What is success? Everyone is different and has different definitions. For the profession of doctor, it is really hard to say whether success is success through becoming famous or by helping the world by hanging on to the pot.
However, what I know now is that if you have no fame, no status, and no rights, it is not easy to take another step forward.
Separation, continuous separation, hemostasis, finally, after entering the brain tissue, began to appear in large numbers.
Zhang Fan was so awesome. There was almost no bleeding when dealing with the cortical layer of brain tissue. He was so familiar with the anatomy.
"It's time to apply the hemostatic gelatin!" It seemed that everyone's breathing became much easier when they saw Zhang Fan applying the hemostatic gelatin.
Usually, after a craniotomy, most doctors will use three or four packs of this stuff. But this is the first time Zhang Fan has used it since his skull was inserted.
Whether it’s saving or not, hospitals are inherently wasteful, and doctors at this level are definitely not thinking about how to save, but how to make surgeries more refined.
Hemostatic gelatin, which is generally made of polyethylene on the lower end, should never be used inside the brain. Because this stuff will not be broken down and absorbed.
The high-end one is collagen, special collagen. It is exactly the same as Green Arrow chewing gum. It is a small white strip that melts instantly when put into the blood, and then adheres to the surface of bleeding blood vessels.
Bleeding in the human body depends on different organs and bleeding patterns. Bleeding from large blood vessels and heart is the most terrifying. Just like a whale spitting water, there is no problem if it spits out a height of three to four meters.
Cerebral hemorrhage, on the other hand, is exudation. It's like digging a hole on the beach. Although there is no obvious running water, within a short time, the hole is filled with water.
The same goes for the brain. This thing is really just a big piece of fat wrapped in a big bag of blood.
"Boost!" Zhang Fan said to the anesthesiologist.
"Okay!" The assistant Mr. Lu brought was a young doctor, but the anesthesiologist directly brought the most high-end personnel from Jade Bird.
This kind of anesthesiologist does not need to discuss with any cardiology doctor at all. For him, in the anesthesiology department, he is an anesthesiologist, and in the internal medicine department, he is an internal medicine expert.
"This guy is so fierce. He's so courageous! He's already bursting at the seams, and he actually let the pressure increase!"
In the venue, when they heard Zhang Fan's order to increase the pressure, it really ignited the excitement, and everyone whispered to each other.
Boost is good or not, good or bad. Just like boxing, if the opponent's punch comes, if you close your eyes to avoid it, you may get hit, but you will never hit your eyes or other important organs.
But if you open your eyes wide and face the fist to dodge, if you have good skills, you can directly avoid the opponent's fists by relying on the feedback from your eyes. If you have poor skills, they will just use an eye-sealing punch to defeat you.
Now Zhang Fan faced his fist with his eyes open.
The blood pressure rose little by little, and the anesthesiologist administered the medicine little by little, watching the dosage of the medicine with his eyes while staring at Zhang Fan's expression.
Zhang Fan was definitely not one with poor skills. When the pressure rose, the bleeding accelerated. Zhang Fan's three ophthalmic forceps, holding the hemostatic gelatin between them, were strangely entering from the side.
Two tweezers on the left hand, one tweezer on the right hand, and two tweezers on the left side just like two-finger meditation.
Snapped! Gently press on the brain tissue, and then insert the ophthalmic tweezers in your right hand very accurately and quickly into the middle of the two-finger meditation.
"Hiss!" The sound of sucking air-conditioning appeared. The operating room assistant's inhaling sound came from the stereo.
The sounds of breathing in the venue also appeared one after another as if they were coordinated.
"He was too brave, he was too brave. He didn't even look at who was lying on the operating table. It was too big, too big, really too big."
An old man in his fifties outside the capital spoke directly. This technique is only used as a last resort. Under normal circumstances, let alone using it, ordinary doctors have never seen it.
"Is there something wrong? Is the patient's vital signs in crisis?" Mr. Lu turned around and asked unhappily.
"But..." The half-aged expert was speechless. It felt uncomfortable, really uncomfortable. It was like swallowing a mouthful of boiled eggs. It couldn't go up or down. It was stuck in the esophagus, trachea and throat, and the chest was tight. To die!
"Three pieces of gelatin will rule the world!" For this kind of surgery, even dozens of pieces of gelatin would not be enough, but Zhang Fan only needed three pieces and he was able to stop the bleeding immediately.
"Buck!"
"receive!"
Surgery is a team effort. Once the surgeon cannot suppress the assistant.
The chain reaction brought about is very troublesome.
Many people feel that doctors should be focused and meticulous on the operating table.
This is the majority of cases, but when the skills of the chief surgeon and the assistant are about the same, and when the status in the department is about the same, trouble will arise.
"Why didn't you do this? Why did you do that? No, the damage would be too great!" The chief surgeon and his assistant argued, and the anesthetist and nurse began to be at a loss.
This is also why there is a three-level system in the hospital. The chief leads the deputy chief, the deputy chief leads the attending, and the attending leads the inpatient. It was never said that the deputy high-ranking officer took the deputy high-ranking officer with him.
Separate solution and perfect hemostasis. Zhang Fan entered the lesion. Secondary lesions are in the brainstem.
The organs of the human body are divided into autonomous organs and non-autonomous organs.
For example, the tongue is involuntary. You can go deep into the other person's mouth, or you can hide it in your own mouth to prevent the other person from finding it.
This term of autonomy and non-autonomousness does not refer to the person's own will, but to the brain. It seems very contradictory!
In fact, to put it simply, it means whether or not I listen to you. Those who are obedient are involuntary, and those who are disobedient are autonomous.
For example, the anus has a line. The outside of the line is obedient, and the inside of the line is disobedient. This function is exactly the same as the mouth. You can command your lips to suck in ice cream, or you can command your anus to pinch off stool.
But you can't command the esophagus to clamp the meatballs, and you can't command the inside of the anus to contract and suck the stool in.
The brainstem of the brain is the real boss. The human body gives all the most important heartbeat and breathing to the brainstem.
Moreover, the most terrifying thing about autonomous organs is not the problem of constant pinching and pinching, but the fact that this thing is unreasonable.
It's an involuntary organ. Once an injection of anesthesia is given, you can do whatever you want without resisting at all. When you wake up, your head will be covered and your face will look cute.
But autonomous organs cannot. This thing, for example, when you are sick or a tumor sometimes destroys your organs to the point where nothing is left, it still continues to work, just like a lone hero.
However, sometimes, foreign things, such as a doctor's hands or instruments, lightly touch its body.
When it's over, it is like a hero who has lost his virginity and begins to seek death and survival.
I can give you a collective freeze in an instant, and you will be motionless, working? I think it's such a weird thing.
The brainstem is the general leader in managing these weird things, so it is even weirder. When Zhang Fan entered the brainstem, the secondary lesions were very obvious lying on the brainstem.
A good team has a most outstanding C-position leader, but the people in other positions are also particularly good people.
This time, each of the assistants Mr. Lu assigned to Zhang Fan were absolutely powerful. Dehydration, the anesthesiologist's medication was very precise.
The originally swollen brain stem has long been like a girl in the gym, covered in water beads, but not greasy.
If the dehydration of the brainstem does not meet Zhang Fan's requirements, Zhang Fan will not be able to take off the outer membrane of the brainstem, which is the girl's coat.
Just like the plastic film that wraps the box, the swollen brainstem is tightly wrapped by the outer membrane.
As soon as you touch someone, this thing will definitely not be happy, and then it will strike directly at you, which will not scare you to death.
The dehydrated brain stem is like a little kid wearing her mother's mink coat. The doctor can take off the mink coat without touching your body.
Of course, this metaphor is talking about a doctor with Zhang Fan's technical level. Without this technical level, no matter how bulky the clothes are, if the clothes are not taken off accidentally, the person will die.
Many people don't understand what this outer membrane is. In fact, it's very simple. When eating hot pot, you want the brain intact and not cut open.
Then it is cooked, but for people with strong taste, it is not necessary to cook it, and if it is not cooked, the feeling will be more obvious.
When you bite it gently, the pig brain will feel a little breakthrough. What causes the breakthrough feeling is the outer membrane of the brain.
Of course, he usually doesn't understand Wang Wang Wang. When he takes a bite, he will only say, "It's overcooked and there's no blood!"
After Zhang Fan saw the brainstem covered with water drops, he raised his head slightly and nodded to the anesthesiologist.
Anesthesiologist, boss of Jade Bird Anesthesiology Department. At this time, when he saw Zhang Fan's nod, he actually felt a little proud.
Although no words were spoken, the recognition between technologies, sometimes, really gives a sense of accomplishment than the so-called pleasure of life.
If I give you five thousand, you might be happy for ten minutes, and then you start to wonder why not fifty thousand.
The recognition of technology is different. The feeling is like a drunkard drinking a cup of century-old pure wine after ten years of drinking. It is so beautiful that the description of words is pale in front of this feeling.
With ease, really with ease, Zhang Fan used tweezers in one hand and pliers in the other and started peeling off the outer layer of the brain stem.
"Dimming the light!" Following Zhang Fan's voice, the 30X traveling nurse stood behind Zhang Fan with a footstool, leaning her head against Zhang Fan's head, and pointed the light at the lesion very accurately.
"Director Zhang, how are you doing?"
"Can!"
Among doctors, when you don't know what to call him, you are absolutely right to call him director.
To be honest, most of the nurses in small hospitals, even provincial hospitals, are girls from ordinary families. They have a lot of money, but almost no wealth.
But top hospitals are different. Most of the doctors in such hospitals, especially young doctors, come in through step-by-step examinations and assessments.
But the nurse is different. Maybe a little girl can pull out an uncle who is the leader of some department. It's not an exaggeration at all.
Zhang Fan is good at taking off clothes. Especially when it comes to taking off clothes for organs, Zhang Fan is very particular about it. Just his hands that have been trained in the system.
In terms of the quality of surgery, Zhang Fan may not be ranked among the best in the world. But when it comes to the accuracy of his hands, Zhang Fan said he was second, and absolutely no one dared to shamelessly say he was first.
It was so accurate and so gentle that Zhang Fan took off its coat without even realizing it.
"The physical signs haven't changed at all, it's so stable!" Just as Zhang Fan was taking off his brain dry clothes, many doctors in the venue were staring at the monitors.
Breathing, blood pressure, and pulse remain unchanged!
"Yeah, that's so stable. Which hospital is this guy from?" At this time, everyone really started to pay attention to Zhang Fan.
"I think there is really less homework for him. Look at his hands. They are really stable. It's time to make it more difficult for him."
Mr. Wu looked at Zhang Fan's hands. He didn't know whether he was envious of Zhang Fan's youth or Zhang Fan's abnormally stable hands. He made a direct request to Mr. Lu.
"Well, I also think I underestimated him. I already thought of him very highly, but to my surprise, I still underestimated him."
Mr. Lu also felt that Zhang Fan's talent should not be wasted. He performed general surgery and orthopedic surgery. His steady and precise hands were sometimes not very obvious.
However, for brain surgery, these hands are so advantageous. These hands, which are comparable to robots, are really amazing at this time.
When the outer membrane of the brainstem was peeled off, the lesion appeared naked in front of Zhang Fan and the others.
"Cryoplasty forceps! Put on a pair of gloves!" Zhang Fan said to the instrument nurse.
The focus of this kind of surgery is like a small sarcoma on the arm. Fortunately, it is superficial. If it were deeper, the patient would probably have disordered breathing and heartbeat.
To remove lesions in places like this, you cannot use a knife, no matter how sharp it is. The best option is laser, but laser will generate heat, and no one can guarantee whether it will cause a life crisis for the patient.
Therefore, the conventional method is to use drugs to kill it. As for whether it will recur, it is not a matter of this surgery.
Because Zhang Fan has a pair of super stable hands, he did not choose the conventional method, but used cryosurgery forceps.
Special refrigerators in hospitals are so expensive that many people think they are being bribed! In fact, this is not the case. The average refrigerator in a home can freeze to minus ten degrees Celsius, which is amazing.
But the hospital’s special refrigerators can handle minus 40 degrees Celsius without any problems, and there are even refrigerators that can handle minus 80 degrees Celsius.
At this temperature, not to mention ordinary instruments, ordinary bacteria can be frozen into slag.
"What is he going to do?" When they heard Zhang Fan asking the nurse to prepare the freezing equipment, the doctors really became uneasy.
This is kind of crushing them on a technical level. It doesn’t matter that the doctor you hired to do ass surgery is a descendant of the Qiu sect. He can also perform cranial surgery. It doesn’t matter that he can do cranial surgery. He can still crush us with unconventional surgeries.
"Damn! Is he a member of the Department of Neurosurgery?" When this was done, no one had doubted whether Zhang Fan could perform surgery. Now, everyone doubted whether this guy would come to the capital!
There is only so much food, and a person who is so young, so strong, and has such a strong background comes, who wouldn’t be timid?
In fact, it was Zhang Fan's skill that really chilled everyone. Instead, it covered up Zhang Fan's other shortcomings.
For example, Zhang Fan is not so good at diagnosing diseases. Although he is not the donkey of Guizhou, Zhang Fan does still need to improve.
Knowing this, Mr. Lu and Mr. Wu looked at the young man on the monitor with a smile.
