A fat man was lying on the hospital bed, with his body's flesh hanging on the side of the bed like a piece of meat. After removing the accessories covering the abdominal cavity, the fat man's belly looks like it has been tanned too much after tanning.
Surrounding the incision, the outermost skin was burnt black, like a fried pancake. It is golden with a dark burnt color, and the color slowly begins to turn into a rouge color as it gets closer to the incision, and the skin around the incision looks like overcooked and dyed abalone.
"The fat inside the incision has collapsed. Not only is the drainage tube blocked, but the patient also has a high fever." The deputy director personally introduced the patient's condition to Zhang Fan.
Zhang Fan took the medical record and began to check the patient's examination records.
At this time, Zhang Fan no longer smiled, but entered working mode. After reading the medical records, Zhang Fan gently closed the medical records, and the deputy director immediately took them with both hands.
Then a physical examination began, "I already have jaundice, my skin is turning yellow, and the blockage is serious."
Zhang Fan's physical examination was nothing unusual for the directors and deputy directors, but it was still quite surprising for the young doctors.
"Do you think the textbook physical examination is as standard as Zhang Yuan's?"
"I don't know who has more standards, but I think for examinations like Zhang Yuan's, if the outpatient clinic does not take a break in a day, it can only see thirty patients at most, or even thirty patients at all. How many patients can we see in a day? Two Let's start with a hundred. If the leader encounters other problems and the experts get better, there will be no time for physical examinations with the number of two hundred and three patients, and it will be too late to see the examination results.
This method is what big guys use to show off. But to be honest, Zhang Yuan's standards are still high, and his techniques are even better than when our director was teaching ward rounds. "
Several attending doctors gossiped in low voices. There were too many people, and a group of young doctors crowded in front and watched Zhang Fan's technique carefully, fearing that they would miss any detail.
In fact, this kind of physical examination is not enough just by looking at it. After looking at it once, it seemed that it was not difficult. When I started to do it half an hour later, I didn’t know where to start.
It's definitely the rhythm of your brain saying you know it, your eyes saying you understand it, and then your hands complaining aggrievedly about your nonsense.
After the examination, Zhang Fan turned his head slightly and said: "Although this kind of surgery cannot be performed immediately, it must be debrided, otherwise the collapse will cause serious infection. Give me a size 7 and a half sterile glove, and give me a thicker one." Soft drainage tubes and debridement packs!”
"I'm going, Zhang Yuan is about to take action."
"Zhang Yuan is Zhang Yuan. He dares to perform this kind of surgery. Hey, the gap between people is really huge."
In the medical circle, there are several types of patients that are difficult to find other doctors to take care of, such as internal fixation with sliding wire plates, HIV in trauma, and debridement of postoperative infections. For this kind of surgery, even if you change doctors in one hospital, there may not be anyone to take over it, let alone changing hospitals.
If this kind of surgery is done well, you should do it. If it is not done well, the dispute may last for several years, and this kind of surgery is extremely easy to cause problems.
A long time ago, there was a doctor who performed the appendix surgery together with his master. At that time, the appendix surgery was still incision. After the appendix surgery, his master retired and left. As a result, the patient's incision did not heal, like a child's mouth, and he vomited pus once every ten or twenty days, with black threads in the pus.
Then, this patient and this doctor continued for more than ten years, just like menstruation. Every month the patient came to this doctor, and then scolded the doctor while the doctor smiled and changed the patient's dressing.
Therefore, for this kind of postoperative infection, experts from other hospitals generally will not even give advice. The most they can say is: symptomatic treatment.
Zhang Fan has no scruples. It's not that he has absolute confidence, but that he has the responsibility of a doctor.
Disinfection, the hands and arms were smeared with hand sanitizer, and the skin seemed to be covered with a film, feeling slightly tight. Disinfectants in hospitals often have degreasing functions.
Even soap actually has the function of degreasing. Many doctors' hands become as dry as chicken claws when they are stretched out as they get older. Zhang Fan's hands already had this tendency.
Although the body is still strong and the muscles are still plump, the hands are now like installed mechanical hands.
In this way, sometimes Shao Hua would complain, "Your hand hurts me. Are your teeth growing on your fingers?"
After disinfecting and spreading towels, the director and deputy director of Zhongyong General Surgery stepped forward directly and began to act as Zhang Fan's assistants. After the two people finished laying the towels, the director also began to disinfect and put on gloves. If Zhang Fan wants to take action, they can't watch from the same side.
"It might hurt a little, please bear with it." Zhang Fan said to the fat man with a smile.
You could see on the fat man's fleshy face that he was nervous, and his double chin was trembling slightly. The cruelty of medical treatment can also be seen in places that can make a strong man's flesh tremble with fear.
Many people think that if there is something wrong with their body, they just need to go to the hospital. In fact, going to the hospital is not a good thing, except for giving birth, so in daily life, it is better to be kind to your body. After all, this is the only thing that can support you in this life. A secondary body.
The blue towel covered the fat man's head and face, as if he was sending him away. The fat man's breathing became rapid, and the blue towel rose and fell with his breathing.
Zhang Fan, who had put on gloves, gently pressed the skin around the incision. The incision on the skin was like a child's mouth, spitting out the liquefied fat, which looked like lumps of fat chewed by a toothless old lady. Scattered and broken.
Zhang Fan's compression was not out of boredom, but to determine which direction the liquefaction was more serious.
Ordinary doctors can only use color ultrasound at this time, but Zhang Fan doesn't. The accumulation of surgeries in the past few years is really not in vain.
After raising his middle finger and wiping it with paraffin oil gauze, Zhang Fan slowly rotated his fingertips around the incision.
This not only allows the incision skin to adapt, but also allows the lubricant to fully contact the incision skin. Then, there was a popping sound, and Zhang Fan inserted his middle finger directly in. It was so easy.
Zhang Fan frowned slightly as he entered the fat layer, because it was too easy. Putting normal fat in with one finger is not only laborious, but also has a strong damping feeling. Although it is a super smooth fat layer, it still makes people feel A dry feeling.
Veteran drivers can probably relate to this.
But now, after Zhang Fan inserted one of his fingers, not only did it not feel wrapped, it was like a toothpick inserted into a large water tank. If you shake it, you can even feel a wave feeling inside.
This is definitely not an exaggeration.
It is vertical when it goes in, but it is hook-shaped when it comes out. The necrotic fat sticks to the fingers. The fat is like meat that has been left for a long time. Not only is it stringy, but it also emits a weird smell of fat necrosis.
It smells like bacon cleaning.
In Zhang Fan's fingers, there was not only liquefied fat, but also solidified blood clots. The bluish liquid was mixed with black and red, and it really looked like it was granular due to irregular menstruation.
After Zhang Fan's finger was pulled out, the director wearing sterile gloves quickly started wiping it with iodophor excipients. It was cleaned from top to bottom, even between the fingers. It really looked like Shi Ya'er was being wiped clean. Same as wiping.
Go on, push it in and pull it out, pull it out and push it in.
At first, Fatty was very nervous. But going in and out didn't seem to hurt at all. The fat man thinks this is nothing special.
As a result, when the cleaning began to slowly turn bright red, the muscles in the fat man's whole body tensed up when the finger was suddenly inserted, and it began to hurt. The pain was too intense, as if someone had used a hook. It's like stuffing the anus and pulling the intestines out.
"Ugh!" The fat man started to groan in pain.
But it was useless. A group of young doctors killed pigs with six or seven hands on each arm. Clean, stuff with gauze, or dry gauze.
When the rough gauze was stuffed in, the fat man was in so much pain that he started calling his mother. After cleaning up the dead tissue, the remaining tissue is all healthy.
This thing is like sandpaper polishing the subcutaneous tissue of an overly long foreskin that has never seen the sun or wind. It hurts so much that the fat man secretes urine.
Gauze was stuffed piece by piece under the collapsed skin, "drainage tube."
"Be patient, it's just two injections, even if you give anesthesia, it's still two injections, if you don't have anesthesia, it's still two injections, and I won't give you anesthesia."
The thick drainage tube is like a milk tea straw stuffed into the gauze.
Then, the fat man felt a severe pain that was a combination of burning electrodes. The fat man was already covered in sweat, and there were crystal clear beads of sweat hanging on the hair on his calves.
"Remember, debridement should be done once every three days, and elective surgery should be performed only after making sure there is no infection."
As for the obese patient, after being covered with the auxiliary material, he let out a long sigh, as if entering a sage state afterwards, and fell asleep within a few seconds.
General surgery ward rounds, chest ward rounds, Zhang Fan has been doing ward rounds in the surgical building for the whole day. In a moderate internal medicine department, several directors with good relationships chatted while eating together.
"Why don't we also invite Zhang Yuan to come over and check the ward?"
"Forget it, let's not join in the fun. I met the boss this morning. His face looked as if it was a shoehorn, and it was as dark as if someone had kidnapped his wife."
In the surgical building, a group of young doctors were more enthusiastic than the other. I had only heard that Zhang Fan was of high skill, but how high was it? Now they know that Zhang Fan really didn't blow it up.
"Zhang Yuan, there is something I want to ask you. Is it convenient for you? There is a young man in our department. His wife has a liver tumor, central type. It was supposed to be operated on today, but you are here, why don't you stand up for me?"
The director of thoracic surgery led a young doctor with a nervous look on his face.
"Okay, help me change the plane to tomorrow. I must help you. We are all our own people. Forget it if I didn't come. If you don't help me now, it will be unreasonable."
Zhang Fan agreed without hesitation at all, and tears welled up in the young doctor's excited eyes.
Tea element, international medical department, the chief of the wealthy country has become angry.
"Where is Zhang Fan Adasi? Can't I ask Zhang Fan Adasi to come and check me now? Is our friendship over?"
A group of diplomatic people, not only the rich countries but also the diplomats from China are sweating.
This old man really can't be offended. Although Golden Retriever has controlled the wealthy country very strictly in recent years, he is just like his sister-in-law.
But Hua Guo still secretly flirted with others, and now the old chief was angry.
The diplomats kept complaining in their hearts, "This Zhang Fan, this Zhang Fan, I don't understand the importance!"
At this time, no one dared to speak. Ouyang took a look and realized that this was not a big deal. She stood up with a smile!
