Zhang Fan is young, energetic, and doesn't have any so-called airs. What was his attitude like before, and his attitude is still the same now.
Before performing an operation, it is his habit to see the patient first, which is a very good habit. "It's okay. Your tumor is not big. You will definitely recover well after the operation. Don't drink this wine anymore!"
On the morning of the weekend, Zhang Fan took Ma Yichen and the doctors from the Hepatobiliary Surgery Department of the affiliated hospital for preoperative rounds.
When Zhang Fan came for surgery, the directors and deputy directors were very enthusiastic because they could learn techniques. However, the dogs who were hospitalized and transferred to the hospital felt as uncomfortable as if their father had died.
"It's a big weekend and I'm here for surgery again. It's been several weeks. Can't you take a week off? Can't you change a place!" A group of people surrounded Zhang Fan for the ward rounds. The young doctors walking behind were helpless!
"Okay, okay, I must listen to you, and please be careful!" There was a very young patient in today's surgery. The child was just three years old. The family members held Zhang Fan's hand and wanted to kneel down.
Although Zhang Fan was young, he was surrounded by a group of doctors at the provincial hospital, so he naturally gained an aura, the aura of an expert.
The liver is most afraid of three things. The first is various viruses, especially hepatitis B virus, which is a direct killer of the liver.
The second fear is long-term heavy drinking and a large amount of dietary fat. This can be prevented and cured.
Third, if you are afraid of aflatoxin, if you eat bitter melon seeds or moldy peanuts, be sure not to drink water to swallow them, otherwise you will definitely vomit. This thing is aflatoxin, and the liver is very afraid of it.
In the operating room, Zhang Fan sat and watched the patient's examination. Although the patient's examination had been imprinted in his mind, Zhang Fan still took the trouble to watch the examination.
The two hepatobiliary directors also accompanied Zhang Fan during the examination, and the two directors slowly began to adapt to Zhang Fan's habits.
Although Ma Yichen was brought here by Zhang Fan, including the director of the hepatobiliary department, he was very polite to him, but the young man was a sensible person and knew his position.
Zhang Fan was resting with the director, and he actively helped the anesthetist position himself and the nurse to tie up the patient. Even if I don't let him do it, he will take the initiative with a smile.
Zhang Fan occasionally glanced over and saw the busy Ma Yichen, and felt a little proud, "I have a good taste too!"
"Yuan Zhang, get ready to wash your hands!" the director of the anesthesiology department said softly. The director of the affiliated hospital specifically stated that as long as Zhang Fan comes for surgery, the anesthesiologist must be the director of the anesthesiology department.
"Okay! Wash your hands."
When the operation started, Ma Yichen was also pulled up to the stage by Zhang Fan, "One pony and one rest. We don't have many such patients in our hospital. Let's use the light of the affiliated hospital to see more."
Although Zhang Fan can designate the person to perform the surgery, he still has to say it if necessary and cannot eat alone. A deputy high-ranking officer, whose face was already ugly, instantly felt much better after hearing what Zhang Fan said.
People who work hard are always worthy of respect.
The medical industry is too special. It is an even more special existence in a special industry. Not only is a good platform needed, but the doctor's personal efforts are also very important.
For a simple abdominal color ultrasound, the machines are of the same advanced level, but the reports issued by good doctors and poor doctors are different. Therefore, although doctors are not ranked in the world, hospitals are.
Doctors work hard to improve, and then work hard to get bigger and better platforms. Big platforms also work hard to improve various benefits and benefits, and work hard to attract excellent doctors.
The particularity of the industry also creates the particularity of this profession. The high-end will always be concentrated in a few places, and medicine may develop very quickly. Perhaps many high-end medical technologies will be created and then gradually popularized, slowly benefiting the general public.
However, this also forms a relative threshold, forming a relative imbalance or inequality. Right and wrong are really a very contradictory issue.
Mr. Wang almost took his father to the Magic City. For his level, money is not a problem, but for most people, money is the biggest problem. This is why exercise is so popular in European and American countries.
In the early years of China, many people scolded people, but those who had no money to see a doctor would just leave the patient in the hospital and walk away.
The hospital should not only take care of food, but also do its best to treat people. It is no exaggeration at all. This is also one of the main reasons why private hospitals cannot develop in China.
"How big is the liver? How many weeks does the liver develop in the human body? What are its characteristics?" Zhang Fan used alcohol to disinfect the skin, and then asked confusedly.
The two directors knew that this was Zhang Fan asking his assistant again, so they looked at Ma Yichen with a smile.
"The liver weighs about 1200~1500g and is about 25cm long. During the fourth week of embryonic life, the liver protrudes from the foregut and evolves into the liver.
The liver is the largest chemical factory in the human body, and almost all hormones are inactivated in the liver.
Most vitamins are stored in the liver,..." Ma Yichen did not disappoint Zhang Fan, and explained the liver from physiology to pathology, from anatomy to biochemistry in an orderly and concise manner.
"Xiao Ma's foundation is pretty good!" After Ma Yichen finished speaking, Director Li from the Hepatobiliary and Biliary Department praised him.
Zhang Fan didn't say anything, just nodded. If he didn't even have some skills, Zhang Fan wouldn't expect anything from him.
When the operation started, Zhang Fan had already penetrated the liver and entered the liver area very quickly. There was nothing to say before entering the liver. When choosing the incision, Zhang Fan said something specifically and was speechless.
In the first surgery, the patient was a man in his fifties. After entering the liver area, the tumor was clearly revealed.
The liver, as long as it is a normal and non-pathological liver, can actually give people a pleasant feeling.
The normal liver covered by the membrane slightly reflects a soft luster under the shadowless lamp, which is slightly rose red. It can be regarded as shiny and smooth. It really makes people feel close to each other.
But after having a tumor, things changed immediately. Cancer cells are too overbearing. If the normal cell growth rate of the liver is walking, the growth rate of liver cancer cells is that of an airplane.
When one cell becomes cancerous, cells that cannot be detected under a light microscope begin to grow. One cell becomes two, and two becomes four.
It grows rapidly, and almost all the nutrients in the area are absorbed by it. It grows larger and larger in circles. The external cancer cells continue to proliferate, while the internal cancer cells continue to die.
When the number of deaths increases, cancer cells break down. Something like pus will flow out.
And they come in different shapes. The most typical one is a giant tumor, which protrudes from the liver like an abscess on a mangy dog. It looks white and greasy because of the presence of the liver capsule.
Cancer cells are tightly wrapped by a capsule, like a brain flower tightened by a plastic film, and the blood vessels clearly visible in it rot and die as they grow.
The coexistence of freshness and corruption not only makes people feel disgusted, but also makes people feel scared. Yes, it is scared. This thing is like the underworld, lying on the liver with its teeth and claws.
The scalpel opens the path, peels away bit by bit along the liver and gallbladder, and the electrosurgery coagulates the blood. The coagulation of muscle fat tastes like barbecue, with a meaty aroma.
The liver is rich in many chemical substances. After electrocoagulation, the smoke produced is slightly irritating and smells like overnight urine.
"When separating tumors, if you are not sure, just use the handle of the knife." Zhang Fan explained while doing it.
The two directors have already started, and Zhang Fan is now choosing a technique that has more steps but is relatively less difficult.
The two directors nodded constantly and concentrated on studying Zhang Fan's steps.
After cleaning, the disgusting tumor, like a damaged brain, was completely removed by Zhang Fan.
After the liver tumor was removed, although there was a big hole in the liver, the liver at this time seemed to know that the danger had been exposed, and even the blood flowing out was lovely.
"How's it going? Do you feel it?" After the tumor was removed, Zhang Fan breathed a sigh of relief. Tumor surgery is not fracture fixation.
Even if the fracture fixation method is rough and the steel plate is unsightly, it is not a problem, but tumors are different.
Ulceration and incomplete cleaning can cause the operation to fail, so every operation for liver tumors is not easy for Zhang Fan.
Only after the resection was completed, Zhang Fan could breathe easily with relief. This is no exaggeration at all.
"I feel it a little bit, but it still seems to be lacking a little bit." The director of the Fifth Department of Hepatobiliary Surgery said after thinking for a while.
"Yes, it seems that we are just a little closer now." The director of the Department of Hepatobiliary Surgery also said.
"Well, then keep doing it, and after doing a dozen more, you can probably try it out." Zhang Fan said while cleaning the beginning and end of the operation.
Ma Yichen still didn't understand the difficulty of the operation. After all, he was not a master of liver and gallbladder surgery, but he admired Zhang Fan's accuracy in performing the surgery.
There is rarely any bleeding after one cut, which shows that Zhang Fan is very familiar with anatomy and can avoid larger arteries with every cut.
"It's so fierce. Even in such a complex place as the liver, the shape of the vasculature system can be clearly seen! It's scary!" Ma Yichen unconsciously compared it with Zhang Fan and found that the gap was too big.
During an operation in the morning, nurses were replaced, but doctors and anesthesiologists could not be replaced. After a hurried lunch, they continued with the next operation.
In terms of the physical consumption of surgery, it is estimated that orthopedic surgery will definitely rank in the top three of all surgeries, but orthopedic surgery is relatively less energy-consuming for doctors.
Tumor surgery is different. It is quite energy-consuming. The doctor has to force himself to concentrate on the operation, especially during the dissection. He must not be distracted.
Sometimes, perhaps a small oversight can cause endless pain to patients.
After eating a few bites of food, Zhang Fan sat in the lobby of the operating room and began to rest for a few minutes with his eyes closed.
This kind of continuous operation has no intermission. After one operation, the patient of the other operation has already been hooked up with antibiotics and sent to the operating room.
The chief surgeon can still rest for about ten minutes. If there is no other replacement doctor, the assistant will be busy positioning and helping with anesthesia.
Posture is very particular during surgery. It's not just about throwing people on the operating table and cutting them open.
The patient's position must first ensure the convenience of the surgeon, and because the patient will be motionless for a long time, some pads should be placed in the weak areas of the patient's subcutaneous fat to prevent the skin from being crushed.
This is no joke. As long as two hours of compression, necrosis and ulceration will occur in areas with less subcutaneous fat. Moreover, it is ischemic necrosis and ulceration. Recovery from this kind of damage is particularly troublesome.
It will also spread. When a patient from one department is transferred to another department, the transferring nurse will conduct a comprehensive examination of the patient's skin.
Once bedsores occur in a hospital due to improper care, this is a medical malpractice.
Why the cost of ICU care is so horribly high? Let’s not talk about anything else. First of all, the nurse turns the patient over and pats her back very frequently, once every fifteen minutes.
The ICU of a large hospital must have at least 30 patients, and the number of night shift nurses is no more than six. You can imagine how heavy the workload is.
He wanted to sleep after eating. Zhang Fan rarely drank coffee. However, for this kind of continuous surgery, Zhang Fan had to drink some instant coffee, and sometimes even Red Bull, otherwise he would not be able to keep up with his energy.
During the afternoon surgery, Ma Yichen acted like a crowd under the operating table. The young man was very eye-catching. He helped the nurse wipe the doctor's sweat and adjusted the air conditioner. He was not idle anyway.
This is an attitude towards learning.
Zhang Fan did not have as much energy to explain the surgery in the afternoon as he did in the morning. After all, human energy is limited.
Zhang Fan did it very quickly and carefully. The two directors also knew that Zhang Fan was a little tired, so they didn't say much. The only sound in the operating room was the ticking monitor.
Mr. Wang's father's surgery was scheduled for the next morning. The night he separated from Zhang Fan, he began to inquire about Zhang Fan through various connections.
Although according to the director of the affiliated hospital, Zhang Fan is very powerful, he is his father after all, so he is still a little uneasy.
"Old Zhao, Zhang Fan from Cha Su..." This is Zhao Jingjin.
"Dean Ouyang, I am..." This is specifically to ask the leader Zhang Fan.
"Old Chang, ask about someone." After asking several people, they all said that Zhang Fan was very powerful.
He felt relieved, but they were all doctors from the frontier. He decided to ask the doctors who had left the frontier. After all, they were not in the same area, so they should not cover up for him.
Lao Chang, who was far away in the mainland, felt that dark clouds were covering the sky, so he changed his number, but for such a rich man, he still sent his new number in a very clumsy way.
However, when he heard the other party saying that he wanted to inquire about a person, he began to feel bad. He didn't dare to hang up the phone, and he didn't even dare to tell lies. He could only grit his teeth and say that he was unfamiliar with the person.
Zhang Fan, isn’t he familiar with it? He is so familiar!
After Mr. Wang learned about it, he began to tell his secretary, "Are you satisfied with the place where Zhang Yuan lives?"
"Satisfactory, the best suite in the Frontier Hotel. When I woke up in the morning, Dean Zhang was in good spirits." The female secretary lightly clasped her hands and placed them slightly below her lower abdomen.
"Prepare 200,000 yuan in cash and send it directly to his room in the evening. I won't show up. Be polite and tell Zhang Yuan that the labor fee is labor fee. This is my intention."
"OK!"
