Note that the dura mater here must be incised in a semilunar shape and transversely to the transverse sinus! "
Zhang Fan explained while doing it.
Open the dura mater and open the dorsal surface of the cerebellum. Walking through the canopy, pull up the tentorium cerebellum and cut the arachnoid membrane.
To be honest, using professional terms to describe this kind of surgery is too boring, really, just like a drunkard using the keyboard to pile up a large number of random Chinese characters.
I know all the words, but what’s the meaning? I don’t understand!
To put it in layman's terms, this kind of surgery is actually like a dog lifting the door curtain.
People in the south don’t know, but in the north, especially in rural areas in the past winter, when it was the coldest, they would often hang a thick door curtain that was not much thinner than a thick quilt.
This door curtain is very heavy. If it is not replaced for a whole winter, there will be a thick layer of oil on the door curtain, and if it falls, it will probably be used as a door panel and the woman will be unable to get up.
It is more difficult for the dog at home to enter this door. If he scratches his paws randomly, he will be beaten. What to do, he can only use his nose.
Little by little, the little nose opened the door curtain a crack from the corners, and then entered first the nose, then the mouth, then the head, and then the body came in.
This surgery is actually pretty much the same. Speaking of which, it's very simple. Just cut it open and turn it over to expose the cerebellum.
In fact, the degree of difficulty is quite high. Zhang Fan said step by step, "You must be careful not to cut too much. If you cut too much, you will get the artery. If you cut too little, you will not be able to get in. It must reach the middle and outer third of the sagittal sinus."
"Well, well, well!" Lao Chen nodded like a chicken eating millet, his eyes wide open. No expert could explain it this way. It's too expensive.
The doctor who was in charge of the drug-sucking girl couldn't understand and was scratching her head anxiously. However, the boy didn't give up and directly turned on the recording on his mobile phone. I think if I listen to it more after I go down, there will always be something I can get.
This is what medicine is like. When it comes to a certain field, if you want others to teach you step by step, there are too few opportunities.
The directors in the observation room became anxious and angry as they listened. They could not see clearly, but they could hear clearly.
Moreover, experts can teach you step by step, which is really expensive. They are all people with a lot of experience, and they only have a small chance of being enlightened.
My mouth is dry. This is obviously because I highlighted the key points in the book before the exam.
As they listened, they understood that this young tea doctor, no, tea expert, not only did not hide it, but also talked about the key points and difficulties, as well as his own experience.
It's so valuable. In the past, everyone was like Lao Wang, don't laugh at Lao Zhang, and everyone was about the same level.
But now, Lao Chen is breaking the rules and asking the teacher to highlight the key points. Is this still okay? Absolutely not!
In an industry, there are only a few people who can carry the flag. Whoever gets there first will resist first. This thing is like a seat. It is not easy to sit on it and get off again.
So, these directors were nervous.
"How many patients are there in the department with pineal glands occupying space?"
"Three. The experts don't have time, and the patients can't wait any longer. They curse every day and have made several nurses in the department cry."
"Okay, let's tell the patient quickly that a specialist is here and be ready. Ask the family to prepare the surgery fee and the surgery can be done tomorrow."
"Professor Li from the capital is here?"
"I am the director and you are the director. Just do whatever I ask you to do. Where does all this nonsense come from?"
This is a conversation between the department director and the doctor below.
Suddenly, the observation room was full of people making calls. No one wanted to be left behind, no one wanted to be Xiao Ming, the kid.
Entering, entering bit by bit, Zhang Fan was very cautious about brain surgery.
Really, this place is too expensive, and even the slightest mistake cannot be undone or made up for.
Therefore, regarding the anatomy of the brain, Zhang Fan turned over and over again in his system and in his own mind countless times.
Therefore, Zhang Fan is best at this kind of entry surgery. It was so smooth that even Chen, who performed the surgery, felt that this kind of surgery looked too simple.
"I can do it, I can do it, I can do it!"
Old Chen's brain was like a villain, shouting constantly!
My hands were shaking with excitement. His mouth started to stumble, "Zhang, Zhang Yuan, do you want to hang up the little brain curtain here?"
"Yes! Be careful when hanging, don't make the tissue tense, be gentle! Be gentle!"
"Well, well!" Old Chen choked up. It's true that Feidao, Lao Li's predecessor, was a rather eccentric expert.
Whenever Lao Chen and the others asked, the old man would sarcastically say, "You don't know this?"
Lao Chen and the others are already MMP in their hearts. If I knew this, would I still invite you here?
As time went by, no one asked anymore, and the questions in their hearts were always questions. When Lao Li arrived, with the development of medical insurance, more and more surgeries were performed.
There were often four surgeries in a weekend, and Lao Li didn't even want to say anything because he was too tired in two days. Therefore, there is no time to explain.
But now, Zhang Fan not only allowed them to ask questions, but also spoke up to point out important points that they were unaware of.
Really, when Lao Chen thought about the grievances he had suffered in the past few years, and then looked at Zhang Fan's serious expression, really, he wanted to hug Zhang Fan and kiss him!
It is difficult to enter, but it is easy when cutting. For benign tumors, the knife avoids blood vessels and pipes, and gently removes the tumor completely like gouging out an eyeball.
"Tissue bag!" The tumor was removed.
Complete and complete without any cracks!
"Awesome, Zhang Yuan, so awesome." Old Chen couldn't even boast. "For this kind of surgery, if you have time before the operation, it is best to think about the operation process in your mind a few times the night before. It will be more smooth when you do this. I usually do this for non-emergency operations. of."
Zhang Fan shook his head gently and told them his experience, but he didn't mention the system. There was no way to explain this thing.
"Well, that's how I am now. If you think about it in advance, it will definitely go smoothly." Xue Xiaoqiao also nodded.
"Well, I plan to do this in the future, thank you, thank you Zhang Yuan, for your time..."
He also wanted to ask Zhang Fan to do the operation, but he couldn't say it, sorry.
Several people walked while talking, the door of the operation opened, and the patient was sent to the ICU by the nurse and anesthesiologist.
At this time, a group of people came in!
Don't be surprised, it's all the director outside the head.
"Haha, oh, what am I talking about? Cha Su Zhang Yuan is absolutely amazing, you still don't believe it.
Did you see it? Did you see it? The pinealectomy was done in less than an hour. Judging from the level, it is estimated that it can be ranked in the world! "
Lao Huang, who was in the Department of Neurosurgery, stood in the middle of the crowd and spoke first at the top of his voice.
Others kept rolling their eyes, your sister, when did you say that, and when did I say I don’t believe it!
"Hello Zhang Yuan! I went to Jade Bird for further study two years ago, and I am still in contact with the doctors there.
Dr. Huo was in the same dormitory as me at the time. We just called and talked about you. Dr. Huo was full of praise for you.
Your history in Blue Bird has become a legend! "
Director Jiang of the Department of Neurosurgery III is also the youngest. He was originally a neurosurgery major, and his level was pretty good. He and Huang couldn't even pee in the same pot, so he finally pulled the pole and did it alone.
"Oh, really. Are Dr. Huo and the others okay? We haven't contacted them for a while."
"They are all very good. I also asked you to go and see them when you have time."
"Haha, where do you have time!~" Zhang Fan said with a smile.
"That's right, we are in this line of work. Hey, I can't say that. Zhang Yuan, I'm asking you a favor. We also have three patients with pineal glands occupying space in our department. Look..."
Lao Chen and Lao Huang were both anxious. This bastard has found another way. Opportunities are always reserved for those who are prepared.
When people said this, Zhang Fan pondered for a moment. He was not trying to impress others, but thought about Cha Su's work, and then looked at the system's operation volume.
"Okay, I'll stay there for a few more days!"
When Zhang Fan said this, Director Jiang smiled so hard that his teeth couldn't hold back.
"Me, me, me!" Lao Huang was anxious.
"You have patients in several departments, so you can choose them. I'll try to leave as much time as possible!"
Zhang Fan said cheerfully, he was really cheerful, it was too difficult to upgrade the surgery outside the brain.
Really, for general surgery, you can do the appendix and gallbladder. Orthopedics is simpler, but not for brain surgery. It’s just a major surgery, so the upgrade is too slow.
"Zhang Yuan, let's take a shower and then go to dinner. It's dinner time and the place has been reserved."
Director Chen saw Director Jiang dragging Zhang Fan away and quickly interrupted their thoughts of continuing to get closer.
I scolded my mother in my heart, "These dog people have such sharp noses!"
Before Zhang Fan could say anything, several directors from Gandan also arrived. He insisted on inviting Zhang Fan to dinner.
There was nothing I could do, several directors refused to give in, and they felt like they were going to blush. Zhang Fan hurriedly said: "I come to the bird market often, just to trouble you. Please don't argue this time. I'll treat you to a meal to express my gratitude."
When Zhang Fan said this, everyone was speechless.
"How can I let Zhang Yuan treat me?"
"Haha, it's the same, let's go, Director Wang, you choose a place." He said to the director of the fifth department of hepatobiliary and biliary tract.
"Okay, let's eat Zhang Yuan's food today. I'll take advantage of it!" Lao Wang said as if he had never eaten out before, and he started to chirp.
This is for Zhang Fan to see!
Lao Wang didn't want to ask Zhang Fan to pay, so the place he booked was very high-end.
I don’t know which year started, but suddenly private clubs became very popular. It’s strange. There are people who set their own threshold for doing business.
But what's even more strange is that with the threshold, business is even more prosperous. A card, a basic entry-level card, is either tens of thousands or a hundred thousand. I don’t know what to think. Is it gold?
Although the frontier is not as good as the capital, there is no place named No. 1 or No. 2, nor is it a popular or popular place in the world.
But in a quiet park, there is a small courtyard hidden among the rockeries.
"Listen to Zhuxuan!" Zhang Fan looked around and saw that there were indeed bamboos. There was a large area of bamboo growing in the greenhouse. In the winter, amid the ice and snow, it was exceptionally green.
"This must cost a lot of money!" Zhang Fan was surprised as if he had never seen the world before, but he didn't ask.
After eating, Zhang Fan excused himself to relieve himself and went to pay the bill. As a result, he saw a beautiful woman at the door. After seeing Zhang Fan, she walked over with a pleasant smile.
"Hello Zhang Yuan!"
"Oh, hello!" Zhang Fan nodded, but had no desire to continue chatting.
Chasu was educated by Ouyang, and Chen Qi's example was there, so Zhang Fan himself was still very wary.
"How much does it cost? Wanli Jiangshan's box will pay for it!"
"Thirty-two thousand in total."
"How much?" Zhang Fan's liver trembled and he didn't drink any wine. It was so expensive and only a few people were eating dragon liver!
"This trip was in vain!" Zhang Fan wanted to take out his wallet in pain, but the waiter smiled and said: "This lady has already paid the bill!"
"Uh!" Zhang Fan turned around, and the other person was still facing Zhang Fan quietly with an unchanged smile.
"Master, this is a master!" Zhang Fan immediately made a prediction in his heart. Because of this smile, he thought of the female leader at the first sight, and she was unpredictable.
"Zhang Yuan, I knew right away that you were here to pay the bill.
Oh, Chen Qian is here too! "Lao Wang seemed to have just discovered this lady.
"Hello, Director Wang! I heard that Zhang Yuan and you came here to have dinner. I'm a bit presumptuous today. Next time I have the opportunity, I'll toast Zhang Yuan alone and apologize!"
After saying that, the woman just left!
"Hey, Qian, Lao Wang, you..."
Thirty thousand is not a small number. The cadres at the station have been putting a curse on Zhang Fan and the others every month. How can we not be afraid?
"Hehe, I knew I couldn't hide it from you. Don't worry, she is not a device dealer, nor is she a drug dealer."
"Don't bullshit, tell the truth."
"Isn't it time to change the leadership? She has a lot of energy in her family and is a regional agent who wants to get endoscopy. Olympus recommended you.
And then somehow they found me! "
"That's impossible..." Zhang Fan was a little angry.
"Don't worry, the signature was signed by me, you see." After saying this, Lao Wang took out the bill and invoice.
"Don't worry, I understand. If you want to appreciate it, just appreciate it. If you don't want to, just pretend not to know.
I am also helpless. You were polite to me on Tea Su, but in Bird Market, I am just a big doctor and I can’t help myself. "
Lao Wang lowered his face!
"Oh, I won't do it next time!" When Zhang Fan saw that the bill was not in his name, he didn't care, he loved whoever.
"Zhang Yuan is here throwing knives. What's the deal with you staying here? What about the work in the department!"
If Zhang Fan wants to stay, Lao Li will go back, but Xue Xiaoqiao is unwilling to leave. He wants to stay and undergo the surgery with Zhang Fan.
"Director, just let me stay. Zhang Yuan can't do many surgeries without Chasu. I can still practice more here~!"
"You..." Lao Li couldn't say anything else.
"Zhang Yuan can teach people from the outer courtyard, why can't he teach me. Director, please!" Xue Xiaoqiao was wallowing in dependence and refused to go back anyway.
"It's okay. We'll go back immediately after the operation. There's no one here, and I'm not at ease!" Zhang Fan left Xue Xiaoqiao behind.
Lao Li had no choice but to leave alone.
For three days, Zhang Fan continued to operate from morning to night, and Xue Xiaoqiao's tired legs became cramped.
But no matter how hard it is, there's nothing I can do about it. I made the appointment myself, so I have to grit my teeth and do it.
"Damn, the outside of my head has finally been upgraded."
Zhang Fan was lying in the hotel, touching his sore thigh muscles and looking at the system in his mind. The amount of surgery outside his brain was finally enough.
"It's not easy! Then, new subjects appeared in the system. Cardiothoracic surgery, urology, anorectal surgery..."
There are so many questions, "Which one should I choose?"
