Chapter 170 How Can You Give Up Lightly
Attacking cities and conquering territory was originally a thing for the army, but after the Spring Festival, Zhang Fan was doing it.
In the past, the system only opened general surgery and orthopedics, and Zhang Fan had countless surgeries in the hospital, which he couldn't finish.
Even going to surgery day and night, I can't finish it. How to say about Huaguo's medical care, there are good and bad.
But after seeing a doctor, if he asks you to wait, for example, if the inflammation of the appendix turns into perforated appendicitis, then you can point to his nose and greet him, so that he can't eat and walk around.
Working overtime is too common in the hospital, so surgery, relying on one person, relying on several people, can't be done.
However, after opening the heart surgery department and opening the brain, Zhang Fan was a little bit unable to use it.
Some departments, such as general surgery, orthopedics, and even urology, can't finish the operations, but the number of extra-cerebral and extra-cardiac surgeries is too small and not enough.
Seeing such a large-scale request in the system, Zhang Fan had no choice but to go to Bird City to find a solution.
Therefore, after the beginning of the new year, Zhang Fan ran to the Bird Market more and more frequently.
In general surgery, Zhang Fan has already become a famous name in the frontier. No matter if it is a general foreign expert from all over the world, Feidao will never come to the frontier now, because there is Zhang Fan here.
Generally, doctors who can throw knives say this to doctors in other hospitals in the frontier:
Oops, it's too far away, time can't turn around, otherwise, you can find someone else.
Doctor Bianjiang wondered, before, you ran three times a week, and you never said far?
If the familiar relationship is better, they will tell the truth: Hey, ask your chasu Zhang Fan to do it, he is in the borderland, and I will throw knives in the past, it will not look good.
This is actually a common name agreement of top doctors. For a discipline, the top medical circle is only that big, unless there is a problem with the relationship between the two.
If the relationship is okay, it is often: Lao Li, someone asked me to throw a knife at your place. I heard that you are very busy. To save face, I will do mine first.
There is love on both sides! And this is not only a matter of friendship, but also a matter of income.
Orthopedics, relatively speaking, orthopedics has a lower degree of difficulty, but in the event of severe spinal trauma or spinal deformity, it still requires a master to do it.
Although it is a bit more difficult, this thing does not have an immediate effect like general surgery, so Zhang Fan's orthopedics is not as famous as general surgery.
Moreover, Zhang Fan does not need a flying knife for orthopedic surgery, there are many tea minerals, and the road is dangerous, so there are countless surgeries here.
But brain and heart are different. These two things need a population base to support them. Therefore, Zhang Fan went to Bird Market within a few days after he went to work.
"Yuan Zhang, I'm going to buy you a plane ticket. You don't fly, so you have to drive yourself. How embarrassing."
The caring director of the Bird Central Hospital personally greeted Zhang Fan at the door.
Watching Zhang Fanhong's car drive into the hospital, I was so envious that I was drooling.
The car doesn't matter, but this brand has too much face, it's really status.
In fact, if it wasn't for the help of the traffic police at this critical moment, Zhang Fan would have replaced it the first time he met the traffic police saluting, it was too ostentatious.
Back then in Stone City, the leaders of the armed police wanted to recruit Zhang Fan, and made a big bet, but... Later, they felt embarrassed and retracted it.
"Hehe, it's okay, it's only a few hundred kilometers away, and it's very convenient to go directly by high-speed now." Zhang Fan smiled and shook hands with the director of the Central Hospital.
In fact, it is not convenient, but the plane in Chasu Asuka City is as big as a sparrow, and it flies into the sky chug, Zhang Fan is really worried that this thing will fall apart.
Looking at the young Zhang Fan, the director of cardiothoracic surgery at the Central Hospital, I felt really sour in my heart, but what can I do with sourness, my skills are not as good as people.
On Sunday, after Zhang Fan finished his last cardiothoracic surgery, Zhang Fan saw a good candidate, a new doctor from the Central Hospital.
Just thinking about how to fool you, like Ouyang's exaggerated fooling, he received a call from Wang Yanan crying out of breath.
"what happened?"
"My grandfather,
My grandfather..."
The thing is, Wang Yanan's grandfather is more than eighty years old. It is said that at such an age, it is usually time to lean against the wall to bask in the sun.
But this old man is like a naughty boy. When he was young, he was in charge of logistics equipment in the army, which was definitely a good job back then.
Therefore, I have developed a problem, that is, the things in the storage room at home are dug out today and put in tomorrow, and the big and small housebreaking is tossed and tossed over and over again.
It's useless to persuade the family, if you don't let him do it, the old man can talk easily, and he promises well, and then, when everyone is asleep, he will come out to make trouble for you in the middle of the night.
The older you are, the more frequent you are. As a result, one day, the old man said that he could not find a medal from that year, and then searched through boxes and cabinets.
I didn't find it, and seeing everyone not paying attention, the old man moved the ladder and climbed to the top of the big wardrobe as if he was juggling.
The man was old and dazzled, and one accidentally fell down, and only heard a click, and the left femur broke immediately.
Like an artificial leg, the left leg became a pair of knees, with the feet facing backwards, the heels leading forward, and the thighs became three-section sticks, thrown in the wind!
At that time, the old man was in pain.
Fortunately, someone at home called Wang Yanan in a hurry, and sent him to the hospital while calling.
Emergency surgery, the same day directly on the operating table. At that time, Zhang Fan went to Bird City, and Wang Yanan accompanied Lao Gao to perform surgery on the old man himself.
The operation was a success, but something happened when he was discharged from the hospital.
Orthopedic surgery, such as femoral head replacement surgery, or some large bone fractures, such as femur, that is, femur, pelvic fractures, these operations seem to be the most dangerous in terms of bleeding.
For example, a fracture of the pelvis and femur is often shock.
However, this kind of shock can be rescued, that is to say, the doctor still has time to wrestle with death.
However, there is another complication. Once it is complicated, there is almost no time to rescue it.
Moreover, this complication is almost impossible to prevent.
Everyone has eaten bone marrow, especially big bones. Take a chopstick, take it out bit by bit, put it in your mouth, and smash it into your mouth. It is more delicious than meat.
In fact, the structure of bone marrow is similar to that of fat. On weekdays, as long as the body is healthy, the bone marrow of an adult is like an old man, where it lies fat and fat in the bones, nourishing the body safely and securely.
Not doing any work, not only not working, but also nourishing the body well.
But once hemorrhage occurs, when the human body appears anemic, at this time, people will immediately transform into a hematopoietic system.
The energy source continuously creates fresh blood cells for you, so some diseases, such as leukemia, are extracted from the bone marrow.
So this thing is very important. In fracture surgery, this thing is a particularly dangerous time bomb.
Orthopedic surgery pays attention to asepsis, and extremely pays attention to asepsis.
Often after many orthopedic operations are completed, the chief surgeon will hold a washbasin-sized vessel filled with saline to rinse the fractured ends.
What is this doing? Do you want to wash away the bacteria?
No, this is actually washing away the fat particles in the broken bone marrow.
In general surgery, there is the theory of cramp and peeling, while in orthopedic surgery, there is the theory of knocking bone and sucking marrow.
For example, internal fixation after a fracture, you may think it is very simple, just put a steel plate together and it will be over.
In fact, the steel plate is not a panacea. For example, if a long bone is fractured, if the fracture is too severe, the steel plate is not suitable.
At this time, the intramedullary nail must be placed.
What do you mean, it is to take a file like a triangular thorn, long and extremely hard.
Then put the file into the bone marrow cavity, and use a hammer, really a hammer, or a metal hammer, not much smaller than a child's head, not an exaggeration at all.
Bang, bang, bang, smash the triangular file into your thighbone from the broken end.
Its function is to widen the marrow. When this operation is performed, people who don't know it think that the decoration of the orthopedic operating room hits the wall. Bang! Bang! Bang, it wants to expand the bone marrow space.
Do you think that something that can expand even bones can retain bone marrow? impossible!
Under this blow, the bone marrow directly turned into tofu brain that had been stirred with chopsticks countless times.
The mushy bone marrow has completely turned into fat, and then the doctor will wash it, and a large amount of normal saline will wash the fat away.
Eating a mouthful of fat meat, except for those who like to eat fat meat, most people can't resist it, this thing can make you vomit on the spot.
And the body is actually the same, rinse with a lot of water, no matter how you rinse, fat particles, fat particles that are invisible to the naked eye, will still enter the blood.
It can be said that this thing cannot be avoided.
After the fat particles enter the blood vessels, this thing is like a boat floating in the river at the beginning, drifting and drifting with the blood flow.
If the blood flow is slow and the elasticity of blood vessels decreases, this thing will gather somewhere, like a big traffic jam.
Then, with a strong alliance, fat particles invisible to the naked eye fused into a fat aircraft carrier that could kill people.
Protein can run from the blood =] and the tube to the outside of the blood vessel, and sugar and salt can also pass in and out of the blood vessel through the protein.
Fat is not good, it is a troublesome thing if it enters the blood vessels.
When the collected fat aircraft carrier starts to drive, the luckier ones get stuck in the lower limbs.
For example, some people who are healthy suddenly become limping while walking. And at that time, lower extremity pain occurred.
The pain was as if a dog had bitten off a piece of meat, and I couldn't even walk. But after resting for a while, it might be all right again.
This is not fooled by Lao Zhao. If you are over thirty-five years old, still like to eat fat, don’t like meat, and never leave your hands, then you must be careful, otherwise, this is fatty deep vein embolism. Tell your doctor about this.
If it gets stuck in your lower body, it will make you limping. It's stuck in the brain, well, for the rest of your life, you may not need to do it yourself.
What if it gets stuck in the lungs? It is directly the so-called triad of pulmonary infarction: chest pain, hemoptysis, and breathlessness.
When this kind of pulmonary embolism occurs, the patient's complexion changes suddenly, and his hands are not even placed on his chest. As a result, he closes his eyes and falls to the ground without even having time to rescue him.
It's scarier than the ones in the movies, so it's right to have less oil and less meat.
Wang Yanan's grandfather, the old man, after the surgery, lay in the hospital for a few days, couldn't stay in the hospital anymore.
Crying every day to go home. Wang Yanan made the old man fierce every day, but the old man still wanted to go home.
Wang Yanan removed the sutures and checked, and the recovery was good.
He pushed the grandfather in the wheelchair and walked slowly towards the elevator, ready to be discharged from the hospital.
"Grandpa, it's going to be a pain this time. You won't be able to climb up and down again when you get home. How old are you!"
"Well, no more crawling. My daughter is a doctor now. I want to listen to my daughter!
Don't listen to your mother, she doesn't know anything, if you become a doctor, grandpa will support you!
It is good to be a doctor, to be a doctor well, to save lives and heal the wounded, this is good deeds.
Just want to get married early, and I can still take care of your children.
I look at which male doctor is good. "As he spoke, the old man pointed his finger at Xu Xian.
Wang Yanan is an orthopedic surgeon. Her grandfather was hospitalized, and everyone took care of her.
It was time to leave the hospital. A group of nurses accompanied Wang Yanan to see the old man off, while the male doctors all came out of the office and watched him off from a distance.
It can be regarded as giving Wang Yanan face.
"Haha! The old man has a good eye. He immediately fell in love with the best young doctor in our department."
Miao Juan, the head nurse of the orthopedic department, also jokingly joked with the old man.
Wang Yanan also smiled and teased the old man, and walked slowly until he reached the elevator door.
The elevator door hadn't even opened yet, and as a result, the old man's face suddenly changed, his hands trembled and he wanted to lift it up, but he couldn't lift it up anyway, his chest hurt, and the old man's teeth were twisted due to the pain.
Wang Yanan saw through the shadow of the elevator door that something was wrong with his grandpa, so he turned around and squatted directly in front of his grandpa.
"Grandpa, grandpa! What's the matter with you?"
As he spoke, the old man slowly slid out of the wheelchair.
"Grandpa! Grandpa! Don't scare me."
While talking, the nurses who hadn't left yet, the male doctors who were standing in the distance, all came running over.
"Quick, put it down, put it down, quick! Put the old man down."
Zhou Chengfu, Xu Xian and the nurses quickly put the old man on the ground.
At this time, Wang Yanan's mind was full of dark shadows, and there was no professional knowledge, but subconsciously, she knew that something was wrong with her grandfather.
Tears were streaming down the face of this dashing and heroic female doctor, and she had already realized something.
"Grandpa, grandpa, open your eyes and look at your daughter, you still have to show your daughter the child, grandpa."
"Not good! Fat embolism, hurry up, call your heart. Rescue, push the ambulance over."
There is not even time to move, and there is not even tens of seconds from the onset of illness.
Xu Xian pressed desperately, Zhou Chengfu immediately opened his mouth, giving first aid to the old man mouth to mouth.
However, the old man grabbed Wang Yanan's hand, and slowly, slowly sent him away.
Then, the heartbeat slowly stopped.
"Grandpa, grandpa, wake up, wake up, you promised me, you promised me.
Grandpa, wake up! "
Wang Yanan broke down immediately, sitting cross-legged beside the old man who was still smiling just now.
Director Ren of the Cardiology Department ran over with Naduo and the others panting, but it was still too late. He looked at the doctors around him who had given up on treatment.
Seeing Wang Yanan, who was already crying on the ground, several female doctors hurried forward to support Wang Yanan.
Not long after, Wang Yanan's mother and the others also came up from downstairs.
"I want to call Zhang Yuan, I want to call Zhang Yuan, I want to call my master, he can save my grandpa, grandpa."
Wang Yanan was so angry that he couldn't get up from crying. He was a good old man, but he closed his eyes in one breath.
Wang Yanan, who was out of breath from crying, couldn't explain clearly on the phone at all, so he kept saying that he disappeared before my eyes.
Gritting his teeth, Zhang Fan hung up the phone directly, and then called Xu Xian.
"What's going on? What's the situation?" Zhang Fan's voice was on fire.
How can a girl who is so persistent in medicine and medical skills suddenly give up lightly?
While answering the phone, Xu Xian said, "Yuan Zhang called me."
Then Xu Xian quickly said the matter.
Zhang Fan remained silent. Doctors are not omnipotent, but in Wang Yanan's situation, it can be said that a close relative died in his hands.
It really made the girl feel uncomfortable. After Zhang Fan listened to it, he said to Xu Xian: "Let the hospital's logistics staff help. You send female doctors to comfort Yanan. She is stubborn. Don't let anything happen. Wait for me."
"OK!"
After hanging up the phone, Zhang Fan called Shao Hua and asked Shao Hua to come to the hospital to accompany Wang Yanan.
Then, Zhang Fan rushed to Cha Su overnight.
Yu Gong, Wang Yanan is his subordinate, and Yu privately, Wang Yanan is Shao Hua's best friend, and Zhang Fan's first serious apprentice, and he is also a very hard-working and hard-working apprentice.
This kind of thing, no matter what, Zhang Fan will go back.
In fact, there is a rule in the medical system that no one talks about, that is, if a doctor's close relatives need surgery, they will often ask their colleagues to do it.
The more you understand, the easier it is to get over the hurdles in your heart!