The surgery was prepared very quickly. China is one of the few countries whose finances can advance the medical expenses. No matter what, the country is actually moving forward, developing, and improving. Nowadays, there are relatively fewer cases of fee evasion in hospitals.
In the early years, when township hospitals could still perform cesarean operations, and when county hospitals were still very effective, many people without money would leave their sick family members or children in the hospital and leave! This is the cunning of small citizens, helpless cunning because they have no money.
Then, the township hospital or county hospital will provide treatment directly and take care of the food! Then after the treatment is completed, the patient's family members come. Bring wheat or flour to offset the fee! This kind of thing is not an isolated case, there are many.
Now, once this phenomenon occurs, the doctor’s first consideration is not treatment, but whether someone will come looking for trouble. It doesn’t matter if it is cured, but what if it cannot be cured? Who dares to reach out!
Then in recent years, as people have flocked to cities, farms have shrunk, and rural hospitals are like abandoned temples. There are only a few people in the lonely building! The number of medical accidents has been greatly reduced, but this unit has also become an inflamed appendix, and it is time to cut it out!
Lao Yang, a lonely old man who was not even a part-time worker in a serial hospital, entered the operating room with several steel rods inserted into his stomach. It was so weird. As the operating cart moved, the steel rods looked like chickens with no feathers. Like wings, it swayed with the fat in Lao Yang's abdomen.
Once he entered the operating room, Zhang Fan's expression immediately changed. Normally, he would always smile. He would smile first before speaking to anyone he saw. It was a bit of a humble smile. This habit he had had since he was a child, he still can't do it now. Change.
But there are advantages to this. Zhang Fan's smile makes the patients he treats very satisfied with Zhang Fan, "Dr. Zhang is not only good at medical skills, but also polite! He always smiles. It warms people's hearts!"
But as soon as he entered the operating room, the smile on his face disappeared. Although he was wearing a blue disposable mask, his sharp eyes were no longer the person who smiled at everyone. At this time, Zhang Fan was a murderer. General, hold your sword and bring light, and don't return until you see blood!
"Speed up the blood transfusion! Give cardiotonic drugs, correct acidosis, open the three channels, relax the blood vessels, and replenish potassium through urine!" Zhang Fan is really awesome now. He is the only voice in the operating room to give doctor's orders one after another.
Old Gao from the Department of Orthopedics and Old Li from the Department of Chest held their hands and stood quietly opposite Zhang Fan, waiting! The anesthesiologist and nurse quickly carried out Zhang Fan's medical orders.
Anesthesiologist, a special doctor within the hospital. In the early years, all anesthesiologists had clinical backgrounds. Later, departments of anesthesia were established and professional anesthesiologists were established. In the hospital chain of contempt, physicians look down on surgeons. Physicians think surgeons are too rough and don’t understand anything, so they know how to cut!
Surgeons look down on anesthesiologists, "They don't know anything, they just play with pain sticks!"
On the operating table, anesthesiologists and surgeons have a collaborative relationship, not a subordinate relationship, so ordinary surgeons cannot command anesthesiologists.
But in the city hospital, Zhang Fan was a special case. His skills were so great that he was already crushing him. Moreover, in the operating room, Zhang Fan was too difficult to deal with. His face was frosty and he had an evil spirit!
He gave the doctor's order, but the anesthesiologist didn't even have the courage to refute it. Achievements, Zhang Fan's achievements are so impressive, not to mention ordinary anesthesiologists, even the director of the anesthesiology department treats Zhang Fan with respect on the operating table. What he respects is Zhang Fan's skills, and what he respects is Zhang Fan's level! This is the technical unit!
"Dr. Zhang, the operation can begin. The patient's vital signs currently support the operation!" the anesthesiologist reported to Zhang Fan. The patient's condition is critical, and the anesthesiologist has to be cautious. For ordinary operations, after the anesthetist is anesthetized, he usually says one sentence or two words, "Do it!" Then I started writing anesthesia records myself, which would definitely not be as formal as it is now!
"Disinfect!" Zhang Fan didn't waste any words. He said "disinfect", and the surgeon started to disinfect the chest area!
Lao Yang is too thin, and the fat layer on the abdominal wall is very thin. Use a round knife to gently pull apart the skin and the fat layer. The yellow fat layer is very thin, and it is almost not even an upper layer! There is no need for an abdominal retractor to pull, a small retractor will do the job.
For obese people, especially obese female patients, abdominal surgery is a nightmare for doctors. Surgical incisions are particular, and they do not directly open the abdominal cavity with one cut.
The surgical incisions are made layer by layer, gradually, and the skin is incised until the bleeding is satisfied, and then the fat layer is peeled off. There are blood vessels in the fat layer, and bleeding needs to be stopped, and then it reaches the muscle layer. If the muscle layer is not needed If it is severed, it is all done bluntly. In layman's terms, it means using the handle of a knife or your fingers to open an opening along the texture of the muscle! Then comes the peritoneum.
Just like peeling an onion, peel it layer by layer. If you use two knives, one knife goes straight to the abdomen. Not only is it dangerous, but it is also a very serious sequelae after the operation.
For patients with thick abdominal fat layer, doctors really have a headache. For a female obese patient, when the skin was cut open, the plump yellow fat burst open the incision, and the fat flowed out like yellow peach-flavored jelly!
This is nothing. The most difficult thing is the thickness of the fat. Five centimeters thick is nothing. The small retractor cannot be used, and the upper abdominal retractor must be used.
At that time, a gynecology doctor performed a caesarean section. When the final suturing was done, he took the initiative to ask for suturing. The result was that the patient's fat layer was thick and slippery. Fat is grease and is a good lubricant.
As a result, the suture needle fell from the needle holder into the fat by accident! Then, in just a few seconds, with the slight trembling of the muscles, the suture needle swam in the fat layer and was nowhere to be found! The teacher was so frightened that his face turned pale!
The three of them were all masters, and the operation went very quickly. When the abdomen was opened, even the well-informed Lao Li almost vomited. After the steel rod was inserted into the stomach, it was inserted directly into the intestines. Both the small and large intestines were punctured.
The evolution of the human body is very scientific. Every node of the digestive tract from top to bottom has a door. How should I put it? The connection between the esophagus and the stomach is the spout door. This door prevents gastric acid from entering the esophagus and the stomach into the esophagus. The small intestine has a pylorus, and there is also a door from the small intestine to the large intestine. So it’s impossible to spray shit with your mouth full!
The contents of the small intestine are chylous food to be digested, while the contents of the large intestine are feces. After the steel skewer pierced the intestinal wall, the contents of the large and small intestines flowed out.
The green ones are leek leaves that are not easy to digest. The chewed leek leaves are covered with dots in the abdominal cavity. Then they are stained yellow by the feces in the large intestine, just like egg yolks on leeks, covering the abdominal cavity! The sour smell hits your face!
"It seems that this person ate scrambled eggs with leeks at night!" Lao Li said after suppressing the feeling of nausea.
"This is not an egg. The egg is not so slimy. It should be the excrement stained on the leeks!" Lao Gao also felt bad!
Talking can reduce this feeling of nausea. Although there is no scientific basis for it, when you see something very disgusting, keep talking and describe the disgusting thing in front of you. You will never vomit it out. General Surgery Doctors have mastered this skill very well!
The sour, fermented smell is like old sour tofu covered with hairs. It's so unpleasant. The circulating nurse was immediately persuaded to leave, "Uh! Uh! Uh!" Like a pregnant woman, she kept having hiccups. Within three minutes of running out, the head nurse came!
"Hey! You guys are so disgusting. It stinks to death, and then you stir-fried leeks, stir-fried leeks, and stir-fried leeks with eggs. Our little Chen just vomited!" There was no other way, so the head nurse came to replace Little Chen on duty.
"Haha, you are still young. The head nurse is just the head nurse. There is no reaction at all." Lao Li was a little embarrassed.
"I have rhinitis and I can't smell~! I can't smell!~Haha!" The head nurse felt for the first time that this rhinitis is still beneficial.
rinse! Keep rinsing! This operation was too troublesome, and the intestinal breaks had to be repaired one by one. Lao Gao and Lao Li felt uncomfortable and disgusted, but Zhang Fan actually felt uncomfortable too! This smell is so sour and refreshing. The smell of disinfectant water in the operating room cannot be suppressed at all.
The two of them tried their best to talk disgusting words, but Zhang Fan had no choice but to join in. If even the anesthesia and equipment nurses said they had vomited, it would be troublesome. When the abdominal cavity was opened and the sour smell hit his face, Zhang Fan was The left hand pinched the back of the right hand, pinching hard, the left hand definitely pinched the right hand blue!
Nausea only lasts for a few tens of seconds. People have a strong tolerance. After the first wave, they will be fine. Even if you spray the leek with yellow soup on their faces, they probably won't feel sick. Got it!
"Head nurse, add the metronidazide file to the saline solution to clean it! First give me a thousand mL." Zhang Fan said to the head nurse.
Clean, keep cleaning! The yellow-green feces was finally cleaned. "Change gloves!"
After changing the gloves, Zhang Fan poured the salt water into the abdomen, submerged the intestines, and said to the head nurse: "Head nurse, apply nitrogen."
"You will bully your sister!" the head nurse said to Zhang Fan deliberately and coquettishly.
"It's not Dr. Zhang who gave you nitrogen injection! It's not a bully!" Lao Li started to drive.
"Damn it!" The head nurse rolled her eyes at Lao Li, and the director started joking with the head nurse. Because they were both about the same age, these directors had to maintain a little face when dealing with young nurses.
There are too many places where the intestines have been punctured, and you have to look for air leakage in that area like you are popping a balloon! How to fight, simple! It is a plastic nozzle that looks like a car tire. After inserting it into the anus, it starts to slowly inflate the intestines.
There are no major side effects of this treatment, except for the excessive farting after the operation, which in severe cases is as continuous as a cannon. And sometimes, you may still have hiccups within a few days after the operation, or some kind of burps with the smell of stool!
"Close!" Zhang Fan saw a bubbling place. Then start sewing.
"open!"
"close!"
After repeated attempts, the bubbles finally disappeared.
"Okay, head nurse, remove it." Zhang Fan confirmed again and said to the head nurse.
"Hey, it's so miserable, my intestines are full of holes!" Lao Li said sympathetically.
"This is okay. The steel skewer is not thick. I think Lao Wang next door will be in trouble. The tree branch is not a steel skewer!" said the head nurse.
As soon as he said this, he fell silent. No one paid any attention to her, and she felt that something was wrong, so she quickly wiped the sweat with gauze for the doctors.
Once the abdomen is clear, begin closing the abdomen. "Dr. Wang, help me close my abdomen." Zhang Fan said to the attending doctor outside the chest.
"good."
Normally, Zhang Fan would not leave the operation to this stage to others, but not today. He had to speed up the operation because he also wanted to see which operation was next door.
No matter how the family members are, no matter how the patients are, these are not important. When doctors put on their white coats, they must shut down their emotions and speak with professionalism. No matter who the other party is, no matter how high or low, no matter how big or small, we must go all out.
It is a great trust for patients to put their lives in your hands. Please cherish this trust. In this era where money is paramount, this trust is extremely precious!
If the chest problem is not serious, Zhang Fan is going to have surgery in advance and go next door to have a look.
Extrathoracic attendings suture the abdominal incision. Zhang Fan, Lao Gao, and Lao Li were ready to open their chests.
And Lao Wang next door is really in trouble now. My scalp was numb. After opening her abdomen, the little girl's stomach was not as disgusting as that of Lao Yang next door. The little girl didn't eat at night, so she drank beer. In order to diet and lose weight, she didn't eat much on weekdays, so her intestines were still clean.
What made Lao Wang numb was that the little girl's intestines were badly rotten. The tree branch is not a steel bar. The steel bar is thin and straight. Even if it penetrates the body, it is just a pair of eyes.
But this tree branch is troublesome. It's too troublesome. The intestines have been penetrated and eroded in several places. Bleeding is not the most troublesome thing.
The most troublesome thing now is intestinal necrosis! This is the case in several places. The intestines are vaguely a little blue. This is because the blood cannot flow back and the color of the intestines becomes heavier.
"Xiao Li, go and see how far Zhang Fan and the others have gone." Lao Wang didn't dare to take action anymore and said to the traveling nurse. Because if the little girl's surgery was performed by conventional methods, little of her intestines would be preserved. If the operation is performed according to conventional techniques, it becomes a typical perfect operation and the person dies!
This is not the time to talk about face or medical status! Lao Wang is ready to ask for help!
"Head nurse, Director Wang asked me to ask Dr. Zhang how far they have performed the operation."
"What's going on next door?" Before the head nurse could speak, Zhang Fan immediately raised his head and asked.
"The intestinal damage is severe. Director Wang asked me to come here to ask."
Zhang Fan, who was already a little anxious, became even more anxious. This is not Zhang Fan's show of talent. He must do as much as he is capable. Let's not live up to the system that God has given us. First of all, this is a matter of human life. You must use as much strength as you can. There is nothing to say. This is the doctor! A well-qualified doctor will do it this way, whether there is a system or not.
Opening the chest, Lao Yang was very lucky, but his ribs were severely broken, but his lungs and heart were not damaged at all! What a blessing among misfortunes!
"Director, I'm off!" Zhang Fan stopped and said to Lao Gao and Lao Li.
"Go quickly! I guess Lao Wang is in big trouble!" Lao Gao said.
Zhang Fan didn't waste any time and got off the stage directly. Take off the surgical gown as you go. This is a contaminated surgery and you must wash your hands again. Just when Zhang Fan took off his gloves and grabbed the laces of the surgical gown, the system that had been silent for ten thousand years made a sound!
. m.
