Doctors, doctors also pay attention to the fact that the appearance of a person remains unchanged even when the mountain collapses. This is definitely not an exaggeration.
Routine training in medicine is to teach doctors basic knowledge in school.
Starting from the third year of college, students will be allowed to enter the hospital for internship, then they will have an internship in their fifth year, and then they will have another year of internship after graduation.
Three years of clinical participation often trains doctors to use their knowledge in special circumstances.
Many doctors, if you ask them to sit on the bench, make a cup of tea, and ask them to say that if there is a beautiful woman sitting opposite, the knowledge they talk about will be comparable to that of top professors. From the most basic to the most cutting-edge, he covers a wide range of topics. He seems to understand everything related to people. I can all tell you the truth.
It seems that not awarding him a Nobel would be an apology for his knowledge.
But when faced with a special situation, such as a patient suddenly facing a near-death state, his mind was like a paste, and all the basics and technological frontiers were forgotten in the Atlantic Ocean. He probably just said one thing in his mind, where is my director!
This is not an exaggeration at all, so when recruiting people in modern medicine, especially hospitals, they will say that this is a mature doctor.
Is it still immature and still needs to be boiled? I'm not afraid of cooking it, but it's too difficult to cultivate.
When the patient's life state is about to collapse, Zhang Fan's mind instantly appears as a whole system of the human body.
"There's something wrong with the heart, blood vessels, nerves, and organs."
The human body is really fragile sometimes. If you open the abdominal cavity, it will drag on other people's intestines. If you pull a little harder, it will be unhappy.
If the abdominal cavity temperature drops, it will also be unhappy. It will also be unhappy if bacteria appear after long-term exposure.
Anyway, just like women during their menstrual period, you don’t know where you’ve offended someone.
However, there is always something that is done wrong or not considered. But people just won't tell you, they have to let you guess. You guessed it correctly, maybe you are smiling like a flower inside, but you can't guess it. Well, most men understand it.
Various experts in the observation room also began to think about it at the same time. In the originally quiet venue, everyone was discussing with each other.
"Hypervolemia?"
"It shouldn't be. Dr. Zhang's surgery was pretty good, and the blood loss was not big. It should be due to insufficient stress response control."
"That's not right. Look at his technique. It's quite precise. He's already mastered the three flavors of Qiu Pai's sword technique."
Mr. Lu also thought about what went wrong.
These all happened at the same time. And Zhang Fan has no clue now.
He had been cautious about such a destructive surgery, but he didn't expect that something would still go wrong.
"Open all the venous channels that can be opened."
When you don’t know what to do, first prepare the patient’s various channels!
This sentence was said by Lao Maozi's surgical master in the early years.
Even though Lao Maozi is thick and thick, stretching out his hands like a furry bear, in terms of the overall situation, he is definitely not as good as Wanzi Guoqiang.
The head nurse quickly opened the channel for the patient.
When the operation was over, the doctors were as careful as thieves not to touch the patient's organs. The doctors on the operating table were like devout believers, hoping that the body could relax a little.
Old man Wang didn't say anything to gloat at this time, he was not stupid. You can make a fuss when you see signs of it, but never make a fuss when something goes wrong.
"I think we should let the experts in our hearts assist. Why weren't we prepared before the surgery?"
The tone seemed to be one of regret, but laymen didn't understand. The leaders frowned upon hearing this.
No matter how much I thought about it, I probably would have had the surgery before I was even ready!
As for technology, they couldn't understand Zhang Fan's previous technology.
This is consequentialism. Many non-technical leaders only look at results.
It may sound utilitarian, but it's better than saying nothing.
Zhang Fan's early surgery impressed many people, even Mr. Xia's female doctor was impressed.
I have been focusing on scientific research since I was an undergraduate, and then after getting my master's and doctorate degrees, even though I followed the first person in transplantation in China, my path was actually more focused on internal medicine research.
So, regardless of her lack of skills, she probably wouldn't be able to do an appendix easily.
However, if we talk about mechanics, every one of Xia Lao's students is his opponent.
When Mr. Xia asked the female doctor to assist Zhang Fan, Zhang Fan didn't think it was necessary, but the female doctor felt that Zhang Fan was just like that.
Although they don't despise each other, they still feel a bit contemptuous of each other.
As a result, Zhang Fan's early surgeries were quite good. She couldn't do it herself, but she still had good vision.
When the anesthesiologist called the police, she immediately stood up, said something to Mr. Xia, and went directly into the operating room.
Zhang Fan thought about it again, whether to use cardiotonic diuretic or coronary dilation and vasopressor.
The effects are the same, but the mechanisms are different.
The mechanism of this thing cannot be explained. Internal medicine is troublesome. The trouble lies here. If we want to explain the mechanism, we must start with the cells, and then analyze the physiology, biochemistry and pathology of the embryo.
Therefore, most surgeons now only know how to use medicine but do not know why. This is why physicians look down on surgeons. To put it simply, surgeons don’t know anything!
Mr. Xia's female doctor, Zhao Yanfang, is in her early thirties according to her name. She also has a story.
Since the first year of my undergraduate degree, I have been flirting with a male classmate in my class.
Academic masters are just different from ordinary people. Other people's love affairs affect their studies.
But she is different. Not only does it not affect her studies, she also supervises her scumbag boyfriend and even gets a scholarship from time to time. She is such an awesome woman.
After graduating from a bachelor's degree, she studied for a master's degree. Her boyfriend failed the master's degree exam, so he started working. If you don't study for a master's degree, you will have to study for a master's degree.
After the girl and her boyfriend graduated, one stayed at work and the other continued at school. Not bad either.
As a result, after only a few years of working, my boyfriend felt that studying for a master's degree was meaningless and lacked any sense of accomplishment. After lying on the bed and finishing his work, he was like a student at school, listening to his girlfriend teach him a lesson.
Then it disappeared. Then, the boyfriend got married to the long-legged girl.
After all, class is not as attractive as long legs!
She has also been delayed. She has already become a doctor, and it is even harder to find a partner.
Therefore, she was hostile to male doctors, especially young male doctors. She always thought that male doctors would like girls with long legs and black stockings who would act coquettishly and call daddy when they opened their mouths.
But seeing Zhang Fan's skill, she felt that this doctor shouldn't be able to do it, otherwise he wouldn't be so skilled at such a young age, and he still has good vision!
People are just so weird. If you don't like her temperament, she will never show up. She will be reserved and wait for people to beg her.
But after seeing Zhang Fan's level, she felt that he was also a superficial person who was obsessed with academics and didn't like long legs in black stockings.
So, no one said anything, and she went into the operating room.
"Try diuretics!" Zhang Fan could only think about these words in his mind and never say them out loud.
Just when I was about to push furosemide, when I just said the word fur.
Zhao Yanfang entered the operating room: "If you want him to die quickly, use furosemide! The potassium ions are already abnormal, should we still use furosemide?"
Although the words are harsh, they make sense. Zhang Fan and the others are just giving this medicine a try, injecting it a little bit to see the effect, and if it doesn't work, change the medicine! This is actually how surgeons use medicine.
Rhetorical questions, typical rhetorical questions, are just like the police questioning the thief, the teacher questioning the students, and the wife questioning the husband who came back with long hair last night.
Being arrogant and condescending is better than being a queen!
Only the mask and hat covered her face, otherwise she would definitely have a cold face.
She looked up to Zhang Fan, not as someone who wanted to develop a relationship between men and women, but as if she had found a similar person, but she still couldn't avoid the mentality of comparing him to others.
Also a strong man!
After saying that, Zhang Fan was stunned. Every surgeon on the operating table was stunned, even the anesthesiologist was stunned.
The basic medical departments are roughly divided into clinical, anesthesia, dental, pharmacy, and public health.
These are subjects that go hand in hand, and no one is better than the other.
When you come out of clinical practice, you are a so-called great clinician. He can do both internal and external medicine, including women and children. In the past, he could also do anesthesia.
But I can’t do dentistry, because my mouth has long been a self-contained entity.
Anesthesia was developed relatively late in China. Even though it was in the operating room, he probably wouldn't be able to do surgery, but if he was asked to do internal medicine, there would be no problem at all.
Therefore, when Zhang Fan talked about furosemide, the anesthetist actually thought the same thing. In the end, no one refuted it and even laughed at him.
There are all kinds of mechanisms in his mind.
Zhang Fan was different. When people said it, he immediately reacted, "Oh, it's not appropriate to use furosemide now!"
"Listen to me, open the sixth vein channel!"
"opened!"
"Okay, you continue the operation. You can't take it off. Now I'm taking medicine to maintain it. Is two hours enough?"
Zhang Fan almost cried when he heard the cold words. It was so timely. Two hours was enough for him to do anything.
The senior brother also looked excited. He knew that within two hours, his junior brother would have finished the operation.
This is an awesome person, he has skills! It's okay to look down on you.
Within a few minutes, the patient's condition stabilized.
Zhang Fan and the others seized the time and went into battle together with axes, axes, knives and forks.
On the joints, Zhang Fan struck the tuberculosis lesion with his bone knife, and with a few clanging blows of the hammer, it looked like the patient was beating on the bed!
How to describe this kind of lesions in bones and joints. The outside looks like the white sugar wrapped in peanuts that everyone ate in the early years. It is numb and thick, and the hardness is similar to inferior cement.
And the inside is just like the lumps of milk that a child spits out after eating too much, one by one.
Bang bang bang, the tuberculosis on the patient's body was removed piece by piece by Zhang Fan.
The patient's vital signs were stable from beginning to end, and even Zhang Fan's efforts to clear the joint lesions did not produce any miracles.
"That's awesome!" Zhang Fan looked at the monitoring data that was as stable as an old cow, and he was so impressed that he almost dropped to the ground.
"Better than Secretary Ren! Even better than your Naduo!" Wang Yanan glanced at Xu Xian, who was playing with snakes.
Xu Xian pouted!
(End of chapter)
