After entering the department, Wang Yanan was very attentive to Zhang Fan, serving tea and water to ask about the cold and warmth. Zhang Fan was concerned and his hair stood on end. "Tell me, what is it? If you can agree, I will agree. If you can't agree, it's useless even if you burn incense for me." Zhang Fan couldn't bear it anymore and asked.
"How do I treat you? You find a girlfriend, and I'll put in a good word for you. Shao Hua was about to leave yesterday, but I held him back by force. Let's see if you have any conscience today!"
"What on earth is going on? I'm scared to say it. If borrowing the car really doesn't work, I have to be responsible for you and your family. It's not that I can't bear it." Zhang Fan thought she wanted to borrow the car. Her skills were too rough, and Zhang Fan was really afraid of something happening.
"Stop talking nonsense, I won't look for you in the car. Yesterday I treated a patient with a broken collarbone. Will you let me do the surgery today?" Wang Yanan lost his patience and really turned his back on him.
"Is this the attitude of asking for help?" Zhang Fan joked.
"I'm going to call Shao Hua now and talk about you and the nurse in the operating room~~~" Wang Yanan made Zhang Fan angry. She had been preparing for it for a long time. This kind of uneasy mood really couldn't stand the teasing.
"Comrade Wang Yanan, after consideration by your superiors, I agree that you will perform the surgery today, but first let me see the film. If it's badly broken, then I'll take another surgery. Where did this patient come from? It wasn't our turn to collect the patient yesterday. ah."
"Here, it's very simple. It's not as fast as breaking a bone. It's just an oblique fracture. I can do it!" Wang Yanan looked at Zhang Fan eagerly.
"Well, the fracture is not very serious. Let me tell you. Here is the tip of the lung. If you are not careful, you will hurt the lung. You must be careful." Zhang Fan warned again.
"I know, I've done this with you many times." Wang Yanan's tone became much better. Although she was impatient, she had to listen when talking about professionalism. This is the hierarchy of surgery. Don't you dare listen! If I disobey you, I will stop your operation immediately.
The head nurse of the operating room walked back and forth, staring at each operating room. This was her territory, patrolling her territory like a lioness. If someone's movements are not in line with aseptic operation, she can go up and ask you to review the rules of aseptic operation.
Zhang Fan stood next to the operating table, with his hands hanging on his chest, watching Wang Yanan operate, disinfect and drape each step. The steps were all very standard. No problem could be found. The patient had a non-invasive fracture. Cut along the fracture end. After opening the skin, Zhang Fan held the gauze and gently pulled the skin. First, it could remove bleeding at any time, and second, it could help the surgeon perform better skin incision.
The skin on the collarbone was very thin, and it quickly entered the broken end of the fracture. Although the film looked like the break was not severe, opening the wound was different. There were tiny fragments, bleeding, and congestion. Wang Yanan was a little confused.
Zhang Fan didn't say anything. At this time, it was up to her to adjust herself, depending on her understanding of the surgery and the anatomy of the tissue. Although I am not yet very skilled at sucking blood, stopping bleeding, cleaning broken bones, and setting bones, I am already very good at it.
This is the difference between an assistant and a surgeon. The assistant follows the surgeon's ideas, has a good vision of the surgeon, and assists the surgeon. It is equivalent to the surgeon's third and fourth hands. You do not need to think, and must closely follow the surgeon. ideas.
The surgeon has to consider the steps of the surgery. The treatments in the books are all routine treatments. There are thousands of injuries and illnesses, and they can only be roughly classified into one category. It is impossible for every treatment to be the same. This depends on your level as a practitioner and your daily accumulation. In a bloody pile of rotten flesh, finding the blood vessels you are looking for relies on a deep understanding of normal tissue structure.
When a fracture is broken, whether to fix the distal end first or the proximal end first? If you look through surgical books, there is no fixed answer. This is a matter of experience. Novices rely on the masters to slowly pass on their experience and accumulate experience until they reach a certain level. , you can also start to sum up your experience. This is the improvement of clinical medical technology.
The equipment nurse was in a daze out of boredom because it was slow! After all, he is a novice and cannot compare with the experienced doctors. Firstly, he is cautious and secondly, he is not confident. Sometimes he even looks at Zhang Fan and wants Zhang Fan to confirm. Because there is no mistake, Zhang Fan keeps silent. If Wang Yanan can overcome this hurdle, the future will be easier. This is an improvement in her state of mind. If she can perform the first operation by herself, it will be of great help to her future improvement.
Finally, the fixation began. This was what Zhang Fan was most worried about. If he accidentally punctured the apex of the lung, Zhang Fan would put the bone peeling knife under the collarbone to prevent Wang Yanan from losing control of his strength and drilling through the hole with the electric drill. There is also a bone knife on the pad.
After the fixation was completed, Zhang Fan reached out and touched the fractured end, which was still in alignment. He breathed a long sigh of relief. Giving a platform to newbies was sometimes more tiring than doing the surgery himself. I was always on tenterhooks.
A few days ago, a medical accident occurred in the obstetrics and gynecology department. The doctor who was transferred to the hospital sutured the incision for a woman who had had a caesarean section. As a result, the fat layer was too thick and the force was not applied well. By accident, the needle detached from the needle holder and the muscle was damaged. The contraction causes the fat layer to shrink as well, and the fat layer is full of grease. In just a few seconds, the stitches can no longer be found.
I quickly contacted the orthopedic operating room, pushed the C-arm and irradiated it for a long time, and then I found out. Then the teaching teacher took the ray for more than half an hour before taking out the stitches. The transfer doctor had no responsibility. The teacher was slapped in the face by the director of the gynecology department. In front of the general practitioner and nurses, he cleaned up the situation properly. The teacher was so aggrieved that he could not speak. This is the responsibility of the teacher!
"Zhang Fan, is that okay?" Zhang Fan didn't speak, and Wang Yanan was extremely worried. She really likes surgery, and she really wants others to recognize her in surgery. She doesn't just rely on connections to gain a foothold in surgery.
"Not bad! It's pretty good. It's better than my first surgery. I just lack confidence. Go back and read more books and firmly imprint the anatomy in your mind. You won't be as hesitant as you are today."
"I remember! I will work hard." Zhang Fan's praise and recognition made her very happy. More than half a year of hard work was not in vain. Although I was very excited, I still had to ninja, the operation was not over yet.
"Xiao Yin, take a mobile phone and take a photo of this collarbone. This is Wang Yanan's debut novel, so it is of commemorative significance."
Fortunately, he was wearing a mask and hat. Wang Yanan didn't know what to think, and his face turned red! "Okay, master and apprentice, please hurry up. There is still an operation for a fractured tibia and fibula. Xue Fei has come to see it several times. He thought it was a clavicle, so he arranged it in the front. Unexpectedly, he had to do it. The femur is broken."
Ever since Zhang Fan rejected Xiao Yin, she was a little angry with Zhang Fan. He always likes to use words to stimulate Zhang Fan. When it comes to surgeries, he usually can't find anything wrong with Zhang Fan, but Wang Yanan, the surgeon he brought with him, was a novice, so he started to complain.
"Hurry up and take the photo. Xue Fei is in a hurry. Let him come to me." Zhang Fan didn't want her to have any regrets about his apprentice's first surgery. Moreover, now that Zhang Fan has a practicing certificate, he is no longer the same person he used to be. He is a small pediatrician who can be pinched by anyone. When it is time to speak, you must speak, otherwise some people will get upset.
