The medical industry, how should I put it, is actually similar to writing articles. I feel that what I write is full of flowers and flowers, and what others write is nonsense.
You can scold me for being ugly, or you can scold me for being unreasonable in charging fees, but if you say that my surgery was bad, you will probably have unyielding hatred.
Under normal circumstances, only people in the industry understand and know who has done a good job in surgery. Although the evidence-based medicine in China is not very reliable, everyone is not blind.
For example, in Meatball Country, the five-year follow-up for intestinal cancer after surgery is really bad. Whether the surgeon does it well or not, we don’t rely on who has a bright voice or who has great power. Come on, let the data speak for itself.
Huaguo Medical learned from Lao Maozi in the early years, and later learned from Lao Mei and Wanziguo. In fact, most of them learned from Wanziguo.
But I don’t know why, I haven’t learned anything yet.
Only those capable doctors in Maruzi Country can open private clinics. It can be said that experts have a broad career path. If their career is not good, they can engage in research. If the research is not successful, they can open a clinic to make money.
In China, on the contrary, most of the private hospitals are average in their skills, but they are the best at treating colds. After a meal of dexamethasone is given, all symptoms disappear without anyone noticing, making the common people think it is... The miracle doctor.
The road for experts from China is relatively narrow. When squeezed to the end, almost all of them are fighting for their official careers. This thing cannot be done without fighting, otherwise they will have no say.
For example, one looks down upon the other in the Capital Region, the Magic City Region, and the largest village-level city in China that later became developed.
When the road is narrow, competition becomes fierce. Good or not, it depends on the result!
On Zhang Fan's side of the operating table, when he opened the skin of his lower limbs, he found that the blood vessels looked like oil pen refills that had not been used for several years, and they were full of emboli.
Both of the man's legs could not be saved and had to be amputated as soon as possible. One of the woman's legs and arms was hopeless, and she needed amputation surgery as soon as possible.
The price was too high and the payment was too tragic.
Destruction is always easier than construction.
The family members also gave up and signed the surgery signature form.
Amputation surgery is actually not a major surgery.
Once the electric saw is turned on, it is like a wood furniture factory. Bones are not worth mentioning in front of steel.
Many people will say that since the bones are good and the muscles are also good, why can’t we save them again?
To be honest, if the bone is broken and the doctor cannot fix it internally, he can fix it externally. If external fixation fails, he can still find a way to graft the bone. There will always be a way.
The muscle is broken, and at worst it will be cut. It will be nothing more than a pit in the future. After the patient has drunk two taels, he can brag in front of his friends, "Did you see, this is the mark of the time when I was bleeding on the streets! Which machete at that time, that Call it sharp..." In fact, only he himself knew what was going on.
But once the skin of the body is damaged, it cannot be transplanted. It can be said that how much skin is damaged, how much of the body must be cut off.
For many traumatic injuries, such as burns and crush injuries, doctors try their best to protect not the muscles or nerves inside, but the outer layer of skin.
If this layer of skin is gone, nothing inside will be useful and cannot be saved.
And if there is a problem with blood vessels, it will be serious.
The nerves are damaged, it's amazing, but this area will just shrink in the future. For example, some people have a stroke. Slowly, one side of the face seems to have been given a weight-loss injection, and the flesh is getting less and less, and it becomes an awl face.
In fact, it's a matter of using it or losing it.
However, if the blood vessels are damaged extensively and cannot be transplanted, then as many blood vessels are damaged as many parts of the body must be cut off.
Because of this thing, without blood vessels, there will be no oxygen and nutrients. Without oxygen, the cells and tissues will die. Over time, they will become rotten meat, and then endless infections will swarm.
So when your skin needs protection, you must protect it! The ultraviolet rays are strong. If you should apply sunscreen, apply some.
When you need to pay attention to your blood vessels, you must pay attention. When you can eat less candy, just close your mouth and don't eat it.
Amputation surgery is as simple as a wicker with skin. Wherever the skin is damaged, more bones must be cut off, otherwise the skin cannot cover the bones and tissues. This thing is not like minced meat, it is cut off evenly to the skin and bones.
Just like the clothes of China in the early years, the cuffs should be longer, otherwise it will appear that the family is poor.
The section of skin that grew out was originally cylindrical, but turned into two pieces of skin.
At this time, you need to sew, just like pinching the wrapper of a dumpling. The distance between the stitches must be the same size.
Otherwise, the stitched muscles will bulge out a little, just like the meat filling of a dumpling that is not kneaded properly.
The meat filling of the dumplings is exposed, which is fine.
But if a little flesh is exposed in this kind of amputation, it will be a big trouble in the future.
First there is infection, and after the infection is controlled, after the scar tissue covers it, the place becomes like a switch.
It will hurt if touched lightly, and it will hurt if clothes rub against it.
Therefore, Zhang Fan held the curette, Xu Xian held the scissors, and Lao Gao held the brush on the side.
Really, this time is exactly the same as washing pig's trotters. You can't see a little bit of remaining meat and residual blood vessels and nerves.
After cleaning the wound, you must pay attention to the roundness when suturing, and there should be no corners or corners.
Just like kindergarten furniture, the corners are sewn into oval shapes.
The suturing effect is best. After the scar on the stump heals, it should be like the head of a turtle. It must be round. Otherwise, it will be like a barb and it will hurt. It will hurt if you rub it. This will also apply to future prosthetic limbs. an obstacle.
Although it is not a major surgery, it is quite time-consuming.
The hungry doctors had to drink a lot of glucose solution before they could recover.
After the operation, everyone felt uncomfortable looking at the parents who were crying and about to faint while holding their empty trouser legs. The initial contempt was diluted by the sadness of their family members.
"European Hospital, what's wrong?" Zhang Fan dragged his lead-filled legs out of the operating room.
I’m so tired. This day has been so fulfilling.
"Hey, I don't even know what to say! Go to the office first, Dean Gao, you will come too."
After entering the office, Ouyang explained the matter. Zhang Fan looked at Lao Gao and said, "What's the government's opinion?"
"No objection, just follow the arrangements of your superiors!"
"Haha, you all know it's a piece of fat!" Lao Gao smiled.
"Is the other party sure that he needs us to perform surgery?" Zhang Fan focused on different things.
"I didn't say anything. I just said that I would go and give feedback to others."
"European Academy, my opinion is that our side must ensure that including Secretary Ren and I, there must be five places. When everyone went to the rescue, there was not a single complaint, and there was no reason to shrink back for fear of something happening.
Therefore, we must let others go. I will reserve one of the remaining three places, hoping that my senior brother who is involved in foreign affairs will participate. As for the last two places, we don’t worry about who we love. "
When we went for the rescue, the director and deputy director of the General Surgery Department also went. This time we went to Saudi Arabia, regardless of whether we wanted to do surgery or not. As long as the surgery was performed, Zhang Fan was the chief surgeon, and there was no problem at all for the two directors to be assistants. The arrangement for Senior Brother is just in case.
As for dragging one's own master or uncle, it is probably impossible. And it’s not necessary.
"Okay, that's what I think too. Since you agree, I'll submit the list. You don't need to add your signature. Dean Gao and I will just write our names.
What do you mean, the High Court! "
Lao Gao was dumbfounded. It turned out that this woman was waiting for him here. He thought that the old lady had relaxed her hands on his neck now. As a result, she had no such idea at all.
"I..." Zhang Fan looked at it and hurriedly wanted to speak.
"Cough! Cough! I'm still the director of the hospital!" Zhang Fan glared, and Zhang Fan was at a loss.
Lao Gao nodded helplessly.
"Protecting young people is what us old guys should do, isn't it, the High Court?"
"Yes!" His teeth were broken. Isn't Lao Gao willing to protect Zhang Fan and the others? To be honest, Lao Gao is absolutely willing.
But the feeling of being forced is really like being fucked by a dog, and it's not over yet! What a bully!
Ouyang has thought everything through! Come on, my old lady is waiting here, but I can’t make Lao Gao feel comfortable anymore. Recently, Zhang Fan released Lao Gao, which made Ouyang feel uncomfortable.
Although he doesn't say it, he still has to give it a hammer when he seizes the opportunity.
I guess this is what is called politics.
"Director, it's really..." Zhang Fan said to Lao Gao embarrassedly after leaving Ouyang's office.
"Hey, it's nothing, don't worry about it. After fighting for half a life, if there is a sudden change, I still feel uncomfortable.
Don’t feel too much pressure when you go out this time. What’s yours will always be yours, and if you don’t force it, it will be unsatisfactory. "
Lao Gao patted Zhang Fan on the shoulder in low spirits.
Zhang Fan doesn't have the energy to care about them anymore. To be honest, playing tricks and talking politics, Lao Gao, Zhang Fan and Ren Li are not enough to carry Ouyang's shoes.
Dragging his feet, which was probably a little swollen, Zhang Fan returned home.
It's really good to have a wife. Zhang Fan has been so tired before. When he was single, he returned to the dormitory, fell on the bed, didn't eat anything, and slept first.
Now, when Shao Hua saw the tired look on Zhang Fan's face, he felt as distressed as an old hen protecting its chicks.
"Drink some soup first!"
"I want to get some sleep. And I have some good news for you."
"Let's not talk about the good news. You look tired and your lips are warped. Why are your socks so wet? Let me pour you some hot water and soak your feet!"
Shao Hua didn't care about good or bad news at all. She only saw the tired Zhang Fan and felt heartbroken.
real! She wanted to be responsible, Zhang Fan was responsible, and she wanted love. Although the love Zhang Fan gave her was not vigorous, it was like the spring breeze, every breath of it was sweet. Zhang Fan didn't worry about anything at home, but Shao Hua didn't feel any difficulty at all outside the family.
Even relatives from Shao Hua's father's family and relatives from his mother's family are now surrounding Shao Hua's family as if they were the center.
Although he didn't expect such treatment, seeing his parents happy, Shao Hua felt indescribably proud. This is my man, this is the man who protects me from wind and rain.
Squeezing his slightly swollen feet, like coaxing a child, Shao Hua coaxed Zhang Fan to fall asleep early.
It is estimated that Shao Hua is already reading books on parenting, and his techniques are becoming more and more skillful.
"In a few days, I'm going to the United Arab Emirates for medical consultation!"
After Zhang Fan finished speaking, he fell asleep gently.
It's so tiring.
"Hey!" Shao Hua gently covered Zhang Fan's stall, stared at his slightly dark face, and then sighed.
I don't know if I want him to become more and more skilled, or if I want him to be ordinary and ordinary.
contradiction!
