Medical road
Chapter 58
The ward was full of people. After the inspection in the morning, the director of the room admitted a cancer patient to Su Jing. She was a woman in her thirties and had to undergo a complete cut of her left breast.Breast cancer surgery includes two parts: breast and axillary lymph nodes.Breast surgery consists of breast conserving surgery and total resection.Axillary lymph node surgery includes sentinel lymph node biopsy and axillary lymph node dissection.It is painful to have chemotherapy after finishing it.
After Zhang Fan opened the checklist, the patient went for the checkup. After seeing the patient walk away, Su Jing said, "Hey, it's so pitiful, young. Women of the right age must be checked regularly. If you don't regret it, it will be too late." , She has to arrange surgery for her.
The cancer surgery in the biguanidology department is mainly performed by the head of the department.This operation is not very difficult, and the old lady does not let the people below it work, because it is too simple, and other people will do it a few times, and she has no authority.
On the third day, because it was Su Jing's number, the director arranged for Su Jing and Zhang Fan to undergo cancer surgery. The old lady seemed to be kind, but Su Jing said that she was not relentless when she said that she was very kind.In the past, there was a female doctor, because she competed with her in the treatment plan, but she was refrigerated by the old lady for a year and was not allowed to undergo surgery.In the end, there was no alternative, the female doctor was also very good, so she passed the postgraduate entrance examination.
Breast (a) Adenocarcinoma surgery is not difficult, but the difficulty is actually pathology. It requires rapid medical examination, especially the basic skills of a hospital. After the report is obtained, the clinician decides whether to cut or save the breast based on the report.The old lady was too old to sit still.Zhang Fan and Su Jing were required to perform the previous surgery, and she would do the lymphatic dissection.This operation is considered a major operation in the department of breast (a) glands.
Su Jing asked Zhang Fan: "Have you done it all? I will do it if you haven't done it." She worried that Zhang Fan would not do it.
There is a chance for surgery, Zhang Fan will definitely not let it go, "Sister, don't worry. I often do this operation." Zhang Fan is often done in the system, it is the first time in reality, but it is not difficult.
While Zhang Fan was washing her hands on the operating table, the old lady was still chatting with the director of the anesthesiology department.The steps in Zhang Fan's mind are very clear, cutting and stopping the bleeding without any delay. Zhang Fan finished it in ten minutes, so fast!Su Jing saw that Zhang Fan was done, and she was about to call the director to come on stage, but the old lady came in.
She wondered that Su Jing was slow to do it, and sometimes she was hesitant. She was not ready to wash her hands, but came in to give pointers.At first glance, baby!Everything is done, just wait for her to clean the lymph.She took a closer look and found that there was no problem with the incision and hemostasis, and she did not speak, so she went directly to wash her hands.
After washing her hands, she began to clean the lymph.While doing it, he said, "Su Jing, the improvement has been a lot recently. The operation has been done much faster, and it has done well."
Su Jing was embarrassed, and said, "Zhang Fan did it."
"Really?" The old lady took a look at Su Jing and said, "Yes, boys have an advantage in surgery." Su Jing's mouth was flat.Although this old lady is a woman, she may be a same-sex rejection bar, and she doesn't treat young female doctors well.
Although the old lady is more domineering, the operation is really good, and the lymphatic dissection is very quick.After the operation, she said to Zhang Fan and Su Jing: "After going back, give the doctor's order, explain the number of the patient and the family, and come regularly for chemotherapy after discharge."
After the operation, Zhang Fan turned on the computer and looked at the number of breast (a) glands in previous years. The result was huge and shocking.Because of people’s perceptions and the marginalization of cities, women’s regular medical examinations have not been universalized.Those who work in the cities are better off, and there are almost no medical examinations in rural and pastoral areas.The incidence is particularly high.
If an illness develops, an ordinary family will immediately change from well-off to poverty. Many people become poor due to illness. Although the state strongly supports the medical reform, after illness, they cannot work, they must strengthen nutrition and take chemotherapy drugs.It's really human suffering.
The mammary (a) gland census is very simple. Young people who do color Doppler ultrasound and older people do mammography. Here is a reminder that it is best to have a physical examination once a year for your family or yourself to care for yourself.
Zhang Fan is not too busy recently, because the Chinese New Year is about to come and the sports school is also on holiday.Zhang Fan didn’t start a banquet himself, so he prepared to go back to the dormitory after eating in the cafeteria. Li Liang’s call came, “Brother Zhang, where are you, and I’m here for a business meeting with Director Chen. Are you busy? Let’s sit out. Put."
When Zhang Fan heard that Lao Chen and Li Liang had come to the city, they were very happy and hurriedly said: "You are not busy, I will look for you there."
"Master, we are in the hotel next to the city hospital. It will take two days for the business meeting to come. Today is over, I want to see you."
"Okay, we will be there soon."
After the results came out, the hospital directly removed Lao Chen's agent.His operation was considered top-notch in the county hospital, and now the results are coming, Shi Lei also supports him, and now he is finally in his head.
Lao Chen and Li Liang were waiting for this fan at the entrance of the hotel. They were very happy to see Zhang Fan.Old Chen hugged Zhang Fan directly, "Master, thank you so much, I passed. Haha! Let's go and eat something good today."
Li Liang also smiled on his face. Although he passed the exam in the first year, he didn't have Zhang Fan as a role model in the hospital to read books, so he might have to hang up this year.
Zhang Fan has already eaten, but seeing Lao Chen and Li Liang so happy, they are not willing to disappoint.The three people found a hot pot restaurant with a big face.Zhang Fan couldn't persuade Lao Chen. He ordered a lot of food. In his words, he wasted a handful today. After so many years, I really don't need to live in humble life. Master, let me indulge.
Zhang Fan didn't expect that Old Chen would really treat him as a master, so he was not kidding.Looking at this apprentice who was much older than himself, Zhang Fan also had a hint of pride.
Considering Zhang Fan's lack of alcohol, the three of them ordered the local special mare kumiss, sweet and sour, and the one who had never drank it was really not used to that taste.The three of them ate and chatted, "Master, will you do orthopedics in the future?"
"I'm not sure, let's talk about it when the time comes. You have to transfer to the new dean, and we will talk about it after the transfer. There are not many cases of you now."
Lao Chen took a bite and said, "It's okay. Now Lao Zou gave the surgery to Shi Lei. Shi Lei is very supportive of me, and he specifically explained that if you want to ask an expert for surgery in the future, please do it. The price is based on the price of the city hospital director give."
"Hehe, let's talk about it." Zhang Fan didn't know what to say.
Li Liang asked again: "Brother Zhang, do you think I will be admitted to the city hospital next year? Now that Director Chen is on stage, he takes special care of me. I am afraid I will not be admitted to the city hospital for surgery. I really like surgery and I really don’t want to do internal medicine."
Zhang Fan glanced at Old Chen, and Old Chen immediately said: "Young people have a chance to rise. I will not stop them. If I am ten or twenty years old, I will come to the city, but now I am young. Big, no chance."
As soon as Zhang Fan heard what Old Chen said, he knew that he really took care of Li Liang. He thought about it and said, “It’s the best to be admitted to surgery, but it’s not bad to be admitted to the county. Old Chen will take you for a few years and wait until your surgery level is mature. Now, it’s not too late. You have to transfer to the city. You have to plan for yourself, what if you can’t enter surgery.”
The three of them were not drunk, mainly happy, not drinking.Through the conversation between Zhang Fan and old Chen Liliang, he had a plan in his mind. When the opportunity matured, he might implement it.