Medical road

After entering the department, Wang Yanan was not attentive to Zhang Fan, and asked for warmth by pouring tea and water.The caring Zhang Fan was horrified, "Let's talk about it, if I can promise, I will definitely agree. If you can't, it's useless to burn incense for me." Zhang Fan asked if he couldn't bear it.

"How am I to you? Find your girlfriend, and I will help you say something nice. Yesterday Shao Hua was going to leave and was forcibly held by me. Let's see if you have a conscience today!"

"What the hell, I'm terrified. If borrowing a car really doesn't work, I will be responsible to you and your family. It's not that I can't bear it." Zhang Fan thought she was going to borrow a car. Her technique was too rough and Zhang Fan was really afraid of accidents.

"It's useless to talk less, and I won't find you in a car. Yesterday I received a fractured clavicle. Today, did you let me take the lead." I was impatient, Wang Yanan really turned his face and refused to recognize people.

"This is the attitude of asking for help?" Zhang Fan quipped.

"I'll call Shao Hua now and say that you and the nurse in the operating room~~~" Wang Yanan made Zhang Fan annoyed. She has been prepared for a long time. Such anxious mood can't stand the teasing.

"Comrade Wang Yanan, after consideration by your superiors, you agree to perform surgery today, but first let me see the film. If it is badly broken, let me next. Where did this sick number come from, it was not our turn to collect the sick number yesterday. what."

"Yes, it's very simple. It doesn't break the bones quickly, it's just an oblique fracture. I can!" Wang Yanan looked at Zhang Fan with eyesight.

"Well, the fracture is not very serious. Let me tell you. Below this is the tip of the lung. If you are not careful, you must be careful." Zhang Fan said again.

"I know, I have done it with you many times." Wang Yanan's tone has improved a lot, although she is impatient, she must listen when talking about professionalism.This is the superior and inferior of surgery.Dare not listen!If you turn your back, stop your operation directly.

The head nurse of the operating room walked over and stared at the various operating rooms. This is her territory, patrolling her territory like a lioness.If anyone's actions do not conform to aseptic operation, she can pull you up to review the rules of aseptic operation.

Zhang Fan stood next to the operating table with his hands hanging on his chest. Watching Wang Yanan's operation, disinfection and draping, he was very standard step by step, and could not find the problem. The patient's number was a non-breaking fracture, which was cut along the fractured end. Opening the skin, Zhang Fan held the gauze and gently pulled the skin. First, he can clear the bleeding at any time, and second, it can help the surgeon better cut the skin.

The skin on the collarbone was very thin, and it quickly entered the fractured end. Although the film was not very severe, the wound was not the same when it was opened. The tiny fragments, bleeding, and blood congestion made Wang Yanan a little frantic.

Zhang Fan didn't say anything either, and she had to make adjustments by herself at this time, to see her understanding of the operation and the anatomical structure of the tissue.He sucks blood, stops bleeding, cleans up broken bones, and fixes bones. Although not very skilled, they are already very good.

This is the difference between an assistant and a surgeon. The assistant follows the surgeon’s ideas, has a good vision of the surgeon and assists the surgeon. It is equivalent to the third and fourth arms of the surgeon. You don’t need to think about it, you must follow the surgeon closely. Ideas.

The surgeon has to consider the steps of the operation.The books are all conventional treatments. There are thousands of injuries and illnesses. There can only be about one classification. It is impossible for each to be the same. It depends on the level of your surgeon and the accumulation of peacetime.In a heap of bloody rotten meat, looking for the blood vessels you are looking for depends on a deep understanding of normal tissue structure.

Whether to fix the distal end first or fix the proximal end first in the fracture end, go to the surgical book, there is no fixed saying, this is a question of experience, novices rely on the masters to slowly teach experience, accumulate and wait until a certain degree , I can start to sum up experience, this is the improvement of clinical medical technology.

The equipment nurse was in a boring daze, because it was slow!After all, he is a novice and cannot be compared with an old doctor. One is to be careful, and the other is not to be confident. Sometimes I have to look at Zhang Fan and want to make Zhang Fan affirmative, because there is nothing wrong with Zhang Fan.If Wang Yanan can cross this hurdle, the road in the future will be easy. This is a mood improvement. If she can perform the first operation by herself, it will be of great help to her future improvement.

Finally began to fix. This is what Zhang Fan is most worried about. A carelessness will pierce the tip of the lung. When Wang Yanan fixes which hole, Zhang Fan will put the bone stripper under the collarbone to prevent Wang Yanan from losing control and going through the electric drill. There is also a bone knife pad.

After the fixation was completed, Zhang Fan stretched out his hand and felt the broken end, which was still aligned.He took a long sigh of relief and stood on the platform for novices. Sometimes he was more tired than performing surgery on his own, and he was always worried.

A few days ago, there was a medical accident in the Department of Obstetrics and Gynecology. The doctor was transferred to suture the incisions for women undergoing C-section. The result was that the fat layer was too thick and the force was not applied well. One accidentally caused the needle to detach from the needle holder. The contraction drives the fat layer to shrink, and the fat layer is full of grease. In just a few seconds, the stitches are missing.

I quickly contacted the orthopedic operating room and pushed the C-arm to irradiate for a long time, only to find out, and then the teaching teacher took the radiation for more than half an hour before taking out the stitches. There is no responsibility to transfer to the doctor. The teacher was smashed by the head of the gynecology department, and in front of the general practitioner and nurse, he cleaned up the meal, and the teacher was unable to speak when he was wronged. This is the responsibility of teaching!

"Zhang Fan, can you do it?" Wang Yanan was extremely nervous when Zhang Fan didn't speak.She really likes surgery, and she really wants others to recognize her in surgery. She does not rely solely on her relationship with surgery.

"Yes! It's pretty good. It's better than my first operation, but I don't have enough confidence. Go back and read more books and firmly portray the anatomical relationship in your mind. You won't hesitate like today."

"I remember! I will work hard." Zhang Fan's praise and recognition made her very happy, and more than half a year of hard work was not in vain.Although very excited, I still want a ninja, and the operation is not over yet.

"Xiao Yin, take a cell phone and take a photo of this collarbone. This is Wang Yanan's debut, which is of commemorative significance."

Fortunately, wearing a mask and hat, Wang Yanan didn't know what to think, and his face blushed!"Okay, you master and apprentice can hurry up, there is another tibia and fibula fracture operation below. Xue Fei has seen it several times. He thought it was a collarbone, so he arranged it to the front. Unexpectedly, he did it. The femur is broken."

Since Zhang Fan rejected Xiao Yin, she has been a little angry with Zhang Fan.I always like to stimulate Zhang Fan with words. In the operation, I can't find Zhang Fan's fault, but the Wang Yanan he brought is a novice, so he started to mumble complaints.

"Hurry up and take a picture, Xue Fei is anxious, let him come to me." Zhang Fan did not want her to leave regrets for her apprentice’s first operation, and now Zhang Fan has a license, it’s not the job he used to be. Anyone can squeeze a small transfer doctor. When it is time to speak, you must speak, otherwise some people will come up.