The profession of doctor actually has higher moral requirements than medical skills, which is a bit the same as that of teachers. Peeing on the side of the road, most people would say: This person is so shameless, but if you are a teacher or a doctor, it can directly rise to a soul problem.
Because these two industries involve the two ultimate issues for Chinese people or human beings, health and future. Medical ethics should not be underestimated. For example, a certain professor slept with a medical representative, and a certain expert touched a female patient for some reason.
For this kind of person, to be honest, the country's laws are still too easy.
Because this thing directly breaks the bottom line of the industry, and even breaks the bottom line of a person.
To be honest, there are so many disgusting things in the workplace that we can’t even count them. But we really can’t let go of this bottom line of doctors. Once we let it go, it will be terrible. Human dignity is really At once……
In the operating room, when they heard that Zhang Fan was going to undergo local anesthesia for appendix surgery, everyone's admiration for Zhang Fan turned into contempt.
Even the instrument nurse in the operating room sympathized with the pregnant woman. She was given local anesthesia and had to open the patient's abdomen. This was not just treating a doctor, it was life-threatening.
My husband was rude when he spoke, but he was obedient later on. Why can't you do something evil just because of a few words?
For a time, the young master and his wife became a vulnerable group.
"Zhang Yuan, this local anesthesia, I..."
The general surgeon at the Central Hospital was hesitant. He wanted to refuse, but he didn't dare. He couldn't bear to refuse, but his conscience couldn't bear it.
In fact, most people in China are kind-hearted. The customs passed down for thousands of years are really a kind of protection for the Chinese people.
The equipment nurse was very direct, maybe because her salary was not high, maybe she couldn't see the future, "Yuan Zhang, you are retaliating. You have no medical ethics. You can't use your privileges to make things happen to others if they just say a word." It’s an accident, you did it more than they did.”
"Hi, you guys!" Zhang Fan smiled and shook his head. He was actually not angry, but a little happy. There were not many people who could stick to the bottom line in the face of authority and leadership.
"The patient now needs to have his appendix removed, but general anesthesia is dangerous, and the colonoscopy is not suitable. What should I do?"
"But the pain of local anesthesia is too high. This is a laparotomy. The intense pain will not only cause shock to the mother, but may even cause the fetus to miscarry. It is better to stop the pregnancy before performing surgery."
"Well, that's a good idea, but I think I should be able to do local anesthesia without severe pain."
Zhang Fan smiled. Really, this is the best temper Zhang Fan has had since he entered the operating room.
"Are you sure?"
"I'm sure! I will be responsible for anything that goes wrong. Let's get started. Don't waste any more time. I have to go to the affiliated hospital for surgery."
"All right!"
Zhang Fan has said this, and everyone has no excuse to resist.
When the operation started, everyone looked at Zhang Fan nervously. In the operating room of a provincial tertiary hospital, a patient with appendicitis scared everyone to the point where they were afraid to speak.
When I heard that Cha Suzhang was going to give a pregnant woman local anesthesia for her appendix, the observation room in the operating room was full of people. Not only the obstetrics and gynecology department, but even the dentists who usually didn't join in the fun came to watch the fun. .
"Is this the National People's Congress of Yi Gao, or is it Zhang Fan who has become a fool? His surgical skills are indeed high, but he is too arrogant!"
"Stop talking and look carefully. What gossip is there? What does it have to do with you?"
The director of the general surgery department didn't even look back, but he still criticized a certain doctor in a very serious tone.
On the operating table, the pregnant woman was so nervous that she was shaking.
His big belly was shaking as if he was on a vibrating bed.
This condition is not good, I haven’t had any surgery, I’m scared to death.
Zhang Fan spoke: "I heard that your best friend and your husband have a pretty good relationship?"
Instantly, the woman stopped shaking, and her eyes widened in surprise, "Has this matter spread to Chasu?"
"Uh!" Zhang Fan was so sweaty that he got down. "Do you often drink together?"
"You also know this?" The patient was not calm anymore. This is a doctor or an alley aunt. Why do you love gossip so much?
"I've heard that too, but I think you're pretty good. I'll give you an injection. It'll hurt a little, just for a moment. Just go in and you'll be fine. Just relax."
The woman was probably still thinking about Zhang Fan's words in her mind.
Insert, lift, and gently inject anesthetic into a small ball.
That is, a rubber ball the size of an adult's fingernail appeared.
Then, Zhang Fan kept massaging the pregnant woman's thin belly.
Nowadays, when performing minor surgeries in outpatient clinics in hospitals, doctors are impatient. After a shot of lidocaine is administered, they start right away, regardless of whether the anesthesia is absorbed or not.
During the operation, the patient was in excruciating pain, and the doctor was still saying, "You are so afraid of pain. You have already taken the anesthesia. If it doesn't hurt, it will be better. There are still seven or eight injections."
As a result, by the time the lidocaine took effect, the surgery was complete.
"It's been five minutes since the injection, why doesn't he do it yet?"
Not only are the doctors in the observation room curious, but even the door to the operating room is as full as monkeys on a tree.
"have no idea!"
"Have you noticed that before the injection, Zhang Yuan asked, do you drink often? These are all details, comrades, these are all details."
Although everyone seems to think it is very important, in fact, all they think about is, what a bullshit detail this is.
Just when everyone was confused, Zhang Fan took action.
The knife is currently the sharpest knife in the surgical world. In Zhang Fan's hand, the blade is like a cicada's wing. Many doctors do not like to use this kind of scalpel because it is too sharp and cannot last long.
Zhang Fan doesn't use this kind of blade very much on weekdays, because it's too wasteful, it will be useless after three swords, and it's expensive to die.
The blade like a cicada's wing gently scratched the skin. The patient who was completely awake felt no pain at all. He just felt that Zhang Fan had scratched his belly with his nails.
"Let me go, why did he make such a small opening?"
"Yes, this opening is too small. Hey, if we can't find the appendix today, we will be in trouble."
Zhang Fan's incision was too small, the anesthesia ball was as big as a fingernail, and the edge of Zhang Fan's incision did not break through the anesthesia ball, just like a thumbtack scratching a line on a chart.
If the incision is fully opened, it will only be as big as the belly button.
The position of the appendix, the McMillon's point in the textbook, is just the position of most people. The appendix is like the little tail in the stomach, ever-changing.
Some are at the root of the thigh, some are even lying on the liver, and some can be on the left side of the abdominal cavity.
There was a joke in Chasu Hospital back then. The head nurse’s father had an appendix surgery. In order to make the head nurse feel that he was taking care of her father, the doctor made a very small incision. As a result, two hours after going to the operating table, the appendix was still not found. , the doctor was sweating profusely, and the head nurse almost fainted at the door of the operating room.
I thought my father was seriously ill.
Therefore, to diagnose this location of the appendix, you must be honest enough to do a physical examination.
Zhang Fan may be a little lacking in diagnosis, but the physical examination and surgery are definitely top-notch. If the physical examination level is not up to standard, the doctor looking for the appendix is probably the same as the young man looking for the tunnel. Whether he knows the location or not, he definitely knows it, but he just can't pinpoint a specific hole.
At this time, it is time to reflect the technology.
Zhang Fan determined the location of the patient's appendix after a preoperative physical examination. It can be said that it is so accurate that you can see it by spreading your legs.
With a slight opening, the muscle layer does not need to be transected, but is gently and bluntly separated a little. Really, sometimes, this kind of action looks really yellow and violent.
When the fingers on the abdomen are out of reach, "hang the needle with the needle holder!"
The nurse didn't understand, but quickly handed the needle to Zhang Fan. It was stuffed in like a fishing rod tied to a fishing line.
Two pairs of pliers were gently inserted into the incision the size of the belly button.
Zhang Fan closed his eyes slightly, and crossed the two pliers with his hands gently and gently.
Others could only see Zhang Fan's two forceps moving back and forth. Even the assistant on the operating table didn't know what he was doing.
The patient was lying on the operating bed and asked depressedly: "Has the operation started? What are you still preparing for?"
Zhang Fan's movements are so gentle and precise that the patient himself can't even feel the precision and gentleness of his face.
"Hey, I feel like I have a bowel movement."
As soon as he said this, everyone understood that because the patient would have his intestines opened before the operation, Zhang Fan's operation had now reached the intestines.
The intestines are particularly insensitive to hot puncture, which is why many people dare to stuff loaches into the back door to relieve themselves. But once inside, the loach begins to struggle, and when its intestines struggle after strenuous activity, it suffers.
The intestines are particularly sensitive to traction. When the Great Sage stretched his sister-in-law, it was definitely not in the stomach, but definitely in the intestines. The stomach is not very sensitive to traction, but it is more sensitive to injuries such as hot puncture. very sensitive.
However, Zhang Fan simply made the patient feel the need to defecate under local anesthesia. This operation was too slight, and it was not even as stimulating as some special enthusiasts going in and out.
"Do you think he can accurately locate the appendix? Even preoperative color Doppler ultrasound may not be able to find it so accurately."
Before he finished speaking, Zhang Fan saw a cock falling out of the operating table like a fish.
Because of the inflammation, the appendix was as hard as a boy in the third grade of elementary school would in the morning. The appendix, which had been stunned for a long time, was gently popped out of the incision.
And what’s even more surprising is that the fishing line has already bagged the appendix, just waiting to be cut!
"It's so awesome! This is an operation without vision!"
"My dear, Zhang Fan is really the best in general surgery. Today's appendix can directly shut up a group of surgical experts in the past."
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