In the operating room, not only the directors but also the newspaper from Jinhe Affiliated Hospital came. They negotiated with Zhang Fan and wanted this operation to be the hospital's first autonomous operation. Zhang Fan agreed without even thinking about it. Therefore, someone from the hospital newspaper prepared to report Director Yang and Director Liang as the chief surgeons of this operation.
Good face, people say that men have good face. In fact, it is not only good for men, but also for women, and even for the workplace. Especially in cities near the capital, it is hard to justify losing face.
This kind of thing happens in many hospitals. For example, if a certain hospital wants to be evaluated on a certain level, it may be short of something, including important surgeries. They will contact Dr. Feidao to come over, perform the surgery, and put their name on it.
In fact, this is a good thing, because once it is reported that they will perform this kind of surgery, the doctor will definitely work hard to learn this kind of surgery in the shortest possible time, otherwise there will be no way to explain it.
Zhang Fan understands this kind of thing very well. Who told them to be in the capital area? A puddle of water can crush all the orthopedics in the surrounding 500 kilometers. Often in many orthopedic hospitals around the capital, nothing can develop, so a trauma orthopedics department has emerged.
Because of a slightly more serious disease, the family members of the patient took the patient to the capital, and there were no relatives in the capital.
In the operating room, Zhang Fan entered the operating room and kept looking at the patient's MRI and CT examination results. He was not trying to sharpen his skills before the battle, he was building the most perfect surgical path in the system. Surgery and medical treatment seem to be very strict.
From the incision to the length of resection, experts can accurately treat treatment plans for many diseases down to the millimeter, but this is just a direction for doctors who are new to the industry. At Zhang Fan's level, the surgery has changed a lot in his hands. .
Because people change, so do diseases. After all, textbooks are just the most classic medical records you can find.
For example, the current patient? Zhang Fan cannot perform the surgery according to the textbook.
Because this old man is old? He has serious degenerative diseases of the lumbar spine. Many people may know this term? Degenerative disease.
In fact, this word is most commonly used in orthopedics. I feel a little uncomfortable in my knee joint. Did I go to the doctor? The doctor said, "Oh, it's nothing serious. It's a degenerative disease." Is your back sore? My wife is starting to dislike it. Go to the doctor? Oh? Isn’t this kidney deficiency? It’s lumbar degenerative disease.
Many people wonder? What are degenerative diseases? To put it more simply? It means the joints are aging. Many people are particularly puzzled: I am only in my thirties, but my parts are getting old?
The activities of the human body are actually the activities of the joints. Even if you curse, the movement of the temporomandibular joint drives the vocal tract to pronounce the words.
Joints are often two disconnected bones that produce moments around each other. Bones interact with each other to produce force, which causes wear and tear. In order to allow people to move longer, the body often secretes lubricating fluid in the joints, and various soft tissues are like gaskets? They are supported between two hard bones, and the hard bones have their own lubrication in order to avoid wear and tear. It has a layer of outer covering, which is called cartilage.
It sounds complicated, but in layman’s terms, it’s easy to understand by taking the beef bone bones that many people like to eat.
Holding a braised beef bone in both hands, you take a bite and it becomes sticky and strong like beef tendons. This is the ligament around the knee joint. It is used to fix the upper and lower bones and prevent them from running around. Like many The exercise belt used by women is the same as binding the sagging lower abdomen. The person wearing the exercise belt may not be a knight, but may be a lady who has put on weight.
After biting open the ligament and entering the joint, the most delicious thing is a circle that looks like fat but is not fat. It tastes glutinous but not greasy. This is actually the internal capsule of the joint, which is the spacer between bones. Finally, he picked up the remaining bones and sucked them. Those with good teeth would also bite the white and blue cartilage a few times.
These three tissues constitute the wear-resistant layer of bone joints. In the early days, degenerative diseases were often a disease that people with heavy manual labor would get early. When a middle-aged man is no longer sick, he can feel soreness all over his body and stiff limbs while lying in bed.
Nowadays, most of the people suffering from degenerative diseases are obese. Whether it is the lumbar spine or the knee joint, most patients are overweight. Long-term overloading of weight causes joints to begin to deform.
First, the ligaments begin to relax, and then the internal capsule between the bones is directly crushed, resulting in the inability to secrete lubricating fluid. If no intervention is performed at this time, which is called weight loss, the next step is the wear and tear between the bones.
Cartilage contains not only bone blood vessels but also nerves. The wear and tear at this time will cause pain. Many people took painkillers to endure the pain. She doesn't listen to the doctor's advice and always says that according to the doctor's advice, life is meaningless. She is not allowed to eat meat and is not allowed to smoke cigarettes.
Cartilage, cartilage. It may sound like a curse word, but in fact, this cartilage is very important in the human body. Moreover, this thing is a one-time product, and it cannot be regenerated after it is worn out.
After the cartilage is polished off, after a few years, the joint pain suddenly disappears. The patient was also happy that the doctor back then was a stick. As a result, before I was happy for a long time, my legs began to deform. At this time, the cartilage was no longer felt, and it was just the friction between hard bones. The lighter ones are like Lao Pan who raised his hand to hit the ball, with bowed legs and walking like a duck.
The heavier one is just like a car with a crooked beam, making everyone look deformed.
This is no longer an era where being fat is considered beautiful. It does not mean that being fat does not look good. An overweight body will bring many unpredictable diseases.
Therefore, when this name appears on your body, please take some glucosamine capsules on the premise of losing weight. Of course, do not take the health care products that cost tens of millions. Just eat some OTC. Although this drug cannot cure it, it can slow down the wear and tear of cartilage.
On imaging, degenerative disease of the intervertebral disc appears in the third decade of life. Therefore, when you enter your 30s, don't show off, don't crotch your waist in front of girls from time to time, and don't feel like you are swinging.
To use an old Chinese saying, don’t worry about how happy you are dancing now, but be careful about making a list later.
The old man Zhang Fan was facing now was very troublesome. Because the relationship between the old man's spine and joints is particularly disordered. If the spine of a normal person or a young person is like a neat line laid out by a particularly good wiring engineer, then this old man’s spine is like a line laid out by a drunken two-knife wiring engineer, and also allows the passers-by to A few children kicked the place a few times, and it became even more chaotic and chaotic.
Therefore, the difficulty of this operation is not to repair the damage, but to find a point. Looking for a place that can not only restore the old man's nerves, but also find a focus that the old man has adapted to and continue his normal life.
Just like ordinary life, when you have it, you don't feel precious at all. Every day you think about how to be vigorous and galloping, but once you lose it, you realize how precious it is.
Some people brag that they can lie in bed until they die. If they eat, drink, and have sex, they feel that this kind of life is particularly beautiful. But once they lie in bed and can't get up, they can't even shed tears of regret. If he saw his wife dancing with other old men again, then it would really be a waste to die even if he wanted to.
"Zhang Yuan, after repairing the nerve, should you put steel rods to fix it, or allogeneic bone?" Director Yang saw Zhang Fan staring at the patient's examination results, and walked over to ask Zhang Fan.
For a surgery of this level, the preoperative discussion will have a general direction, and several instruments will be prepared before the surgery to prevent being caught off guard after the incision.
"No, the three and four parts of the waist are fused and cannot be fixed. His torque has changed. After the alloplastic fixation is placed, it may not be able to support his entire upper body. The only way to adjust the torque is by reshaping the original bones."
"Well, that's what I thought too!" Lao Yang looked at Zhang Fan, looked at the test results placed on the viewing lamp, and said to Zhang Fan with certainty.
"Haha!" Zhang Fan smiled and nodded.
In fact, Lao Yang didn't think so. He thought Zhang Fan was going to release the steel rod. I was also going to ask Zhang Fanfang how he was doing.
This is the difference between a knife throwing expert and a non-knife throwing expert. One is more flexible in the application of technology, while the other is still trapped in routine surgery.
Director Liang and Director Yang are actually about the same level. Therefore, it is very uncertain when performing injury surgery on elderly patients.
This is one of the reasons why Zhang Fan is quite respected after his death in Jinhe.
The operation begins.
After Zhang Fan picked up the scalpel, he became different. There is no flattery and no humility, just say one thing.
"There's bleeding here, give me the electric knife!" Lao Yang was the first to help. A small artery appeared on his side with blood splatters. He stretched out his hand to the instrument nurse.
As a result, before the nurse could speak, Zhang Fan spoke first: "No need for electric knife, just ligation with silk thread!"
Just as Lao Yang was about to pick up the silk thread, Zhang Fan had already started tying it.
It can be said that Zhang Fan will never let a few assistants take over the critical steps from the beginning of the operation.
It’s not that you don’t trust them, this is a general rule for flying knife doctors.
This is also the reason why ordinary flying knife doctors can only perform a few operations a day, but when flying knife doctors are in their own hospitals, they can do more than a dozen operations a day.
In his own hospital, although he signed all the surgeries, he was not necessarily the one who performed the surgeries. Even if there were more complex surgeries, he would usually take over the most critical steps. After completing the critical steps, he would hand over the surgery to others. .
Many people go to big hospitals to find big experts. The surgery may not be performed by the big experts themselves. This is an unspoken rule in the industry.
The flying knife is different.
Just like Zhang Fan, it starts from the moment he picks up the scalpel. He was fully focused, even more focused than at Chasu Hospital. Almost all the other directors were the presence of the spreader.
