Before a normal operation, doctors in the department will briefly explain the surgical plan and procedures to the doctors and nurses in the general practice at the morning meeting. Although many of them are just a formality, the director must listen carefully to each one.
This is a preoperative department consultation or preoperative discussion. Although it will not greatly improve or improve the operation, it can also reduce the risk probability of the operation. For example, if a patient has high blood pressure, the attending doctor will do it for some reason, such as After eating the patient's big meal, he had to arrange an operation. As a result, during the morning meeting, the director looked at it, threw away the medical records, and stopped immediately.
But for Zhang Fan's surgery today, to put it bluntly, preoperative discussions were useless because no one knew what was going on in the patient's stomach. This kind of surgery is like opening a blind box. No one can guarantee what is going on inside the stomach.
Are there any adhesions in the intestines? What are the adhesion conditions? For example, some minor adhesions cannot be found at all, the instruments cannot detect them, and the symptoms are not obvious. Severe adhesion can lead to diseases such as intestinal obstruction, while mild adhesion can lead to constipation at most. Patients are not careful and think that they have eaten less vegetables and leaves, and they eat like little white rabbits every day. It should be pulled out, but it still can't be pulled out.
On the operating table, disinfection began. The belly that had been wiped with iodophor showed rows of skin scars, just like yellowed twists being stuffed into the belly one by one. As the oval forceps were wiped, the scars on the belly appeared one by one. The twist is slowly trembling, giving the impression that the twist is alive and squirming.
"Scalpel!" The instrument nurse immediately pressed the handle of the knife toward Zhang Fan and pressed it into Zhang Fan's hand.
The current Tea Su Hospital, I don’t know about others, is probably more advanced than other hospitals in the country in terms of surgical instruments, because Tea Su Hospital and major medical device manufacturers have joint ventures in the High-tech Zone, although they are small ones. Branch offices can enjoy almost cost-effective prices on equipment.
Sometimes, Zhang Fan really doesn't understand. For example, a scalpel, this blade from Siemens, is really easy to use. With conventional blades, you must replace them after cutting skin because the sharpness will be damaged quickly. As for sutures and absorbable sutures, it goes without saying at Chasu Hospital.
This also makes many doctors who come for training cry while using it, "It works so well, but it is so expensive. How can I perform surgery after I go back? Woohoo!"
When the skin is incised, the normal operation for liver tumors is a straight line from under the xiphoid process to the belly button. When it reaches the belly button, it forms an arc and goes around the belly button, and then it is also a straight line to the upper edge of the bladder. But in today’s surgery, the incision felt like an obstacle course, twisting and turning.
The trouble really starts when the abdominal cavity is actually opened. The intestines of normal people are definitely quite beautiful. The stomach and liver are like a bride with her head covered, staying quietly under the white peritoneum. The pink small intestine and creamy white large intestine are quietly under the pearly door curtain. squirming.
After the patient's abdominal cavity was opened, what came into view was a mass of lines, adhesions, and twists like those played by irresponsible engineers. It was like a man who had passed puberty and still had a mass on his face. All kinds of big red bumps.
In the medical field, the surgery that doctors least like to do is to take over the surgery that has been done by others. Many patients do not understand that after the surgery is done in one hospital, the second-stage surgery goes to another hospital, but the other party refuses in every possible way. He thought he did not give a gift, but in fact This is an unofficial rule in the industry. For example, for an orthopedic fixation, the doctor who put it in is responsible for taking it out.
Slowly, this was the first time Zhang Fan encountered a patient who had undergone four abdominal surgeries in the past few years. The separation of tissues had cost Zhang Fan a lifetime of white hair. At this time, the anatomy he had learned before had accumulated over the years. This patient has almost no surgical experience.
Normally, a blood vessel should be hidden here, but Zhang Fan was really not sure about this patient's blood vessel, so every time he performed an operation, he had to check from the upper edge to the lower edge to see if there were any larger blood vessels in this place. , or new blood vessels extending due to adhesions.
"Ma Yichen, look what hook you pulled!"
Zhang Fan was also a little irritated. The surgery was too troublesome. No wonder no one else was willing to do it. It was really hard to find threads in the ball of wool.
It took more than four hours just to put it into my stomach. Then came the liver tumor, which took more than four hours. After all of this was done, there was a more troublesome thing, which was to close the abdomen.
This abdominal closure is not a conventional closure of the abdominal cavity. First, we must wipe away the congestion and flush the abdominal cavity. How to describe this thing? It is like a bowl of eaten rice. If the congestion is not washed, it will be like a bowl of leftover rice. In a few days Any fly that falls into it can be caught, and blood is the adhesive in the body.
And when suturing, the stitches should not be too tight, because the body has been operated on many times, and the blood supply system is too damaged. If it is too tight, it will become necrotic, but this kind of looseness will cause bleeding, and bleeding will aggravate adhesions. To be honest, surgery for this kind of patient is really troublesome.
After the operation, Zhang Fan's legs were weak. After more than ten hours, I felt really hungry and thirsty, so I drank some glucose. The balls soaked in the padding of my pants started to feel like they were being stung.
"Master, will you write a thesis on this operation?" Ma Yichen asked Zhang Fan while tying the knot after the operation was finally over.
"If you want to write, just write!" Zhang Fan said nonchalantly.
"Okay Master, I have written it, can you let me have a look at it when the time comes?"
"Nah!" Zhang Fan's face turned purple with anger. He was really tired and angry.
The boys in the hospital, such as Ma Yichen, learned their surgical techniques from him. From their surgical methods, an expert would know at a glance that they were Zhang Fan's students, or they had been taught by Zhang Fan step by step.
But these guys rarely bothered Zhang Fan when it came to scientific research on his thesis. At first, Zhang Fan thought that these guys didn't like scientific research, but later he realized that they had gone around him to find Old Man Lu.
You can search for it, and I won't let you search for it, but it doesn't matter if you tell me.
Zhang Fan was angry and quite helpless. In terms of scientific research, he really couldn't teach them anything. It was like a bucket of water can teach a bowl of water. Do you have a bowl of this scientific research at present? It’s hard to tell. Now if you ask Zhang Fan about tuberculosis, Zhang Fan will definitely have a big bucket, but if you ask about other things, he will stutter!
…
"Hey! Are you kidding the old man again? How come it's been so long and there's still no news? I've been retired at home for almost half a month. Do you want to do it? If not, I'll go to Yangcheng. Where is Yangcheng? While listening to my retirement, someone has already come to the door."
Old Man Li from Lanshi really can't stay at home these days. He listened to Zhang Fan's words and submitted his resignation letter. The school tried to retain him several times, but the old man said that he was old and dazzled, and he really wanted to rest.
After retirement, there was really nothing to do at home except quarreling with his wife every day. I had packed my luggage, but Zhang Fan didn't even make a phone call.
Today I couldn't bear it anymore, so I called Zhang Fan.
"Why are you so anxious? What did the school say? What did some of your best students say?"
"Hey, I have been in Suda all my life, and now I feel a little guilty. I feel like a traitor as I get older." The old man is not Zhang Fan. Zhang Fan doesn't feel burdened at all by poaching corners of the school. He even feels like I can finally blow up the school.
But the old man is different. He has been here from youth to old age in his life. It can almost be said that all his hard work has been here. If he didn't have his own pursuits, to be honest, he wouldn't be able to poach him no matter how much money he gives.
"Hey, what's the point? If you could bring a few leaders from other disciplines with you when you come here, you won't have this guilt!"
"Come on, why are you such a thief? Your master is not such a person either!" the old man said helplessly.
"Hey, forget it if you don't want to. Don't curse. If you can't stay any longer, I'll send someone to pick you up."
"No, no, the old lady and I will make our own plane and go there."
"Don't, you are so old, no one will care about you when you stay in school, but if there is an accident on the road, I will be scolded to death. Just wait, I will send someone over, you have to be obedient, you are I will develop into a very important person in the future, so I must not let anything happen to me."
The old man was a little proud of what he said to Zhang Fan.
The boss of Chasu also called Zhang Fan back, "Boss and two of the Niaoshi bosses agreed, and they didn't say that you would be included in the expert group. However, the boss said that the government wants to take a stake in your male antiemetic medicine!"
"Anti-nausea medicine has not been successful yet. This thing is not profitable, and the government is going too far in making this money. People will scold it!" Zhang Fan's face twitched.
"Just tell me if it works, or I'll come back if it doesn't work!" Boss Chasu didn't give Zhang Fan a chance.
No matter what Zhang Fan said, it didn't work, so people decided that he had to buy shares.
"How much do you pay, leader? This is not cheap!"
"Didn't you say you won't make money? Comrade, you can't just fool me. The boss and the second boss said that they will use the Medical University to buy shares and take 40% of you!"
Zhang Fan's mouth started to feel bitter. It was really bitter even if he held a piece of rock candy, it didn't even taste sweet.
There is a precedent for this kind of relocation of the Medical University, and there is a precedent in China, otherwise Zhang Fan would not be able to do it. In the early years, there was a medical school in Dongshan, named Bin or Bingzhou Medical College. Later, he was seduced away by Xuewozi's cigarette maker.
During the relocation, the leaders of the two places had a particularly fierce fight. In the end, the school moved to Yantai, but the name of the school could not be changed.
However, the school life was quite comfortable. Not only did Yantai give me money, but Bingzhou also gave me money.
Therefore, this time they were unified in principle, but Zhang Fan had to bleed heavily.
Zhang Fan hung up the phone with his teeth broken.
Bird City, "Haha, what did he say?"
"A leader is a leader. In my hands, this kid has never suffered a loss. Today I finally saw that he suffered a defeat. He didn't want to, and I was happy to hear it."
"Haha, I just heard the person in charge of the pharmaceutical factory tell me that the medicine of Tea Su is very powerful. Since this is the case, we need to tilt our policies. The government must be responsible for the ideological work of some teachers. After we get the money, we have to work, otherwise our Dean Zhang will definitely come to make trouble."
"Haha, yes, yes, yes, I have to work, haha!"
Zhang Fan couldn't tell whether something was good or bad. He knew that if he didn't put in some effort, he didn't know when he would be able to accomplish this kind of thing.
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