Medical road

Zhang Fan didn't need to worry about what was going on outside the operating room.What he can do now is to complete the operation and rescue Wang Weiping.Zhang Fan is also not good at giving instructions to the two directors, and Gao can see, "It's not the time to be polite, hurry up, we two are now your lower-level doctors."

"Yes! Lao Gao is right." Lao Wang echoed.

"Two directors, I'm sorry! Director Gao washes our hands and disinfects. Director Wang and I set up our positions and ask the director in my heart to come to the surgery consultation. Maybe we will have joint treatment later." With the cooperation of the two, Zhang Whenever you start to command, surgery is actually a bit similar to fighting. First of all, determine who the general is, the general will command, and the subordinates will act.The general must have a clear mind, and his orders must be forbidden.

The general must have clear thinking and accurate commands.Otherwise, the subordinates will rebel.The surgeon is the same. You must have clear rules and clear instructions for what you want to do.Because there are several nurses, several doctors are waiting for your order.Waiting for the next procedure.

Disinfecting and arranging orders, the two directors are doing the work of the hospital. There is no way that the chief surgeon has the right to think, go to see X-rays, CT, MRI, these small tasks have to be done by assistants.Zhang Fan couldn't care about these little things anymore, staring at the LED film viewer and thinking carefully.

The operation begins.The pelvis is actually a closed bony ring, a strong bone ring composed of iliac, pubic, and ischial bones.Because the pelvis is harder, it is generally not easy to fracture unless violence.

Wang Weiping's fracture was very serious, the pubic symphysis was separated, the sacrotuberosity and the sacrospinous ligament were broken, and the sacroiliac joint at the back was completely dislocated.The dislocated half of the pelvis has shifted forward.

"Look for bleeding points first. There must be a relatively large blood vessel injury in the pelvic cavity." Zhang Fan said.

Open the book and ask questions, the thinking is very clear.Lao Gao and Lao Wang were not surprised at all.Although this operation is also very serious, the difficulty of this operation is not too difficult for a doctor who changes hips and knees.Just to hurry up and be fast!

When the chief knife has an idea, the assistant actively cooperates.On the operating table, the surgeon dominates everything. Some very aggressive surgeons either curse or throw things. The doctors below are not willing to perform operations with him.There are still many doctors like this. I guess they were oppressed too much before. After I became strong, I started to learn!

Zhang Fan chose the posterior entrance. After the gluteus maximus fascia was cut, he carefully performed the subfascial separation inside to ensure that the gluteus maximus muscle tissue was separated from the subfascia without damage.Because the gluteus maximus fascia extends the finger-like muscle interval into the gluteal muscle every 5-10mm, special care must be taken to maintain a complete layer, avoid damage to the fascia, and minimize damage to the muscles.

In order to completely restore its anatomical level, Zhang Fan was particularly careful to separate the fascia and keep it intact.When you find the origin of the gluteus maximus on the sacrum, stop the medial separation.Cut off the starting point of the gluteus maximus from the aponeurosis of the thoracolumbar fascia, iliac crest, posterior superior iliac spine, and multifidus fascia.

When cutting off the starting point of the gluteus maximus, Zhang Fan kept a long enough tendon at the stop point in order to facilitate the repair of the gluteus maximus at the end of the operation.Then cut off the origin of the gluteus maximus at the crest of the gluteus muscle.

The operation was going on step by step, and the three surgeons kept wiping sweat from their heads.None of the three people talked or communicated, the most was that the two assistants exchanged their opinions through their eyes!They all know what to do and what to do.

The skills of the three are not weak, and Zhang Fan's intentions are clear to the other two.However, Zhang Fansheng performed a lot of surgeries in his youth exercise, and he performed very quickly under his hands.

As soon as the expert takes action, he knows whether there are blood vessels and nerves. Zhang Fan can separate and cut quickly without thinking or stopping.The anatomical three-dimensional diagrams of the various organizations are as if they are right in front of Zhang Fan's eyes. The two directors are not in vain, they are both masters. In order not to let others look down on them, they all cooperate fully.

The advantage of concentration is that the operation is performed very quickly.After entering the iliac, bleeding was found."Artery!" Zhang Fan said.

The other two have also seen it!The arteries in this place are too troublesome to deal with!The possibility of docking is unlikely, but the embolism will cause atrophy of the lower limb muscles or hip muscles.

Zhang Fan, who didn't stop during the whole journey, hesitated a little, and the other two people also thought about what to do if they were the chief swordsman today!"What's your blood pressure?" Zhang Fan asked.

The anesthesiologist of the anesthesiology department is today's anesthesiologist, "Dr. Zhang, 8550mmhg, heart rate 60."

"No!" Zhang Fan was still preparing to dock the artery, but the patient's vital signs did not support it, so he had to give up!

"Tie!" Zhang Fan said.The first one didn't work, both Lao Gao and Lao Wang understood Zhang Fan's meaning.Lao Gao was about to persuade, but Zhang Fan immediately said another ligation. It seemed that the young man was calm, he was a genius for surgery.

After this set, Wang Dehua became jealous of Lao Gao.The two began to compete and compare as soon as they entered the hospital, and they fought until the position of the director, and there was no victory or defeat, but now Lao Gao brought out an evildoer who directly crushed all orthopedic surgeons below the positive height.

Lao Wang was jealous to death.If it weren't for the operation still in progress, he would have wanted to scold his mother!To be strong for a lifetime, as old as he gets old, he makes Lao Gao proud.

Speaking of the operation quickly, in fact, three people have done it for four hours.Damaged arteries, veins, and those that can be repaired should be repaired as much as possible, and those that cannot be repaired should be treated with the least damage.Zhang Fan's technique was so ingenious that many places would be damaged according to the methods of the two directors, but Zhang Fan cleverly avoided it.Lao Gao kept nodding, although he didn't say a word, his eyes looked at Lao Wang exuded a sense of pride.

Wang Weiping's vital signs were stable and the bleeding stopped.Lao Wang turned his head and motioned to the visiting nurse to wipe his sweat, and then said: "Doctor Zhang, your technique is not like our way. Both Lao Gao and I were brought out by the same master. You don't look like you!" Lao Gao's eyes were too responsive, and Lao Wang said unconvinced.

"When I was in Bone One and Bone Two, I always watched your two directors' chief swordsman, and I thought about it carefully when I went back. It was a little refreshing." Zhang Fan was no longer anxious at this meeting, and Wang Weiping was alive.

"Our philosophy in orthopedics is to be creative. This is what Dr. Zhang has done well, but we can’t be proud of it and we have to make persistent efforts. After you enter the department, every Tuesday will be a study day in the department. Then everyone can talk about yourself. The experience!" Lao Gao said cheerfully.

Comparing two people in a lifetime, they didn't make a difference. As a result, in the disciple generation, Lao Gao has already walked ahead.It's hard to justify the lack of ostentation and anger against the old king.

Lao Wang thought to himself: "Bullshit! If I have experience after seeing a few operations, then I can retire directly!" Rolled his eyes and glanced at Lao Gao, and then said, "Don't be proud of some people. If this situation continues, it is estimated that sooner or later this hospital will not be able to accept Doctor Zhang!"

"Make you proud, wait for Zhang Fan to leave, and see how you show off!" Thinking of this in Old Wang's mind, he was also quite balanced.

"Where I go, his introductory master is still mine. Gao will never have the surname Wang. In the future, when others talk about Zhang Fan, they will mention me, and I can be regarded as a bit of credit!"

The two kept bickering, and Zhang Fan was a little annoyed, and his mouth was too broken, and the two director women babbled like a woman.He doesn't understand how lucky it is to have such a lifetime professional enemy or opponent!Mutual flogging is making progress. If there is no Lao Gao or Lao Wang, their careers will not reach the current peak.

"The broken bones are not terrible, prepare to fix it!" Zhang Fan couldn't listen anymore, and stopped the two of them from bickering!Today he is the chief sword and has this right.

The operation went smoothly, the patient's vital signs were stable, and the atmosphere in the operating room suddenly eased.

The anesthesiologist said jokingly: "The two old men are not ashamed. Let's do the operation. From now on, Dr. Zhang will be in the world. Our time has passed!" The hospital he and the two directors of orthopedics entered at the same time!

As soon as they said this, the two sighed at the same time, glanced at each other, and vaguely saw the gray hair from the sideburns, "Yes, it's passed!" Lao Gao said softly.

Birth, old age, sickness and death are unavoidable, especially for surgeons. Once the prime time of a few years has passed, they will start to pay for themselves. As the eyes and physical strength decline, they gradually become more and more incapable.

The itinerant nurse is the head nurse in the operating room. After several operations, she already knew Zhang Fan’s status. She gently wiped the sweat from her head and said, "Doctor Zhang, how much time do you estimate? At the end, the food is over. The dean asked me to ask you what you want to eat. The hospital will be reimbursed today. Our nurse will follow you too!"

"Hehe, I'm casual, I have to ask your leaders about this. I am a soldier, what do you eat and what do you eat." In the operating room, except for Zhang Fan and the surgical nurse, the other leaders are leaders.What Zhang Fan said was correct.

The surgical nurse smiled quietly!She still didn't dare to make jokes with several leaders, the head nurse looked good, but was cruel to clean up people!

"Hands? Steak?" the anesthesiologist asked.

"Okay! Today the boss is kind, let’s eat steak. If you miss this meeting, if you want to make the boss so generous, I guess there is no chance. Now the boss is more and more inclined to the resources of internal medicine, and our bonuses are beginning to decline. Now, let's talk to the boss that day." Lao Wang said to Lao Gao.

"Okay, let's talk about it, now the doctors below are all complaining!"

Zhang Fan was not worried about this kind of thing. These words didn't even enter his ears, so they were blocked!

fixed!Stitch!Ligation, the operation is complete!The anesthesiologist and nurse accompanied the patient to the ICU. Zhang Fan shook his sore legs and turned his head to see that Lao Gao and Lao Wang were sitting on the basement of the operation regardless of their identities, sleeping on the wall.

Really old!