It was raining heavily. After getting up in the morning, Zhang Fan found that it was raining outside. Looking out the window, the rainwater began to soak up the streets. "Summer hasn't even arrived yet, and it started to rain so heavily!" Zhang Fan muttered to himself in confusion.
"Zhang Fan, come and wash your face quickly. Send me off after dinner. It's raining heavily. I have to go to the work early today. One of my clients has made an appointment with me and I will lend him a loan today."
While Zhang Fan was staring out the window in a daze, Shao Hua shouted loudly in the bathroom. "Okay!" After Zhang Fan entered the bathroom, he saw Shao Hua drying his hair again.
"Go early. You still have to wash your hair. Come here and let me blow it for you. It's raining outside. If you don't dry it, you'll catch a cold." Zhang Fan took the hair dryer from Shao Hua's hand and started to help Shao Hua blow his hair.
"Didn't you forget it? I remembered it when I heard it rained. One of my clients was engaged in civil construction. He had to rest when it rained, so I remembered it.
One of my clients has a bitter look and seems to have a good relationship with our president. If he neglects him, he will file a complaint. Last time, he sued Xiao Liu from our department because he didn’t take the initiative to bankroll him. water. "Shao Hua was talking while enjoying Zhang Fan's service.
The jet-black hair was as smooth as satin. Zhang Fan gently swayed the hair dryer, looking for the hair that had not yet dried.
"Are you okay? The food is ready. Come and eat." Shao Hua's mother called out from in front of the dinner table.
"Coming, coming, coming soon." Shao Hua agreed.
Milk tea, naan, side dishes, and some sausages, complete with protein, fat, and vitamins. "This heavy rain started last night. Such heavy rain is rare. I guess there will be trouble." The old man looked out the window with milk tea. After Zhang Fan sat down, he said to Zhang Fan.
Before Zhang Fan could reply, Shao Hua's mother retorted: "Hurry up and eat, it's been a great day for the young master. After dinner, accompany me to the vegetable market to buy some food. There is no food at home."
"Hmph, what do you know!" The old man was scolded and drank the milk tea in one gulp.
"Quickly, let's go. I'm too late." Shao Hua shouted after grabbing some naan cakes. After Zhang Fan finished eating in two or three mouthfuls, he started to eat, put on his shoes and went out.
"I knew I had something to do today, so I didn't get up early. If I don't eat well every day, it will affect Zhang Fan's ability to eat well. If this continues, I won't cook." The old lady suddenly became angry when she saw more than half of the food left. .
"Hey, I got it, my dear mother, let's go. Be careful, it's raining and the roads are slippery. If it doesn't work, just wait until we get off work to buy groceries." Shao Hua comforted his mother with a smile.
"You can't count on it! Go quickly. Wear warm clothes," the old lady calmed down. The old man frowned as he listened to his old woman's constant nagging, and muttered to himself: "He's not a child!"
Zhang Fan drove Shao Hua to his work. It was raining and the speed was very slow, and there was still some traffic on the road. "There was a car accident ahead." Zhang Fan poked his head and saw the road conditions ahead.
"is it serious?"
"It shouldn't be serious. It's not serious at this speed. It's probably just a scratch."
After a while, Zhang Fan sent Shao Hua to the unit, "I'm leaving, please be careful on the road. I put an umbrella in the car for you, right behind."
"Okay, pay attention too."
Raining in the border area is better than snowing. If it rains, you don't need to arrive at the work unit in advance. But if it snows, it won't work. If it snows, the charge trumpet will be blown, and you must arrive at the unit half an hour in advance.
When Zhang Fan rushed to the unit, there was some water at the entrance of the hospital. "It's been raining all night and it hasn't stopped yet." In the surgical building, Zhang Fan saw the director of the department of thoracic surgery.
"Yeah, I guess there were a lot of car accidents today." The two chatted casually for a few words and then went to their respective floors.
Even if it rains, the hospital's work continues as usual. The patient with bunion was pulled to the operating room early. After routine disinfection, Zhang Fan took Wang Yanan to start the operation.
There are almost more than 200 surgical methods for bunion, a small bunion. Having many surgical methods is not a good thing, because it means that everyone is not sure which surgical method is the best, and they are constantly exploring.
Zhang Fan certainly has an advantage because of the system, he knows which techniques will be the trend in the future, but he can only do this kind of thing by himself. If he tells others, no one will believe him.
For this kind of thing, you must have data. Only with data can you convince others, but now China's evidence-based medicine cannot take care of this kind of minor surgery. If you do it yourself, you may have some convincing data when you retire.
"Zhang Fan, what kind of surgery do we use? Last night I read the surgical information all night. There are too many of this surgery. No matter how I look at it, I feel that all of them have advantages." Wang Yanan is very diligent. She has no chance of doing this kind of surgery. If you have done it, if you encounter it, do your homework in private.
Zhang Fan looked at the girl with bags under her eyes and said, "Yes, if there is no advantage, everyone will probably be eliminated. Let's use a combination of release surgery and cartilage correction."
"Um, I've never seen this kind of surgery before." Wang Yanan lowered his head to think for a moment, then raised his head and said affirmatively.
"Have you read all the more than two hundred ways?" Zhang Fan was a little surprised. He didn't expect this girl to be so capable.
"Well, I've finished reading." Wang Yanan said a little proudly.
"Don't be so arrogant, you will get old quickly." Zhang Fan said casually, which was considered nonsense. If you don't have the gall to be a doctor, how can you be a doctor?
"Hey, there are more and more graduate students, and I am a girl, and Xue Fei is unreliable. You might leave one day. If I don't care, I might suddenly lose my place one day." The girl said with emotion.
"Uh! Your uncle~~" Zhang Fan felt it was inappropriate and immediately changed his mind and said, "If you don't understand anything, just ask me. Don't be impatient. Surgery is done step by step." Zhang Fan ignored himself.
"My uncle will retire sooner or later, and I have to be anxious. I have to learn from you. Although I can't reach your level of hard work, I must at least do half of it, otherwise I will become Xue Xianyu."
"Okay, as long as you have confidence, let's get started." When Zhang Fan heard this, he felt that the girl had thought very clearly, so he didn't say more. They are all adults, and they choose their own path and walk on their own. There is no need to seek persuasion.
This surgery is actually not difficult. The difficulty lies in controlling the angle of the toe joint. If the angle formed by the toe joint is not controlled well, it is very easy to relapse.
This perspective is not stipulated, but requires consideration of all aspects, such as the patient's weight, whether he is engaged in heavy physical labor, etc. Failure to consider comprehensively is the root cause of disaster. So sometimes when going to see a doctor, don't hide your occupation.
"Start!" Zhang Fan said and started the operation.
First, a 5cm longitudinal incision is made on the dorsal side of the big toe between the 1st and 2nd toes, extending proximally to the space between the metatarsal heads. "It should be noted here that this is the dorsal fibular cutaneous nerve and vein of the big toe. Be sure not to damage it."
Saying this, Zhang Fan pulled the dorsal peroneal cutaneous nerve and vein of the big toe toward the tibia.
Then continue to separate deeply along the fibular side of the hallux metatarsophalangeal joint capsule, cut off the transverse plantar ligament, and cut off the transverse head and oblique head of the adductor pollicis muscle from the base of the proximal phalanx and the lateral sesamoid bone.
Then blunt dissection is performed proximally, and the end is sutured with thick silk thread, leaving a long thread for later use. The hypertrophic lateral joint capsule is incised along the joint line from the dorsal midline to the plantar side, so that the big toe can be moved inward, and then knotted and fixed.
Zhang Fan explained to Wang Yanan while doing it. It would be too difficult to do the surgery on your own, and you must have a teacher to guide you. Having a good teacher can save you a lot of detours.
The operation was quick and was over in just over half an hour. "Next time there is such an operation, can you let me do it?" Wang Yanan said to Zhang Fan while wearing a plaster.
"Do you understand?" Zhang Fan asked.
"I understand. You taught me in detail. I think I should be able to do it."
"Okay." Zhang Fan nodded. In fact, this operation is also simple. It just cuts the skin and muscles, opens the tendons, releases the thumb joint, and then adjusts it to the position to be restored, then sutures and puts on a plaster.
Just then, Lao Gao came in, "I guess you've finished the operation. Get ready quickly. Two injured people from the car accident have arrived. They both have open fractures and must be operated on as soon as possible."
"Where is the fracture?" Zhang Fan asked.
"One radius and one femur." Lao Gao said and left the operating room and went to the operating room of another group.
"You send the patient back to the ward, give the doctor's orders, and then come up, and I will grab the femur. Remember to explain clearly to the patient's family that the big toe must be fixed in the corrected position with a plaster bandage. The plaster can be removed after 3 weeks to practice activities and then wear it. Wear shoes for walking." Zhang Fan made a special statement after putting on the plaster.
"Okay, don't worry. I'll go down and sneak Xue Feiti up. I know that you can definitely get the patient back. I have confidence in you, come on!" The girl made a special gesture of clenching her fists and cheering.
"OK! Don't worry." Zhang Fan smiled.
When it rains and the roads become slippery, there are more car accidents. The injured were a Sanbengzi driver and a passenger in the Sanbengzi. Sanbengzi is actually a motorcycle with a tin box. It was raining heavily and I couldn't see the road clearly. I had a head-on collision with a car.
The driver and passengers of the car were not injured, but the result was too tragic.
Zhang Fan went out and went to the conference room of the operating room. Inside, Lao Gao, deputy director and Xu Xian were watching a movie.
"Director, where is the patient?" It will be sent to him immediately. Here is the film for you to take a look at first. As he spoke, Lao Gao moved away from the computer. Because it was a local area network, after the radiology department took the film, it would be displayed on the computer here.
"The radius and ulna were not badly broken. The femur was quite heavy."
"Yeah, which one do you do?" Lao Gao asked.
"Let's do the femur. Dr. Xu and his team have been exhausted recently. Let's share some of the labor with them."
"It's okay, we can still do it!"
"It's better to be okay. We have rested for a long time and are considered a new force. Let's do the femur. What do you think, director and deputy director?"
"Haha, okay. You can do the femur."
"Look, haha, this is Dr. Zhang, he is quite domineering." The deputy director said with a smile, making a double entendre to Xu Xian.
"Uh!" Xu Xian had no choice. If Zhang Fan speaks in the Department of Orthopedics, Lao Gao will definitely agree. Even if Lao Gao is not here and Zhang Fan speaks, the deputy director will have to weigh it and leave his skills here. He had to think about it.
