In cardiothoracic surgery, Zhang Fan started to work alone. Compared with other departments, cardiothoracic surgery is much easier. The nurses all have time to sit together and chat. Zhang Fan just reads and studies in the department. Studying medicine is a lifelong thing, so when you have time, Just have to learn.
This hospital department is very fair, with more money for busy people and less money for idle people. Several older nurses wanted to come to the cardiothoracic surgery department. There were few patients and they didn't have to work night shifts, so the doctors didn't want to come.
Zhang Fan's first cardiothoracic surgery patient came. At around 8 o'clock in the evening, 120 sent a patient. He was a male patient in his sixties. The patient suddenly had shortness of breath, coughing, and difficulty breathing. He was sent directly to the hospital. Cardiology.
The doctor in the cardiology department was Dr. Ye Jingye, Zhang Fanzhuan's tutor. Upon examination, she found that there was no problem with the old man's heart, just a little tachycardia. However, when the old man's lungs were auscultated, the breath sounds on the left side of the chest disappeared, and percussion showed bulging. "Quickly, call the cardiothoracic surgery department and ask a doctor from their department to come over for consultation!" Ye Jing said to the nurse on duty.
In-hospital consultations must arrive within five minutes. Although the surgical building and the internal medicine building have passages, they are not the same building. Zhang Fan had to run, carrying a stethoscope, through the corridors and across the courtyard. This kind of scene happens every day in the hospital, and doctors and nurses will get out of the way in advance when they see it.
This rule became stricter after Ouyang came to power. If you don't meet the requirement, your bonus will be deducted. Zhang Fan ran to the cardiology department, and Ye Jing was very surprised when he saw it was Zhang Fan. But now was not the time to reminisce about the past. At that time, Ye Jing had an accident, and Zhang Fan didn't say anything. Ye Jing was also very grateful to Zhang Fan.
"Dr. Zhang, come and take a look. Spontaneous pneumothorax. I've asked about the medical history. There is no history of injury!"
Zhang Fan smiled gently at Ye Jing and quickly turned into a serious face. There are emergency patients in the hospital, and they are in terrible pain. If you smile all the time, people who don't understand may get it. dispute.
Zhang Fan quickly did a physical examination and found that the old man was getting more and more suffocated. "No! We need to operate immediately. Transfer the patient's things to the cardiothoracic surgery department quickly." Zhang Fan said to his heart The doctor and nurse said.
"Okay, go quickly. We'll contact you when you're done." Ye Jing said to Zhang Fan.
"Okay, I'm leaving first." Zhang Fan helped the nurse push the patient and ran towards the surgery. While running, he called the director of the cardiothoracic surgery department, but the call was connected. The director's wife answered the phone, "He is drunk! "
Zhang Fan hung up immediately, and then called Tang Xiong, the chief physician outside the chest. Tang Xiong was from Hunan. His ancestors came to the border with Zuo Zongtang's troops. They were descendants of those who fought against Tsarist Russia. They later settled here and could no longer see the south. The shadow of a man, with a big beard on his face, is very popular.
"Brother, this patient has a bullae rupture. He is so short of breath that he needs surgery. Come here quickly."
Tang Xiong didn't talk nonsense. He was planning to take off his pants with his wife, but then he got a call and he had to leave now. Tang Xiong left the house while his wife gritted her teeth.
The operating room is ready. Before there was a laparoscope, this would have been a major surgery and required a thoracotomy! Now that laparoscopic surgery is available, it is not too big, but the difficulty is not small. Tang Xiong is a newly promoted attending physician and cannot yet perform extrathoracic laparoscopic surgery.
This is where the difficulty lies in thoracic surgery. General surgery doctors can perform laparoscopic appendix surgery in one year and cholecystoscopic surgery within three to four years. If you try thoracic surgery, you will see clearly in the mirror. You can clearly see the beating of the heart and the pulsation of the major blood vessels. If your hand shakes just a little, a blood vessel in the chest is punctured, and it's over. There is no chance of rescue.
The abdominal fault tolerance rate is still a little higher, so this department cannot develop in the northwest, and no one is willing to learn it. The risks are high, the difficulty is high, and there are not many sources of disease. Many people have heart problems and need surgery. As long as the conditions are a little bit passable, almost all families go to the provincial capital hospital and avoid the top three hospitals in the area.
"Brother, you didn't succeed in calling me. I can't do this operation." Tang Xiong went to the department and saw that the director was not there. When he asked again, it turned out that the director was drunk! Tang Xiong was dumbfounded. It would be okay if he didn't come. But if he came and the patient died, it would be trouble! Although he was anxious, he was not angry either.
"I'll come in, can you hold the mirror for me?" Zhang Fan said to Tang Xiong while looking at the X-ray.
"No, you can't joke about this, and that! Can you really do that thoracoscopy?" Zhang Fan could hear Tang Xiong vomiting.
"Okay, it's not a big problem. This patient's lung bulla is at the edge. It's easy to do. Just go in and clamp it and it's OK. Who supplies the equipment here." As soon as Zhang Fan said this, Tang Xiong said I have calmed down a little, and I even know about the equipment dealer. It seems that I have done a lot of surgeries. Moreover, Zhang Fan is someone who has been selected by the dean, so he should be reliable.
"I'll contact you now. I won't delay your operation. Which one do you want to use? Domestic clips or imported ones?" Tang Xiong asked. He was not the chief surgeon and had no right to decide.
"Just use the one you usually use. You are more familiar with this than me." Zhang Fan handed over the decision-making power to Tang Xiong. If he can take the risk and follow you for surgery, if you don't give him any benefits, next time I call him If I can still call someone here, I'll be damned!
When Zhang Fan said this, Tang Xiong ran faster. He understood what Zhang Fan meant! Tang Xiong rushed to do everything from signing to talking, "Doctor Zhang, it's done!"
"Okay, let's go to the operation!" Zhang Fan took the lead into the operating room.
With the development of science and technology, surgery has become more convenient and simpler. In the past, this operation required a chest opening, incision of the bulla, and then careful suturing of the air leakage. The operation took at least five or six hours. No more, long absorbable biological clips. Just clamp it directly along the bullae, click, click, the sound is wonderful, the damage is small, and the operation time is short, but this is based on rb, and the click is three thousand! Three thousand in one click.
Tang Xiong held the mirror and looked at Zhang Fan's operation of the clamp on the monitor, and began to clamp the bullae bit by bit. Tang Xiong had nothing to worry about before the operation, but when he saw the beating heart and pulsating aorta on the monitor, he started to sweat a little.
He quietly looked at Zhang Fan who was attentive. He didn't seem to be that reckless person. The arrow was on the string and had to be fired. It was too late to stop it now. The mirror had already entered the chest! He couldn't do it anymore, so he had to cooperate fully. If something happened, the main responsibility would fall on him, Tang Xiong, who was the superior doctor.
Zhang Fan didn't pay any attention to Tang Xiong. As soon as the operation was performed, it could be said that Zhang Fan no longer recognized his relatives. Little by little, the pliers were used to peel off the lung tissue. The old man's lungs were no longer pink, but a bit like dark red, with various black and gray spots inside.
"The mirror is a little too high, be careful of the artery next to it. Pull it back a little, yes!" Zhang Fan directed Tang Xiong while looking at the monitor.
After the separation was completed, clamping began. Tang Xiong was relieved when the surgery was done. Zhang Fan did it very skillfully. The separation and stripping movements were gentle, precise and fast. It was not like their director, who was performing a laparoscopic surgery and felt like he was flying an airplane. ! He scolded the doctors below.
Start clamping, click, click, click. Zhang Fan used four clamps. Tang Xiong's face turned into a smile. If it weren't for the mask, he could definitely see his back teeth!
After clamping, he gently cut off the bullae and said to the nurse: "Tissue bag." Then he put the cut tissue in and said to Tang Xiong: "Doctor Tang, this patient is yours. , I will leave the medical examination to you."
"How can you be so embarrassed? You are on duty and you treat me, otherwise I will never help you again!" Tang Xiong said firmly. They are all people who want face. They have already received benefits from the surgical instruments, and even the patients are taken away. It's really bad. So Tang Xiong was also very insistent.
"Okay, Brother Tang, I'm sorry to trouble you today. Go home quickly. My sister-in-law is probably anxious!" Zhang Fan said politely, making Tang Xiong blush!
"Okay, okay! I'll go back quickly. Just do your hard work!" Tang Xiong responded while quickly taking off surgical gowns and hand-washing gowns. "Hey! I still have to take care of the tigress when I get back, my waist! I need to let the Chinese medicine doctor take care of it when I find time!"
Zhang Fan began to give medical orders and deal with the patients. This patient was also a native of Chasu City, and several of his children contacted Shao Hua's father in a roundabout way.
Shao Hua's father has been a farm worker all his life, and it's rare that he's been approached for help. This time, the secretary of the former farm brought the patient's family members to the door to ask for help. Lao Shao's face glowed red. He has face, that's what this person is like. When the secretary who was once aloof came to ask for help, Lao Shao probably didn't hear anything clearly and just agreed!
Shao Hua's mother was shaking with anger. It was hard to say anything in a crowd. After the person who came to the door left, he said to Lao Shao: "What are you promising? It's no problem. Why are you causing trouble for Zhang Fan? How will Zhang Fan see you then?" Look at Hua Zi.”
"It should be nothing. I'll ask first. If it doesn't work, forget it." Lao Shao's head cooled down as soon as he heard this. Yes, his daughter's happiness is beyond the sky. Don't make it difficult for your daughter. In the evening, during dinner, Old Shao was so speechless that he bullied Zhang Fan too much recently during the chess game. Zhang Fancheng is the polished commander who kills frequently!
The meal was almost finished when Shao Hua's mother stepped on Shao Hua's father under the table.
"Well, Zhang Fan, wouldn't it be easy for your doctor to pay more attention to the patients, give instructions to the nurses, and arrange wards with fewer people? Is it troublesome?"
Zhang Fan knew as soon as he heard that the old man wanted something from him. Because the old man never took the initiative to talk to Zhang Fan about hospital matters. Zhang Fan thought for a moment and said: "It's not too difficult, what's wrong, uncle?"
"A friend of my old colleague is hospitalized. I want you to take care of him and say hello to the nurse. My colleague's friend is not young anymore, and the children at home are worried."
"Okay, no problem!" Zhang Fan said. "But I also have a request that I want to tell my uncle."
Lao Shao's face changed! Shao Hua's mother also looked a bit unhappy. Even if Zhang Fan refused directly, it would be more satisfying than making a deal with each other! Shao Hua looked at Zhang Fan. Although she believed that Zhang Fan was not the kind of person who cares about everything, today's incident was really surprising. Shao Hua bit her chopsticks and waited for Zhang Fan's next words without stopping him. She believed in Zhang Fan.
