This thing about medical treatment is really bullying people if we speak our conscience. In other industries, a doctorate is almost considered a talent. But medical treatment is not good. A person who has studied continuously from undergraduate to doctorate within a few years is just erudite.
In clinical practice, I can only do some ordinary diagnosis and treatment, and even slip up at critical moments. How can I say this? There is really a distance between erudition and application.
The simplest, such as some of the big data being hyped now, say that the human brain can only memorize a few hundred cases at most, while computers can maturely record n number of cases, so in the future, if they become more intelligent, machines can replace doctors in treating patients.
This sounds really good. In fact, anyone who has worked in the medical field knows that this is too high-tech.
Why are experts so valuable? Sometimes, if a hospital has a true expert, the hospital can directly become a local star hospital. Because patients are not fools.
And Lao Ju is such an expert.
"Urokinase 5000iu/kg intravenously, recombinant tissue plasminogen activator 20000iu intravenously for 10 minutes, dexamethasone in the pot..."
After Zhang Fan and Lao Ju decided on the treatment plan on the operating table, Lao Ju began to give verbal medical instructions.
Zhang Fan's Department of Respiratory Medicine has been opened in the system. Although he is not very skilled in the application, it is almost at the high level of a tertiary hospital.
But after hearing Lao Ju's doctor's advice, Zhang Fan would have thought that this guy was drunk or had given the medicine out of emotion, had he not known Lao Ju's level and conduct.
Damn, the patient is bleeding so badly now, so you gave me a large amount of thrombolytic drugs. Do you think it’s not hard for me to stop the bleeding?
However, Zhang Fan didn't say anything and started choosing the incision from scratch.
The abdomen was disinfected and the knife was cut. This was the first time since Zhang Fan became a doctor that he had seen such serious bleeding. When he cut the skin, blood spurted out in spurts.
It was as if Zhang Fan was not using a knife, but lighting fireworks with a lighter.
Several of the outside assistants were panicked, and their eyes were full of fear. The skin was bleeding so much even when the skin was cut, and it was estimated that the person would die even if it entered the abdominal cavity before reaching the chest cavity.
Zhang Fan couldn't care less, it could be said that he had almost used his skills to the extreme.
It was originally an unconventional operation. Zhang Fan's hands danced in a dazzling manner, bleeding, ligating, and silk threads shuttled through various bleeding holes so fast that even a nurse with equipment could not keep up.
When Bayin saw it under the operating table, he immediately disinfected his hands, put on surgical clothes and got on the operating table. Then he stood beside the instrument table and helped the nurse supply the instruments to Zhang Fan.
"Head nurse!" The equipment nurse almost cried. Seeing Bayin on stage, it was like seeing her mother.
Because of this situation, if the nurse cannot keep up with the rhythm, there is no reason or reason. Maybe after an operation, she will be diverted to other departments in the future.
Listening to Lao Ju's drunken doctor's orders, the doctors on the operating table didn't feel confident at all. If Zhang Fan hadn't been the surgeon, they would have started to quarrel by now.
Enter the abdominal cavity, rupture the pleura, and enter the chest cavity!
After entering the chest cavity, several assistants and even Zhang Fan looked at Lao Ju in disbelief, because the lungs, which were originally swollen like steamed buns, were already obviously dehydrated at the bottom of the chest cavity, and the tissue had changed from The nervousness of not being able to touch has become manageable.
How to compare this thing? In fact, edema of the lungs is like a fat woman wearing the smallest stockings tightly on her thighs. At this time, as long as one thread is broken, the entire stockings can be broken in an instant. Make a big hole.
And Lao Ju's skill is to quickly and massively turn a fat woman's elephant legs into chopstick legs. The stockings went from tight to relaxed.
This relaxation gave Zhang Fan and the others room to operate.
This is the level, this is the level of a high-end internal medicine doctor.
The dam had collapsed. Instead of blocking it, he started to open a small canal. Just this small ditch gives surgeons room to perform.
Zhang Fan raised his head and glanced at Lao Ju. He was still so proud. He raised his head slightly and was still so annoying, but you had to admire his ability and skills in the lungs.
"Zhang Yuan, it won't last long. It probably won't last even half an hour. If the time is too long, the patient's blood volume will definitely be insufficient. Now the heart rate has slowly begun to increase."
Lao Ju looked at the ECG monitor and whispered to Zhang Fan.
"good!"
Without a chance, Zhang Fan might not be able to do anything, but now that he has a chance, as long as there is a little bit of room for movement and a little gap, Zhang Fan can do it.
The assistants were completely unable to help. Apart from the human-shaped retractor, they were almost useless. Because Zhang Fan was so fast, many steps were completed in one go.
Knife, electric knife.
Amidst the clicking sounds, the big teeth of the stapler kept biting into the lungs.
The lungs, which were originally round balloons, turned into triangular balloons visible to the naked eye. Zhang Fan removed the damaged tissue that could not be repaired, and the torn and torn gaps were firmly attached to the surface as if they were patched.
In twenty minutes, Zhang Fan completed the surgical repair.
"rinse!"
A large amount of saline was poured into the chest, and then everyone stared at the saline with wide eyes.
In the operating room, it was quiet, as if time had stopped.
Everyone stared at the saline solution in their chests for one minute, two minutes, and three minutes.
"No bubbles seen!"
"No obvious bubbles seen!"
"No obvious air bubbles leaking out of the chest!"
Chest surgery is like this. Before it was completed, no one knew whether it would be successful or not. Now that no bubbles are visible, everyone is alive because the surgery was successful.
Zhang Fan glanced at Lao Ju.
There were black holes on Lao Ju's mask. Just as he was about to speak, Zhang Fan interrupted him directly, "This patient will give you the ICU for breathing. If there is a problem, I will come to you."
After saying that, he didn't even look at Lao Ju, but said to the equipment nurse: "Why are you like a little girl, who can't stand other people's bad tone? How can this be done, and she sheds tears? How can I feel at ease in the future? You, you should be more open-minded and don't cry or get emotional at every turn.
This is not good. Okay, don't cry. I will ask your nurse to write you an extra overtime today. "
The little nurse was already aggrieved. When she heard Zhang Fan's criticism, she wanted to explain. Suddenly, she was pushed by the head nurse Bayin. The little nurse turned around and saw that she understood. The head nurse didn't let the little nurse speak.
Zhang Fan couldn't care less and got off the operating table after saying, "I'll leave the rest to you."
After that, he went to the operating room No. 2 next door.
When Zhang Fan left the operating room, Bayin whispered to the nurse: "How can the boss criticize you? He is criticizing you!"
Zhang Fan ran away after scolding. Lao Ju's lips were trembling with anger, but he couldn't even utter a word of rebuttal.
Lao Ju looked around at the people in the operating room who pretended not to understand, and said angrily: "My surname is not Ju! You are the only one who bullies me!" Then he went out to make a phone call.
As soon as Lao Ju went out, everyone suddenly burst into laughter.
In the No. 2 operating room, the situation was slightly better than in the No. 1 operation, but the patient's damage area was too large, and the internal medicine team was almost at its limit.
"Be gentle, Wang Yanan, can you not use the hammer? With such a big hammer, you are afraid of causing heart failure."
Wang Yanan rolled his eyes and did not refute.
After Zhang Fan entered the operating room, he first stood behind Wang Yanan. After all, Wang Yanan was still young. But as soon as he saw the operation, Zhang Fan felt relieved. This girl has really grown up in the past few years and is doing very well. She has her own four-level expertise in orthopedics. Five successes.
The surgery went well, so Zhang Fan didn't say much. After looking at Wang Yanan's, Zhang Fan stood on tiptoe and looked at Zhao Jingjin's. There was no problem here, and there was no problem at all for Lao Zhao, who had undergone surgery for old age.
Zhang Fan finally breathed a sigh of relief.
Chasu Hospital is really different now. In the past, they could only perform one such operation at most, but now, it is not a problem to learn major surgeries at the same time in operating rooms 1 to 5.
After leaving the operating room, Zhang Fan saw Zhao Yanfang with eyebrows painted on, busy on the computer.
"Hey, today's..."
Zhang Fan was a little embarrassed when he saw Lao Zhao, but Zhao Yanfang smiled and said, "This is commemorative, isn't it?"
…
"I have seen people use public power to do personal things for themselves, but I have never seen people use personal favors to do things for the public. Zhang Yuan is really amazing!" Several Huaneng employees were lying on the hospital bed chatting in the Chasu Emergency Center. .
"Yes, the car entered the ditch. I was ready to freeze to death. When I saw the cavalry rushing over, I will never forget the shock."
Zhang Fan was a little tired. Today's surgery was really difficult, and there was no one in charge of the cardiothoracic surgery department. It was all up to Zhang Fan.
When he walked to the office of the operating room, he heard Ouyang's voice. Ouyang already knew that the operation went well, "This kind of operation, let alone in the frontier, may not be possible even if you go to the capital."
"Yes, you are right, Ouyuan. Thank you for today." Huaneng's boss flattered politely.
Just flattery won't do. "I heard that you donated several surgical carts to the Electric Power Hospital in the capital?"
"We are also planning to donate a few units to Chasu Hospital. We just don't know what models Chasu Hospital is short of." Huaneng's boss felt that he was very smart.
As a result, Ouyang shook his head, "We have no shortage of surgical vehicles. In fact, we were able to arrive at the scene in time today mainly because there are rescue planes, but we only have one. Generally, large high-end regional hospitals like ours have at least three. Those of you with big businesses have started doing business with foreign countries.
If we have more planes, it will actually be a great logistical support for you. "
Zhang Fan originally planned to enter the office, but after hearing this, he quietly turned around and went to the lounge. He didn't even need to look to know how embarrassed Huaneng's boss was at this moment.
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