless may make sense when it comes to specific individuals, but from a macro perspective, education does determine the upper limit of a group.But Tang Renbin didn't care about statistics. The fact he wanted to establish was that the young man in front of him had high ambitions and low abilities, and was not as good as a man like himself who was making a living in the world.

If he hadn't taken on the first task, Zhang Zifan might have thought the same as Tang Renbin, suggesting that this patient go to a big hospital for treatment. This is not only responsible for the patient, but also for himself.

Although Zhang Zifan's oral surgery skills are B-, which is the highest among all clinical skills, and is even among the best doctors of the same level in the First Attached University of Z, but the risk and difficulty of this operation are too great, and the safest thing is to leave it to the director level physician.

However, giving up the mission means giving up the rewards of "all employees' loyalty +10, hospital construction points +10, and experience +50", which is really a big loss.

At this time, Zhang Zifan set his sights on the one-time skill up package. Within an hour, this up package can improve Zhang Zifan's surgical skills from B- to A- level.

According to Zhang Zifan's calculations, the level of doctors in general community hospitals and clinics is about FE, the level of doctors in second- and third-level hospitals is about ED level, and the level of doctors in ordinary third-level hospitals is about DC level.

In a powerful tertiary hospital like the First Attached to S University, or the so-called San Special Hospital, the level of ordinary doctors is about C level or above, the level of senior doctors is about B level, and the director level, that is, provincial experts, Should be at A level.

Of course, such a rough division is very rough, and it is only calculated by Zhang Zifan based on the three samples obtained so far.

I want to come to some hospitals, such as the Third City Hospital, which is famous for skin diseases. Although the hospital level is not high, the skill level of their dermatology doctors is likely to exceed that of many provincial hospitals.

But no matter what, after using the skill up package, Zhang Zifan's oral surgery skills as high as A- still gave Zhang Zifan a lot of confidence.

In fact, even if he doesn't use this up package, Zhang Zifan can still take a gamble with his B- level.

But this is not a life-or-death operation. As a doctor, Zhang Zifan will not allow himself to bet on the patient's health.

Therefore, Zhang Zifan resolutely clicked on the skill up package, and chose oral surgery technology as the improvement item.

For a moment, Zhang Zifan felt that his thinking was much clearer. Looking at the ferocious buried teeth on the CT image, he was no longer as helpless as before.

After a short thought, several feasible surgical plans appeared in Zhang Zifan's mind.

"Is this the strength of the boss?"

Zhang Zifan not only sighed, he originally thought that although there was a gap between A- and B-, it should just be improved in aspects such as finger flexibility. Unexpectedly, the real gap was far beyond his imagination. Sure enough, the gap in strength is such a thing , it is impossible to understand without experiencing it personally.

"Ms. Lu, Miss Xiaonan, don't worry. Although this operation is a bit complicated, we are confident that it will be successful."

Old Tang, who was leisurely drinking tea and watching a show, nearly spit out his tea.

He snorted and said to Zhang Zifan with a smile: "Director Zhang, it's a good thing to be young and vigorous, but you shouldn't try to be brave just to show off!"

Hearing this, no matter it was Shi Xiaoya or Liu Jianming, all of them became weird. Liu Jianming even gave Dr. Tang a hand and said, "What is Old Tang doing? Director Zhang has his own judgment!"

Before reminding the operation that the operation is difficult, it was to help find the steps. Now, if you say this again, it will demolish the stage. Liu Jianming thinks that Old Tang is too unreasonable.

First of all, in terms of address, as a doctor, the word "small" is very taboo. Even if an experienced senior doctor calls his student, if there is a patient present, he will usually call him "Doctor Wang" or "Doctor Li" instead of "Doctor Li". "Xiao Wang", "Xiao Li".

This not only represents a kind of respect, but more importantly, maintains their authority in front of patients.

It is impossible for Tang Renbin not to know this, but he did not call "Doctor Zhang" or even "Director Zhang", but directly called "Xiao Zhang". This behavior is very bad.

Secondly, for doctors, the most taboo thing is that their peers make trouble in front of patients.

Even if you have objections to your colleagues' plan, as long as it's not the kind of first aid that races against time or a big mistake in principle, you must remind them in private.

If you have to say it in front of the patient, you must speak it in a tactful manner. Otherwise, a treatment that was originally smooth may cause thorns in the patient's heart because of this sentence. Medical Dispute.

However, Tang Renbin didn't think there was anything inappropriate in what he did. Anyway, he had already found another clinic and now he was just dawdling.

But the young man in front of him didn't become as bewildered as he imagined. Instead of being bewildered, Zhang Zifan even smiled at him calmly and said:
"As your superior doctor, I suggest you, Comrade Xiao Tang, don't think that the superior doctor can't do it just because you can't do it yourself. I will sign the relevant surgical records, and I will bear the risk alone."

Zhang Zifan's tone was very flat, neither happy nor angry, as if he was talking about a very ordinary thing.

Comrade Tang?

Senior doctor?

Shi Xiaoya was young, so she couldn't hold back her giggles all of a sudden, while Tang Renbin's old face had turned pale, but he couldn't refute it.

Although Tang Renbin has been practicing medicine for nearly 30 years, it took seven or eight times to pass the medical qualification certificate, let alone the attending examination.

So in terms of professional title, Zhang Zifan is indeed his superior physician, there is nothing wrong with that.

"We believe in you, Uncle Zhang!" Xiaonan spoke first.

Sister Lu instinctively sensed that the atmosphere among the doctors was a bit weird, but seeing Zhang Zifan's calm appearance and her daughter's statement, she still chose to believe in this young "superior doctor".

"Xiaoya, prepare the operating room and surgical instruments. Doctor Liu, disinfect your hands and prepare the stage." After leaving a few instructions, Zhang Zifan led the mother and daughter into the operating preparation room for a preoperative talk.

Tang Renbin couldn't help but said to Shi Xiaoya and Liu Jianming: "What a shitty superior doctor, I am! Isn't he just a bad doctor? He didn't go to school when I was a doctor! What kind of spectacle is there! Just wait, you won't be able to do it for a while." On the operating table, let me see how he ends up!"

Shi Xiaoya and Liu Jianming looked at Director Zhang who was calm and unhurried from the back, and then at Dr. Tang who was furious.

Anyway, it's not their responsibility to have a medical accident. You can't miss this opportunity to watch such a difficult operation up close!

(End of this chapter)