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Trade-off 8


"What are you worried about?"

Director Liang and Chen Wenqiang asked questions together."

Alas!"

Director Wang sighed and said with obvious unwillingness: "I didn't do a good job at the beginning of this operation.Lao Chen, don't blame me for being greedy.I know that spinal cord neurofibromas are classified as neurosurgery in foreign countries, but in China, ......, "Director Wang is in Chen Wenqiang's kind of demeanor, I see where you are pulling, and said with a little shame: "How can China be half to half." ”Chen Wenqiang said disdainfully: "My surgery is scheduled for more than a month.I care if you grab a spinal neurofibroma?

If you can snatch the glioma of the thalamus, I'm still looking at you for three points. ”Director Liang will be a peacemaker."

Lao Wang, how many years have we known each other, what do you have that you can't say directly.Let me tell you, my liver cancer surgery today will make me choke enough.If you want to continue to be so empty-headed, I'll go to Chinese medicine for massage. ”Chen Wenqiang urged him: "My department and the hospital office, there is a backlog of mess everywhere."

Lao Wang, I don't have time to go around in circles with you, if you don't tell the truth, I'll leave. ”"Don't, look at the two of you, ah, don't leave me any room for foreshadowing, are you two like to talk?"

Director Wang angrily accused Chen Wenqiang and Director Liang, and the attitude was as if these two people were sorry for him."

Like a painting?

Next life.As I am now, I knew fifty years ago. ”Chen Wen emphasized himself.Then urged Director Wang: "Hurry up and get down to business." ”Director Wang sighed and still didn't say a word right, so angry that Chen Wenqiang stood up.He hurriedly grabbed Chen Wenqiang and said, "We stirred the horse spoon together many years ago, you are dozens of years old, why do you still have so little patience."

Sit down, I'll tell you.I won't hide it from you, I was reckless in this operation today.I really wanted to prove myself with a fourth-level surgery, well, to change the status quo of the orthopedic ward being crowded by the emergency department into a second orthopedic department. ”Director Wang used the attitude of treating death as home, and came out with a long list.Chen Wenqiang asked with a solemn face: "What happened during the operation?"

Did the fibroid damage the spinal cord during removal?

”Director Wang hurriedly shook his head, his head shaking like a rattle.Seeing this, Director Liang smiled and comforted Director Wang: "Lao Wang, you don't need to worry if you don't damage your spinal cord."

Let's review it step by step and repeat your surgical steps again to see where there may have been omissions.Good no good?

”Director Liang's proposal is very good, but it feels very delicate to Director Wang.But in order not to embarrass more people in front of him, he still checked the patient's MR film on the reader, and then slowly recalled the details of the operation with a frown.Chen Wenqiang bit his tongue several times, and finally waited until Director Wang finished the operation.He immediately rushed to ask: "You are first worried about the hematoma, worried that the paravertebral muscles will not stop the bleeding completely, right?"

”"Yes."

Director Wang nodded painfully and entangled in admission.Then he said, "I should let Lao Gu go on stage with me for this operation." ”"Gu Guangfu, are you staying up to old Gu now?"

Director Liang joked.Director Gu hurriedly said: "It was Director Wang who lifted me, and I will always be Xiao Gu in front of you." ”Chen Wenqiang smiled: "You are also embarrassed, a person in your forties and fifties."

How old are your sons, you call yourself Xiao Gu, you are not ashamed. ”Director Gu Guangfu grinned and gave the three directors a dilemma and a flattering smile, which can be regarded as revealing whether he is an old Gu or a small Gu.Chen Wenqiang then asked Director Wang: "Who do you take for surgery?"

”"Wang Qiang, Jin Xin, and the newly graduated Wang Dali I brought.""!

Lao Wang, you are tired of being crooked, and you want to die!

”Chen Wenqiang defined Director Wang in one sentence."

Look at you, although Wang Qiang is not weak, and Xiao Jin is also working hard, but this kind of operation, you can take Xiao Gu to do it together, do you take them to the two of you or do you think that they can be as meticulous as Xiao Li when they are tied up?

They, I'm not saying they're bad, but fourth-level surgery, you have to wait for three or five years. ”"Lao Chen, don't worry."

Director Liang pulled the excited Chen Wenqiang.Although Lao Wang was worried about the appearance of hematoma, he was just worried.You said that he has been cautious for decades, how could he be negligent in such an important operation.He scared himself. ”Chen Wenqiang then asked: "The vertebrae stop bleeding, think about whether there are any loopholes." ”"That shouldn't be.I made it myself. ”Director Wang still has confidence in himself."

What about the dural venous plexus?""

Probably not."

Director Wang is not a strong personality in the first place, and under Chen Wenqiang's aggressive questioning, he is losing and retreating, and he seems to be even more depressed.Chen Wenqiang leaned back in his chair and said helplessly: "You left the paravertebral muscles to stop bleeding to Wang Qiang and Xiaojin, right?"

”After receiving the nod from Director Wang, Chen Wenqiang continued: "I will do a CT scan tomorrow afternoon, and if there is no hematoma within 24 hours, the chance of hematoma will be much smaller." ”Director Liang spoke: "If there is a hematoma, it will most likely appear within 72 hours.During this period of time, the wound has not healed, so let's push it back and clean up the hematoma.It is easy to do without spinal cord edema. ”Director Wang grinned bitterly, what did it become when he pushed it back?

Then I might as well not have this surgery.Chen Wenqiang couldn't get used to seeing Director Wang like a defeated bald rooster, so he continued Director Liang's words: "It's easy to deal with spinal cord edema, first dehydration, hormones, and the big deal is to open the dura."

Lao Wang, I'll cheer you up, even if there is a cerebrospinal fluid leak, it's not a fatal thing.You've been watching Cory a little hard these days, you can call me if you have something. ”"Uh-huh.I'm guarding it myself in Cory.If there is anything, I will look for you, you can get Lao Liang and Xiao Li to arrive immediately. ”Director Wang immediately asked Chen Wenqiang for assurance.".The patient is really fine, I'm sure I'll be back soon.But I can get there, Xiao Li, you still don't expect it.The man in our hospital is not dead, she is the only one left. ”Chen Wenqiang was not polite at all.Director Liang stood up with a smile and said, "It's enough to have Lao Chen accompany you on stage."

Alright, that's all for now.I went back to see my liver cancer.I said, Wang, maybe you're scaring yourself. ”"I wish it was okay."

Director Wang got Chen Wenqiang's promise, and his mood was a little better.Chen Wenqiang took the lead and walked out.This way, he was pinched several times by Director Liang.Under the pressure of Director Liang, he had to change his attitude and tone of voice.After arriving in the elevator room, he earnestly told Director Wang, who sent him: "Don't rob me of neurosurgery in the future."

Abroad, the spinal cord is classified as neurosurgery, and there is a reason for its own family.We are Western medicine, and we are still in line with the world.Besides, you have so many orthopedic surgeries, that's not enough for you?!

I said that you and Xiao Gu were originally safe characters, how they worked before, they will always do it in the future. ”Director Wang grinned, and Director Gu cautiously said that he remembered Dean Chen's teachings.Director Liang advised Director Wang: "Lao Wang, don't be in a hurry, take your time."

Also, that pulling out the seedlings to help them grow is harmful and not beneficial.Even Jin is here, and I'm going to say the same.If you let go of the second-level surgery and give it to him, I will thank you.For such a major operation, you should take it easy. ”"Good!

Good!

Thank you for understanding me. ”Director Wang gratefully clasped his fist at Director Liang and sent Chen Wenqiang and Director Liang into the elevator.He walked back with chagrin, regretting it in his heart.Not only regretted that he chose the case incorrectly, but also regretted that he had too much trust in Wang Qiang and Jin Xin.These two are not the kind of people like Xie Xun and Li Min in essence.It's useless to give them both a chance!

However, Director Gu Guangfu, who was following him, showed a clear look.Director Wang, he has been managed for too long, and once no one cares about it, he will not be able to act in a measured manner.As soon as the patient was admitted to the department, he reminded him to be referred to the neurosurgery department, but he was reluctant.Alas!

Don't "enter the palace twice".* Chen Wenqiang followed Director Liang out of the elevator.There was no one in the elevator room, and the two of them stood outside the general surgery ward and talked."

Do you say that Lao Wang is really afraid of accidents?

I can't believe that he will be vague about such an important place as paravertebral muscle hemostasis. ”Chen Wenqiang was very dissatisfied."

I didn't go to work for two days, and he still played tricks with me.!

”Director Liang smiled and comforted Chen Wenqiang and said, "He will not be ambiguous.This operation is completely capable of being taken down by his ability.However, Lao Xiang took Zhang Zhengjie today for an open reduction and internal fixation of pelvic fractures.Their operation was completed early, and Lao Xiang ran from operation room to operation.I guess maybe the old king was affected by his run. ”Chen Wenqiang's eyebrows twisted out a big pimple, "Gu Guangfu is not affected, right?"

”"Xiao Gu's end was early.After he finished the operation, everyone finished their lunch. ”"Lao Wang is still a little wrong.I'm afraid that he will be a bird to Taihe. ”Chen Wenqiang was dismissive."

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If he's a tough guy, he's going to have to devolve like me.I guess he'll prepare the book for you first, and sell it before me.With his ability, if the patient's nutrition can keep up with the operation and the incision healing ability is normal, you should report to you in advance of the new progress of orthopedic surgery. ”"I hope."

Chen Wenqiang grinned."

Come and sit in our department for a while?"

Director Liang invited Chen Wenqiang."

I'm not going."

Chen Wenqiang pressed the elevator button."

It's time for me to go back to Corey for a night round.There is elective surgery tomorrow. ”By the time Chen Wenqiang hurriedly returned to Corey, Li Min had already taken people to start the evening rounds.He followed the back of the team silently, and after listening for a while, Li Min came out of the ward and saw Chen Wenqiang behind the crowd."

Teacher, you're back."

Li Min was very happy."

Teacher, come and do the ward rounds.""

Okay."

Chen Wenqiang took it without shirking.He understands Li Min's pressure, and at her age, he doesn't bear as much pressure as her.He shook his head and squeezed out the memories that came to him from Lao Li at that time, and he concentrated and focused on doing evening rounds.When the investigation was almost over, the trainee nurse chased after Chen Wenqiang."

Dean Chen, Secretary Tang is looking for you to go back to the hospital.""

Hmm."

Chen Wenqiang agreed and continued to make rounds.There are still a few patients left, and I can leave work with peace of mind after reading it.

*Secretary Tang's office.The desks, chairs, bookcases, sofas, etc. in this office are all the same as Dean Shu's office, but the width is slightly narrower than that of Dean Shu's, but it is a little wider than that of Dean Fu, Dean Fei and others.This obviously narrower and wider office seems to hint at Secretary Tang's status in the provincial court.Of course, Secretary Tang's current status is inseparable from Chen Wenqiang.It is also because Chen Wenqiang is becoming more and more dominant that Dean Fei and others realize the existence of Secretary Tang, so that she is no longer a simple, symbolic symbolic existence.The cardboard box that Director Wang had brought a long time ago was placed on Secretary Tang's desk.Even Secretary Tang, who was a nursing professional, frowned in disgust, but he didn't change Director Wang's silent insistence on putting it on her desk.The carton contained all the property of the small treasury of the provincial hospital.In Director Wang's heart, the amount of money has nothing to do with him now, and he has taken the bulk of it, and he still keeps the mantissa in his hands, so it is better to hand it all over to satisfy the two deans of Shu and Chen."

Where's Dean Chen?"

Director Wang sat down and asked.Dean Fei said: "When Secretary Tang was making a report just now, I saw a very beautiful little nurse coming to him.I don't know which subject. ”Secretary Tang smiled: "Old Fei, what you said is not authentic."

You don't believe all the nurses in our provincial hospital, but if you don't know the beautiful nurses, then you will fool us.Who doesn't know that Sister Yang was a flower in the pharmacy at the beginning. ”"yes.Dean Fei, you picked the most beautiful flower in our provincial hospital, it is all the legend of the pharmacy. ”Dean Fu coaxed.Dean Shu was in a good mood and nodded his head: "What the old man said is right.I remember when the eldest of my family was about to leave, the birth of your little girl shocked half of our provincial hospital. ”Dean Fei smiled modestly and said, "The third child in my family looked okay when he was a child, and he became more and more like me when he grew up, alas!

It's a pity that her mother's genes are gone.Three children" Secretary Tang answered: "One looks better than the other." ”The corners of Dean Fei's mouth twitched, but he couldn't deny Secretary Tang's words.It's a pity that the foundation of his own boss is too poor, and the second brother is stronger than his brother, but he is just an ordinary person.As for the girl's appearance, she is much better than the two brothers, but she is only barely beautiful.According to her mother, it was far off."

There seem to be more daughters like fathers.I don't know how this gene combination came about. ”Dean Fei sighed. ”"My daughter doesn't look much like me."

Dean Shu regretted.Dean Fei said: "It's also very good to be like Director Chu. ”He touched his face and sighed: "When I was young, I said that I didn't care about appearance, I had to care about whether my thoughts were motivated, but now I think about who can not care." ”"Lao Fei, you finally told the truth."

Secretary Tang put down the phone with a smile and continued to dial: "Dean Chen didn't go back to the 11th floor.Where can he go?

”"Ordinary outside?

Emergency department?

Orthopaedics?

In addition to this, he may also go to pediatrics.That's all there is to it. ”Secretary Tang dialed the phone to find someone in the order of the proposal.Dean Fu said, "Have you noticed, some people have recently pinned a BB machine to their waists.If Lao Chen brought one of those things, wouldn't it be easier for us to find him?

”Dean Fei knew more about the BB machine, and he said with a smile: "The BB machine can also leave a message."

I see a booklet with a simple combination of numbers to represent what it means.Better than our phone.Sometimes when I am not in the office, I don't say that others can't find me, or I can't get feedback in time for the things I have arranged.·” Secretary Tang immediately answered with great interest: "Lao Chen is not outside the general public, I am most looking forward to him having a BB machine at this time, so that he can come back quickly." ”"He had a phone at hand.Otherwise, it's still impossible. ”Dean Shu didn't think the BB machine was good.Being tracked anytime and anywhere is an unimaginable hassle.Dean Fei answered: "I think there should be one for each department director in the hospital, and no one can stay in the hospital and at home 24 hours a day."

Once something happens, use BB paging to find someone to return to the hospital in time.I've heard that cattle are herding in the United States, and those cows have BB machines hanging on their noses.Cows that have been trained to reflex will know to run back as soon as the BB machine vibrates. ”Dean Shu's expression was very subtle."

But it costs 30 yuan a month for paging fees."

Director Wang interrupted Dean Fei's wonderful prospects."

For the BB machine that the department director needs to use at work, they may not be willing to pay 30 yuan a month.If you match the director, you have to match the middle level of the hospital, and so many people add up to a lot of money every month. ”Dean Shu immediately said, "It's still after the completion of our women's and children's center."

It will be much more abundant by then. ”"At least it's time to give the heating next year.""

It's been a year, and it's gone by quickly.We don't have that much money to spare right now. ”Director Wang said with a smile: "I see someone who has taken a BB machine, and a small thing will cost one or two thousand yuan." ”Dean Fu said with a smile: "The BB machine is not expensive to buy in bulk in the south." ”Secretary Tang frowned and said, "Lao Chen and Lao Liang just left the orthopedic department.Lao Shu, the other directors don't care about it for the time being, and they have to give Lao Chen a BB machine.Where can this man go?

”Dean Fei agreed: "Yes, give Lao Chen one."

Otherwise, if there is an emergency department to open a craniotomy at this moment, where can we find him?

”"There's Li Min.For emergency surgery for head injury, Li Min took Dr.

Ma and a few of them to do it. ”Dean Shu objected to Chen Wenqiang's BB machine.Seeing that Dean Shu mentioned Li Min, Secretary Tang immediately followed and said, "Old Shu, my daughter is in her third year of high school this year.I want to hand over my daughter to Li Min to help me bring it.It's a pity that Li Min has to go to class on the weekend. ”"It's time for her to go on maternity leave."

Dean Shu enthusiastically gave Secretary Tang ideas, and the topic was instantly transferred from the BB machine to the child's college entrance examination.

*Director Fan returned to his office in the preparation workshop.Xu Qiang was already waiting for her.Director Xiao chatted with Xu Qiang, and heard that Director Fan informed him to pick up the check for remittance, and when Director Fan came back, he casually pointed out something and left, and poured the office to Director Fan.Xu Qiang was the first to rush to Director Fan's office because he was active in various departments of the provincial hospital this afternoon.With the vibration of the BB machine in his waist, he was notified by Director Fan for the first time.After receiving a few checks, signing them, and putting them away, Xu Qiang pinched the zipper of his briefcase, thought about it and thought about it, and didn't take out the application for medicine that Li Min had written for him.He actively requested: "Director Fan, you have so many checks, everyone will come to collect them in a while, I will go to the door of your office to maintain order."

I'll put one in when one comes out, do you think it's okay?

lest many people make a mess with it. ”Xu Qiang's thoughtful suggestion, Director Fan of course happily accepted it.She also suggested to Xu Qiang: "Write 30 numbers first, and send them one by one." ”"Okay."

Xu Qiang took the carton leather given by Director Fan, took the marker pen provided by Director Fan, and quickly completed the number plate."

Xiao Xu, how are you preparing for your homework?"

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Director Fan looked at him differently from the moment he knew why Xu Qiang wanted to be a medical representative and then he had to take the doctoral exam, and usually gave him special care."

It's a lot worse."

Xu Qiang said modestly."

There are 5 months left, come on!

If you are admitted to a doctorate and do your studies well, you have earned about the same amount in the past two years. ”Director Fan picked up the water cup.Xu Qiang smiled and said, "It's all up to you, the director, to carry me." ”Director Fan was noncommittal, and after taking a few sips of water, she asked Xu Qiang seemingly carelessly: "Xiao Xu, how is the nutrient test you did in the neurosurgery department?"

”Xu Qiang immediately became nervous.He said cautiously: "Director Fan, those two enteral nutrients do not have enough domestic clinical trial data, and I dare not take the liberty of bothering you to take medicine." ”"And now?""

Now there are almost thousands of cans of neurosurgery combined."

Xu Qiang opened the briefcase and took out Li Min's medication application form.Holding both hands to Director Fan, he said, "Because of Dean Chen's family affairs, I didn't dare to take it out on Monday." ”Director Fan took it and saw that it was the application report written by Li Min, but Chen Wenqiang stamped his seal.Then it's easy to do.She looked at it again, and when she looked up again, Xu Qiang had already placed two envelopes on her desk.Xu Qiang bent down slightly and said respectfully: "This one is customary.This one is the cost of the new drug entering the hospital.This is something to worry about the director. ”Director Fan smiled and put away the two envelopes and the medication application.Then she stared at Xu Qiang with an inquiring attitude and asked, "Xiao Xu, if I don't ask you, when are you going to take it out?"

”"It's Saturday at the latest."

Xu Qiang explained with a shy smile: "I came here before I went to work in the afternoon.Seeing you from afar going to the hospital office in a hurry, I didn't dare to disturb.Thinking about coming back before work to see if you're free.Um, I've been in neurology all afternoon today, um, mainly asking patients who are taking these two nutrients, asking if they have any intolerance or any adverse effects. ”Xu Qiang's proper and cautious actions made Director Fan appreciate it.She praised Xu Qiang with a smile: "You are the only one who can put competing products together."

How do you plan to promote these two nutrients in the future?

”"This ......

To tell you the truth, judging from the results of neurological and surgical tests, the effectiveness of these two products is actually not much different.How to push it depends on the company's high promotion fee for clinical practice.Of course, the other can't be completely abandoned. ”Xu Qiang told Director Fan the truth.Director Fan smiled but said nothing.As he spoke, there was a knock on the door."

Please come in."

Director Fan spoke.Two young men came in one after the other.Xu Qiang immediately greeted him and said, "Dude, we have to line up today."

Come, you number one.You're number two. ”He shoved two numbers into the young man's hands."

How about you come with me to the door and wait for a while, and when he comes out, you will go in?"

Xu Qiang caught his eyes, and the medical representative with the second number understood in seconds, and followed Xu Qiang out.Such a good thing to get the money back, although it happened suddenly, so that everyone did not have time to prepare some small gifts, you can give a few Jinggangshan to express gratitude, it is inconvenient for someone to watch on the side.After a while, the medical representatives who rushed to pick up the check gathered outside Director Fan's office, and most of the numbers in Xu Qiang's hand were dispatched.But when one came out, one could go in again, and there was an orderly queue, and there was no noisy scene.It wasn't until it was completely dark that all the checks in Director Fan's hand were taken away by the medical representatives who rushed over."

Xiao Xu, thank you for your help.Let's go to my house for dinner. ”Director Fan politely invited Xu Qiang."

Thank you, Director.Another day.Inexplicably, today at the Affiliated Hospital of the Medical University, she waited for me to come home for dinner. ”"Oh, that's a bit too far.Hurry up and take a taxi back from the main entrance. ”"Uh-huh.Goodbye, Director Fan. ”Xu Qiang grabbed his briefcase and hurried to the main entrance.His figure was soon swallowed up by the night.() The distance is a bit far