Zhang Fan didn't want to go at first, but the nurse was very enthusiastic. If he didn't go, he would be disrespectful to her. It would be too embarrassing! Zhang Fan bit the bullet and went in. The nurse's duty room is cleaner and tidier than the doctor's duty room, and it also has a light fragrance! Just stay alive and lie down for a while. result! I couldn't sleep, there was a faint fragrance on the pillow. Zhang Fan really can't bear it anymore! ~
During the morning meeting, Liu Zhaoyun really couldn't stand it any longer and sat there listlessly. Zhang Fan and Xia Huadong were better off, after all, they were young. After explaining the work of the department, several bosses were standing guard outside the department before the ward rounds were completed. Liu Zhaoyun had to go and greet them. Money's reputation is sometimes very important.
After all, Zhang Fan has only been in Chasu City for a short time, and many people are not familiar with it. After the ward rounds, Zhang Fan went to the ICU again. Although there were specialized doctors and nurses caring for him 24 hours a day, Zhang Fan still felt uneasy and went up to take another look. It was not bad, and his vital signs were all fine. Fever, but fortunately no epilepsy occurred. Brain damage has a high risk of epilepsy.
After returning to the dormitory, he told Shao Hua but did not dare to turn off the phone. Dai Weng was not out of danger and there might be a call at any time. sleep! After a tense night, lying on my own bed, it was so comfortable! What is happiness? This is happiness. After staying up late all night, closing the curtains and lying comfortably on your own bed, so comfortable!
Li Liang completely left the county hospital. There is no way, there is no hope! And his family also supports it. Anyway, the family does not need Li Liang to subsidize the family, as long as he likes it. Ma Wentao became interested in surgery ever since he made money from it. What can make people crazy, huge profits!
Why do hospitals seem to make so many surgeries unprofitable? Because there are depreciation fees for various hospital examination equipment, supplies, buildings, and infrastructure. These things are funded by the state, and a little fee is deducted every month! And that can’t be said for many of the hospital’s drugs and equipment. Anyway, they are very expensive, so they don’t make money and doctors are not willing to do them.
For example, an operation to replant a severed limb costs seven to eight thousand yuan per finger. The doctor gets a 20-yuan operating fee for each operation, and then a bonus. One such operation only costs about 100 yuan, because this operation It requires almost no consumables and is time-consuming. Don't even think about finishing it if you don't have three or four hours. The most important thing is that 90% of this kind of trauma is emergency. After the treatment, you have to worry about it for a long time. To survive, doctors in this department are not willing to do it.
This market was left to private hospitals. Ma Wentao's operation was very arrogant, but the effect was particularly obvious. Lao Chen took Li Liang to find Ma Wentao. Ma Wentao offered five thousand, but Li Liang turned around and left. Ma Wentao was held back because he knew that the people with Zhang Fan were quite skilled. The final salary was 5,000, but 3 of the surgery fee went to Li Liang and 5 to Lao Chen. A house was also arranged for Li Liang!
Then there is the market share. Although mines and other places will give Ma Wentao face, the hospitals and doctors in the county and township will not give him face. Not to mention that he is only a second generation, even if he is a first generation, it may not be useful, because of the There are too many tricks. What to do where power cannot reach? Then let money clear the way!
Salesmen, from the county hospitals below to rural hospitals to private clinics, as long as they are medical places, come here. They don't want any other patients, as long as they require replantation of amputated limbs.
There is no one working in public hospitals, so this market is left to Ma Wentao! The salesman told the doctors in the county and township that each operation would cost 30 RMB, which would be settled as soon as the patient is discharged and there would be no arrears!
crazy! The surgeons in the counties around Chasu City are going crazy. Even regular hospitals are unwilling to perform this kind of surgery. Now there are places that accept it and can refund the money. Each one is more interested than the other.
The first surgical patient appears! A young man in his twenties accidentally cut off three fingers of his left hand while cutting grass for his family's livestock in the afternoon. He was sent to the county hospital, and the surgeon from the county hospital sent him directly to Ma Wentao's hospital.
Two hours had passed by the time we arrived in the city. This kind of surgery is difficult, time-consuming, and the technique is not good. The probability of survival of the finger is not high, and even if it survives, it will have no function.
Human fingers are not leeks. They will not grow back if they are cut. If you want to perform microsurgery, you must have tools and equipment. First of all, a microscope that can automatically change the magnification between 6 and 30 times. When changing the magnification, you can maintain a clear field of view without adjusting the focus. It is also necessary to have two sets of mirrors for the operator and assistant, and a cold light source.
Zhang Fan took a nap, and after dinner at Shao Hua's house, he was going to go for a walk with Shao Hua. Recently, the old man stopped playing chess with Zhang Fan. Zhang Fan was relieved, and more and more relatives came to his home recently. Aunts and aunts all came to visit when Zhang Fan was at home.
Just as Zhang Fan and Shao Hua were about to go out, they received a call from Zhu Wentao, "Dr. Zhang, where are you? Hurry! A major surgery is coming, and you must do it."
"I'm at my girlfriend's house. What kind of surgery?"
"Three fingers were cut off! The person has arrived at the operating room. Tell me your address and I will pick you up." After Zhang Fan reported his address, he smiled apologetically at Shao Hua.
"Then I'll take you to the gate of the community! You should also pay attention to yourself. The labor intensity is too high. You stayed up late yesterday and have another surgery today. There is no need to work too hard. Your and my wages are enough for us to live!" Shao Hua adjusted Zhang Fan's collar and said to Zhang Fan with some distress.
"It's okay, I'm still young! And I like this too. Don't worry, I will definitely rest when I'm tired. I'm just a little sorry for you. You see, I've been too busy recently and I haven't been with you for a few days!"
"There's still a long time to come! Don't be in a hurry! Come on, I'll take you out."
Chasu Market is not big, so the two of them stood at the gate of the community for a few minutes. Ma Wentao personally drove a car to pick up Zhang Fan, a Mercedes-Benz, which was as boxy as a matchbox!
"How about it? I'll be your driver myself. Are you satisfied?" After getting acquainted with Zhang Fan, Ma Wentao also started joking with Zhang Fan!
"Is it a cutting injury or a crushing injury?" Zhang Fan ignored him and asked his concerned question.
"Incisional injury, Director Chen said, I didn't dare to look at the patient! He was wrapped in gauze when he came. It has been treated at the county hospital." Zhang Fan was so boring that Ma Wentao gulped.
There shouldn't be too many people who want to be friends with Ma Wentao in the frontier. As a result, Zhang Fan didn't give him any face, which made Master Ma feel a little frustrated, "Isn't my senior official not big enough?"
Zhang Fan entered the operating room. Lao Chen and Li Liang had already started cleaning. Zhang Fan saw that it was okay! It was a cut wound, the broken edge was neat, and the severed finger was well preserved.
The preservation of this severed finger is particular, and a dry and refrigerated environment is best. Never let your severed fingers come into direct contact with ice, as this may cause frostbite. Also don’t soak your severed finger in any liquid, this is not making kimchi!
In the operating room, the three severed fingers have been marked and stored in a refrigerator at 4 degrees Celsius. Finger amputation surgery must be done against time. The longer it takes, the lower the chance of survival. If the time is too long, the muscle tissue will degenerate and release a large amount of toxic substances such as potassium ions, myoglobin and peptides into the blood, which will cause systemic poisoning symptoms.
Zhang Fan washed his hands and disinfected, put on surgical clothes and went to the operating table. Without saying much, he started the operation directly. "Debridement!" Zhang Fan said simply. Lao Chen and Li Liang were very adaptable to Zhang Fan's surgical habits. They kept silent as much as possible and even spoke very concisely.
Zhang Fan started to debridement. During the debridement process, Zhang Fan had already found the blood vessels, nerves, and tendons to be repaired. When replanting a broken limb, the broken bone must first be fixed, and the bone must be trimmed according to the damage. This step is very important. If the trimming is not appropriate, it will affect the repair of other tissues later. And this surgery needs to be fast, because it’s not one finger, but three!
One root is an operation, and when choosing to repair, you must first choose the one with the least injury. The principle of this kind of surgery is to save and repair first the ones that can be saved. For bone fixation, finger plates are generally used in public hospitals. In private hospitals, Kirschner needles or steel wires are usually used. Private hospitals are already ahead in this regard! Zhang Fan is very fast. For this type of cut injury, two crossed Kirschner wires can be connected directly with an electric drill. Finger bones are flat bones. If the electric drill is too powerful, it will break the phalanges!
For tendon suturing, tendons with important functions need to be selected for suturing, and the rest can be sutured without suturing. To put it bluntly, this kind of surgery is a race against human cells, and whoever runs faster wins.
Suture the blood vessels. Blood vessels and tendons are different again, so delicate! You can hold bones and tendons as you wish! But blood vessels are not good. As long as there is internal injury, this thing will cause trouble for you. Even if you are sutured, it will become a dead blood vessel. Why, the endothelium of the blood vessel is damaged, and it will block the damaged area on its own! So suturing blood vessels is more time-consuming! Fixing orthopedics and suturing tendons can be performed under the naked eye, but blood vessels must be operated under a microscope.
Finally, there is neural suturing, the system is so powerful. If you don't have five years of experience in microsurgery, you can't expect to successfully sew this kind of nerve. And Zhang Fan has done it countless times under systematic training and relying on his attitude! The cumulative number of these surgeries can probably become a deputy chief among the top three in a region! With this amount, you can imagine Zhang Fan’s efforts.
One piece is finished, this is the first step, there are two more pieces left. Lao Chen was a bit dazzled after just one finger. Microsurgery is too taxing on the eyes. He is old! Cruel? Surgery is so cruel, you won’t be able to do it anymore when you get old!
The heartbroken Lao Chen gave up his position as a first aid to Li Liang~! Zhang Fan couldn't care less about Lao Chen now, he still had two more. continue! There is no time to explain to them now. Take a look first! Wait until they are familiar with it before explaining it to them!
More than three hours later, the operation was over. This surgery is done while sitting on a stool. Zhang Fan kept his head down and didn't look up a few times for three hours. After the operation, he shook his sore neck.
"Be sure to change the dressing on time to avoid infection. Be careful not to burn the skin with the side lights. The height of the affected limb must be higher than the heart. Smoking is strictly prohibited, and no one is allowed to smoke in the ward. All small blood vessels are being repaired. Once you have a spasm, you'll be in trouble!" Zhang Fan carefully explained a few words to Li Liang.
After taking off the surgical clothes, I was not in a hurry to find Ma Wentao. Pulling Lao Chen to sit on the floor of the operating room! Lao Chen is very depressed! Zhang Fan wanted to enlighten Lao Chen, but he didn't know how to speak!
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