Five Hundred and Thirty Eight Vertical Flags

Decentralization, with the assistance of the higher-level health system, Zhang Fan has autonomy. Treatment is a matter of weighing pros and cons, and it often requires a leading doctor to make a decision, just like a feudal emperor, making a decision with one word.

It is not necessarily a good thing to have more experts for consultation. Sometimes it is better to have multiple experts than to let one expert be responsible to the end.

"Immediately perform plain CT scans of the patient's abdomen and chest, draw blood for culture, and do drug sensitivity tests." After Zhang Fan and the expert team unanimously approved the patient's diagnosis and treatment opinions, treatment measures began to be launched one by one.

After checking the reports one by one, lesions were found in the patient's abdominal cavity. "Peritonitis after surgery!" Zhang Fan said softly to Ren Li and Jumabek after finishing the examination.

"The lesion is not small!"

"yes."

Postoperative peritonitis, to be honest, it is extremely difficult to determine the cause, unless a detailed autopsy is performed after the patient dies, otherwise...

In terms of evidence-based medicine, most of these diseases are actually caused by surgeons during operations, but...

"It seems that a second operation is necessary." Zhang Fan held the film and let out a long sigh.

"Explain the illness to the family." Zhang Fan asked Ma Yichen to explain the illness to the family.

After a while, Ma Yichen came in. "Yuan Zhang, the family members want to see the chief surgeon."

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

"They must see the chief surgeon. When they heard that I was an assistant, they refused to talk to me."

"Oh, let's go and have a look."

Outside the ICU, a group of foreign whites sat together. "I am the chief surgeon of the patient, is there anything you need to know?"

The government sent an interpreter, and they themselves brought an interpreter. Although Zhang Fan didn't know how to dress well, judging by the posture of this group of people, he probably belonged to a relatively wealthy family.

"Doctor, is it necessary for my husband to undergo a second operation?" A European and American Caucasian woman of unknown age asked Zhang Fan.

Let’s say she is in her fifties or sixties, but it doesn’t seem like she is in her thirties or forties. Although there are no wrinkles on the face, the loose skin on the neck already indicates that she is not young.

She must do regular beauty maintenance,

But the beauty of the human body is actually not the face, but the neck. There are too many and too long muscles in the neck. Once there is relaxation, it is almost impossible to perform plastic surgery.

"It is necessary. We have found the infection lesion in his abdomen. If the lesion cannot be removed, the patient's condition will only get worse. And it is best to operate as soon as possible. The longer the delay, the worse the patient's later recovery will be."

"Thank you, God will bless him!" The woman stopped talking, with a haggard face and a pious demeanor, when she made a blessing gesture, it seemed that the pressure was relieved a lot.

"Hello doctor, I am a supplier of French perfume. This is my brother in the ward, and this is my business card." As he spoke, the businessman handed Zhang Fan a card that seemed to be made of wood or metal. A business card, and a business card with a scent.

Zhang Fan held it in his hands and kept slandering, a big man took a piece of incense! And because it was all in French, Zhang Fan couldn't understand it either.

After handing over his business card, the potbellied businessman didn't see Zhang Fan's surprise, but he still asked, "Doctor, can we wait a few days before doing surgery?" will be there.

Zhang Fan looked up at the translator, who nodded in confirmation.

"Now the patient's condition can be said to be very serious, the high fever persists, and the persistent high fever is constantly eroding his body. If the operation cannot be performed as soon as possible, the original abdominal condition may become a brain problem. You also see Arrived, the patient has now developed pneumonia! This has already explained the problem."

"Okay, we need to discuss it, and we will give you an answer as soon as possible." The businessman said helplessly.

"Good!" Zhang Fan nodded. After entering the ICU, Ren Li asked, "What's the matter, are you preparing for surgery?"

"They still have to discuss it!"

"where……"

"We can only wait. If they refuse to have surgery today, is there any way to delay the progression of the disease?" Zhang Fan had to think about non-surgical treatment options.

"Ice caps, vancomycin, hormones, and ventilators are all on, and the high fever is still not well controlled. Once it is delayed, I think it is very dangerous. Once sepsis breaks out, the consequences will be dire..."

"Hey! I'll go and talk to them again." Doctors have the responsibilities and obligations of doctors, and Zhang Fan must explain the consequences to his family members.

"Doctor, we have made a decision and agreed to the operation. I will leave it to you." After seeing Zhang Fan who came out again, the potbellied businessman hurried over. They had also made a decision.

"Okay. Sign! Prepare for surgery." Zhang Fan nodded and said to Ma Yichen.

"Yes, Zhang Yuan. Come on, get a family member to sign!"

After everything was ready, Zhang Fan and Director Zhao Quanping of General Surgery took Ma Yichen to the surgery. As for the doctors in Sereng County, Zhang Fan would not allow them to undergo surgery, even if it was a pull hook.

Postoperative peritonitis, either during the first operation, the doctor did not suture well, leaked the opening, or just accidentally punctured the intestinal cavity. Therefore, Zhang Fan really didn't dare to make fun of the doctors in Selen with his professional career.

The curse left by the first laparotomy forced a second operation, which raised the difficulty of the operation several levels.

The first is bleeding. The most important thing about this kind of surgery is gentleness. Because after the first operation, the patient's peritoneum, intestinal tract, and incision were edematous.

The body's edema is very troublesome. Originally, the tissue is very tough, but once the edema occurs, it becomes very thin and brittle. What exactly is edema?

In fact, the cells are filled with water, and the water-filled cells make up the body's organs. The swollen cells are like glassy grapes, which bleed when touched.

The laparotomy can only be entered according to the original incision. The worst thing to do in the world is to wipe people's ass and clean up the mess.

Zhang Fan gently cut open the suture with a scalpel, and the bleeding started before he moved much. Ma Yichen quickly started to wipe with gauze.

"Crack!"

Zhang Fan directly clamped Ma Yichen's hand holding the gauze with his signature.

Director Zhao smiled! Because Zhang Fan's attitude showed that he regarded Ma Yichen as his apprentice. Ordinary senior doctors would not be so rude to ordinary doctors.

And Ma Yichen is a general surgery doctor, and he and Ouyang personally signed the doctor from Sanchuan Medical College back then, so he can be a direct descendant!

"Uh, Zhang Yuan?" Ma Yichen was hurt by Zhang Fan. The long toothless curved pliers clamped Ma Yichen's three fingers.

"Remember, the patient's incision is already swollen, so don't wipe it with dry gauze!"

"I didn't notice, sorry." Ma Yichen blushed.

"Crack!" Zhang Fan let go of the clamps! Ma Yichen secretly touched his fingers.

"Hehe, that's still good. If it were me, I'd just kick you out. Zhang Yuan is still soft-hearted." Lao Zhao said to Ma Yichen with a smile, and then said to Zhang Fan: "Zhang Yuan, this is Are you ready to raise the flag?"

What he meant was to ask Zhang Fan if he was going to accept disciples.

"Look at the performance."

"One is to be let go, and two are also to be chased. Why don't you bring a few more. The boys in our department are all good."

As soon as Lao Zhao heard this, he hurriedly began to promote young doctors in general surgery. It was too difficult for him to be the director, so he also wanted young doctors to stand up early.

When Ma Yichen heard this, his blushing face turned even redder. This time, he was not ashamed, but excited!