Some people have a good reputation, and they particularly care about what others say or think. I don’t know whether they have inferiority complex or pride in their bones.
But Zhang Fan is not. He has never been an outstanding student since he was a child, and because of his family's conditions, he is actually a bit of a pragmatist in all aspects.
If he hadn't met Batu or Ouyang after going to work, I guess Zhang Fan might be like other young people and like a little fame.
Or like a little vanity.
But after going to work, that is to say, when Zhang Fan's highlight moment came, what kind of leaders did he meet?
Batu, as long as it is useful to him, he will do anything to win over him.
Ouyang, the old lady who can squeeze oil out of stones.
Zhang Fan, who was originally a relatively small citizen, came under the influence of the two leaders. To put it nicely, Zhang Fan is pragmatic!
To put it bluntly, it means that there is no benefit and I can’t afford to do it early.
The director of the Royal Hospital looked at Zhang Fan and his mouth was almost drooling. The tone is quite polite and the attitude is quite affectionate.
But he just didn't let go.
They are all doctors, how can they not understand doctors?
Because Zhang Fan was so greedy that he didn't care whether his English was fluent or not.
It can be said that Zhang Fan was so forced that he no longer cared about being shameless.
But this is also the Lord who will not let go of the eagle when he sees the rabbit.
"Professor Zhang, let's do the surgery first. There will be plenty of time to visit after the surgery. If you like..."
"I like it!" Zhang Fan couldn't wait for Zhao Yanfang to translate.
"Operation first, operation first!" This person was also embarrassed.
Because this kind of surgery is too expensive.
It’s expensive, and their hospital only has this one!
The operation begins.
This kind of combined surgery is very troublesome. If you want to find a popular description of this kind of surgery, it is like digging a tunnel to go to the bank to get money, rather than breaking through the door to get money.
Although they all take hard money, relatively speaking, those who dig tunnels have to be quiet, move slowly, and be circuitous.
Today's surgery is actually about digging a tunnel. It cannot collapse or cause too much movement for other organs to detect.
Chief surgeon Zhang Fan, first assistant Zhao Jingjin, second assistant Ma Yichen, instrument nurse and head nurse of the operating room. Surgical translator Zhao Yanfang.
Anesthesia is the chief anesthesiologist at the Royal Hospital. The circulating nurse directly sent six tall, white, fat nurses with puffed-up chests and heads bigger than Zhang Fan.
Compared with China, the status of nurses in Europe and the United States is relatively high. Even nurses with prescription rights are more powerful than young doctors.
However, even so, most of these positions are held by descendants of Asia, Africa and Latin America. And there are very few traditional white people.
During this operation, six rounds were performed at one time, and all of them were tall, white, and fat. This puts a lot of pressure on the head nurse.
In terms of body shape, the head nurse at Chasu Hospital can be considered one of the best with her head held high. But in front of these tall, white and fat people, the head nurse was as thin as a flat princess.
Moreover, these nurses are obviously nurses with prescribing authority in the operating room, and one can see the criticality in their eyes.
Therefore, the head nurse is under pressure.
Even if the head nurse teases an outstanding young doctor when she is not doing anything, she is very arrogant at heart.
Therefore, there was a hint of competition in the operating room from the beginning.
Slightly matte black surgical instruments are neatly arranged in rows on the surgical tray. In the observation room, rows of orthopedic surgeons and general surgeons all paid attention to Zhang Fan.
The surgery observation room of others is different from the observation room of Cha Su.
Chasu's viewing room is, to put it bluntly, a video room where viewing is done through a monitor. Because taking into account the problems of doctors' operations, sometimes the camera cannot take pictures at close range for some special operations.
Mishima's observation room was built above the operating room. There is an arc-shaped glass cover above the operating room.
The observers are all around the arc-shaped glass cover, so it feels slightly condescending.
Moreover, this kind of glass seems to have a magnifying function, so when people above see the surgery, it is quite intuitive and clear.
After Ma Yichen was disinfected and the scarf was put on, Zhang Fan said softly: "Sharp knife!"
"William, Glaxo seems to have made a big bet. Look at the set of surgical instruments he used." A young doctor from the general surgery department and a young doctor from the orthopedics department whispered quietly.
In large domestic hospitals, competition among doctors in departments is particularly fierce, and the same applies abroad. Especially in top hospitals, competition for positions is even more brutal.
After all, Chinese hospitals still have a staff, but foreign hospitals are different. No one can guarantee that they will be replaced by others one day.
Therefore, the relationship between the department staff is not as good as the relationship with other departments.
"Yes, this is a customized version of the equipment. This type of equipment is numbered and has special symbols. You see, the number of this set of equipment is 11, and it also has a CZF mark."
"Well, I guess the material of this device is better. It may not be better to use than the universal version."
To be honest, the surgeon does not envy the owner of a customized version of this instrument. He probably has one himself. Otherwise, is it definitely the case that children in kindergarten don’t drool when they see marshmallows? It's not bad even if you don't cry.
"No, it's very useful. Our previous director had a set in his hand. When he was happy, he asked me to use the scalpel inside once. It was very easy to use. It was just like my own fingers. The tissue has never stopped. The feeling from the blade can be well fed back to your finger extensor muscles.”
The orthopedic surgeon named William had an expression as if he was recalling those days. The young general surgery doctor took a look, and then... his friends were gone!
The tip of the knife scratched the skin, although there was no sensitive feedback like William said.
But wherever you point, the blade will separate the tissue and never give you a feeling of stagnation, just like touching lubricant.
The surgical path was so clear in Zhang Fan's mind.
Therefore, the operation went very quickly.
"Lower intravenous pressure!"
After entering the skin, Zhang Fan's speed still did not slow down.
Cut through the fascia and sever the longissimus muscle. Use your fingers to bluntly separate the cluster pieces and then touch the facet joints.
To be honest, Zhang Fan did this method quite smoothly.
The orthopedic surgeons at the Royal Hospital, especially some young doctors, went crazy.
"Oh God, Holy Mother, he found the weakest part of the multifidus muscles right away! My mother, he must have God helping him~!"
No wonder they were surprised.
Spinal surgery and often muscle surgery is a rather troublesome thing.
With this thing, if you cut the skin and open the fascia, it's just a piece of steak.
These muscles are all functional muscles. It is also the cooperative muscle group of the Legion.
For example, bending and sideways movements require them. Or when a man and a woman fight in bed.
The woman crosses her legs and the man’s waist forms a bow. This thing requires a lot of waist muscles to cooperate.
If it is injured, it will be difficult to even wipe your own butt, let alone bending the bow.
Therefore, when the top spine doctors come in, they will look for the weakest points, and then gently use their fingers to separate the muscle groups and separate the gaps between them.
A finger passed through the slit of flesh. Not only must the spaces between muscles be broken down, but blood vessels and nerves must also not be damaged.
It feels so simple.
To be honest, this is very difficult, not to mention the strength. It's hard to find even one location.
So, when Zhang Fan inserted a finger.
Waves of exclamations echoed among the orthopedic surgeons.
Because this speed, this precision, and this technique are so beautiful. It's like a veteran taking off a girl's clothes.
Before the girl could react, all the clothes on her body were taken off!
The general surgeons looked down upon the orthopedic surgeons, as if they were seeing a group of fools entering the city. They were so unexperienced.
In fact, this technology is mainly incomprehensible to general surgery doctors!
Entering the muscle, the incision exposes the spinous processes and vertebral laminae.
Use electrosurgery to stop bleeding.
Not much blood came out.
Then separate the ribs, click! Click! Click!
Just like a person with good teeth biting a thin-skinned walnut.
The ribs were broken by the rongeur, so crisply that the general surgeons in the observation room couldn't help but touch their own ribs.
Enter the posterior abdominal cavity obliquely.
At this time, it was the general surgeons' turn to marvel.
Because when Zhang Fan opened the posterior abdominal wall, the colon tumor was directly squeezed out of the posterior abdominal wall, just like a person with free hands squeezing out acne on his face.
No need to separate, the tumor is directly exposed in front of everyone.
Accuracy once may be luck, but accuracy twice or three times is simply skill.
This kind of tunneling is done directly in front of the lesion without damaging any excess tissue. Really, even one point more and one point less will not achieve the effect of cancer hitting the face.
This is awesome.
Really, from positioning to holding the knife, Zhang Fan did not use bedside CT or C-arm. Directly it is equivalent to blind typing.
How can I describe this thing?
In fact, you need to use a knife to dig out the only stunted melon seed in the seedless watermelon. Of course, you can't cut the watermelon in two, you can only make a small hole.
And Zhang Fan's current surgery is actually like this.
"Wipe the sweat!"
The tall, fair and plump nurse took gauze and gently wiped Zhang Fan's forehead.
"Separate lesions!"
As the general surgeons marveled, the orthopedic surgeons looked at the general surgeons with contempt. Because this time it was the orthopedic surgeon’s turn that he couldn’t understand.
To pull, hold the gauze in your hand, wrap it gently in the intestine, and then pull.
After a while, he pulled out a little bit, and then his intestines were like a fat worm, unsatisfied and going back a little bit.
Then gently pull it out a little, and then go back a little.
Because the tunnel is too thin and narrow, it cannot be operated in the tunnel. It can only be pulled out for operation.
"He is actually an orthopedic surgeon. Although this operation does not require fixing the spine or repairing nerves, his surgical path is an obviously precise orthopedic spine operation."
The director of the Royal Hospital said helplessly to the director of the King's Hospital.
I originally thought about making a show of force, but now I can't stand up.
"What if he asks for this operating room?"
"Uh! Probably not, isn't it said that Chinese people are very reserved and polite?"
"He probably won't be polite. You saw it before the operation. He touched the instruments in the operating room and almost kissed him!"
