In the operating cart, three patients have already begun the key steps of the operation.
In Zhang Fan's operating car, two directors of general surgery have taken over from the doctors of Chasu Hospital. Ma Yichen changed from the first assistant to the third assistant.
The director of appendix one and the director of appendix two became the first assistant and the second assistant.
"Let's do it at the same time. Leave the chest part to me and the lower part to you." Zhang Fan entered the operating cart and had no time to greet him.
Just start giving orders.
"Okay!" The two directors nodded lightly. In the general surgery system in the border area, only Cha Suzhang could give them orders without any politeness. If others spoke in this commanding tone, I guess they all just walked away.
Medical care, this thing, to be honest, is very bullying. A doctor must not only have a high degree of education, but also have to have performed many surgeries.
With no education and many surgeries, I will never be able to perform difficult surgeries, such as appendectomy, circumcision, and gallbladder removal.
He has an academic degree and has done few surgeries. He knows everything and can do everything. When he gets started, he doesn’t know what to do. This is a typical example of knowing how to do something once you see it, but knowing nothing about it once you learn it.
None of them are missing. A leader once said that medicine is elite training. In fact, this is nonsense. All the elites have taken the national examination. Who wants to study this if they have nothing to do? That is to say, there is really no way out, and only those who can endure hardship can do this.
To study medicine, you must first endure loneliness. In the first twenty years, you will be unknown and work hard. Maybe in the next twenty years, you will still be unknown. There may not even be anyone in the department who lights up cigarettes, because there are too many risks.
For example, the tutor was not selected well, the department was not selected well, the director did not meet the right person, the wife and husband were not married well, and there were too many pitfalls that ruined the doctor in the first twenty years. These are all factors that may lead to a doctor being mediocre forever.
We must also endure poverty. Some people say that doctors give back red envelopes every day, but they also say that one must endure poverty?
In fact, this is both true and false. Like every industry, those who can work in the front row will never be far behind.
But the early stage of medical treatment is really complicated. In the first five years of graduation, whether you have a doctorate, a master's degree, or an undergraduate degree, you are equivalent to an intern in the hospital, earning a salary of two to three thousand.
rebate? If you can, the teaching doctor can give you five hundred a month, and you can be happy and smile.
Ten years after graduation, everything went well and I worked hard. I got everything from hospitalization to general care, and then I became eligible for kickbacks. But when I met the director who changed his wife, the director said: Brothers, brother, I am really short of money recently. , your sister-in-law is bleeding heavily again, we all need to work together to tide over the difficulties, and then the rebate will be gone!
Therefore, those who can reach the top of the industry, or who can reach the top of a province's medical care, are almost always those with high emotional intelligence and toughness. However, there are exceptions, such as those with people behind them, but these are rare after all.
Moreover, the two directors of general surgery, before getting on the bus, thought that the general surgery operating table was too difficult for Zhang Fan to handle alone. As a result, it was only now that they got on the operating table that they realized that they had no intention of doing general surgery at all. , just do chest surgery!
The two directors looked at each other, and they could see a feeling in each other's eyes that said, "Don't be too scary."
In the past, they only knew that Zhang Fan was born in orthopedics, studied under Mr. Lu, and was an ancestral disciple. Because of the precision of the surgery, it is said that Qiu Pai's sword skills are better than those of others. I seem to have vaguely heard that Zhang Fan seems to have made some achievements in the field of brain surgery.
However, this was all what they heard, and the two of them felt that Zhang Fan was already very good if he could do both general surgery and orthopedics.
As a result, Nima went to the operating table today and found out that she still had breast problems!
This is scary. However, the surprise is only for a moment. This thing is similar to a man shivering. It can't be for too long. If it is too long, it will be unbearable.
The difficulty of general surgery here is also relatively high, and irregular injuries to the abdominal cavity are a bit tricky.
When the two came up, they faced the already opened abdominal cavity. To be honest, they were a little dazed.
How can I say this thing? It's like a beautiful woman. From the time you get to know her, you spend a lot of time thinking of ways to do it, and finally you change her clothes one by one with your own hands. The subsequent procedures don't need to be taught to any man. , is born with the ability to find the road, but it’s just the difference between fast and slow.
But as soon as you enter and open the door, you suddenly see a naked man of the opposite sex standing in the room with his legs crossed. At this time, let alone a novice, even a veteran will not think about the road, but about the way. Why is this crazy? It can't be a mental illness!
Therefore, just when the two of them were about to look at each other again, Zhang Fan spoke: "At the terminal end of the ascending colon, there are about three to four injuries. The breach is like a plum blossom. Two arteries have been ligated, both of which are smiling arteries.
However, the patient had excessive bleeding during the car accident, resulting in a state of shock, and the blood vessels were not closed! "
While Zhang Fan was performing thoracic surgery, he explained the situation of general surgery.
As soon as the two directors heard this, they understood and immediately knew the ins and outs of the condition!
The operation begins.
The two directors also tried their best.
In the other operating carts, the scene was similar. But it's just not as serious as Zhang Fan's side, and it's not as surprising as Zhang Fan's side.
Especially outside the brain.
Except for large hospitals, once the level of the hospital drops a little bit, the level of the brain surgery doctors will drop drastically.
When we arrived at the county-level hospital, to be honest, there was not much difference between whether there was something outside the brain or not. What can be done outside the brain, the emergency department can also do. What they can't do in the emergency department, they can't do outside the brain either.
Therefore, the two directors who entered the operating cart operated together with Xue Xiaoqiao and Dai Yuhang. They even have to discuss it with each other. Because the difficulty level outside the brain is an unknown difficulty, not a known difficulty. Without the support of a powerful medical laboratory, the most outside the brain would have had its head smashed by a beer bottle!
In the operating room, everyone has begun the operation nervously and methodically.
It's very harmonious, just like a family. The man makes a lot of money and takes care of the family, and the woman is warm, considerate, and harmonious.
But outside the operating cart, things are different. Regardless of whether they are men or women, whether they are high up or down, their words are all full of wit. Seeing everyone smiling more politely, I guess the other party wants the other party to hang himself!
This is probably the difference between natural science and social science!
"Dean Ou, thank you for your hard work, thank you for your hard work!" The leader in charge of health trotted to Ouyang's side, just like a subordinate greeting his boss.
Because this attitude is sometimes very important, I was a few steps late at the beginning, and now I have to catch up and change it, otherwise I will be on TV and let my superiors see it, and I will not be able to survive in the future.
"No hard work, no hard work, this is what we should do." Ouyang said very low-key, but holding the leader's hand and looking at the camera was a bit too much.
The leader in charge of health originally felt that the people on Chasu's side were indebted, but now seeing Ouyang wanting to put his face into the camera, he kept feeling in his heart that this current hospital director is so bullshit.
"The president of the European Hospital worked really hard and didn't even call in advance so that we could prepare. That is to say, everyone is here to prepare for the competition today. All the staff are here, and I also called in advance to ask the operating room to stop. Had all surgeries.
Otherwise, when you come, the directors are all in the operating room, how dangerous it is! "The director of the Central Hospital said from behind.
"Originally, we were supposed to notify, but there were too many patients, otherwise we would have notified you in advance. As for you saying it was dangerous, you were really worried about this.
Everyone is fine after coming from dozens of kilometers away. Now that we have arrived in such a border capital, what else will happen? You underestimate our border medical system too much! "Ouyang has sharp teeth and a sharp tongue and likes to argue with others.
Normally when no one would argue with her, she would grind her teeth with herself. In this situation today, how could she spare others?
Isn’t this nonsense!
If Zhang Fan were here, it probably wouldn't be like this. This is the difference between people. Even if you don't say anything to him, he still thinks Chasu is easy to bully.
But it was too painful, and it also made others think that Chasu was not easy to deal with. It's just like people, you can't be too soft, otherwise you will be ridden by others. But don’t be too tough, otherwise others won’t want to play with you!
When the deans saw it, they couldn't afford to offend him! Everyone was silent.
On the scene, everyone was smiling at each other, but when Nima walked in, people felt cold.
"Wait a minute. After all, we are a medical unit and it is our bounden duty to save people. For other things, please wait a moment!" the leader in charge of health spoke.
…
On Zhang Fan's operating cart, Zhang Fan had already completed the thoracic surgery. Chest trauma is difficult to deal with, but not as severe as the trauma to the brain.
But one thing that both chest and brain injuries have in common is that they recover very slowly.
For example, in the early years, people fell from high places, such as electricians falling from power poles or bricklayers falling from houses.
Then he fell down flat on his back. It looked like there were no external injuries at the time, the bones and everything were in good condition, and even the skin was not broken.
Keren had difficulty breathing, and his face turned an eggplant color from holding it back. He was sent to the hospital for treatment. After waiting for a while, the patient kept coughing.
But both imaging data and experimental data show that there is nothing wrong with this person. Everyone thought this man was faking his illness.
Actually no, this is lung damage. The lung tissue can be understood as small bubbles like small pearls gathered together and then put into plastic bags.
After a fall, the liquid between these small bubbles falls out. Seeped out of the plastic bag.
It's not a big amount, but it's like a car without oil. It can run, but the friction increases.
This kind of damage doesn't last for several years, it's simply not possible. Therefore, Zhang Fan handled this kind of trauma very carefully.
