The academician took a look and said, "Hey, Zhang Fan is so wild!" "I reserve my opinion!" the old man shouted while busy preparing quickly according to Zhang Fan's instructions.
In the patient's situation, the doctor can no longer intervene, so this group of monsters is here, otherwise most doctors would not know what to do now.
The old man must have some opinions, because this guide was compiled by someone else. It was obvious that Zhang Fan felt that he was not good enough and did not follow the path he had drawn. This made the old man feel extremely humiliated.
Although I feel quite dissatisfied, I still have professional ethics. Guidelines are no bigger than rules and regulations, no bigger than industry laws.
Medical clinical guidelines are not the first of its kind in China. Every year in various major disciplines, such as cardiology and respiration, the world's authoritative institutions on cardiology and respiration release some deletions. It’s hard to say exactly what year China started.
But this thing is quite strange in the country. In foreign countries, treatment is changed based on the latest research. In fact, it is just a shout out: blood pressure cannot be maintained at 140, everyone should pay attention.
In China, this guideline was customized by the Chinese Medical Association, and most of them copied the latest foreign guidelines and then made some modifications. The publication is issued by the Department of Health.
At first, no one took this thing seriously! Later, the units in charge of health and medical insurance were fooled by the hospitals and doctors below, and they could not make ends meet every year, so this thing became serious.
Then, many experts were invited to revise and formulate this guideline every year, but it strayed far away from the original purpose. The guideline became a framework, such as appendix surgery, what drugs to use before surgery, what drugs to use after surgery, how many days to stay in the hospital, How much does it cost.
Others have set it up for you. As long as it exceeds this standard, I will not reimburse you from the hospital.
The good thing about this is that the leaders in charge of health and medical insurance have something to rely on, just like primary school exams, they have reference answers. It is no longer easy for doctors and hospitals to fool their leaders. Unlike before, deceiving health leaders was like fooling fools.
This stuff needs to be done by people who are experts.
But there is also a bad side. Medical care is not such a simple thing. What should I do if I encounter special circumstances and the treatment principles exceed the guidelines?
If it is successful, everyone will say that this doctor is awesome. Clinical guidelines deny this kind of treatment, but he cured the patient!
But what if it fails?
Therefore, after the guide, from the top hospitals down, there will be no more geniuses!
Because by treating beyond this standard, doctors will put themselves in great danger. Without a strong backing, doctors would not dare to have the opportunity to be creative.
Therefore, medical care has a bit of an assembly line flavor. Get a literate dog in, and it can also prescribe treatments for your patients!
Of course, the advantages outweigh the disadvantages, but for Zhang Fan, a genius doctor in the eyes of outsiders, the guide is just a reference.
…
The diuretic is diuretic, the cardiotonic is cardiotonic, the dehydrating is dehydrating. It can be said that not all patients in the country may be able to receive this kind of treatment.
Young leaders in the medical field can only do odd jobs here and do not even have the right to speak.
At this time, there was only a voice giving verbal doctor's orders. Six or seven academicians, mobilized by Zhang Fan, were hurriedly doing corresponding work.
When the old men looked at each other occasionally, they could see a look of grievance in each other's eyes.
After disinfection and draping, the shadowless lamp turned on with a click.
The director of the nursing department quickly put Zhang Fan into surgical clothes, "Dean, please don't take off your hat. This patient is..."
She whispered to Zhang Fan secretly that she felt sorry for her own dean, and that the director of the nursing department used to be Zhang Fan's role as housekeeper in the operating room.
"What nonsense are you talking about? If you don't take off your hat, can I see clearly? Come on, take it off!"
With tears in his eyes, the director of the nursing department took off Zhang Fan's hat and quickly put on a surgical mask.
When the other surgeons saw that the director was ready to go all out, they had no choice but to follow suit.
That's what this thing is, if brothers follow me and rush for me, the effect is completely different.
Patients with drug-resistant bacteria are directly a source of poison in a closed space. No one can guarantee that you won’t be infected if you take off your hat.
But can you take care of it now?
Don't care!
Watching Zhang Fan take off his hat, and watching a group of surgeons take off their hats without any complaints, the grievances in the eyes of the few old academicians from outside finally weakened a lot.
But this kind of person is definitely someone who will never look back until his head is broken and bleeding. Even if Zhang Fan moved them, they believed that Zhang Fan's choice was wrong.
Some old men have even thought about it. From now on, Zhang Fan can just think about this experiment in the office, instead of coming to the laboratory, which would cause chaos.
Snapped! Snapped! Snapped!
The surgical instruments were quickly placed, sterilized, and draped. Zhang Fan turned around and saw the director of the nursing department also taking off his protective helmet and standing on the operating table as a surgical nurse, "You..."
Zhang Fan shook his head, why are the people under him so stubborn? Why can't they bear a little grievance!
The operation begins.
"Be careful. Everyone must pay attention. This is a tuberculosis drug-resistant patient. Once someone's hand is pricked by a needle or cut with a knife, he must be dealt with immediately and start!" After saying that, Zhang Fan stretched out his hand.
Snapped! The scalpel was placed firmly in Zhang Fan's hand.
The assistants uniformly held the gauze along the skin Zhang Fan wanted to cut and began to pull the muscles slightly outward.
Several old men and the medical researchers on the other side looked at Zhang Fan's surgical team with slight amazement.
"It's hard to say how well this kid's surgery was done. Just this team and their collaboration ability, I guess they can be among the top three in the country."
Click, click.
After the thoracotomy, just like a Tibetan mastiff biting a bone, the sternum clicked and disconnected under the rongeur.
Bang!
Blood bloomed.
Not only Zhang Fan, but also the first and second assistants all had blood spurting out from their faces.
Sansuke immediately covered the bleeding spot with his hands.
"Quick, Xinjiermie! Quick, wipe it with Zhang Yuan. Be careful not to get it in your eyes!"
The director of the nursing department’s shrill voice came out!
"I'm fine. Let's wipe it for them first. I closed my eyes early."
Zhang Fan immediately explained his situation.
"I'm fine, I closed my eyes too!" Luo Zhengguo said quickly as soon as he came to help.
Everything is fine! This is the doctor's conditioned reflex.
When blood blooms, the bleeding point should be covered with both hands immediately, and the eyes must be closed tightly.
"Academician Xia, there is a pulmonary vascular embolism. The patient has a pulmonary vascular embolism. I have seen the embolism point!"
"embolism?"
"The large area of pulmonary edema caused by embolism is not caused by drugs, not drugs!" Zhao Yanfang, who was standing behind Zhang Fan, almost burst into tears. He shouted loudly to the old men around him.
"It's okay if it's not, it's okay if it's not!"
The operation continued, with several people working together quickly to ligate and dredge, and a fat-like emboli was extracted from the blood vessel.
After almost eight hours, the operation was finally over.
The legs of a group of old academicians who watched it from beginning to end felt weak. However, when the operation was completed and the patient's vital signs were obviously normal, the old men looked at Zhang Fan differently.
In the past, I heard that Zhang Fan's surgery was amazing, but people, especially those who are great in their own fields, although they are not surgeons, are still doctors, so the so-called surgery for a young boy is very powerful.
There is always a feeling in my heart that it is over.
But now, it’s different. Seeing is believing. In such a critical situation, people directly make the final decision. It’s not just a matter of surgical skills, but also courage and responsibility!
"It seems reasonable for the country to make him the director!"
The academician of the Digital Hospital said something to the moderate academician next to him.
After the operation, Zhang Fan and the other doctors looked like they had applied rouge. They were all red, resembling the Plateau Red Ball.
"It seems that my guide still has some shortcomings. Fortunately, Zhang Yuan is here today!"
After the operation, after the patient's condition stabilized, the academician from the Digital Hospital immediately found Zhang Fan, and the old man was also above board.
"Look what you said, you are a physician after all!" Zhang Fan chuckled.
…
An accident that was not an accident completely made the laboratory staff become a collective. Sometimes, people are so mean.
When things don't happen, everyone goes their own way and thinks they have their own way.
Then everyone who looks at it feels inappropriate.
But when everyone suffered a so-called disaster together, no one needed to stand up, and this group of people automatically became a collective.
Could it be that there are still friends who are suffering from this thing?
After an accident, although the pulmonary edema was not caused by the drug, the patient almost suffocated and died.
But in the later period, I had to be more cautious when using medication.
Teamwork also becomes more natural and smooth.
It was like an accident, causing everyone's bodies to produce a kind of lubricant in the crowd.
One patient, ten patients, one hundred patients, one by one, the first phase of medication has been completed.
The patient's sputum culture and throat swab examination showed a significant reduction in tuberculosis bacteria.
The second phase of the experiment continues.
After the experimental drug was administered together, the report was immediately sent directly to the general manager through the local military region of Chasu.
To be honest, if I were to take this report and sell it to a company like Pfizer-Roche, it would be an exaggeration to say tens of billions, but several billion would definitely be no problem.
The general manager took Chasu's report and read it word by word very carefully. After reading it, the old man let out a long sigh.
"Professional matters should be resolved by professionals. Please ask Academician Li from the institute to come over!"
Damn it, it turns out that the old man didn’t understand after reading it for a long time!
