After getting used to the operating room of Chasu Hospital, when I go to other hospitals, especially the operating rooms of prefecture and county hospitals, I always feel as if the leaders of these hospitals are fighting with other people's equipment representatives when they buy equipment.
The operating room was as dense and messy as the wiring laid out by Third Brother's electrician.
In fact, this is also because Chasu Hospital is too rich.
For example, the operating room, although not clearly allocated. However, orthopedic surgeries have operating rooms that mainly perform orthopedic surgeries. These operating rooms have lead plates, protective clothing, and C-arms.
There is a urological operating room for urology, and there is an extracerebral operating room for the outside of the brain.
However, ordinary hospitals do not have this condition. The operating room is used on a rotating basis!
At best, when allocating surgeries, clean surgeries are done first and contaminated surgeries are last.
"Books, the current situation is a huge amount of bleeding, the patient is still correcting the electrolyte balance, the situation is not stable, the heart rate..."
"How is the blood preparation going?"
Zhang Fan had already started brushing his hands. The director of the obstetrics and gynecology department of the largest hospital in League City stood next to Zhang Fan and reported on the patient's condition.
This kind of surgery, honestly speaking, is a battle for wealth.
Ten years ago, the effect of this kind of surgery would be about the same if it was sent to the hospital or not.
First of all, the requirements for doctors are very high. There were good doctors in the past, but they could not be sent.
For example, the distance traveled by Tea Su to this county in Meng City ten years ago was only five or six hours. By the time the doctor came, the patient was already cold.
There is also device support.
In recent years, the time for surgery has become shorter and shorter.
For example, hip surgery, when it first started, could be done in four or five hours.
The doctors at the hospital all said sincerely: This director of orthopedics is really awesome.
But now, Wang Yanan and the others can complete the hip replacement surgery at Chasu Hospital in twenty minutes.
This involves the efforts of doctors and the support of equipment.
Finally, there are medicines and plasma.
Unless drugs are extremely rare or general drugs, there is currently no situation in China where hospitals do not have them.
For basic drugs, Huaguo is still very good, but in recent years, like hospitals, the prices have become increasingly confusing.
The only thing missing is the lack of blood in the blood bank.
There was no ischemia ten years ago, but it started to be ischemia ten years later!
What happened in the past ten years? It is becoming more and more difficult to store more blood sources day by day! There are even blood panics in some large cities.
This county town of League City has an advantage! Although the county is not big, 60 to 70 percent of the people here are digital troops and people related to the digital troops, such as family members and children.
In the early years, because it was necessary to supply Lianhua, there was an airport here and a large number of logistics personnel.
Later, after both eggs were born, a large part of the base was withdrawn from the depths of the desert, and part of it was diverted to this county.
Therefore, the equipment in this county may be average, and the doctors’ skills may also be average.
But people are not short of money!
Just this one thing, no lack of blood, can almost despise 80 to 90% of hospitals in China today.
Zhang Fan, who had put on surgical clothes, was not polite to the doctors in the city.
He just said: "Changing of the guard!"
Then, the anesthesiologist from Meng City began to hand over to the anesthesiologist Tea Su.
On the operating table, assistants handed over.
After a quick handover, Zhang Fan stood in the position of the surgeon.
Lu Shuyan has already started to disinfect the patient's skin with alcohol.
There was no time to say anything else. Zhang Fan went into surgery and made an incision in his abdomen.
China's medical system has actually undergone a major change. Starting from the era when large hospitals began to siphon the medical system, the medical protective walls built over decades in counties and villages suddenly collapsed.
A big hospital has taken a few puffs. If there are more people, it has to support people. If the hospital wants to be able to support people, it has to increase the cost. If there are people, if you want to keep people, you have to find something to do for these people.
Then the equipment was updated, and research in various disciplines in the hospital spread overnight, like mushrooms after a spring rain.
The hospital has changed from a full-pay unit to a balance unit. For a while, it even felt like it was responsible for its own profits and losses.
In fact, these are all learned from golden retrievers.
At the beginning, everyone thought it was pretty good. The hospital's equipment was getting better and better, but gradually we discovered a problem. Medical treatment was getting more and more expensive!
China’s later system was modeled after the Golden Retriever!
but!
Among developed countries, some with particularly good incomes, the one with the worst medical system is Golden Retriever.
Many people are eyeing the number one spot in the world. The golden retriever has many medical measures that absolutely crush other countries on the planet.
But these firsts are studded with diamonds, gold and jewelry from birth.
The golden retriever's medical treatment is the body shape that Popeye got after eating spinach.
The upper end is extremely huge, and the body is covered with muscle knots. But this thing is because of eating spinach!
Ordinary people may not be able to afford it.
In fact, in China, a group of people advocated learning from the Golden Retriever system.
The benefits have been learned, and high-precision development is okay.
But there are also downsides.
This thing is too expensive because there are too many people who can make a living in this industry.
Just like Golden Retriever, relying on hospitals, many companies are giants.
More people eat more, who pays for the food?
Fortunately, Huaguo Medical has not given up on the consultation system. If the donation system of the Golden Retriever is really followed, ordinary people want to ask for a flying knife?
You can't even invite me!
The consultation system, in fact, Feidao Doctor is also a type of consultation system. It was in order to prevent uneven medical treatment and uncontrolled medical treatment, and then the practice jurisdiction appeared.
As a result, it is now really used to control medical imbalances!
Golden Retriever’s consultation system is from top to bottom. For example, clinic doctors recommend patients to regional general hospitals, regional hospitals recommend patients to hospitals in big cities, and big cities recommend patients to famous experts and scholars.
It seems that they are all recommended from the bottom up, but in fact it is not because they must get the approval of their superiors!
The advantage is that medical resources are not wasted, unlike in China where people with appendicitis can go to the top three hospitals. The disadvantages are also extremely obvious...
Otherwise, why would so many rich people donate to top hospitals every year? Is it true that rich people with golden retrievers are all benevolent?
Since its birth, Huaguo Medical has adhered to a consultation system with Chinese characteristics.
Regarding this system, the only system that remains, to be honest, is really a system for the common people.
Many people are opposed to flying knives!
In fact, it’s not necessary, just tell a true story.
Spinal surgery, spinal fractures and crushed nerves.
This surgery is also clearly stated in the textbook: 90% of patients will have uncomfortable complications such as long-term chronic pain after surgery.
However, many surgeries performed by doctors who fly out from the capital will not have such complications.
Every industry is actually the same.
There are too few people who reach the top.
Cut open the abdominal cavity, and a full-term child is like ginseng wine soaked in red wine.
The suction device was turned on at full power and began to draw out blood. It was not sucking blood, but drawing blood.
There is a difference.
The suction device sucks blood, which is probably like the little beauty drinking yogurt. At the end of the drink, the only sound she can hear is the cool sound of eating.
Of course, boys generally don’t do this, because at the end of the drink, boys, like Zhang Zhibo, just lift the lid of the yogurt bottle and put it on their tongues!
Now, it's like a water pump has been stuffed into a lake.
The transparent tubes are filled with uncoagulated red blood.
"Where is the bleeding?" Lu Shuyan asked anxiously.
Zhang Fan ignored her.
But Zhang Fan gently inserted the fingertips of his hands into the congestion in the abdominal cavity.
Then I closed my eyes, this time it was not to enter the system.
It is to let the fingertips feel the direction of blood flow.
Special gloves for doctors, very tough and very thin.
The main reason is to prevent loss of sensitivity when there is a certain degree of protection.
There is a survey team that conducted a survey that year. Wearing one pair of gloves reduces sensitivity by 20%, and two pairs directly reduces sensitivity by 90%.
Maybe many people don’t understand this, but it’s actually because of wearing one condom or two condoms.
Some people will argue and say, who is crazy about eating? Bring two?
have!
This does not mean that some friends are looking for flowers and willows, so they can bring two with them for peace of mind.
This is because for many patients with vomiting, various drugs do not work well.
But I hope to have a normal married life.
At this time, the doctor will usually give a tip that is not a treatment method. Bring two of them and it will work wonders!
"Uterine fundus bleeding!" When Zhang Fan shouted, Teasu's anesthesia also shouted: "Zhang Yuan, the blood pressure has dropped, the heart rate is 123, hemorrhage, hemorrhage!"
The life state that was already maintained was suddenly falling again.
When a woman gives birth to a baby, the first life-or-death hurdle is that she cannot give birth because her uterus is weak. In the past, when caesarean sections were not popular, it was really a nightmare.
Can't get out, can't get in, stuck in the birth canal, and the mother has no strength, so the baby is suffocated to death in the birth canal!
There is also heavy bleeding for no clear reason after the baby is born.
This has not been studied clearly so far.
However, in order to prevent heavy bleeding, obstetric nurses are now extremely strict.
For example, after the baby is born, the mother curiously asks: "Boy or girl?"
The nurse turned coldly: "Both men and women are not your children, aren't they?"
"Yes!" The mother's happy and excited mood after giving birth was calmed down by the nurse's unkind words!
Because some mothers have experienced hemorrhagic collapse several times when they heard that it was not the gender they expected.
"Massage the uterus, hurry! Inject 250ug of carboprost tromethamine into the deltoid muscle, and ligate both uterine arteries! The uterus cannot be saved!"
There is no choice anymore.
Many women are curious, if they encounter danger when giving birth, should the older child be saved first or the younger one first?
To be honest, this kind of situation only happens on TV.
Even if there is, the adult should be saved first. This is a requirement of medical regulations.
And the patient’s family will not be informed.
This kind of rescue treatment is different from ordinary treatment.
For ordinary treatment, the doctor gave the family a lot of mysterious and confusing information.
But during rescue, doctors have the right to make temporary decisions and do not need to consult family members or patients for their opinions.
"Do you want your uterus or your life?" This kind of thing will never happen.
There was massive bleeding and it was useless to stop the bleeding.
Zhang Fan directly ordered the uterus to be cut off.
The newborn child was dug out by Zhang Fan like a bloody gourd.
The doctors of the neonatal team under the operating table quickly took the child, dug his mouth, rewarmed him, and blew in a few mouthfuls of oxygen. The child burst into tears.
On the table, Zhang Fan didn't even hear the child's voice.
Hemorrhagic collapse is the most feared thing in obstetrics.
"Gauze balls!"
There are many uses for gauze in medicine.
Some are going to be strip-shaped, some are going to be face-shaped, and some are going to be ball-shaped.
Pot after pot of gauze was brought in.
The unit where gauze enters the operating room is the pot!
This pot is the old-fashioned large aluminum pot used to steam steamed buns at home.
Because this thing needs high-temperature sterilization before entering the operation room, you press the pot when entering the operating room, and press it when you go to the operating table.
Ten gauze sheets were put on, and during the operation, the ten gauze sheets were laid out neatly one by one as if they were killing prisoners of war, and were signed by the instrument nurse and the circulating nurse.
If one gauze is missing out of ten gauze, it will be a big deal. Anyone who rummages through the box will find it.
There are also cases in the news of gauze being pulled into the stomach of patients, but this kind of thing is extremely rare. Once it happens and is reported by the patient, the surgeon and instrument nurse who performed the surgery will no longer be able to take advantage of it.
Pieces of gauze as big as a fist were stuffed into the uterus piece by piece.
One, two, three, four, the instrument nurse and the surgical nurse shouted the numbers together like primary school students.
The child's uterus was dug out and filled once again.
Why is it generally impossible to save the uterus after heavy bleeding during childbirth?
Because this bleeding is different from bleeding in other organs.
Bleeding from other organs is at best caused by a rupture of a pipe, and the difference is only the difference in water pressure.
But uterine bleeding is different. This thing is that the entire fundus of one uterus is bleeding, one is bleeding in spots, and the uterus is bleeding in the area.
Once the first suturing fails to stop the bleeding, the uterus is usually removed directly.
The full uterus was filled, the arteries were ligated, and then cut off directly.
What do you think of the uterus? The cut uterus looks like a small long-sleeved vest for women, with very long sleeves.
After overnight surgery, the patient was finally sent to the ICU.
"Thank you for your hard work on the books!"
The director of the county hospital and the city hospital grabbed Zhang Fan's hand and kept thanking him.
"I also want to thank you, thank you for the numbers! You are proactive in dealing with the situation, and do not hide or shirk. If this operation is delayed for a little time, today will have a different result.
There is also a sufficient blood supply. I have never encountered such a sufficient blood supply in a county hospital.
Don’t forget the well-diggers when you are ready. Your city hospitals and county hospitals must keep up with digital physical examinations and health care, and don’t let people down.
Also, the handling method this time is to form a report, which is the same as organizing learning within the entire border medical system.
This is a great countermeasure! Effective and simple! "
"yes!"
The director of the county hospital was exhausted after staying up all night!
The oil and water on my forehead feel particularly gorgeous!
Sometimes, we are not afraid that your equipment is not good or that your technology is not good. I'm afraid that if you don't dare to take responsibility and keep it from your superiors and bully your subordinates, it will be the common people who are the victims in the end.
(End of chapter)
