Doctors' surgical instruments, especially those used in hospitals, have a particularly high rate of damage.
A needle holder, which is used to hold metal suture needles or something hard and delicate, such as Kirschner wires.
Originally, he could only serve things that were not much thicker than toothpicks. However, once the orthopedic surgeon got started, he had to use the needle holder to hold steel plates and nails that were several sizes larger. He still used it violently. If he couldn't hold it, he just used it. Brute force, it must be inserted anyway.
This thing, how can I put it, even if it is made of steel, it has a certain tolerance. After several orthopedic surgeries were completed, the director of the general surgery held the needle with the needle holder, but he couldn't insert it into the skin. The general surgeon was furious. The foreign director threw away the needle.
Although each department now has its own operating room, the instruments are all brought to the supply room for disinfection. After disinfection and packaging, I don’t know which operating room they will be assigned to in the end.
Therefore, orthopedics is quite unpopular with other departments within surgery. Zhang Fan also understands that sometimes critical moments of surgery are often ignored, so for orthopedic surgery, Zhang Fan has a set of special surgical instruments.
After Zhang Fan became the dean, the only gift he was willing to accept from the drug dealer was surgical instruments. Therefore, he has several sets of quite good quality surgical instruments in hand.
Earlier, Zhang Fan's equipment was stared at like wolves by several directors. Zhang Fan also carefully told people not to let them take it away.
It's not that Zhang Fan is stingy, everyone has the habit of using them, especially surgical instruments. In some difficult surgeries, using your own dedicated instruments can really get twice the result with half the effort.
Just like driving, if you drive a car that someone else has driven for a long time, you will feel that there is something wrong with the car. When you kiss your wife of thirty years, you can tell without turning on the light, as if she opened her mouth in that position.
The same goes for equipment.
Now the directors of various departments and even some top surgical experts no longer envy Zhang Fan's special instruments. Due to the improvement of tea hospitals, other equipment companies have sent equipment to the attending class.
"Old Wang, are you okay?" Six hours had passed since the operation, and Zhang Fan felt that his first assistant was a little stumbling.
"My eyes are a bit blurry!" Lao Wang said embarrassedly. Because it was a neck surgery, he wore one-eyed surgical glasses. Because it was an orthopedic surgery with double-lens eyes, it was very comfortable when doing neurosurgery. It can also be used for orthopedics. It's more troublesome.
So the one-eyed person became bigger and smaller for a while, which made Lao Wang, who was in his fifties, a little dizzy. Forty-eight or not, Lao Wang is already over fifty. He can persist until now thanks to the fact that he didn’t have a mobile phone before.
"Okay, let's take turns!" Zhang Fan gently covered the surgical incision with wet gauze and paused the operation.
He also took the time to stretch his waist and switch his feet.
When the director of the nursing department saw that the operation was suspended, he immediately said to a nurse who was opening the lid: "Quick, open a bottle of 100ml, 5% glucose, don't open 10%, let Zhang Yuan moisten his mouth!"
It is rare for the director of the nursing department to go to the operating table in person, which is rare in general hospitals, because after the director of the nursing department of many hospitals turns to administration, he will almost never go to the operating table in person or work in the corresponding department.
Because of Zhang Fan, the current doctors and nurses at Chasu tend to be younger. In terms of how to serve Zhang Fan, to be honest, Bayin is not good enough.
Bayin has good skills, and her skills on stage are good, and she is in better health than other nurses because she has been eating a high-protein diet since she was a child. This is really not nonsense. Don’t look at Bayin as a lesbian. Once, the doctor failed to complete the orthopedic surgery with a steel plate. He tried his best to eat milk, but the steel plate did not move at all.
Bayin couldn't stand it anymore and said: You tell me how to correct it, I'll do it! Then click it three times and it’s done!
Some nurses, whose blood volume is slightly larger during menstrual periods, may become dizzy if they stand on the operating table for a longer period of time. For example, a nurse with particularly good surgical skills encounters a particularly difficult operation.
As a result, she was on her menstrual period, felt uncomfortable, and fainted on stage. This was an accident. But Bayin doesn't know that. It's as strong as a calf, and its meat can give people a sense of security. I don’t know how her husband surrendered to Bayin.
This is one of the reasons why Bayin became the head nurse.
But when it came to serving Zhang Fan, Bayin was not very good at it. She wiped Zhang Fan's sweat with gauze, which was enough to relieve Zhang Fan's pain. Sometimes when Bayin is not on stage as a traveling nurse, Zhang Fan has to tell Bayin in person that I am a little thirsty.
Only Bayin would take the initiative to open a bottle of candy, and when it was time to feed him, Zhang Fan would stuff the bottle into Zhang Fan's mouth whenever he was in a hurry.
The director of the nursing department was different. He gently pulled down Zhang Fan's mask a little. He first wiped Zhang Fan's mouth with gauze and wiped the sweat near the nasolabial fold. Then he slightly raised the sugar solution and gently Send it into Zhang Fan's mouth.
Even every bite can make Zhang Fan feel comfortable and full in his mouth, but it will not leave Zhang Fan with no time to swallow. This is all effort. It is said that Bayin should improve a little now that he is a young woman. It is useless. When you are anxious, You can still stuff Zhang Fan into your mouth like a drinking donkey.
"Use less perfume, it's going to choke me!" It was too close, and Zhang Fan didn't dare to look directly into the familiar eyes of the director of the nursing department. He was obviously already the director, but he still teased her with his eyes intentionally or unintentionally.
Zhang Fan didn't dare to look down, because Zhang Fan was tall, and the director of the nursing department was wearing a scrub suit with a heart-shaped collar that couldn't hide the figure of the director of the nursing department. She is pink and white and wears black lace.
Really, this woman is so seductive.
"Next time, should I use the one you like?" The director of the nursing department whispered as the rotating doctor went down, but before the second wave came up.
Zhang Fan couldn't reply, he glanced at him and said, "Hurry up and hurry up! Why aren't you here yet?"
"Okay!" The director of the nursing department said in a louder voice this time, as sweet as Xiuchunlou's mother calling her uncle.
The doctors on call, Wang Yanan, Xu Xian, and Xue Fei, took turns to perform the surgery. In this case, Xue Fei was originally the first assistant, but Xu Xian and Wang Yanan both felt that Xue Fei was an emergency patient, and it was good enough to be on the operating table. How could it be possible? Let him be a helper.
Then Xu Xian and Wang Yanan looked at each other for ten seconds. Xu Xian had to give up his position. Xu Xian could play with snakes, but Wang Yanan's eyes were narrowed like a big civet cat, and a cold light appeared.
This made Xu Xian feel guilty. When he got on stage, he would inevitably ask, "Why do I feel guilty? Why don't I be tougher!"
The doctors who performed the surgery couldn't leave yet because the chance of an accident was very high with this kind of surgery, so after the surgery, they quickly took the time to go to the bathroom and eat something.
Just lie down in the corner of the operating room, then lie on the ground with your back stretched out. Take the time to sleep for a while, or squint for a while if you can't. Especially when Isuke Laowang is eating, he feels stunned. The rice in my hand is half the size of adzuki beans and half the size of sesame seeds.
They could rest, but Zhang Fan couldn't.
The operation continued, one hour, two hours.
The operation lasted eight hours.
Zhang Fan and the others finally cleared away the fragments around the fracture. In the surgical tray, the bone fragments were as big as a tray of pearls. The surgical nurse was not only responsible for passing the instruments, but also responsible for wiping away the bone fragments. If there is any blood stain on the skin, use dry gauze like sandpaper to clean up the free muscle tissue quickly.
We also need to protect the tissue fragments connected to the bones. Really, this thing is not easy to deal with, just like the meat strands embedded in the gaps between teeth. If you don’t look carefully at this thing, who wants to know whether it is native or not? Embedded.
Smaller fragments don't matter, but larger fragments will have to be put in later, otherwise a large number of fragments will be discarded, which may cause nonunion after surgery.
Bone recovery is different from muscle recovery.
The recovery of muscles and skin is very simple. Platelets fill the broken gaps and act as the first adhesive, and various collagens act as the second adhesive. It takes about three days to form a connection.
However, this bond is not elastic.
Just like a girl wearing stockings, she tore a hole and sewed it together with threads. Not only was this area inelastic, but the tension was not enough, so it would easily break in the old place if someone pulled it.
But bones are different. This thing first melts the broken bone fragments, and then osteoblasts use these raw materials to produce bones that are exactly the same as the original bones.
This is why it is said that it takes a hundred days to break the muscles and bones. It takes a long time to create a product that is strong and does not fool people like muscles and skin.
"Did you see that the spinal cord was compressed and bone fragments were inserted into it?" Zhang Fan was also a little dazzled, but he gritted his teeth and persisted.
It's just that his legs are a little sore, and the diaper in his crotch is of poor quality and lacks water absorption capacity, and his balls are stinging from being soaked on it. After the operation, Zhang Fan will definitely find trouble with the director of the device department.
I didn't want to have children in the first place, but now I've been waiting for so long!
Slow. The originally fast operation became slow at this time. The doctors on the operating table were like thieves, not daring to express their anger.
Even when breathing, he always tilts his head. The spine is made up of rings, and inside this ring is the spinal cord.
The spinal cord is the telephone wire, the channel the brain uses to manage the body. Once broken, it is paralyzed. Moreover, the most troublesome recovery is that it was previously said that spinal cord cells cannot be recovered. In recent years, some scientists believe that it can be restored.
However, the recovery time is extremely slow, and less than one millimeter can be recovered in a year. By the time the spinal cord recovers, the patient will be over 200 years old.
Therefore, this speed means that it cannot be recovered.
"Ophthalmic tweezers!" Zhang Fan shook his body slightly. He was also a little tired.
To be honest, although this operation did not take the longest, it was too broken, bit by bit, like picking sesame seeds on a sesame pancake with tweezers.
The director of the nursing department noticed something strange. Really, sometimes I have to say that a mature woman understands a man.
When she saw Zhang Fan move slightly, she knew something was wrong. Then he gently took the liftable chair and placed it gently beside Zhang Fan's legs, with his legs pressing against the chair and grabbing Zhang Fan's buttocks with both hands.
"Zhang Yuan, there's a stool! I'll adjust the height for you, sit down for a while!" You didn't help, but when he spoke, he seemed to be holding his breath, and his words were incoherent.
She felt a little distressed, a little distressed for the doctor on the operating table. She looked at the doctor lying in the corner, snoring slightly, and then looked at the director who had been standing for almost ten hours. She pressed her head against Zhang Fan's back. .
With gentle hands, using small but manageable strength, Zhang Fan slowly and steadily sat on the chair.
"Okay!" Today's surgery is too hard on the eyes. Once your eyes are tired, your brain will think that you are going to sleep.
Then it will give orders to various organs to prepare for sleep.
Once the organs accept the order, the human body becomes more and more tired. For example, if you suddenly have insomnia one day, you lie in bed and blink your eyes quickly, and you might fall asleep.
When Zhang Fan sat down, the director of the nursing department did not move away. Instead, he approached Zhang Fan and used his body as a back chair to make Zhang Fan feel more relaxed.
Zhang Fan nodded and said nothing, but the director of the nursing department understood that this was Zhang Fan's silent thanks.
Wang Yanan held pliers in one hand and tweezers in the other. The pliers were used to help Zhang Fan peel off tissue, while the tweezers were used in conjunction with Zhang Fan.
Cross-interaction is particularly common in surgery.
For example, when making an incision in the abdomen, the surgeon and the assistant will hold the forceps and, like dancing, insert one of my legs between your legs, then you step back, and when I am stable, you can insert the forceps into mine. Tweezers between legs.
Then slowly separate the tissue from the tissue.
"Slow, slow, don't be in a hurry. Use a plastic-tipped dropper and drip in physiological saline to make the structure of the fragments and spinal cord clearer."
Xu Xian held a plastic-tipped dropper in both hands. The weight was almost negligible. In Xu Xian's hands, it was like holding a heavy object.
Tick tock!
Tick tock!
The saliva-like saline was dripped between the fragment and the spinal cord, and the outer membrane of the spinal cord was lightly wetted by the liquid.
"Boost!"
Zhang Fan didn't dare to speak louder.
Because now if a piece of debris is accidentally inserted, all the efforts will be in vain.
…
In the conference room of the Tea Su government, the leaders of Bird City also came. When he saw that it was Lao Chen who came from Chasu Hospital, and Zhang Fan, Ren Li, and Ouyang didn't show up, the leader in charge of health in Bird City had a slightly unpleasant look on his face.
However, this is not important. The problem of Chasu Hospital has not lasted for a day or two, and he has no choice but to do so. But today, the leaders of the ministry are also here, which shows that the health leaders of Bird City cannot take charge of it.
"Where's Zhang Yuan?"
"A seriously ill patient came from Mutou County. Zhang Yuan is on the operating table and he really can't get out." Old Chen said anxiously.
When the leader in charge of health was about to ask other people, the leader of the department smiled: "Mutou County? You can do it. You have already spread your influence to Mutou County. Haha, I guess given some time, you will have to go to Beijing sooner or later. !”
Lao Chen didn't know whether the leader's words were praise or criticism, and he didn't dare to answer. He also sighed inwardly, hey, Zhang Yuan and Ou Yuan didn't come, so the pressure on me was too great. Just as Lao Ju was about to speak, he was pulled by Lao Chen.
Lao Ju was speechless forcibly, and then glanced at Lao Chen, meaning, if you don't let me speak, then why do you want me to hold a meeting?
At the beginning of the meeting, Lao Chen, who had been nervous since entering, gradually felt that something was wrong with his tone of conversation. Does the assessment require the participation of leaders from Tea Su Hospital?
Is there a one-size-fits-all approach to age for established personnel? Retirement over fifty?
What is this for?
"Regarding this merger, everyone must do a good job in the ideological work of hospital employees. I emphasize again that in order to improve the medical level in the Chasu area, everyone must be alert. I don't want rough work."
"?" The stars on Lao Chen's head. What is this for?
Finally, the leader of the ministry finally concluded, “Comrades, the rapid development of the medical level in the northwest region is not only due to the strong support of the country, but also the efforts of the doctors, nurses and support staff of various hospitals.
However, times have changed. Currently, the Chasu area continues to be a hospital with international influence. It not only has influence, but also has a medical team that can fight and win if it can fight. The leader attaches great importance to this work. I would like to ask you again that you must strictly abide by discipline when doing reviews.
If anyone is qualified, we will never tolerate it! "
Lao Chen was dumbfounded and turned to look at Lao Ju in disbelief. Will Tea Su Hospital merge with other hospitals?
Lao Ju was also dumbfounded and looked at Lao Chen. Is Chasu Hospital going to be built into a hospital with international influence?
The two people's faces slowly turned from white to red, and slowly began to glow. It really feels like an elderly lover.
The director of Hua Hospital was also dumbfounded. His face turned red when he entered the conference room, and turned gray, and he almost burst into tears.
"Why? Why? Our hospital is planning to move to the High-tech Zone. If we can't afford to offend him, why can't we avoid it? Leaders, you can't! I can't figure it out!"
"If you can't figure it out, think about it slowly! But let me emphasize here again that we must do a good job in withdrawing doctors and nurses, and we must do a good job in the ideological work of doctors and nurses!"
"Well, well, well! I will, please, please, please don't worry, leader!"
It will end. The director of Hua Hospital left as fast as anyone else. He always felt that Ouyang would emerge from that place at this time, pat his shoulder and say: Brother, where are you going?
"One family is the only one!" I saw the leader of Bird Market talking to Lao Chen and Lao Ju. The leader in charge of health of Tea Su also attended the meeting. At this time, he spoke to himself in a complicated tone.
Perhaps it is a blessing or a regret, but Chasu Hospital has already received the attention of its superiors or higher-level leaders.
As for the young dean, he couldn't even imagine it!
Zhang Fan in the operating room could finally breathe a sigh of relief. The fragment was not inserted into the spinal cord, but the compression time was relatively long. The patient must have suffered from limb dysfunction for a period of time after the operation.
However, this is no longer a problem. He raised his neck slightly, and suddenly felt something wrapped around the back of his head, soft.
Zhang Fan couldn't look back, he felt it again, and suddenly Zhang Fan understood. The body that was leaning on the meat chair was hard.
"Mr. Nurse, thank you. I have to stand up now. I can't do the surgery while sitting down!" I didn't know who was about to stand up. Zhang Fan, whose calves were weak, stood up against the operating table.
Moreover, it seemed like there was something like a hook on the leg, and all the drapes on the operating table were picked up.
The director of the nursing department originally felt pity for Zhang Fan, but when she heard Zhang Fan's words, she puffed up her chest proudly.
I said in my heart, "It's impossible without me in the operating room. Otherwise, if young nurses come for today's operation, they probably won't be able to think of this solution!"
