There are a lot of strange things going on in the hospital. Some brought three or four men for paternity testing. You are excited to be a father, and then suddenly find out that your DNA is not consistent. There are even junior high school students who come to have an abortion holding hands with schoolbags on their backs, just like they are traveling, holding hands when they come and holding hands when they leave. They look particularly sweet.
The weirdest thing is that one year, a group of people came to the hospital carrying a bed board, and the dog’s head was exposed. It turned out that the dog’s penis couldn’t be pulled out. The girl’s parents are too embarrassed to speak.
Anyway, the closer it is before and after the holidays, the more weird things happen.
Zhang Fan and the others had just entered the operating room, and Xue Fei had just arranged for people to deal with the two lovers who had committed suicide, when they heard the screams and screams of pain from women in the emergency room, like pigs being slaughtered.
He hurried over to look again.
"What are you doing? What are you doing?" Xue Fei said in a bad tone because he saw several women fighting.
One of them is relatively strong, but older, probably in his forties, maybe in his fifties. You can't see the wisdom of this age on his face, but you can definitely see the domineering look on his face.
As for the other party, although he is not very old, he is almost in his early thirties. The two groups of women were torn together.
"I asked you slut to seduce my man, and now I'm asking the police to arrest you."
"Whoever seduced your man, he came for the massage himself. He is sick, so what does it matter to me?"
Although age does not have an advantage in terms of old age, it does have great momentum. On the young side, he has been avoiding fighting, and he still screams because he is being scratched.
"Stop. If you hit me again, I'll call the police." Xue Fei frowned. He thought it was something about mistresses and mistresses, but it didn't seem like it this time, because there were too many mistresses, as many as five or six.
"Doctor, call the police, call the police quickly." The old man held on to the young man's clothes until his upper body was almost naked.
Many young people who were not sure whether they were family members came up to them and seemed to try to break up the fight, but in fact they were just eye-catching.
"What's going on?" Xue Fei asked.
At this question, the old woman began to cry loudly, "Oh my God, doctor, look at my man, what's wrong with him."
Xue Fei walked over and took a look.
acquaintance! His former poker friend, Lao Zhou. This person is within the system and has some power. But like him, Xue Fei is also a henpecked person.
But at this time, Xue Fei had no time to say hello, because Lao Zhou clenched his teeth, his face was gray, his eyes could no longer be opened, and he was covering his left chest with his right hand.
"Quick, electrocardiogram!" Xue Fei immediately judged that he had a heart attack before he even had time to ask about the situation.
It turns out that Lao Zhou is the leader of a unit. His position is not high, but his power is considerable. In the past, like Xue Fei, I loved playing mahjong, and like Xue Fei, I lost again and again. Several old ladies in the mahjong room liked Xue Fei and Lao Zhou.
Later, I don’t know how it was spread that Lao Zhou had an affair with an old woman in the mahjong room. His wife went to the mahjong room and had a fight with the mahjong girl.
Lao Zhou was too embarrassed. Xue Fei's wife beat Xue Fei, while Lao Zhou's wife beat outsiders. That's the difference.
But later Xue Fei changed his mind and stopped playing, and Lao Zhou somehow fell in love with a horse killing a chicken.
I don’t know whether it was because he ate too much meat or drank too much during the holidays. Lao Zhou was going to work, but he always felt a dull pain in his left shoulder. After thinking about it, I stopped going to work and went to a small shop with an iron fence to get a massage.
I don’t know how to massage normally, but today Lao Zhou wanted to let the young woman step on her back. Although the young woman looked young, she still had some weight. The young woman happily grabbed the single pole-like thing that fell from the roof and stepped on it while wearing stockings.
As a result, as I stepped on and on, there was no news from the old man at my feet.
Looking down again, Lao Zhou, who was foaming at the mouth, looked lifeless and in pain.
The young woman thought she had broken Lao Zhou's ribs. He was so frightened that he jumped down and crawled down. Just after shouting twice, Lao Zhou's wife came with a group of aunts to catch him.
Then I rushed to the hospital while fighting. Fortunately, the hospital is not far away.
"Myocardial infarction!" Xue Fei pulled up the electrocardiogram and took a look. "Quick, thrombolytic rescue."
So, many people have said that there is nothing in the world that cannot be solved by a big sword. If there is, just have two meals. But when your left shoulder hurts, don’t do it. It is hard to say whether the problem can be solved. Sometimes it is fatal. real.
…
If the number of patients in the hospital dropped significantly before the holiday, it would be as if it had closed down. But once the festival is over, it's like chicken feathers all over the place after a carnival. After the festival, the hospital is as busy as if it were another war. To be honest, doctors are not used to working after holidays.
Moreover, the respiratory department has changed from the winter department to the current situation where the respiratory department and the gastroenterology department coexist. This happens every year. After every Spring Festival, a lot of people suffer from digestive system problems.
Some drink too much, causing discomfort to the liver, and some eat too much, causing discomfort to the gastrointestinal gallbladder. The hospital entered normal working conditions amidst this noise.
In the operating room.
The director of thoracic surgery, otolaryngology, general surgery, gastroenterology, anesthesiology, and radiology directly formed the MDT model (multi-department diagnosis and treatment).
"Positioning completed." The radiologist reported first.
Director of the Anesthesiology Department: "The patient is under anesthesia and his life is stable!"
"I'll be the surgeon, and you guys will take over and change positions."
"yes!"
Zhang Fan looked at the directors and nodded lightly.
In terms of anatomical difficulty, this surgery is actually not very difficult. Just like dissecting a cadaver, just open up the fat and muscle layer by layer.
Because the patient has no underlying diseases and is young, it is not difficult. However, the requirements for practitioners are very high.
First of all, there should be no severe pulling. During surgery, anesthesia is given to the patient, but it is actually the brain that is anesthetized.
In fact, the body still transmits pain to the brain, but the brain is as drunk as a drunkard at this time and cannot issue instructions. The muscles can't wait for the brain's command, they will act on their own.
Just like when killing a chicken or a fish, the head of the fish is obviously smashed to pieces, but the body of the fish can still jump up and swing its tail, giving the butcher a slap in the face.
The more tightly the brain controls a muscle, the smaller this response will be. But no matter how small it is, it will still react. Once there is a reaction, there is no guarantee that the fish bone will penetrate into the aortic arch. So this kind of surgery is very troublesome to be honest.
"Have you given any muscle relaxants?"
"Yes, Zhang Yuan should hurry up. The patient is too fat and the amount of medicine given is larger. If it takes a long time, I am worried that respiratory depression will occur."
The anesthesiologist said worriedly.
"Okay!" Zhang Fan nodded. In fact, he had no idea.
This kind of surgery cannot be done quickly. If you move quickly, you need to move hard, and if you move hard, your muscles will stretch. The anesthetist has to be fast, and the fishbone has to be slow. It's really difficult.
The patient had been disinfected, and his yellowed skin was like fried fish floss bread dipped in butter. Zhang Fan was stunned for a while while holding the knife.
It's not that he's hungry, but Zhang Fan is wondering how he can cut this thing in with one knife without causing the muscles and fat to tremble.
In his mind, he already had the structural layers of the fat man's chest. And it is quite accurate. The fat of the fat man in my mind is trembling, just like the buttery yellow cake that is about to be turned over. Zhang Fan's scalpel turned into a fork.
"No, if he is stabbed like this, his collective organization will definitely shake."
Everyone gathered around the operating table, with their hands raised in front of their chests, looking at the fat man whose upper body was naked and disinfected with iodine. They were like a group of blue-green skinned monsters, staring at Tang Monk's flesh.
Zhang Fan held the knife and shook his head. He simulated it several times in the system, but he didn't expect it to work. Just when Zhang Fan was struggling, Ma Yichen, a young apprentice from General Surgery, spoke up: "Master, hang up a line and let's pull him outside. The antagonistic effect should be able to offset the force of his body's contraction."
"Yes!" Zhang Fan understood immediately. "Okay, this is a good method. Now that's it, you can write a thesis on this surgery." Zhang Fan is now gradually becoming familiar with the thesis, and is consciously participating in the thesis.
"When incising the skin, you can tighten your hands, and when incising the fat and muscle, just hang up the thread! Director Li, Dai Yuhang, open the chest, you go on the stage first." It's like a membrane, once it is broken, everything can pass Thoroughly.
Ma Yichen's words made Zhang Fan find a way.
Medicine, to be honest, is a very special subject. The knowledge in textbooks is all about the most classic surgeries in medicine, such as the appendix. It always educates generations of medical students based on the surgical operations at McBurney's point.
Therefore, only when a doctor graduates from medical school is he lying on the threshold. After actually entering the hospital, you must never stop learning to avoid becoming a quack. You must thoroughly understand the medical guidelines that are updated every year, and you must take time to read the latest journals.
If a doctor does not study for five years and just rests on his laurels, he will become a quack. How fast are medical updates nowadays? For example, how many people born in the 1980s have never taken the antipyretic drug metamizole used in the past few years? But now, it has been eliminated and has become a contraindication for pregnant women with infants and young children.
Therefore, if a doctor wants to keep up with the times, he must subscribe to journals of relevant departments. Although many papers are like Water King, they will always be useful.
"Tighten up!" Zhang Fan said softly.
The two doctors outside the chest immediately started to apply their hands on the surface of the patient's skin. One exerted force on the left side and the other on the right side. Just like a skin lift, the fat man's chest was stretched tightly in one go. The pea-sized spots on my chest have become much flatter.
At this moment, Zhang Fan slashed the knife, and the knife penetrated the skin. Under the force of pulling the skin, it was like a zippered leather jacket being unzipped, revealing the yellow underwear underneath.
"Hook up the line! Extend both lines!" Zhang Fan said to the equipment nurse.
"good!"
What is a seton? Because the surgery is relatively deep digging, but when it reaches a certain depth, applying force on the surface has no effect. And fat is a very good buffer layer, so when the operation goes into the deep layer, use a surgical thread to hang it in the deep muscle layer with a needle.
Just like fishing, hoist the muscle and control its contraction.
(End of chapter)
