Six Hundred and Three Unconventional Pain (Thanks to the Lord: Ruo Xiangqi)
what is success Everyone is different and defines it differently. For the profession of a doctor, it is really hard to say whether success is success or whether it is success by hanging the pot to help the world.
However, what I know now is that you are not famous, you have no status, and you have no rights. It is not easy to take another step forward.
Separation, continuous separation, hemostasis, and finally, after entering the brain tissue, began to appear in large numbers.
Zhang Fan is so awesome, he hardly bleeds when dealing with the cortical layer of the brain tissue, he is too familiar with the anatomical structure.
"The hemostatic gelatin is on!" It seemed that when everyone saw Zhang Fan put on the hemostatic gelatin, everyone's breathing became much easier.
Usually, after craniotomy, the average doctor will use three or four packs of this stuff. But this is the first time Zhang Fan has used it since entering the skull.
If you don’t save money, the hospital is already a big spender, and doctors at this level definitely don’t think about how to save money, but how to make the operation more perfect.
Hemostatic gelatin, the low-end general component is polyethylene, this material must not be used in the brain. Because this thing will not decompose and absorb.
The high-end is collagen, special collagen. It was exactly the same as the Green Arrow chewing gum, a small white strip, which melted instantly when put into the blood, and then adhered to the surface of the bleeding blood vessel.
The bleeding of the human body is different in different organs and in different ways. Large blood vessels and heart bleeding are the most terrifying. Just like a whale spitting water, there is no problem at all with a height of three to four meters.
Cerebral hemorrhage is exudation. It's like digging a hole by the sea. Although there is no obvious flowing water, after a while, the sand pit is full of water.
The same goes for the brain. This thing is really a big piece of fat wrapped in a big bag of blood.
"Boost!" Zhang Fan said to the anesthesiologist.
"Okay!" The assistant brought by Mr. Lu was a young doctor, but the anesthesiologist directly brought the most high-end personnel of Jade Bird.
This kind of anesthesiologist does not need to discuss with any cardiology doctor at all. For him, he is an anesthesiologist in the anesthesiology department, and an internal medicine expert in the internal medicine department.
"This guy is too fierce. He is too courageous! It has already broken down, and he actually let the pressure increase!"
In the venue, when they heard Zhang Fan's order to increase the pressure, it was as if the restlessness was ignited, and everyone whispered to each other.
Boost is good or bad, good or bad, bad or bad. Just like punching, if the other party comes with a fist, if you close your eyes to avoid it, you may be able to get hit, but you will never hit the eyes and other vital organs.
But if you open your eyes wide and face the fist to dodge, if you have a high skill, you can directly rely on the feedback from your eyes to dodge the opponent's fist. If you are poor in skill, they will directly close your eyes and kill you.
Now Zhang Fan is facing the fist with his eyes open.
The blood pressure rose little by little, and the anesthetist dosed the medicine little by little. While watching the dosage of the medicine with his eyes, he kept his eyes on Zhang Fan's expression.
Zhang Fan is definitely not one of those with poor skills. When the pressure rises, the bleeding accelerates. Zhang Fan's three ophthalmic tweezers, holding the hemostatic gelatin, enter from the side strangely.
Two tweezers in the left hand, one tweezers in the right hand, and two tweezers on the left are like two-finger Zen.
Snapped! Gently press on the brain tissue, and then the ophthalmic tweezers of the right hand are very precisely and quickly inserted into the middle of the two-finger Zen.
"Hiss!" The sound of air-conditioning came directly. The inhalation sound of the assistant in the operating room came from the stereo.
And the sound of breathing in the venue appeared one after another, as if in coordination.
"It's too bold, too bold. He doesn't even look at who is lying on the operating table. It's too big, too big, really too big."
An old man in his fifties outside the head of the capital spoke directly. This technique is only used as a last resort. In general, let alone used it, ordinary doctors have never seen it.
"Is something wrong? Is the patient's vital signs in crisis?" Elder Lu turned his head and asked unwillingly.
"But..." The half-aged expert was speechless, uncomfortable, really uncomfortable, like swallowing a boiled egg, unable to go up or down, stuck in the esophagus and trachea throat, chest tightness Die!
"Three pieces of gelatin will fix the world!" This kind of surgery does not need dozens of pieces of gelatin to be sorry for the rigor of this operation, but Zhang Fan only used three pieces, and the bleeding was straight away.
"Buck!"
"receive!"
Surgery, this kind of teamwork. Once the chief surgeon can't suppress the assistant.
The chain reaction brought about is very troublesome.
Many people feel that on the operating table, doctors should concentrate and be meticulous.
This kind of situation accounts for the majority, but when the skills of the chief surgeon and the assistant are similar, and when the status in the department is similar, troubles will come.
"Why don't you do this? Why do you want to do that? No, it will hurt too much!" The chief surgeon and assistants were overwhelmed, and the anesthesiologist and nurse were also at a loss.
This is why there is a three-level system in the hospital. The chief executive leads the deputy chief, the deputy chief leads the attending doctor, and the attending doctor leads the hospitalization. It was never said that the sub-high was with the sub-high.
Separation resolved, perfect hemostasis. Zhang Fan entered the lesion. The secondary lesion is in the brainstem.
The organs of the human body, how should I put it, are divided into autonomous organs and involuntary organs.
For example, the tongue is involuntary. You can go deep into the other person's mouth, or you can hide it in your own mouth to prevent the other person from finding it.
This self-independence does not refer to a person's own will, but to the brain, which seems very contradictory!
In fact, in layman's terms, it means not listening to what you say. Those who are obedient are non-autonomous, and those who are disobedient are autonomous.
For example, in the anus, there is a line in the anus, the outside of the line is obedient, and the inside of the line is disobedient. This function is exactly the same as the mouth, you can order the lips to suck in the ice cream, and you can also order the anus to pinch off the stool.
But you can't order the esophagus to clamp the meatball, and you can't order the inner side of the anus to contract to suck in the stool.
And the brainstem of the brain is a real boss. The human body gives all the most important heartbeat and breathing to the brainstem.
Moreover, the most frightening thing about an autonomous organ is not the problem of constant clipping and clipping, but that this thing is unreasonable.
Involuntary organs, after a shot of anesthesia, you can do whatever you want, without any resistance at all, and when you wake up, you are still blindfolded, with a cute expression on your face.
Autonomous organs are not available. This thing, for example, is sick, and sometimes the tumor almost destroys the organs to the point where there is no one left. It continues to work, just like a lonely hero.
However, sometimes, foreign things, such as a doctor's hand or a doctor's instrument, touch its body lightly.
When it's over, it is like a torii hero who has lost his virginity, and begins to seek death and life.
In an instant, it can give you a collective rigidity, motionless, work? The beauty of thinking is such a wonderful thing.
And the brain stem is the chief leader who manages these weird things, so it is even more weird. When Zhang Fan entered the brainstem, the secondary lesions were obviously lying on the brainstem.
A good team has one of the most outstanding C leaders, but the people in other positions are also particularly outstanding.
This time, Mr. Lu equipped Zhang Fan with assistants, one counted as one, and they were absolutely amazing. Dehydration, the anesthetist's medication is very precise.
The brainstem that was originally edema was like the girl in the gym early on, with water beads all over her body, but it was not greasy.
If the dehydration of the brainstem cannot meet Zhang Fan's requirements, Zhang Fan can't take off the outer membrane of the brainstem, which is the girl's coat.
Like the plastic wrap of a box, the swollen brainstem is tightly wrapped in an outer membrane.
As soon as you touch someone, this thing will definitely not like it, and then directly strike you, it won't scare you to death.
And the dehydrated brainstem is like a little kid wearing her mother's mink coat. The doctor can take off the mink coat without touching your body.
Of course, this metaphor is referring to a doctor with Zhang Fan's level of skill. If he doesn't have this level of skill, even if he wears fat clothes, if he accidentally doesn't take off his clothes, he will die.
Many people don't understand what the outer membrane is. In fact, it's very simple. To eat hot pot, you need a complete brain, don't cut it open.
Then it is cooked, but people with strong taste can also not cook it, and if it is not cooked, the feeling is more obvious.
When you bite on it lightly, the pig's brain will feel a little bit of a breakthrough, which is caused by the outer membrane of the brain.
Of course, he doesn’t understand bark woof in general. When he sips it down, he will only say that it’s overcooked and there’s no blood!
After Zhang Fan saw the brainstem covered with water beads, he raised his head slightly and nodded to the anesthesiologist.
Anesthesiologist, the boss of Jade Bird Anesthesiology Department. At this time, when he saw Zhang Fan's nod, he was actually a little proud.
Although he didn't speak, the recognition between technologies, sometimes, is really more fulfilling than the so-called pleasure of life.
Give you five thousand, you may be happy for ten minutes, and then start to think why not give fifty thousand.
But the recognition of technology is different. What kind of feeling is like drinking a cup of pure brew after ten years of drinking, it is so beautiful, and the description of language is pale in front of this feeling.
Feeling at ease, really at ease, Zhang Fan started to peel off the brainstem's coat with tweezers in one hand and pliers in the other.
"Dimming light!" Following Zhang Fan's voice, 30X's itinerant nurse stood behind Zhang Fan with a footstool, resting her head next to Zhang Fan's head, and very precisely probed the light on the lesion.
"Director Zhang, how are you doing?"
"Can!"
Among doctors, when you don't know what to call him, you are absolutely right to call him Director.
To be honest, most of the nurses in small hospitals, even provincial hospitals, are girls from ordinary families.
But the top hospitals are different. Most of the doctors in this kind of hospital, especially the young doctors, are admitted through step-by-step examinations.
But nurses are different. Maybe a little girl can pull out a leading uncle of some department. It's not an exaggeration at all.
Zhang Fan is good at undressing. Zhang Fan was very particular about taking off his organs especially. Just his hands that have been trained in the system.
In terms of the level of surgery, Zhang Fan may not be ranked well in the world. But when it comes to the precision of his hands, Zhang Fan says he is second, absolutely no one dares to brazenly say first.
It was so accurate and gentle, Zhang Fan pulled off its coat before his brain stem knew it.
"The physical signs haven't changed at all, it's too stable!" Just as Zhang Fan took off his clothes, many doctors in the venue were staring at the monitor.
Breathing, blood pressure, and pulse all remain the same!
"Yeah, it's too stable. Which hospital does this guy belong to?" At this time, everyone really started to pay attention to Zhang Fan.
"I think there is really less homework for him. Look at his hands, they are really steady. It's time to make him more difficult."
Looking at Zhang Fan's hands, Mr. Wu didn't know whether he was envious of Zhang Fan's youth, or Zhang Fan's abnormally stable hands. He asked Mr. Lu directly.
"Well, I also feel that I underestimated him. I already thought highly of him, but unexpectedly, I still underestimated him."
Mr. Lu also felt that Zhang Fan's talent should not be wasted, performing general surgery, orthopedic surgery, steady and precise hands, sometimes it is not very obvious.
However, for brain surgery, these hands are too advantageous. These hands are comparable to robots. Looking at them at this time, they are really amazing.
After the outer membrane of the brainstem was stripped, the lesion appeared naked in front of Zhang Fan and the others.
"Cryosurgical forceps! Put on a pair of gloves!" Zhang Fan said to the equipment nurse.
The lesion of this kind of operation is like a small sarcoma on the arm. Fortunately, it is superficial. If it goes deeper, the patient's breathing and heartbeat may have been disordered long ago.
For the resection of lesions in this kind of place, no knife can be used, no matter how sharp the knife is, the best is laser, but the laser will generate heat, and no one can guarantee whether it will cause the patient's life crisis.
Therefore, the conventional method is to use drugs to kill it. As for whether it will recur, it is not a matter of this operation.
Because Zhang Fan has a pair of super steady hands, he did not choose the conventional method, but used cryosurgical forceps to grasp.
The special refrigerators in the hospital are super expensive, and many people think they have been bribed! In fact, it is not the case. Generally, the refrigerator at home can be frozen at minus ten degrees at most.
But the special refrigerators in the hospital have no problem at minus 40 degrees, and there are even refrigerators with minus 80 degrees.
At this temperature, not to mention ordinary equipment, ordinary bacteria can freeze into slag.
"What is he going to do?" When Zhang Fan asked the nurse to prepare the freezing equipment, the doctors were really not calm.
This is kind of crushing them on a technical level. It’s fine that the doctor you invited to do your butt is a child of Qiu’s school, but you can also perform craniocerebral surgery, but you can still crush us with unconventional surgeries.
"Damn! Is he a member of the Department of Brain Surgery?" When this is done, everyone will no longer doubt whether Zhang Fan can perform the operation. Now what everyone doubts is whether this guy will come to the capital!
There is only so much food, and a person who is so young, so strong, and has such a strong background, who is not timid.
In fact, it was Zhang Fan's hard work that really made everyone feel cold. Instead, it covered up Zhang Fan's other shortcomings.
For example, Zhang Fan is not so good at diagnosing diseases. Although he is not a donkey in Guizhou, Zhang Fan really needs to improve.
Knowing this, Mr. Lu and Mr. Wu looked at the young man on the monitor with a smile.
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