Surgical Fate
Chapter 20 9
Early in the morning two days later.
"This Zhuang Shu hasn't moved in yet?" Lu Chenxi lives here again with An Min.
An Min sat on the bed, "I said yesterday that if he came, it would be inconvenient for you to live here. Why did you change your tone this morning? I look forward to his coming."
"Take good intentions as a donkey's liver and lungs. I'm not afraid that Dong Dongyao, who doesn't know where he is hiding, will do something to you these few days." Lu Chenxi went to look through his clothes. What's going on? What if something really happens?"
"Then I can only blame my bad luck." What else can I do?
"What's wrong with your life? Where is the aura of you blocking and killing the Buddha in the hospital?" Lu Chenxi changed her clothes, "Why are you so negative when you encounter your own affairs and just pass by?"
"Otherwise, what should I do? Find a killer and kill Dong Dongyao to avoid future troubles?" Just like in those Hong Kong and Taiwan movies you watch, "I have no money."
"I don't ask you to borrow it." Lu Chenxi began to look for pants again. "Well, I said he is from Yangfan. Do you think Yangfan knows that he lives with you?"
"It doesn't matter if you know what to do or not, you don't need to talk about Yang Fan." An Min stood up, "Didn't he find that Chu Jun all the time, why do you still talk about me?"
"That's what I said, but I don't think he gave up on you at all. Didn't Li Hongjie also say that besides the idlers he found, there was another person who approached them to warn Dong Dongyao. That person is said to be from Pioneer Pharmaceuticals. , who else in our hospital has the energy to let Pioneer Pharmaceuticals protect you from disasters?" Lu Chenxi turned around and didn't see hers, so she stopped and thought about where she put it. "And the supper last time I am the one who was harmed by Yangfan and went to the emergency room, and only you can stimulate him." Turning around, "Why, do you really have any thoughts about him?"
"No, Huang Yaoshi has only regarded his wife as a treasure all his life, and I don't want to pretend to be so affectionate." An Min went to brush his teeth first.
"You ask Li Hongjie to ask Zhuang Shu." Chen Xi remembered that the trousers had been taken back to her apartment. "An Min, lend me a pair of trousers."
"Take whatever you want." Take whatever you like in the cupboard.
……
There is a department meeting today.
Zhuang Shu is first on the left of Yangfan, and An Min is first on the right.
Chief Physician Fang Zhiwei is making a report "Patient Zhang Gencai, male, 65 years old, was admitted to the hospital in the emergency department due to massive hemoptysis. After hemostasis and antibiotic treatment, the condition improved and he underwent left upper lobectomy." And resection, diagnosed as well-differentiated adenocarcinoma, clinical stage II, the family members of the patient said that they wanted to go back to their home hospital for follow-up chemotherapy after surgery, so can this patient not undergo chemotherapy in our hospital?"
Yang Fan, the director of the department, wore a pair of thin-rimmed glasses, looked radiant and did not speak.
Zhuang Shu is the chief surgeon who has the most right to speak. "Patients can be reimbursed for surgery in our hospital, but chemotherapy cannot be reimbursed if they do not go back to their local hospital, so it is really unrealistic for them to undergo chemotherapy in our hospital."
Fang Zhiwei understood Zhuang Shu's meaning, "Then follow the previous rules, since it is the family's wish, Yixin." He told another resident doctor, "You must tell them to sign all the signatures, and don't wait for anything to happen in the follow-up treatment." We are responsible for the problem."
The female resident knew how things worked "Got it."
At this time, Yang Fan, who had been silent for a long time, knocked on the table with the pen in his hand, attracting the attention of others, Yang Fan looked at the two people around him, "It's not like the rules in the past can't be changed, you can't always think about not taking responsibility; I It is suggested that before the patient is discharged from the hospital, we will work out the chemotherapy plan with the oncology department, and then communicate with the doctor of the other hospital through remote consultation, so that we can contact us at any time during the chemotherapy process.”
Zhuang Shu was a little surprised by Yangfan's attitude this time.
Fang Zhiwei felt that Yang Fan was very reasonable this time, "Okay, then I will do as the director says."
Li Hongjie noticed that the corners of Liu Changhe's mouth curled up, "Director Yang, can the patient Li Aiqin from the border area treated by the teacher do the same?" Her situation is similar to that of Zhang Gencai.
Yang Fan knew the female patient, "Of course, we need to treat all patients equally."
Fu Anmin smiled, "Director Yang, Fang Zhiwei is very aware of Zhang Gencai's situation, and Hongjie is even more aware of Li Aiqin's situation. Why don't we do this chemotherapy regimen together? Let them do it after consultation with the oncology department. After all, this is our first chemotherapy regimen." If you do this once, you still need to explore how to do it. Each patient has his own situation. In order to ensure the effect of subsequent chemotherapy, the plans should be done separately. Which one is better still needs to be brainstormed. What do you say? Really."
Yang Fan also maintained a polite attitude, "Is this necessary? Although each patient's situation is different, the chemotherapy plan should be formulated together, so that the oncology department can also save time. Our departments are very busy."
"I'll let Hongjie finish it in his spare time, so it doesn't take up work time." Fu Anmin didn't let go.
Zhuang Shu looked at them.
"Then don't do it." Yang Fan simply said, "Let them go back to the local hospital for chemotherapy, just sign everything."
"Then I'll do it myself, in the spirit of being responsible to the patients." Fu Anmin confronted Yang Fan. "I believe that several deans in the Academy Affairs Council will support me in doing this."
Liu Changhe also looked anxiously at Yang Fan.
The corner of Yang Fan's mouth curled up, "I know that Director Fu is taking a responsible attitude towards patients..."
"Thank you Director Yang for your support, Hongjie, you are lucky." Fu Anmin interrupted Yang Fan's words and made a decision in public.
Li Hongjie also said quickly, "Okay, I will definitely come up with a plan as soon as possible."
Yang Fan stared at the bold Fu Anmin.
Liu Changhe took a sneak peek, feeling extremely dissatisfied but dared not say a word.
Fang Zhiwei was a little conflicted: what happened to Zhang Gencai's follow-up chemotherapy regimen?To do or not to do?
Zhuang Shu really couldn't understand why it happened between them.
"The latest insurance policy last time has been issued to every department." Fu Anmin's voice was soft and waxy, "I know that Director Yang refused because he was worried that Li Hongjie was working too hard. You are sympathetic to them, but it is not a good thing to change the order every day; you should take advantage of this policy. Considering the patients in an all-round way, Director Yang, you are the leader of Renhe, and you will never follow the old ways. You must let us understand the existing policies and use existing resources flexibly to treat patients and teach them. I said that in this regard, your courage is lacking in other departments of Renhe.”
Zhuang Shu really couldn't get used to her flattery without a trace of kitsch at the moment.
"Director Fu is right. If Director Yang's idea is followed, it will benefit more than one patient." Liu Changhe explained Fu Anmin's idea as Yangfan's.
"It's not just the patients who benefit. It's a great thing for scientific research to follow up the patients after surgery and fully grasp the prognosis data." Another chief physician also agreed.
Zhuang Shu didn't say anything if he had doubts.
Liu Changhe sat next to Fu Anmin, "Director Fu is really Director Yang's confidant, he has understood Director Yang's thoughts thoroughly, and every sentence hits the point; how can we not compare to this."
Zhuang Shu glanced at Fu Anmin, wondering how she would respond to Liu Changhe's behavior of stealing his ideas to Yang Fan.
"The colleagues present here are all the subordinates of Director Yang. They are like right-hand men. No one can compare to anyone." Fu Anmin said indifferently, "Because we all benefit, Director Yang seems to be omnipotent. You said Is that so? Director Liu."
Yang Fan knew that Fu Anmin agreed with Liu Changhe on the surface, but she absolutely wanted to intervene in this matter, so she didn't show it.
Zhuang Shu's strokes across the binding column of the bound book.
……
After the meeting is the ward round.
An Min followed Zhuang Shu's group again, because most of her patients were in the first ward this time.
Before checking a few beds, Fu Bowen came excitedly, "Professor Zhuang, I'm looking for Dr. Fu."
Fu Anmin came over, "What's the matter? Dean."
"Come with me." Fu Bowen and An Min spoke casually.
Fu Anmin glanced at Zhuang Shu and Li Hongjie, and followed Fu Bowen.
Emergency Office on the first floor.
In addition to Lu Chenxi, the chief doctor inside and outside the heart also came to one.
"It's all here." Fu Bowen came with An Min.
"Teacher Fu." Chen Xi spoke first, took a half step back, and smiled at An Min again.
Fu Bowen stood in front of the film, "Dr. Fu is here, please tell me about your illness." He instructed Chen Xi.
Lu Chenxi began to introduce, "The aortic dissection aneurysm is between six and seven centimeters in diameter, and it is close to seven centimeters here. It is very dangerous and may rupture at any time. It is recommended to operate immediately."
An Min also watched the video.
"Another bully." Chen Xi whispered to her.
In this case, Fu Bowen made a decision, "I agree, let's notify the operating room to prepare."
"I've already called." Lu Chenxi knew that the teacher would definitely agree.
"Pericardial tamponade, combined with rupture and bleeding, it is very possible that the lesion involves the hepatic and renal arteries." Fu Bowen made a judgment on the situation, "Old Wu, Lao Zhou, I need your assistance when the operation reaches the corresponding position."
They naturally agree.
"I suggest preparing an autologous blood salvage machine." Fu Anmin was still watching. "This kind of operation will inevitably cause a lot of blood loss, so you must be prepared for blood preparation."
"Okay." Old Wu knew that Fu Bowen would usually agree to Fu Anmin's words.
"I suggest that Doctor Fu perform this operation." Fu Bowen didn't want to give up this opportunity to Zhuang Shu, and looked at An Min, hoping that she would not refuse, and that she would understand the intention of his proposal.
"Yes." An Min naturally understood his intentions, "Dean, can I pick an assistant?" As long as Fu Bowen agreed, Yang Fan would have nothing to say.
"Who do you want? It can't be Professor Zhuang again." Fu Bowen gave her a small nod.
An Min recited the following words, "Dr. Lu has a bad temper but good surgical skills. Dr. Lu is ranked second in the technology required for this kind of surgery. No one dares to be the first. I believe that with her as an assistant, I will get twice the result with half the effort; It's just that this is a thoracic surgery after all, and Dr. Lu is now an emergency doctor, so I'm worried that Director Yang won't easily agree to let her participate in this multi-disciplinary operation."
"Then if Director Yang disagrees, who do you think is the right assistant?" The situation was so critical, but Fu Bowen was a little hesitant.
"Doctor Zhuang." An Min couldn't choose someone else, "but I heard that he has an operation scheduled for today."
What Fu Bowen waited for was An Min's words, "Come on, Doctor Lu. The patient's life is important. I'll talk to Yangfan."
"Time doesn't wait, the dean will tell me, and Chenxi and I will make preparations." An Min gave Lu Chenxi a hand, "Go, tell me the patient's other indicators on the way."
Fu Bowen shook his head: This girl kicked the problem to herself again.
On the other hand, Yang Fan was told by the nurse Xiao Zhang that Fu Bowen took An Min away for a seriously ill patient: Fu Bowen clearly wanted An Min to bring Lu Chenxi back to the operating table, and then find an opportunity to stuff her back into the chest Outside; aortic dissection is a thoracic operation, even if Fu Anmin asks Lu Chenxi to be the first assistant, she and Fu Bowen must always have someone say to themselves, "Go and ask Dr. Zhuang about today's surgery arrangement." To the people around her explain.
"Ok."
In a blink of an eye, I saw Ge Lin in front of the nurse's desk, "Is that a family member of a lung transplant patient?"
"Yes." Nurse Xiao Zhang was still there, "The patient has woken up and will be transferred to the chest ward soon."
Yang Fan looked at it from a distance, "It must be arranged well." He thought about it again.
"Director, Dr. Zhuang has two surgeries today, both of which are scheduled for the afternoon." Soon someone came back and forth, "One is to remove a tracheal cyst, and the other is to remove a bronchial cyst."
"Okay, I see." Yang Fan got the news he wanted.
The author has something to say:
After watching some cuts of Tan Baba in Ode to Joy 2, I personally feel that Andy is really not suitable for Lao Tan, as long as Lao Tan has Zhen Zhen!I feel a little strange, even if he is a friend, does Tan Baba care too much, it hurts!
And it’s even earlier today, get used to it!
"This Zhuang Shu hasn't moved in yet?" Lu Chenxi lives here again with An Min.
An Min sat on the bed, "I said yesterday that if he came, it would be inconvenient for you to live here. Why did you change your tone this morning? I look forward to his coming."
"Take good intentions as a donkey's liver and lungs. I'm not afraid that Dong Dongyao, who doesn't know where he is hiding, will do something to you these few days." Lu Chenxi went to look through his clothes. What's going on? What if something really happens?"
"Then I can only blame my bad luck." What else can I do?
"What's wrong with your life? Where is the aura of you blocking and killing the Buddha in the hospital?" Lu Chenxi changed her clothes, "Why are you so negative when you encounter your own affairs and just pass by?"
"Otherwise, what should I do? Find a killer and kill Dong Dongyao to avoid future troubles?" Just like in those Hong Kong and Taiwan movies you watch, "I have no money."
"I don't ask you to borrow it." Lu Chenxi began to look for pants again. "Well, I said he is from Yangfan. Do you think Yangfan knows that he lives with you?"
"It doesn't matter if you know what to do or not, you don't need to talk about Yang Fan." An Min stood up, "Didn't he find that Chu Jun all the time, why do you still talk about me?"
"That's what I said, but I don't think he gave up on you at all. Didn't Li Hongjie also say that besides the idlers he found, there was another person who approached them to warn Dong Dongyao. That person is said to be from Pioneer Pharmaceuticals. , who else in our hospital has the energy to let Pioneer Pharmaceuticals protect you from disasters?" Lu Chenxi turned around and didn't see hers, so she stopped and thought about where she put it. "And the supper last time I am the one who was harmed by Yangfan and went to the emergency room, and only you can stimulate him." Turning around, "Why, do you really have any thoughts about him?"
"No, Huang Yaoshi has only regarded his wife as a treasure all his life, and I don't want to pretend to be so affectionate." An Min went to brush his teeth first.
"You ask Li Hongjie to ask Zhuang Shu." Chen Xi remembered that the trousers had been taken back to her apartment. "An Min, lend me a pair of trousers."
"Take whatever you want." Take whatever you like in the cupboard.
……
There is a department meeting today.
Zhuang Shu is first on the left of Yangfan, and An Min is first on the right.
Chief Physician Fang Zhiwei is making a report "Patient Zhang Gencai, male, 65 years old, was admitted to the hospital in the emergency department due to massive hemoptysis. After hemostasis and antibiotic treatment, the condition improved and he underwent left upper lobectomy." And resection, diagnosed as well-differentiated adenocarcinoma, clinical stage II, the family members of the patient said that they wanted to go back to their home hospital for follow-up chemotherapy after surgery, so can this patient not undergo chemotherapy in our hospital?"
Yang Fan, the director of the department, wore a pair of thin-rimmed glasses, looked radiant and did not speak.
Zhuang Shu is the chief surgeon who has the most right to speak. "Patients can be reimbursed for surgery in our hospital, but chemotherapy cannot be reimbursed if they do not go back to their local hospital, so it is really unrealistic for them to undergo chemotherapy in our hospital."
Fang Zhiwei understood Zhuang Shu's meaning, "Then follow the previous rules, since it is the family's wish, Yixin." He told another resident doctor, "You must tell them to sign all the signatures, and don't wait for anything to happen in the follow-up treatment." We are responsible for the problem."
The female resident knew how things worked "Got it."
At this time, Yang Fan, who had been silent for a long time, knocked on the table with the pen in his hand, attracting the attention of others, Yang Fan looked at the two people around him, "It's not like the rules in the past can't be changed, you can't always think about not taking responsibility; I It is suggested that before the patient is discharged from the hospital, we will work out the chemotherapy plan with the oncology department, and then communicate with the doctor of the other hospital through remote consultation, so that we can contact us at any time during the chemotherapy process.”
Zhuang Shu was a little surprised by Yangfan's attitude this time.
Fang Zhiwei felt that Yang Fan was very reasonable this time, "Okay, then I will do as the director says."
Li Hongjie noticed that the corners of Liu Changhe's mouth curled up, "Director Yang, can the patient Li Aiqin from the border area treated by the teacher do the same?" Her situation is similar to that of Zhang Gencai.
Yang Fan knew the female patient, "Of course, we need to treat all patients equally."
Fu Anmin smiled, "Director Yang, Fang Zhiwei is very aware of Zhang Gencai's situation, and Hongjie is even more aware of Li Aiqin's situation. Why don't we do this chemotherapy regimen together? Let them do it after consultation with the oncology department. After all, this is our first chemotherapy regimen." If you do this once, you still need to explore how to do it. Each patient has his own situation. In order to ensure the effect of subsequent chemotherapy, the plans should be done separately. Which one is better still needs to be brainstormed. What do you say? Really."
Yang Fan also maintained a polite attitude, "Is this necessary? Although each patient's situation is different, the chemotherapy plan should be formulated together, so that the oncology department can also save time. Our departments are very busy."
"I'll let Hongjie finish it in his spare time, so it doesn't take up work time." Fu Anmin didn't let go.
Zhuang Shu looked at them.
"Then don't do it." Yang Fan simply said, "Let them go back to the local hospital for chemotherapy, just sign everything."
"Then I'll do it myself, in the spirit of being responsible to the patients." Fu Anmin confronted Yang Fan. "I believe that several deans in the Academy Affairs Council will support me in doing this."
Liu Changhe also looked anxiously at Yang Fan.
The corner of Yang Fan's mouth curled up, "I know that Director Fu is taking a responsible attitude towards patients..."
"Thank you Director Yang for your support, Hongjie, you are lucky." Fu Anmin interrupted Yang Fan's words and made a decision in public.
Li Hongjie also said quickly, "Okay, I will definitely come up with a plan as soon as possible."
Yang Fan stared at the bold Fu Anmin.
Liu Changhe took a sneak peek, feeling extremely dissatisfied but dared not say a word.
Fang Zhiwei was a little conflicted: what happened to Zhang Gencai's follow-up chemotherapy regimen?To do or not to do?
Zhuang Shu really couldn't understand why it happened between them.
"The latest insurance policy last time has been issued to every department." Fu Anmin's voice was soft and waxy, "I know that Director Yang refused because he was worried that Li Hongjie was working too hard. You are sympathetic to them, but it is not a good thing to change the order every day; you should take advantage of this policy. Considering the patients in an all-round way, Director Yang, you are the leader of Renhe, and you will never follow the old ways. You must let us understand the existing policies and use existing resources flexibly to treat patients and teach them. I said that in this regard, your courage is lacking in other departments of Renhe.”
Zhuang Shu really couldn't get used to her flattery without a trace of kitsch at the moment.
"Director Fu is right. If Director Yang's idea is followed, it will benefit more than one patient." Liu Changhe explained Fu Anmin's idea as Yangfan's.
"It's not just the patients who benefit. It's a great thing for scientific research to follow up the patients after surgery and fully grasp the prognosis data." Another chief physician also agreed.
Zhuang Shu didn't say anything if he had doubts.
Liu Changhe sat next to Fu Anmin, "Director Fu is really Director Yang's confidant, he has understood Director Yang's thoughts thoroughly, and every sentence hits the point; how can we not compare to this."
Zhuang Shu glanced at Fu Anmin, wondering how she would respond to Liu Changhe's behavior of stealing his ideas to Yang Fan.
"The colleagues present here are all the subordinates of Director Yang. They are like right-hand men. No one can compare to anyone." Fu Anmin said indifferently, "Because we all benefit, Director Yang seems to be omnipotent. You said Is that so? Director Liu."
Yang Fan knew that Fu Anmin agreed with Liu Changhe on the surface, but she absolutely wanted to intervene in this matter, so she didn't show it.
Zhuang Shu's strokes across the binding column of the bound book.
……
After the meeting is the ward round.
An Min followed Zhuang Shu's group again, because most of her patients were in the first ward this time.
Before checking a few beds, Fu Bowen came excitedly, "Professor Zhuang, I'm looking for Dr. Fu."
Fu Anmin came over, "What's the matter? Dean."
"Come with me." Fu Bowen and An Min spoke casually.
Fu Anmin glanced at Zhuang Shu and Li Hongjie, and followed Fu Bowen.
Emergency Office on the first floor.
In addition to Lu Chenxi, the chief doctor inside and outside the heart also came to one.
"It's all here." Fu Bowen came with An Min.
"Teacher Fu." Chen Xi spoke first, took a half step back, and smiled at An Min again.
Fu Bowen stood in front of the film, "Dr. Fu is here, please tell me about your illness." He instructed Chen Xi.
Lu Chenxi began to introduce, "The aortic dissection aneurysm is between six and seven centimeters in diameter, and it is close to seven centimeters here. It is very dangerous and may rupture at any time. It is recommended to operate immediately."
An Min also watched the video.
"Another bully." Chen Xi whispered to her.
In this case, Fu Bowen made a decision, "I agree, let's notify the operating room to prepare."
"I've already called." Lu Chenxi knew that the teacher would definitely agree.
"Pericardial tamponade, combined with rupture and bleeding, it is very possible that the lesion involves the hepatic and renal arteries." Fu Bowen made a judgment on the situation, "Old Wu, Lao Zhou, I need your assistance when the operation reaches the corresponding position."
They naturally agree.
"I suggest preparing an autologous blood salvage machine." Fu Anmin was still watching. "This kind of operation will inevitably cause a lot of blood loss, so you must be prepared for blood preparation."
"Okay." Old Wu knew that Fu Bowen would usually agree to Fu Anmin's words.
"I suggest that Doctor Fu perform this operation." Fu Bowen didn't want to give up this opportunity to Zhuang Shu, and looked at An Min, hoping that she would not refuse, and that she would understand the intention of his proposal.
"Yes." An Min naturally understood his intentions, "Dean, can I pick an assistant?" As long as Fu Bowen agreed, Yang Fan would have nothing to say.
"Who do you want? It can't be Professor Zhuang again." Fu Bowen gave her a small nod.
An Min recited the following words, "Dr. Lu has a bad temper but good surgical skills. Dr. Lu is ranked second in the technology required for this kind of surgery. No one dares to be the first. I believe that with her as an assistant, I will get twice the result with half the effort; It's just that this is a thoracic surgery after all, and Dr. Lu is now an emergency doctor, so I'm worried that Director Yang won't easily agree to let her participate in this multi-disciplinary operation."
"Then if Director Yang disagrees, who do you think is the right assistant?" The situation was so critical, but Fu Bowen was a little hesitant.
"Doctor Zhuang." An Min couldn't choose someone else, "but I heard that he has an operation scheduled for today."
What Fu Bowen waited for was An Min's words, "Come on, Doctor Lu. The patient's life is important. I'll talk to Yangfan."
"Time doesn't wait, the dean will tell me, and Chenxi and I will make preparations." An Min gave Lu Chenxi a hand, "Go, tell me the patient's other indicators on the way."
Fu Bowen shook his head: This girl kicked the problem to herself again.
On the other hand, Yang Fan was told by the nurse Xiao Zhang that Fu Bowen took An Min away for a seriously ill patient: Fu Bowen clearly wanted An Min to bring Lu Chenxi back to the operating table, and then find an opportunity to stuff her back into the chest Outside; aortic dissection is a thoracic operation, even if Fu Anmin asks Lu Chenxi to be the first assistant, she and Fu Bowen must always have someone say to themselves, "Go and ask Dr. Zhuang about today's surgery arrangement." To the people around her explain.
"Ok."
In a blink of an eye, I saw Ge Lin in front of the nurse's desk, "Is that a family member of a lung transplant patient?"
"Yes." Nurse Xiao Zhang was still there, "The patient has woken up and will be transferred to the chest ward soon."
Yang Fan looked at it from a distance, "It must be arranged well." He thought about it again.
"Director, Dr. Zhuang has two surgeries today, both of which are scheduled for the afternoon." Soon someone came back and forth, "One is to remove a tracheal cyst, and the other is to remove a bronchial cyst."
"Okay, I see." Yang Fan got the news he wanted.
The author has something to say:
After watching some cuts of Tan Baba in Ode to Joy 2, I personally feel that Andy is really not suitable for Lao Tan, as long as Lao Tan has Zhen Zhen!I feel a little strange, even if he is a friend, does Tan Baba care too much, it hurts!
And it’s even earlier today, get used to it!
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