Four Hundred and Twenty-Nine I Think so Too!

"The road to medicine is smooth ()"

In the operating room, not only the directors came, but even the newspaper of the Jinhe Affiliated Hospital came. They negotiated with Zhang Fan, wanting this operation to be the hospital's first autonomous operation, and Zhang Fan agreed without thinking. So the hospital newspaper came, planning to report Director Yang and Director Liang as the main surgeons of this operation.

Good face, people say that men are good at this matter, in fact, not only men are good at face, women are also good, even the work unit is also good at face. Especially in the cities on the edge of the capital, it is hard to justify the bad face.

This kind of thing happens in many hospitals. For example, what level should a certain hospital be evaluated, but it will be short of things for a while, and short of important operations. They will contact Dr. Feidao to come over, complete the operation, and put their names on it.

In fact, this is a good thing, because once it is reported that they will perform this kind of operation, then the doctor will definitely work hard to learn this kind of operation in the shortest possible time, otherwise there is no way to explain.

For this kind of thing, Zhang Fan understands very well, who let them be in the capital circle, a pool of water can crush all the orthopedic departments in the surrounding 500 kilometers to death. Often many orthopedic hospitals around the capital can't develop anything, so a trauma orthopedics department has emerged.

Because of a slightly more serious disease, the family members of the patient took the patient to the capital, and no one had any relatives in the capital.

In the operating room, Zhang Fan kept looking at the patient's MRI and CT examination results after entering the operating room. It's not that he grinds his guns before the battle, but he builds the most perfect surgical path in the system. Surgery, medical treatment, it seems that the prescribed special death.

From the incision to the length of the resection, the treatment plan for many diseases, experts can be accurate to the millimeter, but this is just a direction for doctors who are new to the industry. At Zhang Fan's level, the operation changes a lot in his hands .

Because people change, so do diseases. After all, textbooks are only the most classic medical records.

For example, for this patient, Zhang Fan cannot perform the operation according to the textbook.

Because the old man is getting old, and his lumbar spine is degenerative. Many people may know this term, degenerative disease.

In fact, this term is most commonly used in orthopedics. I felt a bit uncomfortable in my knee joint, so I went to see a doctor. The doctor said, oh, it's nothing serious, it's a degenerative disease. My back was sore and my wife started to dislike it. Go to the doctor to have a look, oh, your condition is not kidney deficiency, but lumbar degenerative disease.

Many people wonder what is degenerative disease. To put it simply, it means that the joints are aging. Many people are particularly puzzled, I am only in my thirties, and the parts are aging?

The movement of the human body is actually the movement of the joints. Even if you swear, it is the movement of the temporomandibular joint that drives the pronunciation of the vocal tract.

And joints are often two unconnected bones that move around each other to generate torque. Bone interacts with bone and there must be force, which causes wear and tear. In order to allow people to move longer, the body often secretes lubricating fluid in the joints, and various soft tissues are like gaskets, supported between two hard bones, and the hard bones have their own parts to avoid wear and tear. A layer of coat is put on, which is the so-called cartilage.

It’s complicated to say, but in layman’s terms, it’s easy to understand by taking the beef nest bone that many people like to eat.

Holding a braised beef nest bone in both hands, one bite down, it is sticky and strong like a beef tendon, which is the ligament around the knee joint, which is used to fix the upper and lower bones and prevent the bones from running around, just like many Like the exercise belt used by women to bind the sagging lower abdomen, the person wearing the exercise belt may not be a knight, but may be a lady who is blessed.

Bite open the ligaments and enter the joints. The most delicious one is a circle of fat meat but not fat meat. It tastes glutinous but not greasy. This is actually the joint capsule, which is the spacer between bones. Finally, pick up the leftover bones and suck them, and those with good teeth will take a few bites of the white and blue cartilage.

These three tissues constitute the wear-resistant layer of bone joints.

Degenerative diseases, in the early days, were often diseases that were acquired early by heavy manual laborers. Middle-aged men, who were obviously not sick, felt sore all over their bodies and stiff limbs while lying on the bed.

But now, most of the degenerative lesions are fat people. Regardless of whether it is the lumbar spine or the knee joint, most patients are overweight patients. Prolonged overloading of weight causes joints to mutate.

First, the ligaments begin to loosen, and then the internal capsule between the bones is directly crushed to death, resulting in the inability to secrete lubricating fluid. If you do not intervene at this time, it is the so-called weight loss, and the next step is the wear and tear between the bones.

In the cartilage, there are not only bone blood vessels, but also nerves, and the wear and tear at this time will cause pain. Many people suffer from painkillers. I don't listen to the doctor's words, and always say that according to the doctor's words, life is meaningless, meat is not allowed to be eaten, and cigarettes are not allowed to be smoked.

Soft bones, soft bones. It sounds like a curse, but in fact, this cartilage is very important in the human body. Moreover, this thing is a one-time product, and it cannot be regenerated after it is worn out.

After the cartilage is polished, after a few years, the joint pain suddenly disappears. The patient was also happy to think that the doctor was a stick. As a result, before I was happy for a long time, my legs began to deform. At this time, the cartilage was gone, which was the friction between hard bones. The lighter ones are like Lao Pan holding his hands up, with his legs looped around, walking like a duck.

A heavier one is just like a car with a crooked girder, it looks like everyone is out of shape.

Now is no longer the age when fat is considered beautiful, not to say that being fat is not good-looking, and an overweight body will bring many, many unpredictable diseases.

So, when this name appears on your body, please take some glucosamine capsules on the premise of losing weight. Of course, don’t eat the tens of thousands of health care products that come here. Just eat some OTC ones. Although this drug cannot cure, it can delay the time of cartilage wear and tear.

On imaging, the degenerative changes of the intervertebral disc appeared at the age of 30. Therefore, when you are 30 years old, don't be brave, don't bend your waist from time to time in front of girls, and don't feel that you are constantly swaying.

To use the old Chinese saying, that is, don't look at the joy you are dancing now, be careful when you make a list in the future.

But the old man Zhang Fan was facing now was very troublesome. Because the old man's spinal joint relationship is particularly disordered. If the spine of a normal person or a young man is like a neat line laid by a particularly good wiring master, then this old man's spine is the line laid by a drunk two-knife wiring man, and he also let passing A few children were kicked a few times, and it became even more chaotic.

Therefore, the difficulty of this operation is not to repair the damage, but to find a point. Looking for a starting point that can not only restore the nerves of the old man, but also find a point where the old man has adapted to continue his normal life.

Just like an ordinary life, when you have it, you don't feel precious at all. You think about how to go vigorously and gallop, but once you lose it, you will know that ordinary is precious.

Some people brag that they can lie on the bed until they die. If they eat, drink, and drink, they will be served by others. It seems that this kind of life is particularly beautiful, but once they lie in bed and cannot get up, they will not be able to shed tears of regret. If I see my wife and other old men dancing with their arms around each other again, then really, I would die if I wanted to.

"Zhang Yuan, after repairing the nerve, should we fix it with a steel rod or an allogeneic bone?" Director Yang saw Zhang Fan staring at the patient's examination results, and came over to ask Zhang Fan.

For this level of surgery, the preoperative discussion is a general direction, and several instruments will be prepared before the operation to prevent surprises after the incision.

"No, the three and four waists are fused and cannot be fixed. His torque has changed. After the allogeneic fixation is placed, it may not be able to support his entire upper body. The only way to adjust the torque is to rely on the original bone modification."

"Well, I think so too!" Lao Yang looked at Zhang Fan and the inspection results on the viewing light, and said to Zhang Fan with certainty.

"Hehe!" Zhang Fan smiled and nodded.

In fact, Lao Yang didn't think so, he thought Zhang Fan was going to put the steel rod. I was going to ask Zhang Fanfang how he was doing.

This is the difference between a throwing knife expert and a non-throwing knife expert. One is more flexible in the application of technology, while the other is still trapped in routine surgery.

Director Liang and Director Yang are actually on the same level. Therefore, in the injury surgery of this kind of elderly patients, it is very uncertain.

This is also one of the reasons why Zhang Fan was quite respected after he became a Dao Jinhe.

The operation begins.

After Zhang Fan picked up the scalpel, things changed. There is no flattery, let alone humility, and one is one.

"There is bleeding here, give me the electric knife!" Lao Yang was the first to help. A small artery appeared on his side and spattered with blood. He reached out to the equipment nurse.

In the end, before the nurse could speak, Zhang Fan spoke first: "No electric knife, silk thread ligation!"

Lao Yang was about to pick up the silk thread, but Zhang Fan had already started tying it.

It can be said that starting from the operation, Zhang Fan would never let a few assistants handle the slightly critical steps.

It's not that you don't worry about them, this is a general rule of Doctor Flying Knife.

This is also the reason why flying knife doctors can't perform a few operations a day, but when flying knife doctors are in their own hospital, they can perform more than a dozen operations a day.

In my own hospital, although he signed the operation, he may not be the one to perform the operation. Even if he encounters a more complicated operation, it is often he who starts at the most critical steps. After completing the key steps, he will hand over the operation .

Many people rush to big hospitals to find big experts. Surgery may not be performed by big experts themselves. This is an unspoken rule in the industry.

But the flying knife is different.

Just like Zhang Fan, it started the moment he picked up the scalpel. He was engrossed, more focused than in Cha Su Hospital, and almost the other directors were spreaders.