In addition to medical treatment, when doctors first chose their path for the rest of their lives, most of them were not very willing to work in internal medicine.
After almost five to six years or more of medical education, every student harbors a desire for surgery.
It is because the surgical treatment method is closer to the psychological needs of modern people: immediate results.
It doesn’t take much time to verify whether surgery is feasible, whether it can be done, whether it’s alive or not, but internal medicine is different.
Looking through internal medicine books, one can hardly find diseases without sequelae. Even lobar pneumonia takes time to heal.
Therefore, physicians are very particular about the use of medicines. Large and small doses must be scientifically weighed. Medicines are not beef noodles. You eat two bowls at a meal and then don't eat for a day.
It will be poisonous! Also, some private community clinics make a lot of money every winter.
Moreover, the old men and women around the community also very much recognized each other's medical skills. They said: Dr. xx in our yard is so good. If you lose three bottles of medicine, I will be cured!
Can colds be cured with medicine? Cold medicines only relieve symptoms, such as nasal congestion, fever, and cough. Even without medication, a common cold will clear up on its own within a week.
If you encounter a person who can really cure a cold in two days, don't go to him for medical treatment in the future.
Nothing else, because the medicine he gave you definitely used hormones! A bottle of antibiotics and then a hormone such as dexamethasone, which costs 30 cents per amp, is quietly put into the bottle. No one knows, but the effect is good.
But dexamethasone, let alone other things, has serious side effects, and it is used to save lives at critical moments.
During the time of the epidemic, the internal medicine leaders from both the North and the South were almost torn out over whether to use this hormone or not.
But there are some unscrupulous doctors who, for the sake of getting in and out as quickly as possible if they have a slight cold, and in order to make more money, directly put in a pot of hormones.
Once there is a history of repeated use of hormones, if you are unlucky in the future, you may encounter a situation where no medicine is available.
To make this dirty money, really, you might as well do something else, it's too bad of conscience.
Therefore, surgery can achieve relatively immediate results, and it can also make a doctor famous or fail very quickly.
When Old Man Shan's stomach was cut off, the big guys sitting in the front row of the audio-visual classroom felt like they were in a state of panic.
It was so precise that they could not even imagine it. One or two, they looked at Zhang Fan carefully on the screen. At this time, they really put Zhang Fan in the position of a surgeon, instead of looking at Mr. Lu's face.
The big guys in the front row were furious, while some young doctors in the back row were looking cute.
"What's wrong? What's wrong? What's wrong with the big guys in front of you? There's nothing wrong with the operation! It's very clean. If my master lets me do it, I guess I can do it..."
In fact, the young doctor just thought about it in his mind and did not dare to say it out loud. He was joking. No matter how courageous he was, he would be scared to death if he really performed a major gastric resection operation.
…
After Zhang Fan cut off the stomach, he said to Mr. Lu: "Master, please take a biopsy!"
"Okay! You go on, you don't have to worry about this little thing." Mr. Lu looked at the remnant of Zhang Fan's stomach.
He didn't say anything, but his eyes were full of shock. Forgetting precision, Zhang Fan still cut blindly. Even if he cut blindly, he didn't even show any hesitation.
This shows what? This shows that Zhang Fan knows what he is doing and he is very confident about this kind of operation.
While Mr. Lu was taking the biopsy, he looked at the young disciple opposite him, looking at his serious expression and concentration.
The old man actually felt a joyful feeling in his heart, "I'm so lucky. I'm so old, God dropped a genius from mid-air to me.
Talent and character, none of them can make people jump. It’s just that this brat is a bit stubborn and has his own priorities! "
After taking the biopsy, the old man changed his gloves and continued to work as Zhang Fan's assistant.
Before the stomach incision, although there was a camera on the shadowless lamp, people in the video classroom could not see clearly what Zhang Fan was doing.
Because many of these surgeries are performed below the stomach, the stomach is blocked, the operator’s hands are blocked, and the operator’s head is blocked, so not much can be seen.
But after gastrectomy, people in the video classroom can really see the surgeon's operation clearly.
The esophageal seton is used to separate the intestinal tract, and then elongate the original intestinal intestine below and continue it on the remnant stomach.
With gentleness and ease, Zhang Fan held the steaming intestines in his hands, just like a fat boss who had been selling braised pork for many years. He was so skillful that he put it on the electronic scale. If you asked for a pound, he would never do it. More than one pound and two taels.
Suturing and reconstruction, Zhang Fan's reconstruction surgery was extremely clear. It's not sloppy at all, and Zhang Fan's fixation technique is very classic.
From the shrinkage of the patient's wound to the later expansion of the intestines, Zhang Fan took everything into consideration.
A fix left experts including Mr. Lu speechless. What can be said?
Praise? When they saw Zhang Fan's methods, the experts in the electronic classroom couldn't even praise him. Because they feel that even if they get started, the surgery will be nothing more than that.
After the reconstruction, Zhang Fan immediately started lymphatic dissection. The second difficulty in cancer surgery has arrived.
Many cancer operations are done very well in the first few steps, and the doctor can cut very cleanly, but at this point.
To be honest, the difference between national players and masters comes down to it.
Lymph, what exactly is this thing? To be honest, most medical students are vague about this aspect in their initial studies.
Because in textbooks, lymphatics are too general to talk about. This also shows that humans have not yet thoroughly studied lymph.
The shape of lymph nodes. Normal lymph nodes are about the size of beige sesame seeds.
Roughly speaking, this thing is actually a vein assistant. What flows in it are some blood-like components and some special hormone factors.
Each segment of lymph is like an ischemic vein, lying softly and moving around the veins and arteries. After reaching a certain distance, this thing has a concentration point, which is the so-called lymph node.
Whenever there is a disease in the human body, this area will swell because it also has the function of participating in immunity. Especially in children, after a cold, a small pimple will appear behind the ear. This is when the lymph nodes become enlarged and secrete immune factors.
Moreover, the location of this thing, even in the textbook, can only be said to be an approximate location, because its gathering places are very scattered.
Therefore, many times, once the surgery, especially cancer surgery, is not clean, it can be said that the operation failed.
Why can't it be cleaned carefully and completely?
First, the position is not fixed, and second, there are too many things on it, just like the sesame seeds on the sesame cake. Third, the locations where they gather are usually very dangerous places, so doctors are frightened when they start cleaning.
Moreover, cancer surgery is very time-consuming, and it is particularly difficult to completely remove lymph nodes in a short period of time.
When Zhang Fan began to clean up the lymph nodes, the experts in the electronics classroom sat upright one by one.
More than two hours have passed and the finale is about to begin.
"Scrape!"
Zhang Fan reached out and asked the nurse for the curette.
"Uh!" This time, no one dared to express doubts. If you say it once, you can still say you don't understand it. If you say it twice, don't we have any cards?
Although the experts were surprised, no one said that they had placed Zhang Fan in the same position and at the same level.
What a shame!
"Zhang Fan, don't you want to separate for a while?"
Mr. Lu asked.
"No need! And it took too long. Old Shan probably can't stand it any longer."
After Zhang Fan said something softly, he said no more!
Snapped! The curette was placed firmly in Zhang Fan's hand, and the bloody gloves firmly grasped the curette.
"Uh!" When he saw Zhang Fan's actions, Mr. Lu's eyelids jumped in fear, and his heart shrank into a ball of wool.
…
