Guaranteed or not! In the past, female doctors often appeared on TV asking a man whether he should be safe and healthy. This kind of TV, which is not considered misleading, has spawned many jokes.
For example, before a pregnant woman enters the delivery room, she writes a note in her hand: If something unexpected happens, you must not give up on me!
The chance of encountering this is extremely small, and now pre-pregnancy and prenatal inspections are so strict that it is almost impossible to encounter it.
But there are so many choices in medical care.
Medical research is accurate, but when it comes to treatment of Erba Meridian, it is slightly vague.
Because diseases do not grow according to human ideas. For example, if a tumor grows one centimeter more, the doctor will need to cut out five more centimeters of normal tissue.
This is why sometimes when doctors open the patient's stomach and take a look, they dare not cut anything. Because the extended incision will cut the patient to death on the operating table, so how to open the stomach and how to sew it up honestly.
Not an exaggeration at all.
And Zhang Fan is facing this problem now.
The tumor in the lower limbs has made the bones look like the skin of a toad, and the bones are covered with bubbles. There is no way to keep this kind of bones, they can only cut them! It also needs to be extended.
But cut a little further up to the knee joint. What should I do if there is just a little bit more? Cut it or not cut it? With just this little extra, Dr. Xia becomes disabled.
In other surgeries, doctors are stingy and will reserve as much as they can for the patient. They will try their best to press on bone residue as big as a fingernail.
However, when it came to tumor surgery, the doctor became a second-generation rich man who was so lavish that he wished he could even remove the organs. Because tumors are so scary.
Zhang Fan hesitated for three minutes, which to other doctors was like a century.
Because of the pause during surgery, especially such a large incision surgery, and the doctor's pause, not only will the capillaries bleed again, but the chance of infection will also increase over time.
At this time, the pressure on doctors can be imagined. One choice may make the patient face a different life.
Wang Yanan clenched her little fists and looked at Zhang Fan. She wanted to go to the operating table to help Zhang Fan. Xu Xian's tangled mouth was almost crooked. He thought again about what he would do if he was the chief surgeon!
Lao Gao wanted to speak, but opened his mouth but did not speak. He believed in Zhang Fan, so he did not want to interfere with Zhang Fan's decision now.
Lao Wang prefers amputation directly. After all, the principle in medical treatment is to save lives before preserving them.
Chen Qi, on the other hand, tends to be reserved. He is too gambling!
Chen Qi joined the orthopedic department at first, but later fell out with Zhang Fan and Ouyang, and became a loner. Now the orthopedic department doesn't let him play with him in anything he does.
In troubled times, this kind of person would definitely not be able to survive and die.
Just when everyone was making a choice in their minds, Zhang Fan had already checked the two results of the operation in the system.
Amputation, needless to say, is the safest. To save it, the premise is that the operation must be done cleanly.
Zhang Fan, who seemed to have fallen into trance, suddenly spoke: "Bao!"
"It's too dangerous, the risk is too great." Lao Gao spoke at this time.
"Zhang Yuan, our mood is the same as yours, but I think it's better to be conservative."
Although Chen Qi didn't say anything, he still said in his heart: "This guy is very brave and responsible. I, Old Chen, have no chance!"
"I'm sure, don't worry!" Zhang Fan didn't explain much. There was no time to explain on the operating table.
To use the words of an early leader: If you don’t understand, you have to find a way to understand it yourself. An order is an order!
After finishing speaking, Zhang Fan said to Wang Yanan: "It is clearly recorded in the operation record!"
Everyone was silent. This is true.
"Go through it again, there must be no omissions." Zhang Fan said softly. There doesn't seem to be any pressure at all.
After Zhang Fan finished speaking, he started from the beginning to the end, that is, his own hospital, where Zhang Fan's record is displayed, otherwise the assistants would definitely fall out.
Mr. Qiu said back then that no amount of caution can be exaggerated in medical treatment, but how many people can do this?
After the inspection was completed, Zhang Fan felt at ease. There really wasn't anything wrong with these old guys, and the surgery was quite clean.
"Zhang Yuan, we have discussed the internal medicine treatment plan!" At this time Lao Ju came in.
Zhang Fan didn't even look back, but simply asked: "Is everyone's opinion unified?"
"No, I finally had to turn to Director Li from the Oncology Department of the University of Oncology to decide on the final plan!" Lao Ju said sheepishly.
Departments jointly formulate plans, which is a drawback in grassroots hospitals. Each department only considers its own side. And lack of experience.
"Okay!" He said yes, but in fact Zhang Fan still let out a long sigh in his heart.
"Cut off!" Zhang Fan didn't express too much emotion. The reality was like this, so he could only work hard.
The circulating nurse immediately put on protective glasses for Zhang Fan and several assistants. Immediately the doctors turned into scientists on the Kesai! This thing looks like a very high-end thing, but it is actually a windshield, and the elasticity is very tight.
If you put it on your face, the flesh on your face will hurt.
The chainsaw, which Xue Fei personally adjusted, was brought up.
The electric saw on the operating table is slightly smaller than the electric saw used to cut wood, but it is definitely not as sharp as the electric saw used to cut wood.
When it comes to the cruelty of surgeries in various departments, if anorectal surgery ranks first, then orthopedics will definitely be in the top three.
There is probably no more cruel operation than the removal of the anus in anorectal surgery.
Although orthopedic surgeries are not the cruelest, they are all so kind.
For example, when the steel plate is put on and the electric drill drills into the bone marrow, the blood is accompanied by the bone marrow and bone powder. Under the high-speed rotating electric drill, let alone other things, the smell of barbecue is unforgettable.
This is better, but amputation would be even scarier.
What Zhang Fan is doing now is to directly cut off the two stumps containing the tumor with an electric saw.
Just like King Li, Zhang Fan took the chainsaw and pressed the trigger, then looked at Lao Gao and Lao Wang.
Lao Gao and Laowang immediately placed the large retractor next to the bone to be cut. This was to protect the patient's muscle tissue. This thing is no joke. Once it touches the muscle tissue, it will become a mess and there will be no chance of saving it.
The chainsaw is like a roaring sports car. When it is placed on the bone, all the ports appear.
Cutting off the bones corroded by the tumor, finally, the healthy bone sections appeared, as white as jade!
When the surgery reaches this step, the most important steps are actually completed.
However, there is a piece missing between the bones. The human body has a strong ability to recover, but this kind of defect cannot be healed.
Autologous transplantation!
What do you mean, human limbs are actually very similar.
The forelimb has two bones, the radius and ulna, and the lower limb has two bones, the tibia and fibula.
The ulnar and radius bones of the forelimb cannot move. If there is a problem with these two bones, such as a fall, and I need to find a two-knife bone adjustment, I will end up not being able to use chopsticks.
As a last resort, the doctor had to cut it open, interrupt it and reconnect it. Because these two bones are like a connecting rod, twisting up and down can turn your hand into clouds and rain. If these two bones are not connected well, even if there is a two centimeter error in the length, there will be no solution. Done.
The lower limbs are different. The fibula in the tibia and fibula has only evolved to assist. When there is no other way, this bone will be used by doctors to replace other bones.
For example, the height-increasing surgery that was particularly popular in the past few years actually involves breaking the tibia and fibula, and then adding the fibula bone to the tibia, which is considered to increase the height.
Although it only has an assistive function, without this bone, a person's stability would be a little worse.
It's not worthwhile to break the fibula just for a little height. But breaking a fibula to save a leg is different.
Several people cut off the fibula very quickly. At this time, it was actually a simple internal fixation. The most important thing is to measure the length of the leg on the healthy side. It doesn't matter if it's too long or too short.
Usually when other people perform this kind of surgery, they have to take measurements. Zhang Fan doesn't need to, Zhang Fan's eyes are like rulers, and they are quite accurate rulers.
The bones are connected, the steel plate is installed, and the screws are tightened, everything is done smoothly.
There is a saying in orthopedics that there is no plate that cannot be put in, only screws that cannot be removed.
Because most orthopedic screws are locking plates, as long as they are deflected with a little torque, the doctor will kneel down and cry when the time comes to remove them.
Therefore, it is generally whoever puts the steel plate who takes it!
Suturing, the operation is over. In Lao Xia's mask, he stuck out his tongue and rolled his eyelids. Zhang Fan looked at Lao Xia and finally felt a little better.
"You must take good care of him! Check the room a few more times, and I will leave it to you, Dr. Xia!"
Zhang Fan said to Wang Yanan while taking off his gloves.
"Well, don't worry, I'll take good care of it!"
…
A few days after the operation, Zhang Fan and Chen Sheng left for Lien University.
Zhang Fan really doesn't like flying, especially the feeling of time and space when the plane lands all at once. This feeling of not being able to grasp life is particularly bad.
But there is no way, China is too big.
"Zhang Yuan, should we go there by ourselves, or will someone pick us up?" Chen Sheng had never been to Lien University either.
"I guess someone will take over!" Zhang Fan felt that his current position should be taken over by someone.
When we arrived at the lobby, we saw a tall girl holding a sign for the World Orthopedic Annual Meeting from a distance.
To be honest, when it comes to beauty, girls from all over China have their own characteristics. But relatively speaking, the girls here in Lianda are generally taller.
She has long hair, appropriate light makeup, her bare legs are beautiful under her jeans, and she wears leather boots. She looks youthful and beautiful no matter how she looks.
Zhang Fan said to Lao Chen, "Look, there's someone to pick him up. Let's go there."
Zhang Fan and Lao Chen walked over with a smile. Before the smiling Zhang Fan could speak, the girl turned his face away.
Zhang Fan was so embarrassed that he couldn't hold back his smile, "Hello!" As a last resort, Zhang Fan said to the back of the girl's head.
