In the dermatology department of the city hospital, a middle-aged woman was moaning. Her head was covered in sweat from the pain, and it could be seen that she was holding back the pain. A man silently held her hand, probably a couple. Judging from the clothing, the economic conditions are not very good. There are hairs on the legs of men's trousers. They must have a good relationship. The expression on the woman's body and the man's heart can be seen at a glance.
After Zhang Fan arrived at the department, Gulinazha was contacting the operating room on the phone, and Qimi introduced the situation to Zhang Fan. The patient and his wife were from outside the city and opened a small restaurant in Chasu City. They got up at four in the morning and went to bed at eleven in the evening. As a result, they were so tired that the woman accidentally spilled boiling water on her feet.
I was so anxious that I took off my shoes and socks, and the skin peeled off. Not to mention, they also applied soy sauce on the wound, which caused severe damage. The saddest thing is that medical insurance is not available here. They are from out of town, and it is still unknown whether they will be reimbursed locally when they go there in the future. The current situation requires skin grafting, and the cost of surgery is not small. The patient himself requested conservative treatment, while his family members insisted on surgery. One was worried about money and the other was worried about people.
Zhang Fan went over to check the injury and found that 1/3 of his right foot was burned. The depth was not bad, but he took off his socks too quickly and there were a few deep puncture wounds that were torn off.
Speaking of burns, I will just say a few words. After a general burn, please do not take off the clothes on the burned area immediately. The skin has already adhered to the clothes. Once you take it off, it will cause a second injury. This second injury Worse than the first injury.
The general treatment method is to rinse with a lot of cold water or tap water, let the tap water take away the heat from the scalded area to prevent further damage, and do not apply soy sauce or toothpaste. This is useless and can easily cause infection! Infect! Infect!
"Skin grafting is required. We must collect the cost as soon as possible. We will enter the operating room in half an hour. The doctor and Dr. Zhang will prepare for a conversation and signature first." Director Gulinazha said to the family members and Zhang Fan after making the phone call.
"Okay!" Zhang Fan replied.
"I'm going to look for money now. How much is missing?" the patient's husband asked.
"Prepare fifteen thousand, you paid five thousand."
"Doctor, can you not do surgery? It's too expensive." The patient endured the pain and said intermittently.
"Don't worry, nothing will happen to you. You don't have to worry about money. As long as you can recover, we can still make money. Doctor, I'm sorry for bothering you. I'm going to call now to collect the money."
"If you don't have money to spare, you can just raise eight or nine thousand. Let's do the surgery first. Then we'll raise it later." Gulinazha is tall and fat, but she has an extremely soft heart. Although she has a lot of money, I have repeatedly emphasized that the doctors in the department abide by the rules and regulations, but she often takes the lead in breaking the rules, which is really valuable. I really hope there are more doctors like this, although it is a bit overwhelming.
Half an hour later, the patient's husband ran in sweating profusely, holding a payment slip and saying, "Doctor, with ten thousand dollars collected, we can do the surgery. We can do the surgery!" He was anxious and excited.
More than ten thousand? Not much, some people don't even have enough to eat, but for families struggling on the poverty line, it's not a small number. Many people can't understand this kind of embarrassment, and have no choice but to look at their relatives. Or I am struggling in pain.
"Give the doctor instructions. Use penicillin for antibiotics, some glucose, saline and vitamin 6. Do not use other drugs!" Gulinazha said to Zhang Fan. Basically, this is the cheapest drug. Many tertiary hospitals no longer use penicillin. For various reasons, sixty cents of antibiotics were transfused into the body of this burnt patient.
In the operating room, it was disinfected after anesthesia, and the soy sauce applied after burns had penetrated into the muscle layer without the protection of the skin. "Hey! Dr. Zhang must be more careful and disinfect thoroughly, otherwise the skin grafting will fail if there is infection in the later stage."
"Okay!" Zhang Fan replied.
After dinner, Shao Hua walked alone on the street. She didn't know much about the doctor's profession before, but after Zhang Fan intervened in her life, she began to have some insights. Zhang Fan's vomiting, disgusting medical records that can make people vomit, going to the county for surgery in the middle of the night, and arriving after meals Halfway through, he dropped his chopsticks and ran away without even finishing his words. It was really not easy.
The surgery begins with skin selection. The skin on the inner thigh of the normal leg on the opposite side has rich blood supply, sufficient skin thickness, and good ductility, making it particularly suitable for skin grafting.
Many people have never seen a skin grafting knife. With a gentle push from both ends, the skin is completely removed. For burns of this size, it is best to use whole-piece skin grafting. The survival rate of spot skin grafting is not high. What is spot skin grafting? It means cutting the skin into small pieces and placing them on the wound.
Zhang Fan is very dexterous, even though MiG, as a veteran dermatologist, is no match for Zhang Fan. Zhang Fan, who was originally the second assistant, gradually became the first assistant. His cooperation made the surgeon more comfortable than his MiG.
"Dr. Zhang, when will the appointment be scheduled?" Gulinazha asked half way through the operation. This was her and Zhang Fan's first surgery, and she was very satisfied with Zhang Fan's work. Skilled and standard operation, it is estimated that this kind of skin grafting surgery is done frequently.
"I don't know, hey! There are still many departments to transfer to."
"Why don't I talk to the dean and you can just stay in our department? Our department is full of old people and we haven't admitted young people in the past few years. After you come, you will be the director when we retire in a few years. .”
"Haha. In the future, Director Zhang, I will treat you later." Qimi said carelessly. His tone was not jealous, but teasing. The atmosphere in this department is really good.
Zhang Fan gritted his teeth and went for a physical examination that day, but still maintained a kind heart towards the patients, which made Gulinazha particularly satisfied with Zhang Fan. Attitude and mentality are the ultimate requirements. Skills can be cultivated, but attitude and mentality are really difficult to change.
"Haha." Zhang Fan smirked and didn't say anything else. The dermatology department was too small and didn't meet his requirements. The director had spoken and he couldn't refuse directly. It would be bad to lie to others, so he could only pretend to be stupid.
The operation was successful, but this operation is only the first step of treatment. Later dressing changes and care are very important. If one is not careful and the skin graft becomes infected, it may fail. And diet is also very important, and protein loss after burns is also serious.
The husband of the patient outside the operating room has been glued to the door of the operation, without even sitting down. He has been standing there for several hours of operation. The couple has traveled thousands of miles to come here, endured hardships, and watched the conditions slow down. I am slowly getting better, and I have hope for life. As a result, my woman suffered so much again.
He was so distressed that he wished he could replace her. The more he thought about it, the more annoyed he became. How could he not be tired from working for more than ten hours a day? It was useless to regret it now. He hoped that the doctors inside could carefully perform the surgery on her. He was praying, praying to the gods and Buddhas in the sky. He was so helpless. Now he could only pray.
After the operation, Qi MiG specifically explained some precautions to the family members. When the patient's husband took out a red envelope with trembling hands, Zhang Fan burst into tears. How similar. When his father was hospitalized, his mother might also be Something like this.
Vulnerable? No! I hope Zhang Fan can remain this fragile forever!
