Four Hundred and Seventy Five Unicorn Fingers

When Zhang Fan arrived in the operating room, the director of anesthesia just came out of the office. Seeing Zhang Fan, he gave a wry smile.

"Yuan Zhang, that fat patient in the orthopedics department is too troublesome!"

"What's wrong?" Zhang Fan asked curiously.

"You will know when you enter the operating room. I won't talk about it. I just called me and asked me to help lift the person."

"Okay, you go first, and I'll come right after I change my clothes." Zhang Fan nodded.

The head nurse in the operating room specially set up a small dressing room for Zhang Fan. Although it was not big, it had a small sofa and a small table.

Change into hand washing clothes, wear hats and masks.

The handwashing clothes in the hospital, because they are made of pure cotton, and because of the frequent high-pressure and high-temperature disinfection, are soaked in disinfectant from time to time, they look tattered, but they are very comfortable to wear.

Because it is made of pure cotton, it will not be full of static electricity like some century-old boutique clothes, and it will not crackle when you walk.

When he walked into the operating room, Zhang Fan almost laughed out loud. The fat boss suffered a ruptured Achilles tendon in his right leg.

The trousers were only taken off on the right side, and the fat gleaming white legs were hanging on the edge of the operating bed, just like unsmoked fat hanging on the wall beam.

The operating beds in Huaguo, in the early years, there were some products from Shanghai in the hospital, with a nameplate: Shanghai Third Surgical Instrument Factory.

I don't know why, probably because they can't make money or have too little money, they look down on them. In the mid-to-late 1990s, Huaguo products were launched in a large number and appeared in the medical market.

The old-fashioned operating table is very crude. If you want to move the operating table, you don't have to think about it without twenty or so strong men.

What is the old-fashioned operating table like? Most people really have no idea.

It's not easy to explain, so I can only briefly say it.

People who are a little older, don’t know if they still remember the state-owned barber shop back then.

There are a few aunts inside, and there are a few very comfortable chairs.

There is a big iron lump under the chair, and there are various miraculous gear levers around the chair, which can be turned and can be folded down as a bed.

When this chair is placed, it is actually an operating bed.

The earliest surgeons were all barbers. Therefore, many things in the operating room in the early years were similar to those in the barber shop.

Even now, the three-color revolving sign hanging on the door of many barbershops actually represents arteriovenous blood vessels and nerves.

The products of the third instrument factory in Shanghai were eliminated by the third-level hospitals after a few years in the 2000s. Because Maruko and Germany have developed a new type of operating bed.

Their operating beds have all been automatically adjusted by remote control. And because of the battery, it can be used as an electric car at critical moments.

This feature may seem like a waste, but in a pinch, it can save lives.

The things in Maruko Country are very stingy, the bed is not expensive, but there are a lot of extra things, the total price is skyrocketing. One surgeon, millions!

But because there are hospitals in developed cities that support counterpart hospitals in the west.

The operating beds in Chasu City Hospital are relatively advanced, and all of them are made in Germany.

However, even after the extension board of the operating bed was opened, after the fat boss lay down on it, part of his body was still hanging on the edge of the bed.

"Zhang Yuan! We can only put a small table under his feet.

However, the height cannot be adjusted, and the operation may be tiring. "

The head nurse was also helping. After seeing Zhang Fan, the head nurse straightened up. It was too troublesome to bend down, because... Wang Wangwang definitely didn't understand.

"Okay, let's put a suitable table." Zhang Fan did the same. The operating table can be adjusted in height, but ordinary tables do not have this function.

The height of the table cannot be adjusted, and the body position cannot be adjusted. Only the doctor can adjust himself.

Kneeling for surgery, squatting for surgery, sounds like nonsense, but in fact this is a routine operation of many special surgeries.

"Mr. Zhang, the patient is too heavy. You can't give too much anesthetic, or the dosage will exceed the standard." The anesthetist also started to talk about the problem.

"Let's discuss this with your anesthesiology department." This Zhang Fan really didn't dare to intervene.

Medicine is divided into several major disciplines. Leaving aside the others, the anesthesia and clinical disciplines involved in this operation are directly different disciplines.

Zhang Fan really didn't dare to give others any advice.

"It is estimated that the anesthesia effect is not good, and the weight is too large. Zhang Yuan, when you operate, try to speed up as much as possible."

The director of the anesthesiology department is also helpless. For a patient of this size, the anesthesia dose is too difficult to control.

Too little medicine is not effective, and too much medicine may make the patient never wake up.

"Okay." Zhang Fan agreed, then looked at Xu Xian and Wang Yanan, "Which one of you lifted your foot?"

"Uh!" Xu Xianhan came down, and it was obvious that he was asked to lift his feet. Zhang Fan is the leader, Wang Yanan is the girl, and he is the only one left.

However, looking at the fat boss's legs as thick as an elephant, he felt a little bad.

...

"Hehe, let Xu Xian lift his leg, I'll disinfect it, don't worry, I'll be fast!"

Although she was wearing a mask, looking at Wang Yanan's eyes, everyone knew that she was very happy.

Disinfection, surgical disinfection is very strict, it is generally required to be disinfected to about 15cm from the incision.

Because the patient has a ruptured Achilles tendon, he must lift his lower limbs, starting from the Achilles tendon and disinfecting to the lower edge of the knee.

And the toe seam is the key point, here is the place where dirt and evil practices are hidden, rich in sweat glands, and the skin is thickened here to form wrinkles for wear resistance.

This is also the reason why some people's feet, even though they don't have beriberi, can still stink to death.

After Wang Yanan washed his hands, he began to disinfect. Disinfection of lower extremity surgery is not troublesome, routine disinfection is enough, but for people who lift their feet, it is too much trouble.

At the joint between the calf and the footsteps, Wang Yanan started to disinfect with oval forceps and iodophor cotton balls.

At this time, Xu Xian grasped the patient's instep with both hands and lifted it up with difficulty, the leg was too thick.

Lifting it more than a dozen centimeters away from the bed, Xu Xian used all his strength to breastfeed, and he grinned directly under the mask.

At this time, the time to test Xu Xian's arm strength has come. Whether it is a unicorn arm or not is also reflected.

As Wang Yanan's disinfection scope became smaller and smaller.

Xu Xian started from holding the patient's instep with both hands, and slowly turned into holding the patient's big toe with one hand.

Just mentioning it is not enough, Wang Yanan has to take oval forceps and iodophor cotton balls to wipe back and forth between the patient's feet.

This calf weighs at least thirty catties! Xu Xian held his breath.

His face was flushed, his neck was flushed, one hand was holding the wrist of the other hand, and the thumb and index finger of the other hand were tightly pinching the fleshy big toe.

Fortunately, I have been single for many years, otherwise this action is heavy, and people who marry early may not be able to lift it.

Xu Xian shouted again in his heart, "Ah! Ah! Ah! Hurry up, hurry up, shit is about to come out!"

Wang Yanan was very fast, and in the end only one big toe was left without disinfection.

She turned around and Zhang Fan turned back to back. Zhang Fan quickly spread the sheet on the operating bed with the small sheet in the operation bag in his hand.

"Okay, let it go!"

Xu Xian gently put down the patient's feet, and the sweat directly soaked his handwashing clothes.

While panting heavily, he pinched his right hand Qilin finger that he usually exercises frequently.

After Wang Yanan finally disinfected his big toe, he took a pair of sterile gloves from the surgical nurse.

"This won't work, it's too small. How big is the biggest surgical glove in our hospital?" Wang Yanan asked.

Because the toe is relatively a contaminated area, and it is too close to the surgical field, it must be wrapped with gloves.

"Number eight and a half!"

"Change to number eight and a half."

Surgical gloves for girls are generally size six and a half, boys who are thinner are size seven, and those with larger hands are size seven and a half or eight.

Zhang Fan is 1.8 meters tall and usually wears a size seven and a half. It is conceivable that the fat boss's feet must be fat, and the thinner trotters are probably not as heavy as his.

Put on gloves. Spread sheets, four small sheets on the left, right, bottom, and bottom, two middle sheets on the top and bottom, and a hole towel in the middle.

After these lists were covered, the fat all over the fat boss's body disappeared.

All that was left was a fleshy foot with a rubber cap, standing alone on the green surgical drape.

The fat feet stained with iodophor are fat and greasy like hilarious bugs in cartoons.

As for sports medicine, every Asian country counts as one, and none of them do it very well. Bangziguo medical care is a direct copy of the European and American systems.

But they have found another way, leading the world trend in plastic surgery.

Don't underestimate this plastic surgery, the authoritative experts in spine plastic surgery, Bangziguo accounted for the majority. As for facelifts, they're out of the universe.

Although the medical system of Wanzi Country doesn't seem to be very famous, it is the most perfect country that combines Chinese and Western medicine.

Especially in terms of endoscopy, no one in the world is an opponent of others.

As long as it talks about endoscopy, there is no way to bypass Maruko Country, an Olympus endoscope, which is directly a thing that exists against the sky.

Muscles can be divided into three categories, cardiac muscle, smooth muscle (muscles in internal organs and blood vessel walls), and skeletal muscle.

As for skeletal muscles, there are too many categories. Some are long and some are short, with feather-like muscles.

The most peculiar thing is the orbicularis muscle, the muscle structure of the lips and anus is similar. Like a wrench made of rubber.

Moreover, there are experts in Chinese medicine who treat hemorrhoids by doing acupuncture directly on the mouth, but the strange thing is that it is actually effective for hemorrhoids!

Skeletal muscle is like a rubber band attached to two bones.

When the brain gives an order, the skeletal muscles begin to contract and stretch, pulling the connected bones to make various actions.

This is also the only muscle that the brain can command. Myocardium and smooth muscle do not directly affect the brain. People have their own system.

Skeletal movement mobilizes a lot of muscles, synergistic synergy, antagonistic antagonism. Without coordinated muscles, fine movements cannot be made.

Without antagonistic muscles, a simple movement of kicking football may be able to kick the knee backwards.

The muscles of the calf have a muscle belly in the middle, tendons at both ends, one end hangs on the femur, and the other end hangs at the bottom of the calf.

The stretching depends on the belly of the skeletal muscle, while the fixation depends on the tendon. The tensile strength of a tendon is more than a hundred times that of a muscle belly.

Why have you heard about tendon rupture, but not muscle rupture? Although the tendon is strong, it has no contraction function.

Therefore, when violence occurs, the tendon will sacrifice itself to absorb a large amount of energy, thereby protecting the bone and muscle belly.

Tendon rupture, as long as there is a little tear, it is considered a rupture. And according to time, it is divided into acute fracture and chronic fracture.

Many athletes fell out with their teams because of this acute and chronic problem.

There is talk in this. Tendons can be said to have no blood vessels to supply nutrients. It lives off a thin membrane that covers the surface of the muscle.

A little of the nutrition in the blood is distributed to the membrane, and a little is distributed to the tendon after the membrane is eaten and drunk. As you get older, the membranes deliver less nutrients and tendons become more prone to injury.

Acute tendon rupture is called acute rupture if the operation is performed within 48 hours, and the recovery is relatively better. Once more than forty-eight hours, it is called chronic tendon rupture.

Once more than forty-eight hours, no matter surgery or conservative treatment, it is very troublesome, and the effect after recovery is also very poor.

However, after tendon rupture surgery, it may not be possible to continue to keep athletes in a competitive state.

As long as the tendon is not completely broken, many teams will give the athlete a pain-relieving and sealing injection, and then wrap some fixing measures.

In this way, athletes can continue to play. As for the future of athletes, this is not what they consider.

Therefore, athletes often fall out with the team because of tendon injuries. For Dayao's thumb tendon, he chose conservative treatment for unknown reasons, but...

The gold standard for tendon repair is open surgery. And what plaster fixation, wearing inflatable walking boots, the effect is not as good as that of open surgery.

Fat people have a lot of fat. Fat is a very strange thing. As long as it is something that the human body eats, whether it is alcohol or nutrition, it must be tasted.

Fat boss, more than two hundred catties, full of fat, just taste a little, the amount of medicine needed is terrifying. The anesthetist really didn't dare to give it anymore, for fear that the fat man would never wake up again.

After the anesthesia stabilized, the fat man quickly fell asleep. Zhang Fan, Wang Yanan, and Xu Xian also started the operation.

"Alcohol, sharp knife. Hurry up, the amount of anesthetic is not enough." Zhang Fan said quickly, and began to disinfect the knife.

The scalpel slashed across the skin without waiting for Zhang Fan and the others to bluntly separate it. The plump yellow fat particles were squeezed out of the wound as quickly as Japanese tofu.

"It's too fat, the hook is so slippery that it can't hang it!" Wang Yanan struggled for a long time, but he couldn't catch the fat man's skin. There was too much fat and oil.

"Electric knife, aspirator." Zhang Fan ignored Wang Yanan, and as the bleeding was stopped by Zhang Fan with the electric knife, a trace of blue smoke rose.

There is a saying in surgery that says: You can judge the level of a surgeon by the smell of electricity in the operating room.

Electrosurgical electrocoagulation, what is important is to stop at the point and move quickly.

When the smell of burnt hair comes out, it can be said that the level of this doctor is extremely poor.

Because he absolutely burned the hair follicles in the skin with the electric knife, it is absolutely forbidden to use the electric knife on the skin.

And smelling a lot of scorching and smelly smell, it shows that the doctor's level is average,

It must be that the blood vessels were not seen clearly. Instead of spotting to stop the bleeding, the knife was directly placed flat and a large area was electrocoagulated.

Only a faint smell of barbecue. Such as grilled fatty meat, the meaty aroma when it is cooked but not burnt, can arouse the appetite of the meaty aroma.

So this doctor is at least a master in the use of electric knife.

Of course, Zhang Fan's use of the electric knife is definitely at the master level. In the system, he has used it countless times.

When he uses the electric knife, especially at the meal time, he can definitely hear the sound of someone swallowing saliva.

Don't talk about others, sometimes, even Zhang Fan himself will be greedy by the green smoke he makes.

Superb technology, to the point.

Art to the extreme is art.

...

Of course, if the bleeding was serious, Zhang Fan wouldn't use an electric knife, and would just suture it with a thread.

The incision for tendon repair is very long. Regarding the choice of incision, some doctors believe in a small incision, while others prefer a large incision.

But Zhang Fan believes in one sentence: Everything should be based on reality, not dogma.

The incision heals from side to side, not from end to end, and a proper incision is the beginning of an operation.

The sharp blade swims in the fat, lightly, like a small steel boat breaking through the waves of the yellow lake.

Open the skin and cut the fat. The fat boss' tendons were exposed in front of Zhang Fan.

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