I don’t know who said it, but it is said that to play a certain gadget, you have to have seen at least 100,000 gadgets before you can be considered an expert.
It’s definitely not easy to say, but in medical treatment, this magnitude of change will definitely lead to differences in the level of doctors.
The simplest thing is that in the early years, Li Jiapo and Hua Guo had a relatively gentle and friendly period.
A medical team came to the frontier. At that time, all the medical team members had doctorate degrees, and they were all young talents under the age of thirty-five.
Most of the doctors in the border areas at that time were specialists, and even those with undergraduate degrees were considered very capable.
At that time, in order to maintain the scene, the leaders even pulled out the gray-haired old professor from the medical school.
During the discussion stage of the meeting, it can be imagined that all the frontier doctors were defeated. From tissue embryos to future molecular biology, each one was more advanced than the other.
Doctors on the frontier are like students. Really, in Ouyang's words, they were just like students, worshiping others with an extremely longing look.
After the discussion phase is over, it’s time to observe the surgery. At that time, frontier doctors felt that they were such high-end doctors, such high-level doctors.
No matter what, people must not underestimate the border areas and China.
The doctors who perform surgeries are all masters of medical competitions. Really, there are a group of masters from all over the border, regardless of north or south, east or west.
Several operations were scheduled at that time, ranging from a simple appendix, then gallbladder, hernia, and finally a major gastrectomy.
Dr. Hua Guo went to the operating table first and observed the operation. After the gallbladder was removed, the rest of the operation was stopped.
Why?
Because the doctors on the stage were too slippery. They didn't even have advanced surgical gowns under the old shadowless lamps.
The superb surgical skills honed over many years put Li Jiapo's doctors to shame, and they did not even dare to observe the surgery.
With their energy and energy in the most difficult moments, Huaguo Medical has the possibility to catch up.
Therefore, in the medical industry, especially in basic hospitals, doctors must rely on time and hard work to polish their skills.
Often what patients need is a perfect surgery, not a perfect theory.
When Zhang Fan picked up the knife, Zhou Desen looked at Zhang Fan with all his attention.
Think about it conventionally, what can a doctor with a bachelor's degree do after two years of graduation?
Given a simple appendix and being able to cut it off neatly, this is already considered a lot of hard work.
They have all survived this profession. The most difficult time for a doctor is the first few years after graduation.
Pull the hook every day, pull the hook every day. If you want to get started, first take the qualification certificate, then get it, and then look at the face of the instructor. If you don't let go, you first pull the hook handle.
Therefore, he felt that Zhang Fan had some talent, but he was probably like a child spoiled by teachers and superiors.
I feel like I am a genius, I can do anything, and there is no problem with any surgery.
I didn’t look at the operation of the chief’s child at that time. Nothing was done yet. The teacher brought a group of people to help with the boxing.
Almost half of the general surgery experts from North China were dragged from the other side of China to Bird Market.
What are you here for? Are you here for surgery? This is the time to be scary.
Even if the boss of Bird City fails, he doesn't have the energy to summon so many experts at once.
What kind of treatment is this? It's like a hateful-looking naughty kid wandering around causing trouble.
Then there are a group of people who like to criticize others, such as Lao Xu and Zhao Jingjin from the Central Hospital.
Because when the naughty kid gets into trouble, he can use his powerful moves and shake people up. His master is Mr. Lu, his uncle is Mr. Wu, and his master’s master is Mr. Qiu.
I can't scare you to death!
Seeing Zhang Fan holding the knife, Lao Zhou kept sighing in his heart, "Is medical treatment now starting to pay attention to clans?
You have such huge resources. Thank you for not being an equipment dealer. Why bother doing this? "
However, the superior can designate who will perform the surgery or who will be the assistant.
However, he, Zhou Desen, is not a fool. As long as Zhang Fan feels unfamiliar during today's surgery, he must have a good chat with Lao Xu. As the dean, you can't be so dim.
"Be serious and turn on the lights!" Zhou Desen said to the traveling nurse as he watched Zhang Fan start to take the knife.
Regardless of whether Zhang Fan is a naughty child or not, he must first fulfill his responsibilities as a doctor, and this is also to prevent Zhang Fan from having excuses.
Zhang Fan, who was on the operating table, didn't know why, but his face, which was not sharp at first, looked so serious under the shadowless lamp.
The slightly wrinkled forehead and focused eyes can't help but make others slowly enter a focused attitude. Maybe this is the aura.
The knife cut across the skin, and the skin stained with yellow iodine was gently separated.
Just like a child's mouth, it split open in an instant.
Superficial venous capillaries are like a female insect hiding in a hole and spitting out.
The superficial arterial capillaries are like a bad-tempered male insect, standing at the entrance of the hole and spitting red urine towards the doctor.
Snapped! The electric knife passed through my hand, and in a flash, all these bugs were burnt in the mouth and blocked the urethra.
In the originally quiet operating room, apart from the beeping of instruments, there was only the sound of Luo Tie scalding meat.
Zhang Fan's method is very clever. But these are the basics of being a doctor. If you do well, there is nothing surprising.
Zhou Desen nodded softly in his mind, "I still have some skills. The ancestral disciples still have something."
Then he raised his head and looked at Zhang Fan, "It's just a bad character and a bit arrogant. What a pity!"
People are like this, without strength or ability, no matter how handsome or beautiful you are, you will be despised in their hearts.
I don't know what the reason is.
When cutting open the skin, superficial capillaries cannot be avoided, but Zhang Fan perfectly avoided the blood vessels under the skin.
Under the cracked skin, there is a layer of white dermis under the yellow skin, and under the dermis is a whiter layer of white mucosal tissue that looks like eggshell membrane.
There is very little fat layer in the neck. If it is the abdomen, there will be a yellow fat layer immediately after cutting the skin.
Zhang Fan put down the scalpel, turned his fingers into knives, and gently slid them along the gaps between muscles.
Just like a killer whale, the flesh-colored muscles are separated into one layer and two layers.
There is no need to pull the hook or help from others. The thumb and index finger of Zhang Fan's left hand are separated, the tiger's mouth is open, and the index finger of the right hand is like a hook.
Just like an old tailor cutting complete cloth, the muscles are separated like water.
Then, fatty tumors appear. There is a clear difference in appearance between benign tumors and malignant tumors.
The benign one is like a silly fat guy, harmless to humans and animals, and seems to be shy. He is the fat guy next door who always secretly looks at the pretty sister on the street.
And malignant tumors are completely like bandits and bullies. The first thing they grow is to show their teeth and claws, and have a rotten mouth and broken teeth.
And they are extremely aggressive. It can be said that many malignant tumors are like legions of coagulated blood clots and coagulated thick phlegm and rotten flesh.
Benign tumors generally do not have obvious new blood vessels on their surface, while malignant tumors not only eat nutrients from other tissues, but can also produce blood vessels of their own to directly steal nutrients from the body.
Really, late-stage malignant tumors are just like a package of rotten meat, with fresh blood vessels on the surface. If you cut the rotten meat, it will be full of rotten meat and putrid liquid.
After Zhang Fanyou left the tissue, the benign tumor appeared, like a peeled, half-boiled egg.
There was a little yellowish fat hanging lightly on the surface of the tumor, and when touched lightly, it seemed as if there was no support, and it seemed like it was about to fall.
This thing is just like the egg white has just solidified, but the egg yolk has just turned into sugar. It will definitely make people want to take a quick sip to prevent it from flowing out.
"Gauze!" Zhang Fan didn't speak much from the beginning to the end, and he was operating quietly.
Zhou Desen kept staring at Zhang Fan, while several other doctors were comparing Zhang Fan and Zhou Desen in their minds.
"Well, he seems to be a little faster than the director, and a little gentler than the director. Maybe it's because of his slender fingers."
Zhou Desen, on the other hand, looked at it from a more advanced level, "There was no hesitation at all when hiding from the artery. It seems that he has some skills."
Well, he was very smooth when hiding the recurrent laryngeal nerve. It seems that this guy has done thousands of neck surgeries. "
Zhang Fan didn't have any idea in his mind.
His mind is focused on the tissues and organs in front of him, just like a child playing with blocks!
How to describe the peeling off of benign tumors is like a child swallowing an egg in one bite, and parents are afraid that the child will choke.
It has to be taken out. Hold your mouth and point your fingers to stuff it in, and then take it out bit by bit.
The dissection of benign tumors is similar.
However, everything has its roots, and this thing also has its roots. Its fattened and enlarged body has no adhesion to other parts of the body, but that doesn't mean it doesn't have heels.
Many tumors often have a pedicle at the bottom. The more developed the tumor, the more deeply rooted the pedicle is.
Sometimes it is connected to blood vessels, and sometimes it is connected to nerves. Especially when it is connected but not connected, the instrument cannot detect it at all.
If you peel it off rashly, it will cause severe bleeding or nerve damage, just like when you take off your clothes. They are obviously overalls, but you try your best to find the belt and tear the pants with reckless force. This is inappropriate. Welcome to you. It's definitely a slap in the face.
Therefore, when peeling off a tumor, we actually peel it off three times with our fingers on the left side, then three times on the right side, and extend it bit by bit to the end.
Then shake it gently and judge based on experience whether this thing is connected to blood vessels or nerves.
Is it possible to peel it off under direct vision? Yes, for example, it can be used in places with large operating space, such as the abdominal cavity. No matter how big the belly is, there will be no problem at all even if the stomach is turned upside down.
But the neck is not good. If I want to look directly, do I have to turn the neck completely? It's impossible, even when eating the sheep's neck, you can't open it all.
On the neck, the incision is just a little bit small. For the sake of beauty, it can be as small as possible. For surgery done by inserting the index finger, the incision cannot be as big as the thumb.
This is the bottom line of medical care.
After Zhang Fan freed the surrounding connections, he closed his eyes, and then gently shook the surrounding separated tumors.
The strength of the tumor's movement was fed back to the brain from his hands, and Zhang Fan directly created a three-dimensional anatomical diagram in his mind.
"There is no adhesion!" Zhang Fanzhen opened his eyes and he was sure.
When Zhang Fan's hand left the tumor, Zhou Desen also placed it on the tumor.
"knife!"
Zhang Fan said something to the instrument nurse.
When Zhou Desen heard this, his hair stood up.
From the initial surgery to the most important step of the surgery, all the steps were pretty good.
Why do you have to act recklessly at the last step?
Shouldn't you use your fingers to separate it? It's either an artery or a nerve underneath. Why use a knife?
Zhou Desen spread his fingers to cover the wound, "Dr. Zhang, why do you need to use a knife? Don't you know what tissue is underneath?"
Zhang Fan looked at him. He stared at Zhang Fan without retreating, although his tone was questioning.
However, from now on, he has put Zhang Fan on the same level as him.
"Have you ever seen the Qiu style sword technique? Have you ever seen the serious Qiu style sword technique?"
Zhang Fan asked gently.
"Uh!" Zhou Desen was so sweaty that he was bullying me.
"Even with the most precise sword skills, accidents will happen!" Zhou Desen reluctantly said to Zhang Fan.
The situation is stronger than the person. This kid has seen the big world.
"Haha, separate it with your hands. The damage caused by blunt separation will be more serious, but this is not a muscle, so separation with a sharp weapon will have a better effect.
Come on, help me pull the hook! Make the field of operation clearer. "
After speaking to Zhou Desen, Zhang Fan turned to his second assistant and continued: "Wrap the tumor with gauze."
Zhou Desen looked at Zhang Fan, hoping to see panic in Zhang Fan's eyes, but no!
"Are you sure? You can?"
"I'm sure, I can!"
This is the aura!
