Medical road
Chapter 99
A middle-aged woman moaning in the dermatology department of the city hospital.The pain was sweaty, and it could be seen that she was holding back the pain.A man clutching her hand silently, it should be a husband and wife.From the perspective of clothing, economic conditions are not very good.The legs of men's trousers are all hairy. They should be very emotional. The expressions of women's pain in their bodies and men's pain in their hearts can be seen at a glance.
After Zhang Fan arrived in the department, Gulinaza was calling the operating room on the phone, and Qimig briefed Zhang Fan on the situation.The patient, a couple of foreigners, opened a small restaurant in the tea market. They got up at 4 in the morning and went to bed at 11 in the evening. The result was too tired, and the woman accidentally spilled boiling water on her feet.
In a hurry, they took off their shoes and socks, and their skin was peeled off, not to mention, they put on soy sauce again, and the wound was badly damaged.The saddest thing is that the medical insurance is not available here. They are from other places. It is still unknown whether they can be reimbursed there.The current situation is that skin grafting is necessary, and the operation cost is not small.The patient himself requested conservative treatment, and his family resolutely requested surgery. One felt sorry for the money and the other for the other person.
Zhang Fan went to check the injury, and his right foot was burned to 13. The depth was okay, but the socks were taken off too quickly, and there were several punctate wounds, which were relatively deep, which were torn off.
Speaking of burns, I’ll just verbalize. After a general scald, please don’t take off the clothes on the scalded area immediately. The skin has adhered to the clothes, and it caused a second injury. This second injury More serious than the first injury.
The general treatment method is to flush with a lot of cold water and tap water to let the tap water take away the heat from the burned area to prevent further damage, and do not apply soy sauce or toothpaste. This is useless and can easily cause infection!infection!infection!
"Skin grafting is necessary, and the cost is collected as soon as possible. After half an hour, we will enter the operating room. His doctor and Dr. Zhang will prepare to talk and sign." Director Gulinaza said to the family and Zhang Fan after finishing the phone call.
"Okay!" Zhang Fan replied.
"I'm looking for money now, how much is still missing?" the patient's husband asked.
"Prepare fifteen thousand, you paid five thousand."
"Doctor, can you not do the operation, it is too expensive." The patient endured the pain and said intermittently.
"Don't worry, there will be nothing wrong. You don't have to worry about money. As long as you can recover, we can still make money. The doctor is bothering you. I will call and collect money now."
"If you don't want to make money, you can make eight or nine thousand first. The operation will be done first. Later, you can make it slowly." Gu Li Nazha is tall and fat, but she has an extremely soft heart. I emphasized that the doctors in the department abide by the rules and regulations, but she often takes the lead in breaking the rules, which is really valuable. I hope that there are more such doctors, although it is a bit difficult.
Half an hour later, the patient's husband ran in sweating profusely, holding the bill of payment, "Doctor, make up 10,000 yuan, I can do the operation, I can do it!" Anxious and excited.
More than ten thousand?Not many. Some people don’t have enough meals, but for families struggling on the poverty line, it’s not a small number. Many people don’t realize this embarrassment. They can’t help but look at their relatives. Or I am struggling in pain.
"Under the doctor's order, use penicillin for antibiotics, give some glucose, saline and vitamin 6, don't use other drugs!" Gulinaza said to Zhang Fan.Basically, this is the cheapest medicine. Many top three hospitals don't use penicillin. For various reasons, six cents of antibiotics were injected into the body of the burned patient.
In the operating room, after disinfection after anesthesia, the soy sauce applied after burns has penetrated into the muscle layer without skin protection. "Hey! Doctor Zhang must be careful and must disinfect thoroughly. Otherwise, if infected, skin grafting will fail."
"Okay!" Zhang Fan replied.
After eating, Shao Hua walked down the street alone.Before, she didn’t know much about the profession of a doctor. After Zhang Fan intervened in her life, she began to feel a little bit about Zhang Fan’s vomiting and nausea that can tell people to vomit. She went to the county for surgery and dinner in the middle of the night. Halfway, I didn't finish my words, and I ran away after dropping my chopsticks. It was really not easy.
At the beginning of the operation, the skin is selected first.The skin on the inner thigh of the normal leg on the opposite side has abundant blood supply, sufficient skin thickness and good ductility, which is especially suitable for skin grafting.
Many people have never seen a skin grafting knife. With a light push on both ends, the skin is completely removed.It is best to use the whole skin grafting method for scalds in this area, and the survival rate of spot skin grafts is not high.What is point skin grafting is to cut the skin into small pieces and place them on the wound.
Zhang Fan's hands are very neat, and Qi MiG is not Zhang Fan's opponent as the old attending dermatologist.Zhang Fan, who was originally the second helper, slowly became the first helper, and he cooperated more comfortably than Qi MiG.
"Doctor Zhang, when will the department be scheduled?" Gulinaza asked halfway after the operation.This was the first operation for her and Zhang Fan, and she was very satisfied with the effort under Zhang Fan's hands.Skilled and standard operation, it is estimated that this implant skin surgery is not less done.
"I don't know, hey! There are so many departments to transfer."
"Or I will tell the dean, you can just leave our department directly. Our department is an old man. I haven't entered a young man in the past few years. After you come, we will retire in a few years and you will be the director. ."
"Hehe. In the future, Director Zhang, I will have to treat you later." Qi Mige said carelessly. His tone was not jealous, but teasing. The atmosphere in this department is really good.
Zhang Fan gritted his teeth for a physical examination that day, and maintained a benevolent heart towards the patient, which made Gulinaza particularly satisfied with Zhang Fan.Attitude and mentality are the ultimate thing. Technology can be cultivated, but attitude and mentality are really difficult to change.
"Haha." Zhang Fan smirked and didn't say anything. The dermatology department was too small and did not meet his requirements. The director had spoken, and he could not refuse directly. It would be bad to lie, and he could only pretend to be stupid.
The operation was very successful, but this operation is only the first step in the treatment. The later dressing change and care are very important. If one does not pay attention and the skin graft is infected, it may fail.And diet is also very important, and protein loss after burns is also very serious.
The patient’s husband outside the operating room has been nailed to the door of the operation. He hasn’t even sat down. He has been standing there for a few hours after the operation. The couple came here from thousands of miles away, suffering and suffering. Seeing that the conditions are slow Slowly got better, life has expectations.As a result, his own woman suffered such a serious crime.
He was so distressed that he wanted to replace it. The more he thought about it, the more annoyed he became. Wouldn’t it be tiring to work for more than ten hours a day? It’s useless to regret it now. I hope the doctor inside can do the operation with heart.He was praying, praying to the gods and Buddhas all over the sky, how helpless, now he can only pray.
After the operation, Qimige specifically explained some precautions to the family. When the patient’s husband trembling and took out a red envelope, Zhang Fan burst into tears. How similar. When his father was hospitalized, his mother might also be So be it.
Is it fragile?Do not!I hope Zhang Fan can keep this fragility forever!