From small clinic to medical empire

Chapter 53
The guard room, as the name suggests, is the place where the guards and security guards are on duty. Generally speaking, it can symbolically guarantee the safety of the outpatient department.

But if you really find a few tall and mighty security guards standing at the door, no matter how you look at it, it will make the outpatient department less friendly.

Zhang Zifan's idea was that it would be better to invite a retired man to come and see the door, and use the so-called guard room as a messenger room.

Thinking of this, Zhang Zifan walked out of the outpatient department and took a closer look at the three-story building that had gained a lot of weight.

If you want to build a communication room, the remaining open space is not enough. Although the business of the clothing store next to it is lukewarm, it doesn't look like it is going to be sublet or sold.

Shaking his head, Zhang Zifan could only put away the [Junior Security Room Blueprint].

Although I feel uncomfortable because of mild obsessive-compulsive disorder, I can only do this first.

……

Today's task is to complete a minor surgical operation, and Zhang Zifan failed to harvest all morning.

In fact, there were only three patients in total, one for a stiff neck and prescribing dog skin plaster, one for debridement and suturing in another hospital and then removing the stitches, and one for consultation on penis lengthening surgery...

In short, there is no one who seriously needs surgery.

It wasn't until three o'clock in the afternoon that Zhang Zifan's delivery boy finally arrived.

This was a fat little programmer who limped in with a domineering step and held his buttocks.

The nurse on duty in surgery today is Tranquility, she stepped forward to help.

The little fat brother may have little contact with women, so he made a big blush.

But this was obviously not the time to be pretentious. He said quickly: "Doctor, don't laugh at me! I have a bump in my butt..."

Zhang Zifan felt that his life was a bit unlucky. Could it be that hemorrhoids were the first minor surgery patient who changed his profession from oral cavity?

To be honest, Zhang Zifan was not yet mentally prepared.

Fortunately, the description of the programmer is not accurate. The so-called bag does not really grow in the butt, but on the back of the thigh.

Asking Jingjing to help half-take off the patient's pants, Zhang Zifan saw a slightly raised purple-red crater in this area, with a collapse in the middle and pus overflowing.

After a preliminary judgment, Zhang Zifan believed that the little brother had a "carbuncle" on his thigh, which was formed by the fusion of multiple adjacent hair follicles and the acute suppurative inflammation of their sebaceous glands and sweat glands.

This little brother is also very caring. Generally speaking, with the improvement of today's hygiene standards, such typical boils and carbuncles are becoming more and more rare. Even if they do occur, they will not reach this level.

Of course, judging from the amount of posts, this guy is also an experienced programmer. According to the life habits of programmers, it is not surprising that such a situation occurs.

"I went to the second province attached to the province to see it before. The doctor there said it was very serious and needed a B-ultrasound first, but the B-ultrasound said that it would take a week at the earliest to get the wheel. My ass can't afford it! "

The patient was lying on the examination bed with a hopeless face, moaning, this kind of carbuncle was really painful.

Zhang Zifan said, "Come down, Tranquility, and take the patient's temperature."

Originally used as a dental clinic, there was only an old-fashioned mercury thermometer and mercury sphygmomanometer.

Zhang Zifan purchased many small devices at the exhibition, including ten sets of ear thermometers and electronic sphygmomanometers.

The ear thermometer "dropped" once, Tranquility looked at the reading, and reported: "38.2 degrees!"

"I said why I'm so tired recently, I can't even code my favorite code, so I have a fever!"

The programmer brother said nervously: "Doctor, I don't need to be hospitalized, do I?"

Zhang Zifan shook his head and said: "This is not a serious illness, but you dealt with it too late. If you get sick in the future, you should treat it as soon as possible. If it is not serious, you can go to the community hospital or our outpatient department first. You don't have to go directly. A tertiary hospital.”

This is not Zhang Zifan's advertisement for his outpatient department, but the truth.

Although our country's medical resources are currently tight, they are not so tight. A large part of the so-called hard-to-find status is that many people are used to going to the best hospitals in the city for treatment when they have headaches.

This will not only cause idleness of community medical resources, but also cause unnecessary consumption of already tense advanced medical resources.

Of course, Zhang Zifan also knows that in the past, community hospitals were really good and bad, and the level of many hospitals was not flattering. However, with the implementation of the training system and the rotation system for going to the countryside in the past two years, the level of grassroots hospitals has gradually improved.

At least, in a developed coastal area like Donghai Province, community hospitals have no problem meeting the basic medical needs of citizens.

Of course, this level of improvement is indeed accompanied by the blood and tears of countless medical students, but it is a good thing for the country and the people.

……

After the physical examination, Zhang Zifan ordered the patient to have a blood test and a B-ultrasound.

In fact, the location of his carbuncle is relatively superficial, and it is not a big problem to cut it directly without B-ultrasound.

However, since the Second Provincial Attachment has given suggestions, if the Haoran Outpatient Department does not perform this B-ultrasound examination, it will appear irregular.

After superficial B-ultrasound examination and blood routine C-reactive protein detection, the indications of bacterial infection are very clear, and the related surgical risks have also been ruled out.

So, with the help of Tranquility, Zhang Zifan performed abscess drainage on Program Yuan, drained a large amount of grayish white pus, and rinsed it repeatedly.

【Ding!Congratulations on completing the daily task, rewards: Suture Skill +50, Hospital Construction Points +10, Inspection +50]

【Ding!Since you have a temporary aura [The All the Rage], your rewards have been doubled]

【Ding!Congratulations on killing a rare mob, a strong carbuncle!Cutting technique +20]

【Ding!Congratulations on getting the white item: Surgical Microscope]

[Surgical Microscope: An unremarkable microscope that can slightly increase the accuracy of microscopic vascular and nerve anastomosis]

It is worthy of being the first kill in surgery, and the equipment exploded.

Zhang Zifan was very satisfied when he heard the system prompts. Although it was just a piece of white equipment, it was very practical.

"Swipe brush-"

The printer spit out the prescription, and Zhang Zifan took out his exclusive pen and signed it.

The handwriting is flying and dancing, very like a doctor!
"Come to change the dressing every day, and take anti-inflammatory infusion treatment. First infusion for three days, and then see the follow-up situation. Remember to eat lightly and avoid alcohol, tobacco and spicy stimulation." Zhang Zifan issued the doctor's order.

Generally speaking, for serious infections like this, it is very normal for continuous infusion for one or two weeks. However, Zhang Zifan considered that the patient was young and the exclusive signature pen could increase the efficacy by 20.00%, so he only prescribed the medicine for three days at a time. .

If the prognosis is satisfactory at that time, the patient can be switched to oral medication.

"It's... everything else is easy to say... I don't have any inspiration for my work if I don't smoke a couple of puffs!" said the programmer brother distressedly.

"If it doesn't work, just smoke some e-cigarettes!" Zhang Zifan shook his head helplessly.

Except for patients with lung diseases, Zhang Zifan has never seen a patient who could follow the doctor's advice to quit smoking successfully.

In the past in the department of stomatology, smoking was the number one risk factor for periodontitis and mucous membrane disease. Zhang Zifan couldn't remember how many patients he helped quit smoking, but the success rate was always zero.

Letting patients smoke e-cigarettes can only be regarded as a compromise.

Although the country does not encourage e-cigarettes from an economic perspective, at least for dentists, e-cigarettes are still a good thing.

The mucous membrane toughness of smoking patients will be greatly lost, and there will be obvious embrittlement in clinical touch and probing, but in patients who smoke e-cigarettes, this change is not obvious.

Therefore, in many hospitals, dental implants are not allowed for old smokers, except for electronic cigarettes.

(End of this chapter)