It’s not easy to be a doctor. Among other things, whether you can treat a patient’s disease depends on a doctor’s basic skills. You can’t just prescribe intravenous injections for all colds. Of course, those who are dawdling do not count.
It is not easy to be a doctor, and it is even more difficult to be a good doctor. If you want to be a good doctor in a small hospital, as long as you work hard, you will always succeed.
See a doctor when you are at work, and look for various information and journals to study when you are off work. If you seize the opportunity to further your studies, you will always be recognized by the hospital or patients.
But when it comes to large hospitals, especially the top ministerial-level tertiary hospitals, there are only two types of doctors in such hospitals, those with good talents and those with average talents.
Hard work is the basic survival skill for doctors in these hospitals. Almost all the doctors who can enter this kind of hospital have worked hard to obtain a master's degree or doctorate.
That's it, if you don't work hard, you may not be able to keep up with others. The hospital is also working hard to make doctors work harder.
The earliest stage of being a resident doctor was actually a process of learning by obeying and executing the orders of superior doctors in the inpatient department and closely observing patients.
But the hospital doesn’t explain it that way. Resident doctors are doctors who live in the hospital!
When it came time to treat the patient, the hospital felt that it still couldn't let him go, so it brought in a general resident. All the residents were in the hospital, so the resident was not allowed to eat, drink, or have diarrhea in the hospital.
With such hard work and dedication, in fact, most doctors in top hospitals just want to keep up with others and not fall too far behind.
Once you have truly reached the pinnacle of top medical care, the importance of talent is fully demonstrated.
Suturing is the simplest of doctor's skills. It can be almost mastered by a general hospital and a doctor after practicing it for a few weeks.
But it won’t work when you get to a top hospital. People can sew the inner membrane of eggs without using a microscope. And some people have sewn thousands of eggs and still can't get it done.
With this technology, suturing the nerve sheath will be easy. This is the basic skill of surgical doctors in top hospitals.
Is this because the doctor is not working hard? In order to practice this technique, some doctors ate eggs for the whole family until their cholesterol exceeded the standard, but they just couldn't get rid of it.
What is this, this is talent.
Dr. Ye is a very talented doctor at Shanhua Hospital. How many people and hospitals are there in China? It's not easy to make the Department of Neurology famous in these hospitals. It's a no brainer even if you don't have some talent.
This kind of hospital is like Tsinghua University and Peking University when I was a student. Of course, it is impossible to get into the top departments of this kind of hospital by relying on your father to gain extra points.
Because he can't afford it, he will be looked down upon when he comes in, and will be looked down upon by others. If he has the ability to enter this kind of hospital, he will not work as a Ministry of Health...?
When Dr. Ye saw Zhang Fan operating into the abdomen, he knew that this young man was not simple.
Just like a good thing, it feels very comfortable to look at.
Zhang Fan's operations are so smooth. The knife passes through the hand pad, layer by layer, knife after knife, without stopping the hand and without messing up the foot.
The place where the blood should bleed has been prepared in advance, and the place where the thread should be hung should never be remembered until the moment it is in front of you.
One move after another, the sword is not superfluous, not even a trace of superfluous movement.
What is fast? This is fast, coupled with precise coordination that can be seen and felt.
Dr. Ye's clenched heart was relaxed and relaxed. If Zhang Fan's technique was worse today, Dr. Ye would probably go crazy.
"Mr. Wu, which of your students got this doctor in? Not bad, he's a good candidate!"
No longer in a hurry, he smiled and said to Mr. Wu.
"Haha, this is my nephew, a disciple of Qingniao Luyuan!"
"Oh, oh, academician Lu's disciple? So young! No wonder, no wonder!"
After muttering a few words, Dr. Ye said to Zhang Fan: "Young man, my name is Ye Yun, the leaf of the leaf, the cloud of the white cloud, what is your name!"
This is regarded as recognition of Zhang Fan. Otherwise, such a talented doctor not only has talent, but also has emotional intelligence. He can also become a director, and he is also the director of the magic city Shanhua. Don't be too arrogant, dear.
"Haha, hello, Teacher Ye, my name is Zhang Fan, Zhang, Gong Zhang..."
While Zhang Fan was doing the surgery, he imitated the other person in preparing to introduce himself. Last time he reported his name, but the other person didn't hear it and his face turned red with embarrassment. This time Zhang Fan followed suit!
But before he finished speaking, Dr. Ye interrupted Zhang Fan directly.
"Zhang Fan? Is this Zhang Fan who has been to several departments in foreign affairs?" Doctor Ye opened his mouth.
"Uh!" Zhang Fan felt something weird in his heart, just like a mouthful of white steamed buns that he couldn't put down or come back up.
In the same magical city, although many top hospitals don't think highly of foreign-related hospitals, their skills in foreign-related hospitals are actually only a little bit different.
It can't compete with other hospitals in Shanghai, but it still has some reputation in China.
Moreover, many foreign doctors are classmates and friends of Dr. Ye. A few days ago, Zhang Fan suddenly made it impossible for the doctor from the foreign-related hospital to come to the stage. At that time, the doctor from the foreign-related hospital was ready to call Dr. Ye to save face.
The doctor who was involved in foreign affairs at the time was too embarrassed to tell Dr. Ye that he was a young boy. This time, Dr. Ye was surprised. He was too young.
"Haha, his senior brother is the dean of foreign affairs, haha!" Mr. Wu laughed, as if he had eaten a pistachio.
"Oh, you are doing general surgery? Are you also involved in surgery?" After listening to Mr. Wu's explanation, Dr. Ye stared at the back of Zhang Fan's head and said as if he didn't believe it.
As for the preparation before the abdominal insertion, Zhang Fan could do it even with his eyes closed, so Zhang Fan smiled and said softly: "Well! Not many surgeries are performed outside of the gods."
"You didn't do much! Darling, if you did too much you would have paid me back! Mr. Wu, the director of my classmate's foreign relations.
He told me that a patient with cerebral hemorrhage, Dr. Zhang Fan, was directly brought into the operating room after a physical examination without using a CT scan.
It is said that the patient woke up immediately after the operation. At the time, I thought he was an expert in surgery, but I didn’t expect him to be an expert in general surgery! "
"Haha..." Mr. Wu wanted to speak, but Zhang Fan said: "It's in the abdomen, duodenal bleeding, stop the bleeding!"
The elderly are prone to gastric ulcers, and young people are prone to duodenal ulcers. However, no one can guarantee where the bleeding will occur due to stress-related bleeding.
"Hemostatic forceps, disconnected." Once the critical moment comes, no matter how big or small the operation is, Zhang Fan will go all out. This is not repairing a machine. If it is repaired, there will be replacement parts.
When Zhang Fan got into the mood, all he could see was the surgery, all the pleasantries and politeness were all forgotten in his mind.
"Adjust the lights, the light is not good!" The cold words in his tone kept mobilizing the operating staff.
…
"I heard that you are also going to support the border this time?"
"Well, I will be promoted to deputy senior position soon. You can't be promoted without supporting me. Are you going too?"
"Where to go?"
"I'm going to go to tea."
"Me too!~"
Fang Dong's two doctors chatted.
Souvenirs from Chasu La were scattered around the hospital as if they were free.
"Director Lu, look at this raisin, how good it is. Don't vomit it. Be sure to chew it and swallow it. It's good for the prostate.
Let me tell you, you can’t buy this kind of raisins in Shanghai. They are specially bought to go abroad to Europe and the United States to exchange for dollars and euros!
The scenery in Chasu is absolutely uncontaminated by human beings. The mountains and the water there, to be honest, it’s called...
When you go, it's a paid vacation, just like a paid vacation in Northern Europe. "
The director of the Chasu Medical Department fooled the people of Modou with the top-quality raisins from Jiangnan.
He is Zhang Fan's vanguard, using small favors to win over the doctors who want to support him, but he cannot do some doctors with higher qualifications.
"Well, the deputy director of liver and gallbladder doesn't want to go to Chasu. He wants to go to Snow Mountain. Hey, don't we have Snow Mountain in Chasu? Xiao Chen went to find out what the director's hobbies are. Then Zhang Yuan can have one Prepare."
"Yeah, okay director."
…
The director of Chasu Medical Department is looking for help from all over the world, and medical device dealers all over the world are looking for him.
"Leader, please try it. This is the ice cream I just bought from outside. It's very comfortable to have a few bites in this weather.
Tell Zhang Yuan, although this equipment is not well-known outside, it is very cost-effective. "
…
As Zhang Fan was about to leave the Magic City, some thoughtful equipment dealers were as confused as flies.
"Junior brother bought you the jade, I specifically asked about it. It is very good Tianhe jade, and it has been such a big help. What do you think we should give you as a gift?" Senior Brother's wife chatted with Senior Brother.
"Send better surgical instruments?" The elder brother spoke to his wife in a puzzled tone.
"Haha, haven't you seen that reputable equipment dealers are all around me these days? Can you give me some constructive suggestions?"
"Uh, what are you talking about as a gift?" Senior Brother was not happy.
"That's what I thought. I wanted to buy my junior brother a better watch. I didn't find him wearing a watch twice when we met."
"Yes, yes!" Zhang Fan's senior brother nodded grandly.
"Isn't he getting married soon? I bought a set of cosmetics for his fiancée when I went to Europe last time. This is almost a little bit better than..."
"Okay, we can't do this with our junior brother."
"Look at you, you can't let your junior brother suffer, right? Let me tell you..."
Senior Brother Zhang Fan's ears began to buzz.
…
In the operating room, Zhang Fan started to stop the bleeding. There is a saying in the medical community that when faced with a bad doctor, the only weapon an anesthetized patient can resist is bleeding.
For bleeding, surgeons have various methods of surgical hemostasis at different levels. For example, doctors who are inflexible chase every blood vessel and every red blood cell.
I want to use the electric knife to roast all the fat into burnt mutton skewers, and I want to use a soldering iron to sear every piece of exposed tissue and organ before I can rest assured.
This is one extreme. The other extreme is the butcher surgeon, whose creed is: the bleeding will stop.
So, in the surgical field where blood was pouring, they moved forward bravely to stop the bleeding? No, the patient can automatically stop bleeding by relying on the coagulation mechanism!
In fact, the best coagulation factor is the surgeon. If there is diffuse bleeding, and the entire surgical field is slowly bleeding as if it is surrounded by blood, this must be a problem with the veins.
And when the bright red blood rushes to the ceiling, it must be an artery injury.
The more severe the bleeding, the calmer the doctor must be. Once faced with bleeding, the doctor becomes confused and does not even think about it. The patient will die.
At this time, the doctor must first determine whether it is arterial bleeding or venous bleeding, and also predict which part of the body is bleeding.
These are the prerequisites for rescuing patients with hemorrhage. If these two prerequisites are ignored, the patient will be like a big-headed fly tumbling around with his belly full, and the patient will directly slip into the triad of death (acidosis, hypothermia, and coagulation disorder.)
Once you enter this field, it's too late.
As soon as Zhang Fan entered the abdominal cavity, he determined the pattern and location of bleeding.
This kind of judgment is based on a lot of surgical experience, as well as human anatomy and human physiology. It is definitely not a chicken guessing the size by shaking the dice.
A quick step, a quick step, and accurate guessing can catch the patient who is slipping into the abyss in advance at the line of life and death. The doctor who can hold the patient in front of the line of life and death is the most handsome doctor.
"Electric knife!" Zhang Fan's hand was like the palm of Tathagata, and he punched it directly on the bleeding area.
After holding the fist for thirty seconds, the anesthesiologist raised his head and said, "The blood pressure is up!"
With this sentence, no one needs to doubt or question Zhang Fan's judgment is quite accurate.
"Dr. Zhang, no need for electrosurgery, we have energy transmitters!" Dr. Ye reminded quickly.
This is the awesome thing about big hospitals. To stop bleeding, it must be tied and sutured with sutures, just like an old lady sewing her crotch. It must be both beautiful and practical.
Or use something like gelatin sponge or collagen hemostatic net, just like sandbags to block a dam, the larger the quantity, the better.
And others have something more advanced right away, the ultrasonic scalpel! What is this thing?
When this thing was first invented, it was to stop bleeding.
As a result, I don’t know why, but this product has not been promoted in terms of hemostasis. Instead, it has been regarded as a magical tool in beauty. It is said that it is used by beauty salons to smooth wrinkles, just like Viagra, which surprised the inventor.
In fact, it uses high-energy sound waves to penetrate deep into the skin for repair. At a depth of about 1.5.6-4.5mm under the skin, a focusing surface is formed through a radio frequency electric field, which strongly impacts the dermal tissue, producing an electric field aggregation effect on the dermal tissue and increasing the subcutaneous temperature. Raise it to about 60-75°C to ensure that the heat is in the dermis, and then allow the blood vessels to contract and close the muscles.
In layman's terms, this thing is a directional microwave oven, just like the microwave oven used to defrost cold meat at home. This thing is used to stop bleeding, and the effect is also very good.
"Oh!" Zhang Fan looked over like a curious baby. He didn't know how to use this thing!
Many people have a sense of rejection towards new technologies, especially the higher their status, the more they reject what they don’t understand. In fact, this is timidity and a sign of aging.
But Zhang Fan didn't know how. He wanted to move all Shanhua's operating rooms, so when the other party told him about the new equipment, he immediately handed over the position of surgeon to his uncle.
Then, he stared at his uncle's operations with bright eyes, and watched his uncle's operations from beginning to end without blinking.
When the bleeding was stopped, before Zhang Fan could open his mouth, his uncle spoke first: "This is from the United States! I can help you contact him."
Mrs. Wu got to know Zhang Fan well. The closer she was to leaving the magical city, the more Zhang Fan behaved like a wealthy landowner. Every time he walked on the road, the rounder stones were thinking of getting some tea!
When it came to suturing, Zhang Fan remembered Dr. Ye's suturing technique. After thinking about it in his mind, he started to sew like a cat or a tiger.
"Hey! This kid actually stole the teacher!"
