The ward was full of people. After the morning check-up, the director admitted a cancer patient to Su Jing. She was a woman in her thirties, and her left breast had to be completely removed. Breast cancer surgery involves breast and axillary lymph nodes. Breast surgery is divided into breast-conserving surgery and total mastectomy. Axillary lymph node surgery includes sentinel lymph node biopsy and axillary lymph node dissection. After the treatment, I still have to undergo chemotherapy, which is very painful.
After Zhang Fan finished prescribing the examination form, the patient went for a check-up. Su Jing saw the patient walking away and said, "Hey, how pitiful he is at such a young age. Women of appropriate age must have regular check-ups, otherwise it will be too late to regret." After the pre-operative check-up, , we have to arrange surgery for her.
Cancer surgeries in the bi-glandular department are mainly performed by the department director. This operation is not difficult. The old lady does not let the people below to do it because it is too simple. Others will be able to do it a few times, and she will have no authority.
On the third day, because it was Su Jing's case, the director arranged for Su Jing and Zhang Fan to undergo cancer surgery. The old lady seemed to be kind-hearted, but Su Jing said that she was not merciful. There used to be a female doctor who argued with her on the treatment plan. As a result, the old lady put her in cold storage for a year and refused to allow her to perform surgery. In the end, there was nothing I could do. The female doctor was also very good, so she just took the postgraduate entrance examination and left.
Breast (a) adenocarcinoma surgery is not difficult, but the difficult part is actually the pathology, which requires rapid medical examination, which especially tests the basic skills of a hospital. After the report is obtained, the clinician decides whether to perform total resection or breast conservation based on the medical examination report. The old lady is old and can't sit still. Zhang Fan and Su Jing performed the preliminary surgeries, and she performed the lymphadenectomy. This surgery is considered a major surgery in the Department of Breast Surgery.
Su Jing asked Zhang Fan: "Have you ever done all the surgery? If you haven't done it, I'll do it." She was worried that Zhang Fan wouldn't do it.
If there is an opportunity for surgery, Zhang Fan will definitely not miss it. "Sister, don't worry. I often perform this surgery." Zhang Fan often performs this operation in the system. This is the first time in reality, but it is not difficult.
When Zhang Fan washed his hands and went to the operating table, the old lady was still chatting with the director of the anesthesiology department. Zhang Fan had very clear steps in his mind. He cut and stopped the bleeding without any delay. Zhang Fan finished it in ten minutes. It was really fast! Seeing that Zhang Fan was done, Su Jing was about to call the director to come in and get on the stage, but the old lady came in.
She thought that Su Jing was slower and sometimes hesitant. She was not ready to wash her hands yet and came in to give some advice. After looking at the results, hey, be good! Everything is done, just waiting for her to clean the lymph nodes. She took a closer look and saw that there were no problems with the incision and hemostasis. She went to wash her hands without saying anything.
After washing her hands, she began to clean the lymph nodes. While doing it, he said: "Su Jing, you have made great progress recently. The surgery is much faster and you did a good job."
Su Jing was embarrassed and muttered: "Zhang Fan did it."
"Really?" The old lady glanced at Su Jing and then said, "Yes, boys have advantages in surgery." Su Jing's mouth dropped at these words. Although this old lady is a woman, she may be gay-rejecting and not interested in young female doctors.
Although the old lady was quite domineering, she did a really good job with the surgery and the lymph nodes were removed very quickly. After the operation, she said to Zhang Fan and Su Jing: "When we go back, give the doctor's instructions, explain the patient and his family well, and come for regular chemotherapy after discharge."
After the operation, Zhang Fan turned on the computer and looked specifically at the disease numbers of the breast (a) glands in the past years. The result was a huge number, which was shocking. Because of people's concepts and the relatively marginalized cities, regular physical examinations for women have not become popular. Those who work in cities are better off, but those who work in rural and pastoral areas have almost no physical examination. The incidence rate is particularly high.
If the disease occurs, an ordinary family will immediately turn from well-to-do to poverty, and many people will become poor due to the disease. Although the country strongly supports medical reform, after falling ill, they cannot work and must strengthen nutrition, receive chemotherapy and take medicine. It’s truly a tragedy for humanity.
Breast (a) gland screening is very simple. Young people will do color ultrasound and older people will do mammography. Having said this, I would like to remind you that it is best for your family or yourself to have a physical examination once a year to take care of yourself.
Zhang Fan hasn't been too busy recently because the Chinese New Year is coming soon and the sports school is on holiday. Zhang Fan himself didn't start a meal, so he was about to go back to the dormitory after eating in the cafeteria. Li Liang called, "Brother Zhang, are you there? Director Chen and I are here to have a business meeting. Are you busy? Let's come out and sit down." Bundle."
When Zhang Fan heard that Lao Chen and Li Liang had come to the city, he was very happy and hurriedly said: "If you're not busy, I'll find you over there."
"Master, we are in the hotel next to the city hospital. It will take two days to have a business meeting. Today is over, and I just want to see you."
"Okay, I'll be there soon."
After the results came out, the hospital immediately removed Lao Chen's agent. His surgery was considered top-notch in the county hospital, and his results are now good. Shi Lei also supports him, and he is finally getting ahead.
Lao Chen and Li Liang were waiting for Zhang Fan at the door of the hotel and were very happy to see Zhang Fan. Lao Chen hugged Zhang Fan directly and said, "Master, thank you very much. I've passed. Haha! Let's go eat something good today."
Li Liang was also smiling on the side. Although he passed the exam in his first year, without Zhang Fan setting an example in the hospital and studying hard, he might have to pass this year too.
Zhang Fan had already eaten, but seeing that Lao Chen and Li Liang were so happy, he didn't want to spoil the fun. The three of them found a hot pot restaurant with a good reputation. Zhang Fan couldn't persuade Lao Chen. He asked for a lot of food. In his words, it was just a waste today. After so many years, I really don't have to live in a humble way anymore. Master, please let me indulge.
Zhang Fan also didn't expect that Lao Chen really regarded him as his master, and he wasn't joking. Looking at this apprentice who was much older than him, Zhang Fan also felt a little proud.
Considering that Zhang Fan was not good at drinking, the three of them ordered the local specialty mare's kumiss, which is sour and sweet. Those who have never tasted it are really not used to the taste. The three of them chatted while eating, "Master, are you going to do orthopedics in the future?"
"We're not sure yet. Let's decide when the time comes. We need to transfer to another department after we get the new director. We'll talk about it after the transfer is completed. Do you think there are too many patients now?"
Lao Chen stuttered and said, "It's okay. Now Lao Zou has given the surgery to Shi Lei. Shi Lei is very supportive of me and specifically told me that in the future, I need to hire experts for surgical operations. I'll ask you to do it. The price will be according to the price of the director of the city hospital." Give."
"Haha, let's talk about it later." Zhang Fan didn't know what to say.
Li Liang asked again: "Brother Zhang, do you think I will be admitted to a hospital in the city next year? Now that Director Chen has come to power, he takes special care of me. I am afraid that I will not be able to get into the surgery department if I am admitted to a hospital in the city, but I I really like surgery and I really don’t want to do internal medicine.”
Zhang Fan glanced at Old Chen, who immediately said: "Young people should go and try their luck if they have a chance to rise. I won't stop you. If I were ten or twenty years younger, I would come to the city, but at my current age It’s too big, there’s no chance.”
As soon as Zhang Fan heard what Lao Chen said, he knew that he really cared about Li Liang. He thought for a while and said, "It would be best if you can pass the surgical examination. If you don't, it's not bad to be in the county. Lao Chen will take you for a few years and wait until your surgical skills mature." It’s not too late. You have to transfer to another department when you come to the city. You have to plan for yourself what to do if you can’t get into the surgery department.”
The three of them were not drunk. They were mainly happy and not drinking. Through his conversation with Lao Chen Liliang, Zhang Fan had a plan in mind, and when the opportunity came, he might implement it.
