This doctor has a system

Chapter 244 232. Your toe ran down on its own

"Are you interested?" Dean Guo asked straightforwardly, "This is an instruction from the superior department. The hospital will establish a general medicine department in the near future."

"Many well-informed people have come to see me, but..."

Dean Guo's meaning is very clear. Some of them are also my people, but you are different. Your position in my heart is very high.

"I'm afraid I can't." Gao Feng was only slightly moved, but he quickly put this idea behind him, "I have never held a management position before, and being a department director is really beyond my ability."

Moreover, to establish a new department, the preliminary work must be very tedious, and Gao Feng is now very trouble-free.His current stall has been spread out widely, so there is no need to collect more things for himself.

Others want to be directors for nothing more than fame and fortune.The department director has the final say in the department, and has a lot of room for maneuver when it comes to some gray matters.

Academically, having the title of department director will also make others look high on you.

But Gao Feng doesn't need it, he has money, and a lot of it.As for his reputation, he thinks it has developed very well now. Which master's degree student can accomplish so many things within one year of graduation.

Even if you become the director of the general medicine department, I'm afraid it won't be much better than now, so it's completely unnecessary.

"You can learn slowly if you don't have management experience." Dean Guo said with a smile, "This department was established for the large-scale training of undergraduates and junior college students in the province. In the future, it will mainly play a teaching role. busy."

I'm here, are you still worried about not having the cost of trial and error?Dean Guo thought to himself.

"Forget it, I feel a little overwhelmed now." Gao Feng said, "The drug development at Z University and the fully degradable occluder all involve a lot of my energy."

Moreover, the monoclonal antibody catalytic substrate will be put on the preparation schedule in another two months, and Xinhua Pharmaceutical has already begun to rush it.

"Okay." Dean Guo didn't force it anymore. There was no shortage of people in the hospital who wanted to make progress. He also had many followers who usually worked hard. He just gave people an explanation, so that people around him would be more comfortable in the future. Be motivated.

As soon as Gao Feng walked out of the dean's office, his cell phone rang. He looked at it and saw that it was an unfamiliar number.

"Hello, who is it?"

"Teacher Gao, I am Xiao Zhu from general surgery. We have a patient who would like you to come over for a consultation."

Xiao Zhu from the general surgery department?Gao Feng was a little puzzled and seemed to have no impression.

"I am Director Hu's subordinate doctor. He asked me to contact you." Xiao Zhu continued.

No wonder, it turned out to be the doctor from Lao Hu's group, "Okay, I'll be there right now."

The patient was a 65-year-old man who was hospitalized for calculus cholecystitis 6 days ago and was stabbed by Director Hu.

He was recovering well at first, but two days ago he developed fever, cough, and yellow phlegm after catching a cold at night. The doctor in charge, Xiao Zhu, took a chest X-ray for the old man. The result showed pneumonia in the lower right side, and the scope of inflammation was quite large. .

"I gave him cefuroxime sodium, but the effect was not very good, and the fever was still severe." Dr. Xiao Zhu was in trouble, "Can you see if he will be transferred to your department?"

While the two were talking, a nurse hurried over and said, "Dr. Zhu, go check on bed 20. The patient's toe fell off when the dressing was changed."

"Oh, I'll go!" Dr. Zhu said sorry to Gao Feng and quickly turned around and left the ward.

Lost your toe?
Gao Feng was severely shaken. What's going on?Curious, he also followed.

It turned out that this was a diabetic foot patient.

Diabetic foot, English abbreviation: DF, as the name suggests: diabetic patients have lesions in the blood vessels and nerves of the foot far from the ankle joint, resulting in insufficient blood supply to the foot, abnormal sensation, and symptoms of ulceration and infection. In severe cases, it can affect muscles and bones. Leading to tissue necrosis or even amputation.

Patient Qi has type [-] diabetes. The pathogenesis is: destruction of pancreatic beta cells leads to absolute lack of insulin.People with this type of diabetes can only rely on insulin treatment.

The patient was diagnosed with the disease when he was in his 40s, but he was an irritable baby and turned a deaf ear to the doctor's advice.

Isn’t it just that the blood sugar is a little higher?What can I do? !Isn’t it time for me to eat and drink?
As we all know, it takes time for diabetes to develop complications, such as diabetic nephropathy, diabetic foot, and diabetic retinopathy. During this period, you may not have symptoms, but once the complications form, the damage to the body is irreversible.

In the blink of an eye, more than 1 years have passed, and the irritable baby back then has turned into the irritable old baby now. Zhou was hospitalized again this time.

He first went to the endocrinology department. The doctor from the endocrinology department looked at his condition and shook his head. His left foot was completely rotten.

"If it doesn't work, go to the general surgery department for amputation."

"What the hell?" Qi was anxious. I'm just here to relieve inflammation. Why are you interested in my legs?

"It's not the leg, it's the foot. The left foot needs to be amputated."

In this way, Qi was sent to the general surgery department. The general surgeon was originally prepared for a big fight, but Qi said that amputation would mean life or death, so he had no choice but to give conservative treatment first.

Change the dressing every day and give antibiotics to see if it improves.

But something happened today. When Gui Peisheng was changing his dressing as usual, the middle finger, the third toe, fell off.
"I didn't move, it fell by itself." said the thin Gui Peisheng.He felt aggrieved. He was still unpacking the medicine pack. When he looked back, he saw that the patient was missing one of his toes.
Before I could take action, it fell down.
"What's going on?" Qi's head was sweating, "Don't mess with me!"

Dr. Zhu took a closer look and said, "Family members, come over and have a look. Do you see? The patient's toes are completely rotten, and the nails fall off when touched. This situation is already very serious. Your family must discuss and consider amputation immediately." ! Otherwise it will only get worse and worse in the future!"

"Ouch, what kind of hospital is this? The more treatment we get, the worse it gets!" A family member was very unhappy. "When we came here, we had five toes. It's only been a few days, and you guys have to do nothing!"

At this time, Director Hu also rushed over, and he called the family members out directly.

"What are you talking about? What does it have to do with us? It's all his own fault that he got to this point, and it has a lot to do with your family. If you don't get used to him, will he be like this?"

When he was violent, the family members became silent.

As soon as Director Hu entered the ward, Qi seemed to have found a savior, "Director, look, I'm missing one of my toes!"

"Well," Director Hu said, "your toe is very thoughtful. It ran down on its own, but you still need to stop limbs."

The family members were also worried, "Doctor, do we really need to amputate the leg? If this happens, Lao Qi will become a cripple!"

"It's better to be crippled than to be dead. If you delay it any longer, maybe your minor ailments will disappear!"

"This is quite complicated for you." Gao Feng said to Director Hu with a smile. "It's very complicated, and everything is going crazy every day." Director Hu was a little tired, "There are little accidents every day, and I'm used to it."

"If I had known, I would have been doing orthopedics back then. Their work was so rough that it was a no-brainer."

Gao Feng told Dong Qianqian about transferring patients from the general surgery department, and the latter notified the nurse to arrange a bed.
-
Tonight is the day for a few people in the dormitory to have a dinner together. It has been a long time since we had dinner together. Gao Feng remembers that the last time we had a dinner together was the last time.
"I know you are busy, but I don't even dare to call you." Big brother Li Wenbin said.

"Actually, not really. I am indeed very busy." Gao Feng said with a smile.

Wang Leifeng looked much more haggard than before, with dark circles under his eyes, but Wang Xuanxuan looked the same as before.

"What happened to Leifeng? It looks like it was hollowed out."

"He was just drained." Wang Xuanxuan said, "Women are so scary that I don't dare to fall in love now."

Wang Leifeng smiled awkwardly. His girlfriend was too clingy. He finally understood the sentence: There are no fields that are damaged by plowing, only cows that are exhausted.

"Oh, I'm going to get remarried." Li Wenbin poured a glass of beer for everyone.

"She came to me several times, and the child was a big reason." Li Wenbin looked very confused, "I don't know if this decision is right or wrong."

"Isn't it? Brother Wen Bin." Wang Xuanxuan couldn't accept it, "Once you are unfaithful, you will never be cheated. How can you look back?"

Wang Leifeng on the side also wanted to say something, and Gao Feng gave him a look.

Generally speaking, men are more likely to be forgiven for cheating.Everyone knows what men are like. As long as they are panting and not lewd, they can have no relationship with the person they cheat on.

It's different when a woman cheats. Women generally cheat mentally first and then physically.

Although both are disloyal to marriage, there are differences.

As far as Gao Feng is concerned, he does not agree with Li Wenbin's remarriage. There is no grass anywhere in the world, and an old cow will never look back.

The child is just an excuse, it must be that he is still attached to his ex-wife.

But now that he has made a decision, there is no need for others to persuade him. Except for the person involved, no one else is qualified to intervene in emotional matters.

Gao Feng went back and told his wife about the matter. Li Xinyao quite sympathized with Li Wenbin, "It's miserable for a man to be cuckolded, but now everyone in the work unit knows about it."

"No one mentioned this matter before, but now that she has remarried, it will definitely be mentioned again."

"It's okay, Brother Wen Bin has a strong psychological endurance." Gao Feng said.

Compared to Li Wenbin, Yue Penghui obviously has no worries in this regard. Women will only affect the speed of his experiments.

"The nitration and reduction of N-[2-[[2-(dimethylamino)ethyl]methylamino]-4-methoxy]phenyl-2-acrylamide is not very smooth."

Hu Jiaran frowned after listening to his report. The experimental process had just gone smoothly for a while, but were new problems starting to appear?
"What did Dr. Gong say?"

"He didn't have a particularly good way. He said he could only experiment step by step until he found the best nitrification route." Yue Penghui reported.

This is a major difficulty in the entire experiment. This substance is very sensitive to the temperature, humidity, and catalysts in nitrification, and a slight difference can make a huge difference.

Gong Fanshun and Yue Penghui led everyone to search the literature for several days, and obtained very little effective information. This has already involved a key confidentiality link in drugs, and such data will not be disclosed at all.

Gao Fengshou had specific and detailed experimental conditions, but he couldn't reveal them to Hu Jiaran, especially since there were so many people in the laboratory talking about them, so everyone had to rely on their own efforts.

"Let everyone work overtime!" Hu Jiaran said.

I had expected you to say this, Yue Penghui thought, everyone had already made plans not to rest this month.

"Give everyone an overtime pay!" Hu Jiaran said, but he quickly changed his mind, "Wait a minute, I'll apply to Manager Zhao first, and we'll pay it if he agrees."

Zhao Xingye doesn't agree very much. Why do you need to pay overtime pay again?
"If you do this, the wages and bonuses there will be much higher than those of the staff here, which is not conducive to the company's management."

"The key is that if you don't pay, everyone will be less motivated." Hu Jiaran explained, "Who can bear the long hours of working overtime every day until late at night?"

"It's not like you don't know today's employees, painting a pie is useless."

"Paying money is to motivate them, which will be beneficial to the company in the long run."

It was rare that he asked for instructions this time. Zhao Xingye hesitated but agreed. In fact, there was another reason. The fully degradable occluder was tinkered with under the leadership of Hu Jiaran.

Zhao Xingye contacted Bai Simou from Pule Medical, and the other party said that the clinical trial was going well. From his optimistic tone, Manager Zhao felt that the company might make a fortune again this time.

The most important thing is that there are very few people involved in this project. Hu Jiaran, Yi Zhonglun, Xu Bing and Mu Zhentao, who is not very smart, are not counted as bosses.

In Manager Zhao's mind, Hu Jiaran has become a professional technician. It is actually acceptable for such a person to be careless in doing things. Experiments are already very taxing on the brain, and it seems to be acceptable for such people to be less considerate of human nature.
-
"Sit there and don't move. If you feel uncomfortable, you can whisper, but don't move!" Dong Qianqian communicated to the patient.

This is a patient with pleural effusion. The patient developed chest tightness and asthma for unknown reasons one month ago, which was especially obvious after activity.

The patient is a 74-year-old old lady. She is dressed in rags and timid when speaking. Her daily life should be very unsatisfactory.

Gao Feng looked at the medical records and found that the address on the ID card was Yanzhuang. He was very surprised that the people there should not have such a mental outlook.

Yanzhuang is a well-known urban village in the urban area. Before the demolition, the villagers there were very wealthy. Each building was higher than the next. The villagers lived happily just relying on the rent from the villagers.

Later, after the demolition, each household was assigned a house and a front house, and the village committee even paid monthly wages.

The old man and lady over there dress in fancy clothes every day and dance in the square late into the night. Why does this old lady look like this?

"For no reason, poor people must be hateful!" The son-in-law who sent her to see a doctor had a cold tone, and it was obvious that he didn't like the old lady very much.

(End of this chapter)