Eight Hundred and Seventy-Two, I Look a Bit Like Before

Text 872 Look at me a bit like before

In the medical field, like many industries, standards are different around the world, such as the division of the liver.

Liver surgery is not the same as slicing the tip of the liver, as long as the cut is about the same thickness, it doesn’t matter whether it’s the left liver or the right liver, the taste is the same anyway.

This division is not only for the convenience of surgery, but also for the best comparison with normal organs.

In the early morning, Zhang Fan, Wang Hong, Qian Weiwei and two nurses entered the hospital in yesterday's Mercedes-Benz. Wang Yanan and Xu Xian were given a holiday by Zhang Fan. Today is a general surgery for the liver, and carpenters in the orthopedics department are useless.

"Zhang Yuan!"

"Hello Zhang Yuan!"

If it is said that the Orthopedics Department of the Affiliated General Hospital does not dare to underestimate Zhang Fan as a kind of chief doctor, but the subordinate doctors do not take it seriously.

When Zhang Fan entered the office of General Foreigners, he was immediately respected. All the doctors from top to bottom stood up and greeted each other. One by one they lined up to shake hands with Zhang Fan. If they were not all adults, some of them would have to take out their white coats and ask Zhang Fan to sign.

To be honest, the degree of recognition of ancestry by general foreign students is unimaginable by other departments.

"Yuan Zhang, let's make a house round!"

"There's no need for a big ward round, just look at the patients undergoing surgery today." Zhang Fan said with a smile, after all, the head of the hospital was born outside the general public, so the big ward round here is a bit overwhelming.

And there is a textbook surgery, which is already quite a card for Zhang Fan.

"Look, you're being polite. In this way, Courtyard Zhang doesn't want to do a round of the house, so let's hold a morning meeting for business study in the office!"

The dean of the Affiliated General Hospital said with a smile, and he looked at Zhang Fan with admiration in his heart, "This kid, when it is time to strike, he will never be soft-hearted. When it is not time to strike, he will not move at all. He is really born to be an official." Material!"

Since there is no ward round, but professional study, the doctors in the department quickly packed out of the office, and then printed out their most proud surgical records with a little show, or sorted out the more difficult surgeries in the near future. Discuss with Zhang Fan.

This kind of business discussion, to be honest, tests your skills more than speeches. The topic of the speech is fixed, but this business study is different. The questions are very complicated, and it is a general foreigner. Hospitals will not easily participate in this kind of discussion.

If it is successful, it will not be famous or profitable, at most it will make the doctors present shout in surprise: Fuck, this is a big cow! Failed, gossip, really not worth it.

Of course, this is just an ordinary calf. The real big bull is actually quite happy to participate in this kind of morning meeting. With frequent director changes, the flying knife in this department is almost rounded up by this doctor.

Therefore, under normal circumstances, the director of the department will also selectively ask about it. There is no coercion in this thing. You can't just fly one and tie it up in the department office to let him participate.

Although Zhang Fan hadn't participated in this kind of training in Feidao Hospital, he had tea almost every day, so he wasn't timid at all.

Not only is he not timid, but he also has an urge to try, as people say, the New Year's Eve is coming, and if you don't leave something, how can you do it?

The director of general surgery presides over the morning meeting, and there are about forty or fifty doctors and nurses in the department. The director of the Affiliated General Hospital sat on the side to accompany Zhang Fan, and several doctors from Chasu sat behind Zhang Fan.

Wang Hong took out a notebook early on, and when she took out the Parker gold pen, she immediately made her look different from the others who came with her. She probably had to show off when Ouyang was not around, otherwise how would she let others know? She is the director of the deputy department-level hospital office.

"Mr. Zhang, this is an operation on a huge stem tumor that we performed in March this year. The operation was performed according to the method you established for the complete removal of the huge tumor. However, the patient's liver function failed after the operation."

As he spoke, a deputy chief physician of the department brought Zhang Fan a medical record with both hands.

Sometimes people say that Xichuyangguan has no old friends. It sounds bleak. In medical treatment, especially modern surgery, it is really very appropriate.

For example, why the ancestral disciples are so popular is not only because their school is awesome, but the most important thing is that there are very few ancestral disciples in Northwest China.

When Zhang Fan went to the south, to a developed city, there were too many seniors to count. The dean was either his own senior or a disciple of that uncle and uncle. Departments of general surgery are directly nested.

Arriving in the South, Zhang Fan felt as if his academic status had risen immediately. When he entered a conference room, the speaker would stop his speech and introduce him solemnly: This is Zhang Fan, my little uncle Chasu. !

Even in some county-level hospitals, there is no way to forget it.

And in the Northwest, even the General Surgery Department of the Affiliated General Hospital has no ancestral disciples, and those who graduated from the Eighth Hospital, don't ask, they are definitely college students of workers, peasants and soldiers.

Therefore, in the words of the director of the Zhongyong University of Foreign Affairs, Zhang Fan is a nail planted by the disciples of his ancestors in the north.

These words seem to be a bit gnashing of teeth, but the chief director's mood is understandable, because now the border has become a no-fly zone for flying knives.

Because Zhang Fan is here!

Zhang Fan took the medical records with a smile, looked carefully, found that there was no problem with the treatment, looked at the amount of blood loss during the operation, and had an idea of ​​the amount of blood loss in his heart, and then turned to the location of the pathological anatomy pictures.

Zhang Fan knew why his liver failed at a glance. But Zhang Fan had to organize his language, and speaking directly would be a bit of a slap in the face.

The time to think about it was very short, "The tumor is not small, but it is within the scope of indications for surgery. It is correct to choose surgery. If the liver is removed a little smaller, maybe it will be a little better.

Of course, specific problems should be treated on a case-by-case basis. After all, the case can not fully reflect the situation at that time, but my suggestion is to reduce the liver peeling a little more. "

After Zhang Fan finished speaking, he handed the case to the deputy director.

This is euphemistic, but once you say it, everyone will understand.

No one stood up to refute, because there will be one later, a scientific operation with a tumor bigger than the deputy director's.

One question after another, the more you ask, the more envious the doctors around you, especially the young doctors.

"A good teacher is Niu. He graduated from the same school as my undergraduate, and my graduate school graduated from the Fourth Military Medical University. But Nima is too far behind." Thinking about it, he looked at his master and looked at him. Master crawled in front of Zhang Fan, wishing that the recording pen looked like that.

He is a share of mmp.

"Zhang Yuan, there is a relatively rare pancreas patient here, why don't you show it?"

Zhang Fan didn't hesitate, "OK!"

The dean of the Affiliated General Hospital opened his mouth first, but still held back, "Young man, you are not cautious! How can you be so careless."

If Zhang Fan's car overturned, it would be of no benefit to him, and he would lose face. Because everyone knows that Zhang Fan's masters, uncles, and grandparents are all above the liver and gallbladder, but the pancreas problem, although the old men are also very good, but relatively not as strong as the liver and gallbladder.

You are a young boy, you can just give pointers on the liver and gallbladder, but in the end, you got off the hook and agreed to the pancreas.

Why!

Gu The dean of the Affiliated General Hospital took a slightly displeased glance, and asked the doctor with a pancreas.

Before the doctor understood the meaning, he suddenly seemed to realize it, "I'll bring the patient in!"

The dean of the Affiliated General Hospital was completely unable to stop him now, covering his forehead and scolding in his heart: "Technical dog, technical dog, you are not smart at all, ouch!"

Within a minute, the young doctor dragged the patient in as if he was pulling an Erha who was unwilling to walk.

Very young and thin.

"When the patient participated in the physical examination of the unit a year ago, he found a suspected tumor near the head of the pancreas. At that time, the medical examination hospital suggested that the patient go to a higher-level hospital for treatment.

After six months of medical treatment in the Endocrinology Department of our hospital, the tumor did not decrease significantly, so he was transferred to our hospital for treatment. "

The young doctor excitedly talked about the patient's history of present illness. He felt that he had discovered a disease that the dean could make experts pay attention to, and it was estimated that everyone would pay attention to it, and then he would pay attention to himself.

Suddenly he seemed to see that he could be taken seriously tomorrow and sent to Shanghai to study.

Now that the patients had come, Zhang Fan was not polite, and let the patients lie on the treatment bed first, and did a physical examination.

I looked at the results of the color Doppler ultrasound and then the CT.

"What's wrong with you usually?"

The patient thought for a while, "When I didn't find any problems in the physical examination before, I just ate too much and got hungry easily. Later, during the physical examination, the doctor told me that this might be pancreatic cancer.

I was almost scared to death. I have been treated in this internal medicine department for half a year. Although I eat less, I still get hungry easily. Even when the mood is particularly uncomfortable, it is easy to get hungry. "

The patient is very depressed.

"What is your treatment plan?" Zhang Fan asked the patient while doing a physical examination, and then asked the doctor with a smile.

"Because the nature of the tumor could not be determined, for safety reasons, we decided to give the patient a tumor resection."

The young doctor said something, and then glanced at his teacher.

The superior doctor nodded slightly to express his satisfaction, and then looked at Zhang Fan.

He also wanted to know if Zhang Fan could have any good suggestions, but he didn't have much expectation.

Without biopsy and perfect examination, what other opinions can there be? There are only two kinds, surgery and conservative observation.

It's all cliche!

Zhang Fan finished his physical examination and listened to the doctors' operation plan.

Smiling, he gently took the disposable disinfectant on the table, wiped it on his hands, and asked the patient.

"Do you have a twin brother or brother?"

"Eh? Why are you talking about family life, and you guessed that they are twins?" The young doctor felt that something was wrong, because Zhang Fan didn't read the medical records, and saw the patients directly.

He was still wondering.

The patient also wondered, "Yes, what's the matter? I also have a twin brother."

"Hehe, your tumor is not an abnormal mass or tumor, but a part of your brother's pancreas that was adhered and brought into your body during the embryonic period."

"Forehead!"

"Ok?"

"Don't believe me?" Zhang Fan not only asked the patient with a smile, but also turned around and asked the young doctor with a smile.

"My brother is also in the ward. He came to see me." The patient was slightly afraid of the doctor's nonsense.

In terms of medical treatment, the greatest pain is not being sentenced to death as soon as you enter the hospital, but hope that you have hope and then be shattered.

Like dying twice, this is the most painful.

"Go get a CT scan for his brother!" Zhang Fan said.

The young doctor was stunned and didn't move. The director of the affiliated hospital then emphasized: "Go, don't you understand Zhang Yuan's words? Take it with you yourself, don't come back in a hurry, after the examination, you will stay in the CT room , Urge the radiologists to come out with the results quickly!"

The young doctor left in pain, because he paid attention to it, but he was sent to CT to wait for the report.

After a while, the results of the CT department came out.

On the computer, Zhang Fan was not required to operate it. The deputy director next to him operated it himself, holding the CTs of the two brothers for comparison on the computer.

You don't even need to look at it, only to see that the elder brother's pancreas is missing a piece, while the younger brother's pancreas has an extra piece.

Although it is not a perfect fit, everyone knows that what Zhang Fan said is right, this is not a tumor, and there is no need for surgical resection, it is just an extra piece of normal pancreatic tissue.

This time! The people in the department were shocked, really shocked!

The head nurse looked at the calm Zhang Fan in front of him, and remembered that when this black boy entered the department, his face was covered with sweat, as if he had just come from the construction site.

At that time, she was so disgusted that Zhang Fan stood outside the door and waited for more than an hour before letting him enter the department.

But looking at him now, really, the head nurse was really worried that Zhang Fan would still remember her.

The head nurse secretly looked at Zhang Fan, really, he didn't look like that poor student back then at all.