"Come and take a look!" the scald director of the pediatric hospital in the capital said in a surprised tone, but the environment and atmosphere made the director of 30X mistakenly think that Chasu's mallet was causing trouble.
The medical industry, whether it is in backward ancient times or in today's technological world, has a particularly obvious characteristic.
That is, doctors are particularly reluctant to accept patients who have already been treated.
There are too many problems here, especially in the current medical insurance environment. Doctors really have a headache when accepting patients who are transferred to other hospitals.
Moreover, there is another problem, that is, doctors are particularly afraid of encountering the previous doctor who used saw cluster treatment.
What does it mean? It is said that a person let his enemy biubiu shoot an arrow, and then he was carried to the doctor by his companions.
As it turned out, this doctor had a weak sense of responsibility or was just not good enough. His treatment was quite simple. He cut off the arrow shaft exposed outside the body with a click.
Then he said to the injured person: Go, I am the doctor in charge of the outside, go find the doctor who specializes in looking at the inside.
This is equivalent to digging a hole for the next doctor. The next doctor will not be able to find it or pull it out.
Therefore, when the director of the Scald Department of Capital Children's Hospital shouted out in surprise, the 30x director Chen was furious and even complained about the mediocre Li Cunhou.
"Now that we've been called, don't let the doctors here take action. It doesn't matter if they can't help, but don't create any more difficulties for us, okay?"
I complained about Lao Li in my heart, and said rudely, "Get out of the way!" To be honest, this is a good-tempered person. Many surgeons have this kind of temper that has been brought to the operating room. To be honest, it is scary to death.
Lao Li was inexplicably pushed, but he didn't care. After all, they were giving him face and helping him, so he moved his body and gave up his position a little.
This position only allowed him to take a look, but not to debridement. Old Chen was almost foaming with anger.
"You..." He was about to curse, but his eyes drifted to the wounded man's wounds.
He couldn't curse him with this glance.
In the early days, Zhang Fan did not dare to speed up for fear of irritating the patient and causing a stress reaction in the patient.
This reaction is particularly troublesome to explain in professional terms, so let’s use a simple metaphor.
You were walking alone at night, and you were a little nervous at first, but then someone suddenly jumped out and shouted, "Thief!"
Then, do you have a creepy feeling, all tight, cold sweat, and the muscles that hold back urine are relaxed and want to tick.
In fact, the same goes for the body. When the damage is severe and there is continuous stimulation and damage, the body will start to have problems.
For example, massive gastrointestinal bleeding and cerebral edema are all manifestations of stress response. At this time, the brain is probably in this state, "Run for me! Okay, if you don't run, I will destroy myself for you to see!"
Therefore, in order not to cause a stress reaction in the wounded, Zhang Fan performed the debridement relatively slowly.
However, even so, about half of the damaged area has been treated.
The unprocessed half looked like a black(a) person, which was thrown into the fire and roasted again, then brushed with a layer of oil, and roasted again, which directly caused the skin to crack and the flesh to crack.
The scorched skin was like smashed ground glass, with dark red cracks and cuts everywhere, and there was also light red blood and yellow and white cell tissue fluid flowing out.
It's really like having a dark face, red lips, and drooling, and there are so many mouths that you can't even count them. It's really like the Thousand-Armed Avalokitesvara's mouth, which makes people hairy just looking at it.
Although the side treated by Zhang Fan was still black, the cracks between the flesh seams and the dead tissue had been cleaned up.
The charred tissue was removed from the loose wound. Like a curly black man getting sprayed with a kerosene blowtorch.
Although it was scorched and black, there was no infection, no bleeding, and no devitalized tissue.
Old Chen looked at this, then looked at Zhang Fan, "Good boy!" Because of the support of these experts from the capital, Zhang Fan at this time was holding a knife, scissors, and gauze, and moved very quickly.
Zhang Fan only had one thing on his mind right now, debridement as soon as possible, and then surgery as soon as possible.
brush! brush! Brush, cut with a knife, peel off the skin. To describe it simply, it's like an old chef filleting a fish. The knife goes down, sticking to the red and half-cooked muscles, and the skin is cut off layer by layer.
Lao Chen was so angry that he couldn't express his anger. This craftsmanship was not bad compared to him.
Old Chen Meng was stunned, and then looked at the director of Capital Pediatric Scald with a confused look, "What do you mean?"
The female director didn't even look at Old Chen and said directly: "Don't be stunned, everyone, come and help."
"This doctor is..."
"This is Zhang Fan, Dean Zhang!" Lao Li quickly introduced, and then said, "The surgical method of allogeneic skin grafting is mainly performed by Zhang Yuan."
"Oh, oh, Zhang Yuan, let's deal with it separately, your left side and mine, their right side."
"Okay, hurry up!" Zhang Fan nodded, but there was no pause under his hands.
The anesthetist will report every five minutes, and the anesthetist will report every five minutes. The vital signs of the wounded were reported to Zhang Fan and the others at any time.
There is strength in numbers. Compared with Zhang Fan, the techniques of these expert directors cannot be distinguished from males in this level of debridement. After all, debridement is an introductory operation for doctors.
Twenty minutes later, the wounded man's whole body was debrided and "prepared for surgery."
Zhang Fan didn't need to discuss with others and started giving orders directly.
"Um..." The director of 30x was still thinking that the doctor might be humble and maybe have a pre-operative discussion with a few of them. As a result, he didn't even look at them and went straight to the surgery.
Those from Shuitanzi and those from Capital Pediatric Hospital were all confused by Zhang Fan.
"For such a major operation, why don't you design a surgical plan? Don't you plan the surgical procedure? No matter how urgent it is, you have to book the surgical plan in advance. You can't have a puppy peeing. Let's pee while walking."
"Haha, no need, this kind of surgery is not difficult for others."
Lao Li was hardened at this time.
"Isn't this trying to burn bridges? When rescuing patients, I didn't think you were so loud." The director of Shuitanzi said to Lao Li as if he was joking.
"Isn't this the wounded man's condition in critical condition? Brother, brother, I'm sorry for you. Don't worry about small things. He is really sure. Don't you still believe me?"
"Haha!" Several experts sneered.
Zhang Fan gave the order, and all the ICU nurses in protective clothing, as well as doctors and anesthesiologists, got on their hands at the same time, pushing the operating cart and ran past the operating room.
After the side door of the ICU opens, it is directly the passage to the operating room. "Quick, get out of the way, get out of the way!"
In the corridor of the operating room, nurses and doctors all pressed against the wall, leaving the corridor to the armed police soldiers.
Zhang Fan took off his protective clothing while running, "Director Guli, hurry up, get on the stage."
"Uh!~" Gu Li looked at her former teacher, and then at Ouyang.
Ouyang shook his head gently as if inadvertently.
When Gu Li saw it, he immediately shouted: "Zhang Yuan, come right away, I'll get the medical records."
"What time has it been? Can't you let someone else take it?" Zhang Fan was furious, and his voice changed when he shouted.
Zhang Fan took off his hat and shouted, which made several experts in the capital see clearly.
"You are so young, Lao Li, this is no joke!"
This time, not only was the anxious male director, but also the female director of the Capital Pediatric Scald Department worried.
"There is absolutely no problem. I guarantee with my professional reputation that there is absolutely no problem."
Lao Li changed his usual gentle expression and had a solemn look on his face.
At this time, Zhang Fan was actually no longer worried, and he was no longer timid about the surgery. As long as the wounded man's vital signs were stable, he really wasn't worried at all.
If a surgeon with some level of skill was his assistant, he would be able to do it.
"Okay, today I was tricked by Lao Li. If the boss can't do it, we will take over. Why not go up in advance and let him be in front of you."
"OK!"
"Disinfect, spread drapes, hurry up!" Zhang Fan turned around to find an assistant, but when he saw that he didn't recognize the three doctors who took off their hats.
Lao Li is like a matchmaker pulling strings, "This is Capital 30x..."
"Oh! Thank you directors, I'll leave the surgery to you!" Zhang Fan nodded lightly. It can't be said to be enthusiastic, but it can't be said to be cold either.
Just a normal greeting. The current Zhang Fan is no longer Wu Xia Ameng.
Several experts in the capital really felt uncomfortable with Zhang Fan's attitude. They felt that they were trying to catch up.
Without the pre-operative rescue, they might not have felt so strongly, but after the pre-operative rescue, they could see that this was just an ordinary regional hospital.
In China, except for the Magic City, everyone else went to the local hospital, and there was nothing rude about them.
But now, in a small frontier hospital, the doctors are not only rude, but also seem to have a mediocre reputation.
The doctors who went up and down saw that they didn't have that kind of eager eyes, especially this dean, who was young and arrogant.
Facing them, he simply nodded, as if he were the director of a large hospital in the capital, with no change on his face!
"Haha, let's do the surgery first. Are you the surgeon?"
The older female director smiled reluctantly and then asked.
To be honest, it's not that the doctors at Chasu City Hospital are unenthusiastic. In the past year or two, they have seen too many big shots that made their eyes pop out.
Even the legendary figures in the textbooks have been to their hospital, so they are really a bit immune to ordinary doctors! ~
As for Zhang Fan, he has long since surpassed his admiration mentality.
"I'm the surgeon!" Zhang Fan still nodded.
"Hiss!" The 30x director's teeth began to hurt.
But what can be done now? I rushed here on my own, to use a more common saying, I made an appointment...I gritted my teeth and wanted to...
Then come on!
Tensing up, several experts really went on the operating table. As soon as Zhang Fan arrives in the operating room, his mind will definitely become very single-minded.
The only thing I think about is how to perform the surgery well and how to make the surgery more refined.
As for the rest, he was unwilling to distract himself.
The operation begins.
To be honest, the risks of surgery for large area burns are not as high as those outside the brain or heart.
Outside the brain, outside the heart, sometimes, if the doctor is not careful, it is either an artery or a nerve, which is absolutely dangerous every step of the way.
Although the risks of large-area burns during surgery are not as thrilling, the requirements for a surgeon are high.
The first is microscopic, local skin suturing, allogeneic skin transplantation, suturing and re-establishing the vasculature. When suturing and re-establishing the vasculature, the hand is a little heavier. Although it will not cause problems to the patient at the time, the allogeneic material cannot survive after the operation, and there will be Infection cannot escape.
Macroscopically, where it is necessary to put more, where it is necessary to put less, where it is necessary to transplant some muscle, or where it is necessary to reduce some muscle, these must be considered before the operation, and corresponding changes should be made during the operation.
Without this overall view, if the patient sits down for the surgery, it will be like having a skin lift. The skin will collapse and become tight, and it will be a big problem to close the mouth.
Otherwise, the skin accumulates, just like a Shar Pei. Take a breath, and the skin on your body will be like ocean waves, one after another.
"Knife!" Zhang Fan said to the operating nurse, "Materials!" Then he said to Li Cunhou.
Today, Lao Li has no place for him on the operating table. He can only take a back seat as a material nurse.
Zhang Fan first operated on the soldier's face. Skin transplantation was the most difficult part, and the face was the most difficult.
Really, let alone beauty and beauty, the face has more holes than other places, so skin transplantation on the face is the most difficult.
"Why don't we start with the abdomen first? Even if there is an accident, there is still room for recovery!"
The director of Shuitanzi couldn't help but say that although he didn't like Zhang Fan's attitude very much, he had to be responsible for the patients.
"Yes!" Several other directors also nodded. This is the routine operation sequence.
Lao Li looked at Zhang Fan and the other directors. He remained silent. He knew Zhang Fan too well.
"No! Just start with the face." Zhang Fan didn't have time to explain. First, the longer you wait, the easier it is to get infected. Once secondary infection occurs on the face, even if the skin treatment is successful, the patient's face will be pitted and vortexed, like cannonballs. The positions that have been bombed are the same. How old is the young man?
Secondly, Zhang Fan is too proficient in this kind of transplantation. Not to mention doing it multiple times a day during the experiment, he has done it countless times in the system.
If he didn't have this certainty, didn't dare to take this risk, and couldn't take this into consideration for the wounded, he would be very sorry for his system.
Several directors looked at each other. When 30x old Chen was about to open his mouth to stop him, Zhang Fan moved and he didn't even have a chance to speak.
The knife was like a meat grinder. Hey hey hey, the muscles on the face were cleaned out, and the blood vessels like red meat shreds stuffed between the teeth were exposed.
"Material!"
Lao Li quickly handed over the materials in his hand.
It didn't take much more than a few cuts. Zhang Fan completely convinced the directors with just a few cuts.
"Good boy! You're so playful! Where did he learn this skill?" As a three-assist boxer, the director of Shuitanzi asked Lao Li in surprise and in a low voice.
"Hehe, this is called Zhang's sword technique!"
