From a technician to a comprehensive technical manager, the mentality change does not happen in one day.
Not only did my own mentality go through an adaptation process, but also the mentality of my colleagues, friends, and family members also gradually adapted.
When Zhang Fan first became the assistant director of the Department of Orthopedics, Lao Gao once said this to Zhang Fan.
The mentality of managers in the medical industry is different from other industries and is very changeable and complex.
Zhang Fan didn't understand it at first, but now he finally has some understanding. That is, the technical staff are disobedient.
This is not the personality of one two-person doctor, but the commonality of the entire industry.
Just like some young doctors and nurses nowadays secretly call Zhang Fan "black maimaijiang".
Among the names of famous border people, Maimaijiang may not necessarily have the most names, but for the Han people, Maimaijiang is the most catchy.
Therefore, I don’t care which way you come, I only go one way. Calling Maimaijiang became Xiaoming among the Han people in the frontier areas.
The little nurse called Zhang Fan "Heimaimaijiang", which contained a hint of admiration and a feeling of being unfamiliar but hoping to be familiar with him.
When young doctors call Zhang Fanhei Maimaijiang, most of them are jealous and unwilling to admit it.
The same young man, also a bachelor's degree graduate, why is he so good?
Probably because he is evil!
Zhang Fan doesn't mind this matter at all. He is now like a king, constantly patrolling his chassis and constantly exploring potential materials.
Talents in the medical industry are so hard to find. Not only do you have to work hard, you also have to be talented.
And you also need to have a mentality that can withstand huge pressure. Not only can you withstand pressure, your character is also very important.
In this industry, if you have a bad character and don't have any problems, that's fine. If there are problems, it will be a big problem. To build a team and build an excellent team, it's not much easier than improving surgical skills.
The patient who was transferred from the Traditional Chinese Medicine Hospital was scheduled for surgery. On the day before the operation, Zhang Fan held a morning meeting for pre-operative discussions in the general surgery department.
At present, the general surgery and liver and gallbladder departments of the city hospital have long been separated into independent departments. Although the anorectal department has been separated, it is not yet independent. Many operations still require the general surgery department to send people to help.
As for vascular surgery, few people conduct specialized research. First of all, this discipline developed relatively late, and the requirements for hardware equipment are also very high.
In the past, the city hospital had the will but not the power. After Zhang Fan's trip to the magical capital, he brought a lot of equipment.
Zhang Fan is actually slowly considering the necessity of establishing a vascular surgery department, so now, Zhang Fan has to slowly observe.
Vascular surgery, the real essence of vascular surgery is to dig out the west wall to make up for the east wall.
Therefore, a vascular surgeon must have a certain level of macroscopic vision, which is different from other general surgeries and is specific to a certain organ.
For example, the appendix was cut out, and the same is true for the gallbladder. So what if the pancreas was the most difficult to offend, but it was still cut out.
But blood vessels are not good. This thing is a closed ring. If the disease is to be fought within a closed ring, the doctor needs to have a strong overall view.
Therefore, Zhang Fan also began to slowly investigate. If there were no candidates in the city hospital, he would train them himself.
The morning meeting was a success, but Zhang Fan's goal was not achieved. The doctors at the general surgery department were very rude and rarely mentioned conservative treatment.
Although the patient's condition is very serious and the possibility of conservative treatment is very low, everyone's view of conservative treatment is still a bit shallow.
For angiolymphatic diseases, surgical treatment is a last resort, and conservative treatment is the way to go.
For example, although the treatment of lymphatic diseases started relatively late in China, thanks to the drying and binding therapy created by Academician Zhang Disheng, the first plastic surgeon in China, the No. 9 Hospital in Shanghai suddenly became the leader in the plastic surgery industry.
In terms of lymphatic treatment, Huaguo’s treatment method is still unique.
I guess this old gentleman is also a glutton, and the roasting method he invented is similar to that of roast duck.
For example, if a patient suffers from lymphedema in the lower limbs, he or she should first use an elastic bandage or tight stockings to bandage and apply pressure.
Then it is put into a special oven and baked at a temperature as low as 60° and as high as 130° according to the patient's tolerance.
Evenly heated, the patient's edema is significantly improved, but for now, no one has a conclusion on how this thing works, but it works!
I guess the old man was inspired when he watched the roast duck rotating and being heated, and his body shrank but rarely lost a lot of body fluids!
Otherwise, there is no way to explain this thing using medical theory.
The old gentleman is also a man of God! The Ninth Academy of the Magic City is famous all over the world, and the students brought out by the old man almost monopolize the Ninth Academy of the Magic City.
Foreign treatment methods focus on rehabilitation, that is, manual massage.
What does it mean? The tissues of the human body are actually isolated from each other, such as the calf muscle group.
These muscles are wrapped together piece by piece by a wear-resistant outer mold, just like frozen meat in the refrigerator. They look frozen together, but are actually separated piece by piece by plastic.
The edema is between the muscles. The conservative concept abroad is to use massage to open the gap between the upper and lower parts.
Let the lymph in other places absorb the blocked lymph fluid.
The advantages are obvious, but so are the disadvantages. First of all, this kind of physical therapist must be professionally trained.
This physical therapy method is not just about stepping on your back, pushing oil, or pulling down the roller shutter to relax you.
This technique is considered a kind of violent massage. It needs to open the barrier between the upper and lower tissues. If the technique is not good, the swelling in the leg will be massaged to the reproductive (a) organ, which will cause disaster and can directly turn into a bull's head.
Therefore, this kind of treatment is extremely expensive and time-consuming. If the main labor force of a family has this problem, it will be a disease that will kill the whole family.
After the morning meeting, Zhang Fan smiled helplessly and asked the general surgery doctors to play barbecue and get massages. It is estimated that these people would definitely not be willing.
It seems that we can only choose another talent.
After the patient was sent to the operating room, the nurse in the operating room looked at the fleshy jar on the patient's leg and dared not laugh.
The anesthesiologist took a closer look and said, "Yuan Zhang, I guess spinal anesthesia won't work. The fluctuations in the blood vessels here are not very obvious. I need general anesthesia."
"Okay! Have you discussed it with your family?"
Zhang Fan responded.
The doctors in the general surgery department were each more aggressive than the other. In the morning, Zhang Fan asked questions one by one. Everyone guessed that Zhang Fan might need someone to specialize in vascular surgery.
Therefore, a group of people entered the operating room, each one quieter than the other, for fear of being ordered to do blood vessel surgery by Zhang Fan.
The forcefully twisted melons were not sweet, and Zhang Fan didn't want to ask them to get blood vessels, but it was still okay to scare them.
"The blood vessels still have a lot to offer, they don't work overtime, there are no emergencies, and they are clean!"
As soon as he said this, everyone rushed to work more efficiently than the other.
Zhao Quanping, director of general surgery, chuckled and quietly gave Zhang Fan a thumbs up.
"Zhang Yuan, the disinfection is complete, the patient is already numb!" the attending general surgeon called Zhang Fan flatteringly.
"The operation begins!"
As soon as Zhang Fan entered the operating state, he had no other superfluous thoughts.
Lymphatic surgery is similar to arterial and venous surgery.
Although it is not as dangerous as arteries and veins, it is still very difficult.
Arteries and veins are one-to-one, the difference is just in thickness. If the blood flow can be controlled well, there is actually little difference between suturing blood vessels and suturing rubber tubes.
But lymph is different. After it comes out of the muscle, it acts like a mouthpart with its bell mouth open and is absorbed step by step with the movement of the muscles.
Therefore, there are three surgical methods for this disease, and these three surgical methods have not been significantly improved on a large scale since their invention.
In addition to changes in medication, what was done decades ago is still how it is done now.
The first, and most cruel, method is direct resection, including direct removal of muscles and lymph nodes.
For example, ** rubber swelling can be removed directly. Men will be scared to death after hearing about it.
The second is to promote absorption, which to put it bluntly is to change the route. The third and most difficult one is the reconstruction of lymphatic drainage.
The lymphatic reflux of the calf is actually a bit like a road in Huashan. There is no good way to reroute it, and excision will cause too much damage.
Although most doctors will choose resection, because with this method, it is difficult to say whether the patient's calf will contract after surgery, but edema will definitely not occur again.
However, Zhang Fan chose reconstruction. The reconstruction surgery took a long time, so in the morning, Zhang Fan greeted the doctors on stage at the general surgery department in advance.
He ate less and drank less. Zhang Fan only ate some steamed buns and some pickles, and didn't even drink water.
If you don't want to go hungry like this, you have to bring diapers. To be honest, it doesn't matter how advanced diapers are.
The warm feeling on the paper after peeing is really uncomfortable, as if someone spit on it and it sticks to the skin, and you can't wipe it off!
At the beginning of the operation, the meat jar was cut open, and the tissue inside felt like cotton wool or foamed white fungus.
The skin feels like leather in the hand, without the flexibility of human skin at all. It is as stiff as pig skin that has been soaked in water for a long time. It is a pity to bite it in your mouth and spit it out, but after chewing it for a long time, it will not move at all, and the shadow of your teeth will remain. No less.
When the operation is performed on this kind of skin, it is as if the person is on the snow, popping, popping. If you use less force, you will not be able to move. If you use more force, the knife will be inserted if it is not done properly.
But for Zhang Fan, no matter how it changes, with a scalpel in hand, the thousands of changes don't matter.
"Tweezers!" After Zhang Fan incised the skin, he asked his assistant to use the toothed tweezers to pull the skin apart and expose all the tissues inside the calf.
You can't even see the inside of the calf tissue. For normal people, even if they are obese, the calf is all muscle and fat.
After the patient's meat jar was cut open, it looked like a pile of fattened pork filled with water, with white liquid overflowing everywhere.
The muscles don't have the feeling of tendon meat, it feels like being chewed by a toothless old lady for half an hour and then spat out with foam on it.
When the gauze was dipped, it brought up a lump of sticky liquid. It was really like a boy who became Master Lu and didn't get it on the tissue, but all under the skin of his calf.
The tissue on the meat jar was so white and greasy that it felt like your hands were stuck to it even when you were wearing gloves.
Zhang Fan cut open the tissue and looked for lymphatic vessels.
"Zhang Yuan, if it doesn't work, just remove it. It feels like the edema is too severe. I pinched it gently and it was all protein."
The director of general surgery frowned.
"There is still hope. Listen to me. Come and help me find a suitable vein."
Zhang Fan didn't say much or explain, and directly gave Zhao Quanping the task.
It's like this on the operating table. As long as the surgeon hesitates a little, other doctors will come up with more and more suggestions.
One talks about the left side, and the other talks about the right side. Therefore, on the operating table, a surgeon must also have a certain degree of domineering.
When Zhang Fan said he was looking for him, several assistants wanted to speak but stopped talking. Lower your head and carefully search for a suitable vein.
Lymph blockage is like a road in Huashan. What should we do? Reconstruct it. First shrink the lymph entrance to become smaller, and then find suitable veins to connect them together.
Therefore, this surgery can actually be performed by a vascular surgeon at this time. The most difficult thing is the connection between blood vessels and lymphatics.
