Medical road

Wang Qian bought another set for Zhang Fan from head to toe. Zhang Fan is not willing, she is not happy yet.Her children have gone abroad to study, the old man is busy with his career, and it is better to go to work, and it is very boring after work. Her identity as an old man makes it inconvenient to make friends with others.Zhang Fan is simple in nature and has love and righteousness towards Batu. She sees it in her eyes, so she especially admires Zhang Fan. Not only does she have a high level of medical skills but also has a good character.Li Xiao and Dong Hua also commented very well on Zhang Fan.

Some of Wang Qian's shopping cards were issued by the unit, and some of them did not know who gave them.After going to the mall, Zhang Fan sent Wang Qian home, and then let him stay for dinner before leaving.Before leaving, I gave cigarettes and tea.Zhang Fan is like this every time he comes, and he is embarrassed to come to Wang Qian's house.

After Dong Hua got to know Li Xiao through that double buckle, Wang Qian helped to speak again, and finally got a chance to meet the big leader. The result was very good, County Chief D.These are far, far away from Zhang Fan, regardless of whether the agent is formal or not, Zhang Fan feels nothing.This is also the sorrow of the technical man. He only sees technology and believes that technology is king.

New Year's Eve is about to come, and various benefits of the hospital continue.Rice noodle oil, even vermicelli is made, Ouyang's first year in office, let everyone celebrate with her.Zhao Jun is not on the night shift, and Zhang Fan can't do it.This month is the most leisure time for Zhang Fan in more than a year.

In the early morning, the Department of Hepatobiliary Surgery has an operation today, which is a particularly common disease in the Northwest: hepatic hydatid, also known as hepatic hydatid disease.Mainly popular in provinces with developed animal husbandry.The cause of the disease Canine tapeworms are parasitic in the small intestine of dogs. The eggs excreted in the feces often adhere to the hair of dogs and sheep. People become infected after swallowing food contaminated by the eggs.The larvae shed their shells through the digestive juice in the intestine, pass through the intestinal mucosa, enter the portal vein system, and most of them are blocked in the liver.The larvae develop into hydatid cysts after 3 weeks in the body.Hydatid cysts gradually grow up in the liver, causing compression symptoms of neighboring organs depending on the location, and complications such as infection, rupture and dissemination, and obstruction of hollow organs may occur.

In layman's terms, in pastoral areas, you must be careful of water and food that come in contact with dogs or that have been contaminated by dog ​​feces.These worms will parasitize and multiply in the liver of the human body. With the development of time, there will be more and more worms.The liver will be suppressed and squeezed, causing nausea, vomiting, and jaundice.

Today there are a lot of operations in the department. Several transferred departments are rushing to go to the gallbladder operation. They are not willing to have liver hydatid surgery. It is too disgusting. It opens a large bag of white-marked bugs. Patients with intensive phobias can directly see dizziness Up.After the operation is completed, the treatment is not clean and it is particularly prone to relapse, and the eggs are easy to remain.Zhao Jun is in charge, and this is the first time Zhang Fan has been on stage with him.

Opening the abdomen, stopping bleeding, and sucking blood, Zhang Fan's cooperation made Zhao Jun very comfortable, with a good vision, and Zhang Fan had prepared for him early on what he would do next.After the internal capsule is removed, the lesion is directly cleaned with alcohol.The operation is basically completed, only stitches are left. Zhao Jun consciously wanted to see Zhang Fan's skills, so he said to Zhang Fan: "General surgery is not the same as orthopedic surgery. Are you familiar with abdominal stitching, or do you want to stitch it? "

Although I have heard that Zhang Fan is very good in orthopedics, I have not seen it with my own eyes, and I am not at ease. I will make sure first. Zhang Fan looked up at Zhao Jun and said, "Okay, Director Zhao, there should be no problem." The sutures started after the completion. The peritoneum, fascia, and muscle Zhang Fan were sutured very quickly, and the instrument nurse could not keep up with the threading.Extremely proficient, very neat under his hands.Zhang Fan didn't mean to show off, the speed is already like this.

Zhao Jun looked at Zhang Fan's sutures, and then said after a moment of hesitation: "Zhang Fan, I have been in the liver and gallbladder for a month, how is the operation? Are you familiar with the operation of the liver and gallbladder now?" He regarded Zhang Fan as a resident doctor with sharp hands and feet. , It’s normal to ask and appreciate it a little, basically really solid.Zhang Fan has been depressed this month, and without considering Zhao Jun's feelings, he said directly: "Hepatobiliary surgery is not difficult."

"Uh!" Zhao Jun sighed directly, "Well, arrange a gallbladder tomorrow, can you do it?"

"Yes." I said it, there is no reason to beg for mercy and soft words, no need.

Zhao Jun is really angry. You can say that his own skills are not good, but you can't say that this hepatobiliary surgery is not difficult. That is directly, denying his half-life hard work and honor, it is impossible not to be angry.Because of pastoral factors in the frontier, hepatobiliary surgery is ranked high in China and has a seat.Although he was angry, he would not argue with Zhang Fan, it was too naive.

After discussing today’s surgery in the morning meeting the next day, Zhao Jun said: “The hospital organized the transfer of admitted doctors. The purpose is to familiarize young doctors with the basic diseases in each department and be able to perform simple basic operations. We cannot go through the scene. The doctor who transfers to the department is about to leave the department. Our department organizes an exam, and the results of the exam are written in the transfer report. Today, the five-bed gallbladder operation will be performed by Dr. Zhang Fan as his passing exam."

As soon as I said that, the faces of the other transferred departments were all pale, and even the operation was performed every day for only a month. For the gallbladder removal operation, did the director wake up and talk nonsense!It also needs to be written in the transfer report, isn't it life-threatening?

Zhao Jun also has an element of anger. In the general hospital, the liver and gallbladder are the earliest. But so far, except for the liver hydatid operation, it is still good, and the rest is the removal of the gallbladder. The other operations are not ideal. Now Even pancreatic cysts are not done much.The old general director of foreign affairs often said that they should not be separated.So when I heard what Zhang Fan said yesterday, I am going to let him do it today, let Zhang Fan see if it is difficult.

Although he was angry, the patient that could be selected was a patient who was young, had poor gallbladder adhesions, and had little difficulty in surgery.He just wanted everyone to understand that hepatobiliary surgery is not easy, and he personally helped Zhang Fan.

In the operating room, ordinary laparoscopic surgery will not be transferred to another department. If you are afraid of accidents, if you do not master the strength, it will be troublesome to penetrate the internal organs.After brushing and disinfecting his hands, Zhang Fan started the operation. Originally, Zhao Jun was going to let him try. The technique was unfamiliar, so he would not let him do it.Then criticize a few words, to be down-to-earth, not to be too far-sighted.As a result, starting from punching, Zhang Fan did not have any problems.

Expose the cystic duct, separate the cystic artery, ligate, remove the gallbladder, and stop bleeding.A set is incredibly skilled.Originally, he planned to stop if Zhang Fan was not even proficient in holding the mirror. As a result, Zhao Jun didn't say a word throughout the entire process from worrying to reassuring and shocking.After the operation was over, the air hole was deflated and the stoma was sutured. Zhao Jun got off the operating table and left the operating room directly.

The second helper was an attendant, and he was surprised. "Dr. Zhang, Niu, I lost all the words that the boss made. This operation was done so cleanly. I can't reach this level. What kind of department are you going to transfer? , Let the boss tell the dean to go directly to our department."

Zhao Jun left the operating room and returned to the director's office. He sat in a chair and froze for a long time. After quitting smoking for a long time, he lit a cigarette. "Isn't the primary hospital really supposed to separate the liver and gallbladder! Is it really simple!" His worldview almost collapsed.

The next day, continue to let the transferred doctor perform the operation.The punch almost happened, and Zhao Jun was directly driven off the operating table. The doctors who transferred to the department cried.For a total of one month, I took the exam without letting punches. Can I pass it?Although Zhao Jun drove people away, he was not angry and was quite happy.Special case, Zhang Fan is a special case, hepatobiliary is still difficult.I have a lot of balance when thinking about it.

In the office of the director, Zhang Fan was sitting opposite Zhao Jun. Old Zhao sent a cigarette to Zhang Fan. After Zhang Fan lightly lit Zhao Jun, Zhao Jun said: "Yes, I have worked hard this month. Actually Hepatobiliary is promising. Liver transplantation and pancreatic tumors are all world-class difficult operations. How about it, if you are interested, if you are interested, after transferring to the department, I will go to the dean to ask someone." Zhang Fan is excellent, he feels it , Then can't let it go.

Systems such as liver transplantation have not yet been opened, but there are really many liver and gallbladder operations. There are particularly many stones in the Northwest due to eating habits. In the pastoral areas, the number of liver hydatid is the largest in the country.His purpose is to scan the volume, it doesn't matter that department, "Director, you can value me and give face, as long as other departments don't want me, I will come." Zhang Fan did not nail the words because of general surgery, urinary, and chest surgery. Not a lot.

"Uh!" Zhao Jun was in a mess.This kid is not very willing to come.