When strength is not enough, let alone people, even countries are very sensitive.
For example, in the early years of China, the current Sanbaitou are very similar to the doctors in the operating room. They can only listen to the good ones, not the bad ones.
But now the country of China is much better. If you like to talk but don't talk, at worst I will send a few articulate people to scold you. After scolding me, I will do whatever I want. Anyway, I will lose a piece of meat.
Therefore, in everything, whether it is a person or a country, when the strength is not enough, we must think about how to fight for it.
When the director of the pancreatic department asked about staffing, the doctors' eyes lit up.
Chen Hao was uneasy. Although he had made a lot of efforts and preparations, he knew that he was nothing in front of the big boss. He was now counting on the paper he stayed up all night to work on.
He didn't want to ridicule his opponents, nor did he want to tease them. His philosophy was to keep the meat on the inside and not on the face.
Chen Hao's opponent was a little behind Chen Hao in terms of technique. He was usually very nervous, but today, he felt that he was 100% sure and could just wait. So when the director of the pancreatic department asked, he straightened his back. He looked at Chen Hao sideways.
"Uncle, the surgical team yesterday was very good. After all, it is a big hospital, so they cooperated very well.
Today you are trying to stand up for me again. I think I will bother Director Li and Dr. Chen again! "
Upon hearing this, the old man thought for a moment, then smiled and said to the director of the pancreatic department: "You are the director, you do whatever you want!"
"Haha, then listen to Zhang Yuan, Chen Hao and I will go together today. Others should prepare!"
After saying a few words, Chen Hao pinched his thigh hard and said, "If you can't laugh, you must not laugh!"
Chen Hao's opponent seemed to be on the podium with his head hanging out. As a result, the person presenting the award hung the card around someone else's neck.
"How could this happen? How could this happen? It was promised that I would do it, I could cooperate, I could persist, why don't you bother me!
You, you will definitely..." He looked at Chen Hao, furious, but the rationality in his brain still prevented him from saying anything.
He didn't dare to question Zhang Fan, the director, and even Mr. Wu, but he really gritted his teeth towards Chen Hao.
"Chen Hao, wash your hands and get ready for surgery!" The director of the pancreatic department said to Chen Hao, and then he and Zhang Fan also washed their hands.
Chen Hao's opponent had a lawsuit on his head. He felt that Chen Hao had given him a gift, but he didn't expect Chen Hao's private efforts.
…
Wash your hands and put on the surgical gown. The nurse was supposed to tie the last lace of Zhang Fan's surgical gown, but the old man stood behind Zhang Fan and said, "I'll do it!"
Then, he gently tied Zhang Fan's lace around his waist, not loose or tight, and then gently pushed Zhang Fan's lower back, "Go!"
This is definitely not what old parents say with worry after tidying up the collars of their children who are working far away: "If you can't do it outside, just come back. Home will always be your support."
The old man's meaning is very obvious, "Go ahead, I will do everything!" He is so awesome and domineering, because the old man has this qualification.
Zhang Fan, who struggled in a low-class life in his early years, was trained by the society to have a strong heart, not fragile, not proud, and still has a sense of responsibility.
After having the system, he has no pride. This makes his path smoother.
He is not arrogant and has high skills. To be honest, the sky is protecting him. Quark is snowing and the road is blocked. When Batu's nephew is about to die in the hospital, Zhang Fan stands up.
After entering the city hospital, I did not despise everything based on technology. I respected what should be respected and obeyed what should be observed. This switch came with the maintenance of all aspects.
After following the master and meeting his uncle, Zhang Fan treated him with heart and heart. This was all achieved by Zhang Fan through his own hard work.
The old man personally dressed Zhang Fan in surgical clothes. Everyone in the operating room was surprised. Oh dear, Mr. Wu personally dressed Zhang Fan. Oh my god! Who can believe it or dare to think it?
The director of the pancreatic department is jealous to death. This also represents a kind of recognition and a kind of inheritance.
"Uncle, let's start." Zhang Fan stood on the operating table and said softly,
"Okay, let's get started!"
At the beginning of the operation, the patient, who was tortured by the disease, was skinny and skinny, with no extra fat under his belly.
With almost one cut, it is the fascia, and it looks like the sandwich biscuits sold by profiteers, with no yellow cream visible.
The first assistant director of the pancreatic department and the second assistant Chen Hao. For this operation, Chen Hao drank a lot of Red Bull before the operation. If you shake his body, you can definitely hear a squelching sound. He also worked hard. .
Cancer surgery can be roughly divided into two types: palliative surgery and radical surgery.
It’s awkward to explain it in medical terms. In layman’s terms, palliative surgery is to prolong the survival time of patients with palliative disease.
For example, someone who will die in two years may take two and a half years after the operation, or three and a half years, or half a year.
This kind of surgery is often chosen when the cancer cells cannot be completely removed.
Radical surgery is a surgical method that can completely remove cancer cells. As for whether there will be recurrence, it is hard to say!
Although the patient has early-stage pancreatic cancer, the effect after resection is directly linked to the skill of the surgeon who performed the surgery.
Therefore, this kind of surgery must be performed at a surgery center that has a lot of experience in pancreatic resection. Don’t look at the small advertisements posted on telephone poles or bathrooms.
"The fat layer in the abdominal cavity and mesentery is very clear!" Zhang Fan spoke after opening the abdominal cavity. He was also happy in his heart, happy for the patient.
The fat layer in the abdominal cavity and mesentery is clear, which indicates that the cancer cells are only in the pancreas and have not spread, so the chance of survival after resection is increased countless times.
Most human organs have open doors, which are the so-called entrances and exits, such as the porta hepatis, gastrojet and pylorus of the liver.
Moreover, the more important the organ, the thicker the clothes you wear, such as the fat kidneys that greasy middle-aged men like to eat, and the fat around them.
This kind of fat is not just fat, but also has a layer of slightly tough omentum inside, so it tastes both delicious and chewy like fat.
The thickest part of the suit is the brain. Not to mention the hard skull, there is also a large bag of phospholipids inside. The brain is actually a high-phospholipid fat.
The organs in the abdominal cavity not only have body fat, but also a large omentum like a veil covering it.
The omentum has many functions. For example, if the appendix is inflamed and swollen, the omentum will gather around the appendix like a fishing net, wrapping it up to prevent the infection from spreading.
During infection, this function is very powerful, but during cancer, this gathering function is fatal. Cancer cells spread throughout the body in minutes through the spider web-like lines of the omentum.
Therefore, in many cancer operations, when the abdomen is opened, it is found that the disease has been transferred to the omentum and surrounding fat. The doctor has no way to do anything. He opens the abdominal cavity obediently and sews it up, but does not dare to move.
After incising the abdominal cavity, no metastasis was seen. All the doctors who performed the surgery were very lucky. Sometimes this thing is like rolling a dice.
"Knife!" He replaced the electric knife with a steel knife made in Germany. Don't dare to use shoddy surgery for pancreatic cancer. Once it can't be removed and metastasized, it won't be worth it.
When the sword was applied, Mr. Wu, who was originally sitting, also stood up and started to pay attention behind Zhang Fan.
Zhang Fan had already mastered the pancreas knowledge, and the old man didn't have much to give advice, but he was worried about letting the old man sit aside. After all, it was a difficult point in general surgery.
The greater omentum was incised, the transverse colon was pulled, and the posterior wall of the stomach was stretched. The pancreas is like a thick maggot hiding behind the organs of the human body.
If you want to completely remove pancreatic cancer cells, you must reveal their entire appearance.
The human body does not seem to be very thick, but once the abdominal cavity is opened, it is very difficult to search for a piece of pancreas through the intestines in the abdominal cavity.
First of all, although the surgical incision looks large, it is actually a small hole once it enters the abdominal cavity. How to describe it.
During the Chinese New Year in the past, many families would cook meat, and some families also liked to eat fat sausage. At this time, a very large and full pot of fat sausage was cooked slowly and slowly.
Then you lie down next to the pot and use a pair of chopsticks to toss around looking for a smaller piece of meat.
Pancreatic surgery is actually similar to this. The red and white stomach is covered with circles of fat covered with bloodshot threads, and the long and greasy intestines squirm in Zhang Fan's hands.
You can still vaguely see the unexcreted digestion on the intestinal membrane, which is faintly yellow and blue.
None of the surgeries performed in general surgery are superior. They are either disgusting to death or troublesome to death.
In such a difficult operation, only Zhang Fan and his assistant could see the organs inside. The two of them could be said to be head-to-head searching for cancer cells from the fat nests.
Little by little separation, people are very different, almost all of them are the most common ones in textbooks. As for the rare ones, they are almost never mentioned, because if you talk too much, you are afraid of affecting the doctors who are practicing.
Zhang Fan was performing the operation, and the director of the pancreatic department was assisting while making comparisons in his mind. "What he does here is better, slightly better than mine. Well, it's a little better here too."
When the pancreas was exposed, he couldn't find anything he could do better than Zhang Fan. He just pointed at the surgical operation. Mr. Wu may not have done it better than Zhang Fan.
"Zhang Yuan, how many pancreas have you done already? This level, tsk! tsk!"
It’s hard not to admire the director of the pancreatic department. He has performed hundreds of pancreatic surgeries over the past ten years, but he can’t do it as well as his counterpart.
"Haha, this is the second one! I do a lot of orthopedic surgeries!"
"Ah!" The director of the pancreatic department almost opened Zhang Fan's mouth with a retractor, "Isn't this bullying!"
Chen Hao was dumbfounded. He thought Zhang Fan focused on the pancreas. "Uh, you're an orthopedic surgeon?"
Before Zhang Fan could speak, Mr. Wu stood behind Zhang Fan and spoke: "He is in a grassroots hospital and performs very complicated surgeries. Not to mention pancreas, he can also perform surgeries outside the brain."
"Oh, oh, oh!" The director of the pancreatic department looked at Zhang Fan in disbelief. He saw that the corners of his eyes were full of collagen without a trace of wrinkles. "What a bully! Not only is he an all-round player, but also You’re still so young that you’re jealous!”
And Chen Hao looked confused, "Mom, it's all in vain, is it too late for me to change now?"
At this time, Mr. Wu said again, "This has advantages and disadvantages, but I only see the whole person in him. His contribution is probably beyond our imagination."
Zhang Fan was so praised by the old man that he was too embarrassed to say anything. He was unsystematic. He is probably still scratching the steel plate.
The pancreas was exposed, like a tongue blistered by boiling water, lying on the bottom of the stomach and intestines and moaning.
In the stomach of the pancreas, a swollen vesicle can be clearly seen, showing its teeth and claws, looking so arrogant.
Zhang Fan turned the pancreas over and looked at it again, "Fortunately! There is only a tumor at the tail of the pancreas."
"Prepare to attack!" Zhang Fan issued the order for a general attack.
"yes!"
The knife entered the clamp, and after cutting open the pancreas, Zhang Fan stuffed it into the pancreas with his nimble fingers.
"Catheter! The smallest size catheter!"
The equipment nurse immediately took out the smallest catheter from the bending plate soaked in disinfectant and handed it to Zhang Fan.
"No, this is too big!" Zhang Fan could tell at a glance that the duct was too thick and could not fit into the pancreatic passage without even trying.
"This is the smallest!" The equipment nurse was anxious, and even the head nurse who was standing by came over. "Did you not prepare all the equipment?"
"No, no, head nurse, I have counted it six times and everything that needs to be prepared is ready!" The middle-aged nurse almost cried. If she really wasn't fully prepared, it would be an accident, a medical accident, and her job would be on the spot. Smashed.
The battle is about to begin, but the shells don't fit! Zhang Fan was about to lose his temper. To be honest, he usually had no temper, but his heart was filled with anger.
Mr. Wu was still experienced. He looked at the patient, then lay behind Zhang Fan and stretched his neck to look at the patient.
"His pancreas is abnormally developed and is one size smaller than that of ordinary patients. Pancreatic instruments are made according to European and American standards, so instruments that are one size smaller than normal cannot be used."
Zhang Fan held the pancreas with one hand and held the cancer cells that were about to be cut out with the other. "Quick, go find it!" He didn't care and gave the order directly.
"We can't find anything smaller than this in our hospital." The director of the pancreatic department said after looking at the instruments and thinking about the inventory.
"What should I do? What do you think I should do?" Zhang Fan was confused. Without suitable equipment, the operation would have failed. The original operation that performed perfectly would definitely have to be transferred.
There is really a tiger in front and a wolf in the back. "Quickly, contact all the equipment dealers in Magic City and ask them to bring equipment smaller than this model and come to the hospital immediately." Mr. Wu spoke.
This kind of thing is the result of not having a patent in our own country. Without a patent, no one studies it. Everything is made according to the body types of Europeans and Americans.
The simplest one, the orthopedic steel plate, is perfectly suitable when used on Europeans and Americans, but it is used on Asians, especially thin people.
The doctor is like a fitter, trying to figure out how to correct the problem and make the steel plate conform.
Zhang Fan didn't expect that he would finally encounter a joke in the medical field today, and it turned out to be too rough.
He started to sweat and squirm. The operation was difficult. Zhang Fan was not afraid. If he couldn't do it, he would go to the liver in the system. Sooner or later, he would be able to remove it.
But if the equipment is not right, no matter how advanced the technology is, it cannot be done on the spot.
Sweat was pouring down Zhang Fan's neck. He was so nervous that he was almost scared to death. This was human life, not pig intestines.
The old man's order was like a military order, causing huge waves in the medical circle of Shanghai.
One by one, Johnson & Johnson, Aetna, Pfizer, and Meditech, the world's top medical companies, started a race. Just kidding, as long as they get the equipment supply for this surgery, the future will be smooth.
Fangdong, the magical capital, is a hospital where they dream of monopolizing supply, and no one is working hard.
