Wang Qian bought another set for Zhang Fan from head to toe. Maybe Zhang Fan didn't want it, because she wasn't happy yet. Her children have gone abroad to study, and the old man is busy with his career. He is a little better at work, but very boring after work. Her status as an old man makes it inconvenient for her to make casual friends with others. She noticed Zhang Fan's simple temperament and his affection for Batu, so she especially admired Zhang Fan, not only for his high medical skills but also for his good character. Li Xiao and Dong Hua also spoke highly of Zhang Fan.
Some of Wang Qian's shopping cards were given by her employer, and some of them she didn't even know who sent them. After walking around the mall, Zhang Fan sent Wang Qian home and asked her to stay for a meal before leaving. Before leaving, I was given cigarettes and tea. Zhang Fan was like this every time he came, making him embarrassed to come to Wang Qian's house.
After Dong Hua got to know Li Xiao through that double dunk, Wang Qian helped to speak again, and finally got an opportunity to meet the big leader. The result was great, County Magistrate D. These are far, far away from Zhang Fan. Regardless of whether they are agents or formal, Zhang Fan has no feeling. This is also the tragedy of technical men. They only have technology in their eyes and think that technology is the king.
It’s the Chinese New Year, and the hospital is offering various benefits. Rice, flour, and even vermicelli are distributed. In Ouyang's first year in office, she wants everyone to celebrate with her. Zhao Jun does not work the night shift, and Zhang Fan cannot work the night shift. This month is Zhang Fan's most leisurely time in more than a year.
In the early morning, the Department of Hepatobiliary Surgery has an operation today. It is a disease that is particularly common in the northwest: hepatic hydatid, also known as hepatic echinococcosis. Mainly popular in provinces with developed animal husbandry. Cause: Canine tapeworms parasitize in the small intestine of dogs. The eggs excreted in the feces often adhere to the hair of dogs and sheep. People become infected after swallowing food contaminated by the eggs. The eggs are expelled by the digestive juices in the intestines, and the larvae are expelled, pass through the intestinal mucosa, enter the portal vein system, and are mostly blocked in the liver. After 3 weeks in the body, the larvae develop into hydatid cysts. Hydatid cysts gradually grow in the liver, causing compression symptoms of adjacent organs depending on the location, and complications such as infection, rupture, dissemination, and cavity organ obstruction may occur.
In layman's terms, in pastoral areas, you must be careful with water sources and food that come into contact with dogs or are contaminated by dog feces. Otherwise, you will get liver hydatid. These bugs will colonize and reproduce in the human liver. As time goes by, the bugs will become more numerous and larger. The liver will be suppressed and squeezed, causing nausea, vomiting, and jaundice.
There are many surgeries in the department today. Several transfer patients are rushing to undergo gallbladder surgery, but they are unwilling to undergo liver hydatid surgery. It is too disgusting. If you open a large bag of white worms, a patient with trypophobia will faint. . If the surgery is not done cleanly, it is easy to relapse, and the eggs are easy to remain. Zhao Jun is the chief surgeon, and this is the first time Zhang Fan has been on stage to cooperate with him.
Opening the abdomen, stopping bleeding, and sucking blood, Zhang Fan's cooperation made Zhao Jun very comfortable, and he had a good vision. Zhang Fan had already prepared for him what he wanted to do next. After the internal capsule is removed, clean the lesion directly with alcohol. The operation was basically completed, only suturing was left. Zhao Jun consciously wanted to see Zhang Fan's skills, so he said to Zhang Fan: "General surgery surgery is different from orthopedics. Are you familiar with abdominal suturing? How about you do the suturing?" "
Although I have heard that Zhang Fan is very good in orthopedics, I have never seen it with my own eyes, and I am not reassured. I just want to make sure first. Zhang Fan raised his head and glanced at Zhao Jun and said, "Okay, Director Zhao, it should be fine." After that, he started to suture the peritoneum, fascia, and muscles so fast that the instrument nurse could not keep up with the threading. Extremely skilled and very nimble with his hands. Zhang Fan didn't mean to show off, his speed was already like this.
Zhao Jun looked at Zhang Fan's suturing, and after a moment of pondering he said, "Zhang Fan, I've been in the liver and gallbladder surgery for a month. How did the surgery go? Are you familiar with the liver and gallbladder surgeries now?" He regarded Zhang Fan as a resident doctor who was agile and agile. , it’s a normal inquiry and I appreciate it a bit, the basics are really solid. Zhang Fan had been depressed for the past month, and without considering Zhao Jun's feelings, he said directly: "Hepatobiliary surgery is not difficult."
"Uh!" Zhao Jun choked, "Okay, let's arrange a gall bladder tomorrow. Can you do it?"
"Okay." Now that he's said it, there's no point in begging for mercy or saying soft words. It's unnecessary.
Zhao Jun is really angry. You can say that his skills are not good, but you cannot say that this hepatobiliary surgery is not difficult. It is simply a denial of his half-life hard work and honor. It is impossible not to be angry. In the border areas, because of the pastoral area, hepatobiliary surgery is ranked high in China and there are seats. Even though he was angry, he would not argue with Zhang Fan, it would be too childish.
At the morning meeting the next day, after discussing today's surgery, Zhao Jun said: "The hospital organized the transfer of admitted doctors to different departments. The purpose is to make young doctors familiar with the basic diseases of each department and be able to complete simple basic surgeries. We cannot go through the motions. The doctor who is about to transfer to another department is about to leave the hospital. Our department will organize an examination, and the test results will be written in the transfer report. Today, Dr. Zhang Fan will perform the gallbladder surgery on the fifth bed as his discharge examination."
As soon as he said this, the faces of several other transfer departments turned pale. Even if they had to undergo surgery every day, it had only been a month. After the gallbladder removal surgery, the director was still awake and talking nonsense! It also needs to be written in the transfer report, isn't it costing people's lives!
Zhao Jun is also angry. In the general surgery of the hospital, the liver and gallbladder were the first to be separated. But so far, apart from the liver hydatid surgery, it has been excellent. The remaining surgery is the removal of the gallbladder. The other surgeries are not ideal. Now Not much is done even for pancreatic cysts. The old director of General Foreign Affairs often said that they should not be separated. So after hearing what Zhang Fan said yesterday, I planned to let him do it today and let Zhang Fan see if it was difficult or not.
Although he was angry, he chose a patient who was young, had moderate gallbladder adhesion, and had little difficulty in surgery. He just wanted everyone to understand that hepatobiliary surgery is not easy, and he personally assisted Zhang Fan.
In the operating room, in general laparoscopic surgeries, punctures are not performed by transfer surgeons for fear of accidents and poor control of the strength, which will cause trouble when the internal organs are punctured. After brushing and disinfecting his hands, Zhang Fan started the operation. Originally, Zhao Jun was going to let him try it, but his technique was unfamiliar, so he simply refused to let him do it. Then criticize a few words, keep your feet on the ground and don’t be too ambitious. As a result, Zhang Fan had no problems at all from the moment he drilled the holes.
The cystic duct is exposed, the cystic artery is separated and ligated, the gallbladder is removed, and bleeding is stopped. It's amazing to be proficient in one set. Originally, he planned to stop Zhang Fan if he wasn't even proficient in holding a mirror. However, from the initial worry, to relief, to shock, Zhao Jun didn't say a word the whole time. At the end of the operation, the air was deflated and the stoma was sutured. Zhao Jun got off the operating table and left the operating room directly.
The second assistant, who was the attending surgeon, was also very surprised, "Dr. Zhang, you are so awesome. I made the boss speechless. This surgery was done cleanly and neatly. I can't even reach this level. What other department are you transferring to?" , let the boss talk to the dean and let him go directly to our department."
Zhao Jun left the operating room and returned to the director's office. He sat in a chair and froze for a long time. After quitting smoking for a long time, he lit a cigarette. "Shouldn't grassroots hospitals really separate the liver and gallbladder? Is it really that simple?" His worldview almost collapsed.
The next day, the doctor who transferred the department continued to perform the surgery. An accident almost occurred during the drilling, and Zhao Jun was immediately kicked off the operating table. The junior doctor who was transferred to another department even cried. It’s been a month in total and I haven’t even been asked to do the drilling before taking the exam. Can you pass it? Although Zhao Jun drove people away, he was not angry, but quite happy. Special case, Zhang Fan is a special case, it is still difficult for the liver and gallbladder. When I think about it this way, I feel a lot more balanced.
In the director's office, Zhang Fan sat opposite Zhao Jun. Old Zhao sent a cigarette to Zhang Fan. After Zhang Fan lit it for Zhao Jun neatly, Zhao Jun said: "Yes, I have worked hard this month. In fact, There is a lot of potential for those with a strong liver and gallbladder. Liver transplantation and pancreatic tumors are world-class operations. How about it? Are you interested? If you are interested, after transferring to the department, I will go to the dean to ask for someone." Zhang Fan is excellent. He feels it. , then you can’t let it go.
At present, systems such as liver transplantation have not yet been opened, but there are really many liver and gallbladder surgeries. The northwest has a lot of stones due to eating habits, and in pastoral areas, the number of liver hydatid is the highest in the country. His purpose was to increase his qualifications, regardless of which department he said, "Director, you think highly of me and give me face. As long as other departments don't want me, I will come." Zhang Fan did not nail down his words, because general surgery, urology, and thoracic surgery Quite a few.
"Uh!" Zhao Jun was confused. This kid is not very willing to come.
