As his formal career as a doctor began, Zhang Fan did not give up studying. He read books with Shao Hua when he had time, kept practicing his spoken English, memorizing words, and taking walks. Shao Hua and the two old men took care of all the trivial matters at home. They never let trivial matters at home disturb Zhang Fan. Even the old couple bickered less often.
Every week, if Zhang Fan is not busy, he and Shao Hua will call his parents and Jing Shu. If Zhang Fan has no time, Shao Hua will call regularly to say hello. The days passed slowly and peacefully like this, just like chicken soup that nourishes the stomach. It is bland but nutritious, and the bowl is full of happiness.
It was Zhang Fan and his team's turn to collect the patient numbers. The day before yesterday, the emergency department had already sent two patient numbers. Although it was not Zhang Fan and his team who collected the patient numbers, the emergency department called Zhang Fan specifically, and there were no other doctors. Said. One had a non-open clavicle fracture, and the other had a non-open ankle fracture. After a day of dehydration and swelling, and thorough surgical examination, the surgery was scheduled for today.
Today is Zhang Fan's 24-hour duty. He must be a member of a team in the department to handle discharge and admission. Because patients come to the outpatient clinic at any time. "Yanan, Brother Xue, which one of you two stays in the department?"
"Me!" Xue Feiba had to undergo surgery. The surgery took place on the day he was admitted to the hospital. It probably only took one day. After this day, his legs were no longer his own.
"Okay, then I will take Ya Nan to the operation. Dr. Li, do you want to have the operation or write medical records in the department?" Zhang Fan said to the female doctor who transferred to the department. This team is tailor-made for Zhang Fan. , the attending physician of Moyu, and the resident doctor who is a female man.
"Teacher Zhang, I'd better write the medical record." The female doctor said hesitantly. She was not as tall as Wang Yanan, and her body was also very weak, so she had no intention of doing surgery. Zhang Fan originally ordered 73 points for surgery and medical records, but it turned out to be a bit high. Both Lao Xue and Wang Yanan felt it was inappropriate, so they finally settled on 31 points for medical records. The little girl is very busy with the medical records of discharge and admission.
"Okay, you can write medical records in the department. This is my meal card. If you want to eat for lunch, just swipe my card." Zhang Fan handed his meal card to Xiao Li.
"I have a card, Teacher Zhang. No need to use it." The little girl was a little embarrassed.
"What's yours belongs to you. You follow us on duty and work for us. We should take care of the food. You're welcome." Zhang Fan handed the card to Wang Yanan, and Wang Yanan involuntarily stuffed the card into the pocket of the girl's white coat. . "You're welcome, just take it! You don't have any bonus, so it's better to save a little." Wang Yanan said.
"Thank you!" Xiao Li said with a blush.
"Okay! Let's go to the operation." Zhang Fan was about to enter the operating room. The two new graduate students had also asked about Zhang Fan recently, but people are like this. If they have never seen it before, they don't believe it. Xu Xian and the others also have surgery. Xu Xian has already decided that after the surgery, he must see Zhang Fan and the others.
In spring, the ice and snow melt and the earth returns to spring. The state supports the border areas and many large-scale projects have started. In the early years, most orthopedic patients suffered from falls, especially the elderly who accidentally fell and suffered fractures. However, in recent years, although the elderly have suffered more injuries from falls, they have dropped to the third position.
The number one cause of fractures is car accidents, all kinds of car accidents. The second is the accidental fracture caused by the engineering team. Especially in car accidents in cities, although the speed of the car is not fast, the collision is really hard, and you can't escape with a comminuted fracture.
The three orthopedic departments have their own dedicated operating rooms, but the anesthesiologists and surgical nurses are not fixed. However, the head nurse in the operating room treated Zhang Fan very differently, so she was quick to set up the table and other tasks.
"Hey, Zhang Fan, I finally came out of the Department of Internal Medicine. Why didn't you invite me to dinner even though I was scheduled to be treated?" The head nurse greeted Zhang Fan from a distance when she saw Zhang Fan changing into hand washing clothes and entering the operating room.
"Hello, head nurse, aren't there a lot of surgeries? I'm thinking of finding a weekend to treat the sisters in our department to a meal." Zhang Fan smiled before he said anything. Although he was wearing a mask, his ridiculously narrowed eyes made the nurse It feels good to look at it for a long time.
"Why, you have fallen in love with someone in our department. Tell the elder sister quietly and I will definitely help you get it." After saying this, the head nurse deliberately came over. The distance is not far or close. It looks like it is close to each other, but in fact it is still a little far away. But the fragrance of the head nurse, the white neck, and the collar of the washcloth are heart-shaped, and the baggy clothes can still be vaguely seen, as if they are black!
"Haha, no, I already have a girlfriend!" Zhang Fan took a step back without being noticed. Really, he couldn't resist! Facing such a young woman with high emotional intelligence, Zhang Fan had no choice but to retreat, otherwise, he would definitely make the head nurse laugh to death!
"You're not married, and you can get divorced even if you're married. Really, the little girl in our department is not very talented. You should be picky before she's married, or you'll regret it."
"Zhang Fan!" Wang Yanan came out of the female doctor's dressing room and went to their dedicated operating room. Zhang Fan hadn't arrived yet. He opened the sensor door and saw Zhang Fan chatting with the head nurse, so he put his head in and shouted. This time Zhang Fan was rescued.
"Head nurse, I'm going for surgery." Zhang Fan leaned against the wall and prepared to leave.
"Haha, go ahead, your little apprentice is jealous!" Before leaving, the head nurse said like a cat!
"Haha!" Zhang Fan didn't dare to argue.
After entering the operating room, Wang Yanan glared at Zhang Fan and said, "Don't hang out with her, or I will definitely file a complaint against Shao Hua."
"What and what, hurry up and wash your hands and disinfect." Zhang Fan didn't care at all. The little girl didn't understand this matter yet, but Zhang Fan knew very well that the head nurse was definitely not interesting. It was just a different kind of relationship. .
"Hmph! Do you think she is just passionate about you? She is like this to even the more capable doctors. I have seen her several times." Wang Yanan said quietly, because the anesthetist and nurse were already in place. Wang Yanan has really improved now, if he had definitely spoken out loud before.
"Come on, wash your hands quickly, or I'll go." Zhang Fan couldn't explain to her, this girl wasn't up to her level yet. Although she is one year younger than Zhang Fan, Zhang Fan is definitely almost forty in his heart!
Wash hands, disinfect, spread sheets, and cover with dentures. When you enter the operating room, almost everything you do is very particular and has rules. Don’t speak loudly, firstly for fear of disturbing others, and secondly, the louder the sound, the easier it is for the droplets in the mouth to escape and contaminate the surgical area.
When washing your hands, you must wash your hands up to your elbow joints. After washing, you must keep your hands and arms flat and in the air, and you must maintain a sterile posture. Moreover, the requirements for the doctor's hands are also high. You are not allowed to wear any rings or watches. If there are ulcers, then the surgery is not necessary!
There are usually three layers of drapes. The thickness of these three layers of drapes is estimated to be four centimeters. The three layers of special thick drapes directly cover the human body from head to toe. On the operating table, only operations are required. The area is leaked out, and other places cannot be seen at all.
The operation started with the first clavicle fracture. Simple, too simple. For Zhang Fan now, this kind of surgery is not difficult for him. But even if it is not difficult, Zhang Fan is very cautious and treats everyone equally regardless of the size of the surgery. Otherwise, something will happen sooner or later.
Wang Yanan wanted to do it, but when he saw how badly broken it was, he stopped asking to be the surgeon. "Here, come and feel it. The clavicle is curved, and look at the disconnected part. This is the thinnest part of the clavicle. When you put on the steel plate, you must correct the steel plate. Otherwise, the steel plate will not fit properly. A few months after the patient was discharged from the hospital, either the plate was broken or the bone was nonunion."
While Zhang Fan was doing this, he gave Wang Yanan the key points and kept talking. First, Wang Yanan is very dedicated. Even a teacher would like this kind of doctor and forget her gender. Secondly, Zhang Fan and Shao Hua were able to work so smoothly thanks to this girl. Zhang Fan had said at the beginning that he would help her gain a foothold in orthopedics. Third, this girl actually treats Zhang Fan as a master. This is just a drink and a peck, Wang Yanan is kind to Zhang Fan!
After more than half an hour, including anesthesia and recovery, the first operation was over.
The circulating nurses and surgical nurses hurriedly packed away the instruments and various linens still on the floor. Then put them all in the cleaning aisle. There are cleaners here who specialize in collecting post-surgery items. They are waiting in the cleaning aisle. Take the blood-stained sheets away from the cleaning aisle.
Ten minutes later, the anesthesiologist said: "Wash your hands!" Wang Yanan continued to wash his hands and disinfect them.
The outpatient clinic was filled with patients, including three from car accidents, all with open fractures. The worker who was injured on the construction site had an open fracture in his foot, and another open fracture occurred when he was about to get off work.
In this surgery, what is open and what is non-open? In fact, it is simple. Open means there is a wound and bone leakage. This kind of trauma must be operated on as soon as possible. The longer it is delayed, the greater the chance of osteomyelitis and infection.
Non-open surgery generally requires swelling to subside before surgery. If the swelling is severe, the doctor will be dumbfounded after the surgery, and the skin will not be sutured together! Especially in areas with thin skin, you must wait until the swelling subsides before doing it. This is why some people undergo surgery three or four days or even a week after being admitted to the hospital for fracture. This is not because the doctor wants to wait for you to get a red envelope, but because it cannot be done at this time!
Two surgeries, three surgeries, four surgeries, Wang Yanan could no longer hold on. It's been a whole day, and the girl really can't bear it anymore, her back and legs are sore. After the fourth operation, Wang Yanan's waist became a little rickety. But the patients kept coming, and the emergency department had already called, and a patient undergoing surgery for a femoral fracture was immediately sent to her.
"Go down, go, Xue Fei calls up." Zhang Fan said.
"It's okay, I can still persist." Zhang Fan could persist, and she felt that she could persist too.
"Obey, surgery doesn't happen in a day. Go ahead!"
"But why don't you go down."
"I'm one year older than you. Go quickly and be obedient." Zhang Fan will definitely not say that I am a man, otherwise this girl might not go in.
"Well, I'm going down."
In the department, it's already time to get off work. "Why don't you leave?" Xue Fei ate his lunch, looked at his phone, and said to Xu Xian, who had already finished get off work and was still waiting to leave.
"Well, I'm not in a hurry. I still haven't finished writing the medical records." When Xu Xian was undergoing surgery, Zhang Fan and the others were also undergoing surgery, and Xu Xian wanted to give medical advice and explain his condition, so he didn't want to have Zhang Fan's surgery, but he was unwilling to do so. , and there were many surgical patients today. He was waiting for Zhang Fan to ask for help, and then prepared to compete with Zhang Fan when he went up.
This is a common problem among top academics, they are dissatisfied with others. This is true. If you want to make progress, you must have an attitude and spirit that disobeys others. The nurse station in the Department of Orthopedics doesn't look like it's off duty at this time. There are many patients, the day shift nurses are still working overtime, and the night shift nurses have come to take over.
The head nurse didn't leave either. There were too many newly admitted patients, and she had to keep an eye on them for a while, otherwise something might happen easily. "The eight beds are out of fluids, the bell is ringing!" Miao Juan stood at the nurse station and called to the nurses, "Head nurse, there are two more beds. This one is for antibiotics. Please help me change them. I'm busy. But come."
"You little hooves know how to boss me around!" Although he muttered, he quickly went to help change the dressing.
"Oops! Let me tell you, Xue Fei, Zhang Fan is really a lucky cat. He has so many patients on duty." After the head nurse changed the medicine, she saw Xue Fei eating leisurely and looking at his mobile phone. He said it right at the door of the office.
"Have you eaten? If not, come and eat together."
"You called me when you had all the leftovers. There is no sincerity at all. We are so busy that the nurses haven't even eaten yet. Go buy a KFC."
When Xue Fei was about to make an excuse, Wang Yanan dragged his lead-filled legs into the department. "Go to the operating room. Another one has a broken femur."
"Hi! What kind of day is this!" Xue Fei said, getting up and going to the operating room. It would be a bit shameless not to go at this time. Xiao Li, who was transferred to another department, was in pain and happiness.
When I transfer to other departments, how can I get paid to write medical records? This is work. But after arriving at the Department of Orthopedics, not only did she pay but also take care of food, there were too many medical records, and she didn't get up much from morning to night. But I am happy when I think that I have made more than 100 yuan more today.
Xu Xian looked at Wang Yanan and said nothing. "After five surgeries, even if you are as strong as an ox, you shouldn't be able to bear it!"
Car accident during rush hour. The ambulance whined and pulled in two more broken bones. It's almost eleven o'clock at night. Zhang Fan still had another surgery. Xu Xian kept waiting, but Wang Yanan ate some food, slept for a while, and then went to the operating room. He just didn't wait until Zhang Fan came down.
Xu Xian looked at his watch. It was almost one o'clock in the morning. From nine o'clock in the morning till now. Zhang Fan has been undergoing surgery, and Xu Xian's face is turning blue. Regardless of the level of surgical skills, in terms of physical performance, he was no longer Zhang Fan's opponent. Surgery, especially orthopedics, is a semi-physical job!
Xiao Li, who is writing medical records, has no happiness at this time, only pain!
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