With the decentralization of power, Zhang Fan gained autonomy with the assistance of the superior health system. Treatment is a matter of weighing the pros and cons, and often requires a leading doctor to make the decision, just like the feudal emperor, who made the decision with one word.
Is it good to have more experts for consultation? It may not be a good thing. Sometimes it is better to have multiple experts than to let one expert be responsible for the end.
"Immediately perform a CT scan of the patient's abdomen and chest, draw blood for culture, and conduct drug sensitivity tests." After Zhang Fan and the expert team unanimously approved the patient's diagnosis and treatment opinions, treatment measures began to be carried out one by one.
After the examinations were reported one by one, lesions were found in the patient's abdominal cavity. "Postoperative peritonitis!" Zhang Fan said softly to Ren Li and Jumabek after reading the examination.
"The lesions are not small!"
"yes."
To be honest, it is extremely difficult to determine the cause of postoperative peritonitis. Unless a detailed autopsy is done after the patient dies...
According to evidence-based medicine, most of these diseases are actually caused by surgeons during operations, but...
"It seems that a second operation is necessary." Zhang Fan held the film and sighed longly.
"Explain your condition to your family." Zhang Fan asked Ma Yichen to explain his condition to his family.
After a while, Ma Yichen came in. "Yuan Zhang, the family members want to see the surgeon."
"What's wrong?" Zhang Fan asked curiously.
"They must see the surgeon. When they heard that I was an assistant, they refused to talk to me."
"Oh, come on, let's go take a look."
Outside the ICU, a group of white foreigners sat together. "I am the patient's surgeon. Is there anything you need to know?"
The government sent translators, and they also brought translators themselves. Although Zhang Fan didn't know much about dressing, judging from the appearance of this group of people, they were probably from relatively wealthy families.
"Doctor, is it necessary for my husband to undergo a second operation?" A European and American white woman of insignificant age asked Zhang Fan.
She was said to be in her fifties or sixties, but it didn't look like she was in her thirties or forties. Although there were no wrinkles on her face, the loose skin on her neck already reminded her that she was not young.
She must be doing beauty care regularly, but in fact, the most difficult thing about human body beauty is not the face, but the neck. The muscles in the neck are too many and too long. Once they become loose, it is almost impossible to undergo plastic surgery.
"It is necessary. We have found infection lesions in his abdomen. If the lesions cannot be removed, the patient's condition will only become worse and worse. And it is best to operate as soon as possible. The longer it takes, the worse the patient's later recovery will be."
"Thank you, God will bless him!" The woman stopped talking, with a haggard face and a pious demeanor. When she made a blessing gesture, it seemed that the pressure was relieved a lot.
"Hello doctor, I am a supplier of French perfume. This is my brother in the ward, and this is my business card." As he spoke, the businessman handed Zhang Fan a card that looked like it was made of wood or metal. A business card, and a scented business card.
Zhang Fan held it in his hand and kept complaining, a grown man holding a scented tablet! And because it was all in French, Zhang Fan couldn't understand it either.
After handing over his business card, the pot-bellied businessman did not see Zhang Fan's surprise, but he still asked: "Doctor, can you wait a few days before doing the surgery?" He has already contacted the specialist in their country, and it is estimated that tomorrow You can get there.
Zhang Fan raised his head and looked at the translator, who nodded firmly.
"The patient's condition can be said to be very serious now. The high fever does not go away. The continuous high fever is constantly eroding his body. If the operation cannot be performed as soon as possible, the original abdominal condition may turn into a brain problem. You can also see Here we are, the patient has now developed pneumonia! This already speaks for itself.”
"Okay, we need to discuss it and will give you an answer as soon as possible." The businessman said helplessly.
"Okay!" Zhang Fan nodded. After entering the ICU, Ren Li asked: "What's wrong? Are you ready for surgery?"
"They still need to discuss it!"
"where……"
"We can only wait. If they refuse to do surgery today, is there any way to delay the progression of the disease?" Zhang Fan had to think about non-surgical treatment options.
"I have been on ice caps, vancomycin, hormones, and ventilators, but the high fever still cannot be well controlled. Once it is delayed, I think it will be very dangerous. Once sepsis breaks out, the consequences will be disastrous..."
"Hey! I'll go talk to them again." Doctors have the responsibilities and obligations of doctors, and Zhang Fan must clearly explain the consequences to his family members.
"Doctor, we have made a decision and agree to the operation. The rest is up to you." When the pot-bellied businessman saw Zhang Fan coming out again, he hurried over and they had already decided.
"Okay. Sign! Prepare for surgery." Zhang Fan nodded and said to Ma Yichen.
"Yes, Zhang Yuan. Come on, get a family member to sign!"
After everything was prepared, Zhang Fan and Director Zhao Quanping of the Department of General Surgery took Ma Yichen for surgery. As for the doctors in Seleng County, Zhang Fan would not let them perform surgery, not even with a retractor.
Postoperative peritonitis is caused by poor suturing by the doctor during the first operation, leakage, or by accidental puncture of the intestinal cavity. Therefore, Zhang Fan really didn't dare to make fun of his professional career by letting the lewd doctors.
The trouble left by the initial laparotomy forced a second operation, which increased the difficulty of the operation by several levels.
The first is bleeding. The most important thing in this kind of surgery is gentleness. Because after the first operation, the patient's peritoneum, intestines, and incision were edematous.
Edema in the body is very troublesome. Tissues that are originally very tough become very brittle once edema occurs. What exactly is edema?
In fact, the cells are filled with water, and the cells filled with water make up the organs of the body. The swollen cells are like brittle grapes, which will bleed when touched.
For laparotomy, entry can only be made through the original incision. The worst things in the world include wiping people's butts and cleaning up their messes.
Zhang Fan took the scalpel and gently cut open the suture line. Before he could move much, the bleeding started. Ma Yichen quickly started wiping with gauze.
"Click!"
Zhang Fan directly used the signature to clamp Ma Yichen's hand holding the gauze.
Director Zhao smiled! Because Zhang Fan's attitude showed that he regarded Ma Yichen as his apprentice. Ordinary superior doctors would not be so rude to ordinary doctors.
And Ma Yichen is a general surgery doctor, the doctor he and Ouyang personally signed from Sanchuan Medical College back then, so he can be considered a direct descendant!
"Uh, Zhang Yuan?" Ma Yichen was pinched by Zhang Fan. Long toothless curved pliers clamped Ma Yichen's three fingers.
"Remember, the patient's incision is already swollen, so never wipe it with dry gauze!"
"I didn't pay attention, I'm sorry." Ma Yichen blushed.
"Crack!" Zhang Fan let go of the curved pliers! Ma Yichen secretly touched his fingers.
"Haha, this is good. If it were me, I would kick you out directly. Zhang Yuan is still soft-hearted." Old Zhao said to Ma Yichen with a smile, and then said to Zhang Fan: "Zhang Yuan, this is Are you ready to raise the flag?"
What he meant was to ask Zhang Fan if he wanted to accept a disciple.
"It depends on performance."
"I'm going to let one go, and I'm going to catch up with the two. Why don't we bring a few more. The young men in our department are all pretty good."
When Lao Zhao heard this, he quickly began to promote young doctors in general surgery. It was too difficult for him to be the director, so he also wanted the young doctors to stand up as soon as possible.
When Ma Yichen heard this, his face that was originally red turned even redder. This time it was not shame, but excitement!
