The gauze pulled up the stone in the stomach. After the electric drill destroyed most of the stone, although it became smaller, it could not be taken out from the small incision.
The incision is so small that it can barely fit in the middle finger, not even the thumb. It is so small, and the damage is just a little bit. If you don't use your brain to remove this kind of stone, it will almost become a major gastric incision.
"Alice pliers." Zhang Fan put down the electric drill and started asking for pliers.
"Dean Zhang, can you use larger needle-nose pliers? Last time you broke the instrument, the leader told me about it." The nurse held the Alice pliers in her hand but refused to give it to Zhang Fan, crying as she spoke. Sounded.
The head nurse, despite being gentle and polite to a high-level doctor, is actually a very fierce woman. Also, the nurse in charge in the operating room must be fierce. First of all, a sterile operation must always remind the surrounding doctors and nurses. This is the last line of defense in surgery.
Strictly speaking, the effect is not good, only shouting and scolding will do, so the nurses are also very afraid of the head nurse getting angry.
"It's okay. Give it to me. We'll start the operation later. I'll tell the head nurse that I won't cause trouble for you. The needle-nose pliers can't get in." Zhang Fan said to the little nurse with a smile. Orthopedic surgeons use useless instruments. Things we all know.
"Don't say it was me who said it, otherwise the head nurse..." The little nurse gave Zhang Fan the Alice pliers.
"Don't worry, I won't tell you. We are in the same group, aren't we!" Zhang Fan said, and the little nurse became happy and happily wiped the surgical instruments.
When the operation is handed over to the doctor, it will be bloody. At this time, the nurse must wipe it clean before the blood coagulates. So the nurses on the operating table are also very busy.
"I just like to set up a stage with Zhang Yuan." The little nurse said with a smile.
"Doctor Li, how many patients do you have?" Zhang Fan took the Alice forceps and clamped the stone hard while asking the attending physician on the stage.
"Zhang Yuan, I still have 15 patients. I only had five patients today. Otherwise, there would be 20 patients." The attending doctor showed off the number of patients he had.
Zhao Quanping, the director of general surgery, was so angry that he said, "It doesn't matter if you don't have any talent for surgery. Why don't you even have high emotional intelligence? Isn't it obvious that you are going to be removed from the hospital? You're stupid!"
"Oh, you have to pay attention to your health. I think Dr. Li is still very good in the field of general surgery. But if you are good at yourself, you have to bring up the doctors under him to be called good. Leave this patient to Ma Yichen, go down From now on, you must keep a close eye on me and if anything happens, I will ask you for help."
"Okay, okay, Zhang Yuan, don't worry, I will definitely worry about letting Xiao Ma take good care of this patient and improve the medical level as soon as possible."
Dr. Li was happy. Zhang Fan didn't treat him like an outsider when he spoke!
"Hey! He has good surgical skills and can also speak. If he is not the leader, who can be the leader?" Zhao Pingquan sighed in his heart. When he looked at his apprentice again, he was furious, "This idiot!"
Zhang Fan is able to do this, first of all, thanks to his contribution to selling instant noodles and this bowl of wine. Compared with other technical dogs, Zhang Fan's emotional intelligence can be regarded as well-trained.
Coupled with the promotion of position, the improvement of vision, and because of Ouyang's knocking, Batu's teaching, Lao Gao's example, Zhang Fan's overall view, and dealing with people, all aspects have been improved to a certain extent.
How to deal with people is actually a very important skill. Relying on pleasing or oppressing is not the right way.
"Ma Yichen, can you take good care of this patient?" Zhang Fan looked at Ma Yichen and asked.
"Zhang Yuan, don't worry, I will take good care of it." Ma Yichen was very happy that the leader gave him the opportunity.
"Okay, I'll leave this patient's case to you." Zhang Fan nodded. At this time, Lao Zhao coughed, and the meaning was obvious, "I am the director of general surgery!"
"If you don't understand, ask Director Zhao. In terms of tea element and general surgery, our Director Zhao is the number one sword."
"Okay, stop fooling me. You! You have mastered the practice, and now you have taken over the hepatobiliary department of the affiliated hospital?" Lao Zhao admired Zhang Fan very much, so he stopped pursuing it. Otherwise, it would be strange for Zhang Fan to directly intervene in the department work and not quarrel in front of him.
"That's right. I've made several appointments for surgeries. I'm going this weekend. How about you go too?" At this time, the surgery was as simple as pinching walnuts. So Zhang Fan was happy to say a few words.
"You praise me! You should take care of your pony more often. But let's agree first, don't take him to the hepatobiliary surgery department. I don't agree with that." Lao Zhao said with eyes wide open.
"Okay, don't worry, it won't be." Zhang Fan smiled. As for whether it will happen or not, it depends on Ma Yichen's talent.
"Girl, come and give me the needle holder. Alice is dying. She can't clamp it anymore." Zhang Fan handed Alice to the nurse. The little nurse almost cried while holding the Alice forceps.
When Zhang Fan went to the operating table, the head nurse usually arranged the latest and best surgical instruments. He originally thought that since he was doing general surgery, the instruments would not be damaged.
As a result, the new Alice forceps are already a little bent! Does this still work? The little nurse held the pliers and turned them over distressedly.
"Haha, it's okay, girl, don't worry, I'll tell your head nurse later. She won't criticize you."
"Well! You must tell the head nurse that the Alice forceps are crooked. Now you have to use the needle holder again!"
"It's okay, don't worry." Zhang Fan said cheerfully. Medical treatment, especially Western medicine, is actually a big waste of money. For people like Zhang Fan, equipment worth dozens of dollars can no longer be used. In the past, the country's conditions were not good, and everything was used multiple times.
Now that conditions are better, there are not many things that can be reused, almost all of them are disposable. Although the cost has increased, security has been greatly improved.
"You orthopedic surgeons are just rough! Even good needle holders can be used crookedly, leaving it to our general surgery doctors. Even after they retire, they won't be able to use a single one. In the future, we will need to use your orthopedic instruments and general surgery instruments." Separate." Lao Zhao said unhappily.
"Well, next time I will use my own equipment. I have a set of imported equipment." Zhang Fan said proudly. It's not that Zhang Fan didn't like to use his own equipment in the past, but because he didn't have enough status to use it. Speaking of other things, the nurse in the equipment department won't disinfect you. You, a little resident, can't do anything anymore.
But things are different now. This is also the benefit of being a leader.
"Which country?"
"German!"
"If you have a chance, get me a set too." Lao Zhao knew what was going on as soon as he heard it, but compared to orthopedics, the equipment dealer did not pay much attention to it.
"Okay!" Zhang Fan held the needle holder and pinched the stone hard.
The hardness of this stone is too hard. Gallstones are soft. You can knead the noodles with your hands, not to mention using instruments. Kidney stones are a little harder, but it doesn't take so much effort.
This stomach stone is so hard that it can withstand strong acid corrosion. It is really not free. "Come on, Dr. Li, please squeeze it for a while. My hands are sore!" The handle of the needle holder is relatively thin. Zhang Fan squeezed it for a while, and his hands started to hurt.
Zhang Fan really couldn't hold it anymore. It was really troublesome to squeeze a stone as big as a toddler's head. Dr. Li took the needle holder and started to pinch it. He pinched it for about ten times. He embarrassedly gave the needle holder to Ma Yichen, but he couldn't hold it anymore.
The pony started and pinched it a dozen times. "Seeing Zhang Yuan holding it easily, I thought it was very simple, but it turned out that the stone was so hard, like an iron block."
"You know, Zhang Yuan usually exercises a lot. When you guys slept in early in the morning, Zhang Yuan started running." The head nurse came in at some unknown time.
As Lao Zhao got older, Zhang Fan no longer let him do this purely physical work. Hearing the head nurse come in, Zhang Fan took the needle holder and spoke. The little equipment nurse stared at Zhang Fan with wide eyes. She was afraid that Zhang Fan would involve her too.
"Head nurse, I've caused you trouble again." Zhang Fan said with a smile.
"Looking at what you said, I'm happy to do whatever you want." The head nurse helped Zhang Fan wipe his forehead, which was not sweaty, and straightened Zhang Fan's surgical clothes from behind.
Then he said to the circulating nurse: "In the future, Zhang Yuan, please wear the surgical gown a little looser. It's too tight and the operation will take a long time, which will make it uncomfortable."
"Okay, head nurse." The traveling nurse smiled.
"It's quite appropriate, head nurse. I broke a few more instruments. Nurse Xiao Wang has told me several times, but there is nothing that can be done about this operation. The stone is too hard."
"Oh! Let me take a look." Then he lay down behind Zhang Fan, stood on a small stool and looked at the equipment over Zhang Fan's shoulder. Zhang Fan seemed to feel something.
"Oh my God, Zhang Yuan, you are so strong. It's so hard that it can bend. Next time I give a report on the equipment, you should sign it early. The former deputy director said that we were taking equipment, you are You know, right?" the head nurse said with a smile.
"No problem, no problem at all, don't worry." Zhang Fan smiled, and then moved slightly ahead. Although it was already attached to the operating table, Zhang Fan still walked a little ahead.
"Zhang Yuan is easy to talk to! I just like this kind of leader." After saying that, the head nurse shook her slightly thick willow waist and went out.
Three people directly destroyed three needle holders. "It's really too strong. This thing is almost the same as cement with a lower grade." Zhang Fan said while rubbing his sore tiger's mouth.
After kneading the stones into small pieces, Zhang Fan began to clamp them one by one, until the small curved plate was filled with them. Finally, I slowly pulled out the gauze, and the stone was finally removed.
"After this patient returns home, we must decompress his gastrointestinal system and don't rush to let him eat. Use drugs to protect the gastric mucosa and suppress acid.
If necessary, give him a few more intestinal feeds. This stuff can't be digested in the stomach. Don't let the remaining residue enter the intestines and cause obstruction. "Zhang Fan explained to Ma Yichen.
"Okay, Zhang Yuan." Ma Yichen was very happy that the leader appreciated it.
After Zhang Fan explained the matter, he began to sew. "Zhang Yuan, are you going to treat the ulcer?" the attending doctor asked.
"No need, this kind of ulcer is caused by the friction of this stone. As long as the stone is gone, use some drugs to suppress acid and protect the gastric mucosa, and you will recover on your own. But this patient's wife is a troublesome thing." Zhang Fan said to After the attending physician finished speaking, he said to Lao Zhao again.
"Yes, her liver hydatid surgery has been done once at the local hospital, and now it has recurred, so the surgery is more troublesome."
"Director Zhao, please invite my senior brother and Professor Zhao Jingjin from Bird City tomorrow, and we will have a consultation together. See if there is any good way."
"Okay, regular surgery won't work. We have to think of a better way."
Zhang Fan sutured the stomach body layer by layer. It's a small hole with little damage, so it should be no problem to recover.
"Yuan Zhang, Director Zhao, I often have stomachaches. Let me see if it's okay someday." The operation was almost over, and the head nurse didn't make things difficult for the little nurse. The little nurse also became lively now.
"If you don't eat on time, you still need to lose weight, right?" Old Zhao didn't speak, so Zhang Fan continued.
"Well! If you don't lose weight, you won't be eligible." The little girl is also a man!
"How old are you? Don't ruin your stomach just to lose weight. You can go to the gym!" Lao Zhao laughed after hearing this.
"Lazy! My legs are almost broken after get off work and I don't want to walk. I don't have the strength to exercise. And I started to feel nauseous after eating some chocolate recently! Zhang Yuan, please tell me!" The little girl said deliberately, this guy has a head nurse. potential.
"This stomach has two openings. The entrance is called the cardia (ben), which is like the fuel injection port of a car. The exit is called the pylorus, which is connected to the duodenum.
There is a sphincter at the cardia, which is like a valve. After food enters the stomach, this switch is closed, so reflux generally does not occur.
However, once a large amount of fat and alcohol are used, reflux will occur. Many people do not say eat more and drink more, but just eat a little and drink a little, and reflux symptoms will occur. So if this happens, you should avoid eating chocolate. High-fat, alcoholic foods.
If reflux occurs for a long time, the esophagus will be corroded, corroded, and corroded. The esophageal mucosa is broken and begins to recover. After recovery, it begins to be corroded again. In this eroded area, cells proliferate and mutate, and cancer cells may appear. . "
Zhang Fan also knew that the little girl did it on purpose, but now that she had started talking, he had to make it clear.
"Oh my God, it's terrible. I love chocolate the most. And I love white chocolate."
"With such a greedy mouth, you probably won't be able to lose weight." Director Zhao, the general surgeon, said with a smile.
"Director Zhao, you are annoying. I have decided not to eat chocolate anymore!"
"I've given up eating too!"
"Haha, for the sake of Director Zhao's health, I'd better eat some!"
The operation went smoothly, and several people finished the operation chatting and laughing.
"You must be careful, and you must pay attention to the recovery after surgery." Zhang Fan specifically explained to Ma Yichen.
"Zhang Yuan, don't worry, we will definitely complete the task. Let the patient be discharged healthy." Ma Yichen agreed, patting his chest.
"That's good."
The old man with gold teeth had his teeth removed and a plastic gastrointestinal decompression tube was inserted into his nose. A faint bloody liquid could be seen in the tube. He was pushed out of the operating room by the nurse and anesthesiologist.
The old man has no teeth, his upper and lower lips are shrunk together, and because of living customs, he has a long beard around his lips. It looks weird. It seemed to be a strange flower. After Zhang Fan looked at it, he decided not to grow it in the future.
