Medical road

For cardiothoracic surgery, Zhang Fan started to work alone. Compared with other departments, the cardiothoracic surgery is much easier. The young nurses have time to sit and chat together. Zhang Fan reads and learns in the department. Medicine is a lifelong task. Just have to learn.

This hospital department is very fair, with more busy money and less spare money.Many older nurses want to come to the cardiothoracic surgery department. There are few patients and there is no need to stay on night shifts. Doctors are unwilling to come.

Zhang Fan’s first cardiothoracic surgery number came. At more than eight o’clock in the evening, 120 sent a number. A male patient in his 60s. The patient had sudden shortness of breath, cough, and difficulty breathing, and he was sent directly. Cardiology.

The cardiologist at the Department of Cardiology was Dr. Ye Jingye, who was instructed by Zhang Fan. She found that the old man’s heart had no problem after examination, but it was too fast, but the old man’s lung auscultation on the left side of the chest disappeared, and percussion showed a drum Yin, "Quickly, call the cardiothoracic surgery department and ask the doctor in their department to come for consultation!" Ye Jing said to the nurse on duty.

The consultation in the hospital must arrive within five minutes. Although the surgery building and the internal medicine building have passages, they are not the same building. Zhang Fan had to run, with a stethoscope, all the way through the corridor and across the courtyard.This kind of situation happens every day in the hospital, and the doctors and nurses will give way in advance.

After Ouyang came to power, this rule became stricter, and bonuses will be deducted if he fails.Zhang Fan went to the Department of Cardiology. Ye Jing saw that it was Zhang Fan and was very surprised, but it was not the time to reminisce about the old days. At that time, Ye Jing had an accident and Zhang Fan didn't say anything. Ye Jing was also very grateful to Zhang Fan.

"Dr. Zhang, come and take a look, spontaneous pneumothorax. I have asked about the medical history and there is no history of injury!"

Zhang Fan lightly smiled at Ye Jing and quickly turned into a serious face. The hospital has an emergency number for treatment, and people are dying of pain. You smile again and again. People who don’t understand may happen. dispute.

Zhang Fan did a quick physical examination, and found that the old man was suffocating more and more severely, "No! It must be operated immediately. Quickly transfer to the department and transfer the patient's stuff to the cardiothoracic surgery." Zhang Fan said to his heart. The doctor and nurse said.

"Okay, you go quickly. We'll contact again when we're done." Ye Jing said to Zhang Fan.

"Okay, I'll go first." Zhang Fan helped the nurse to run towards the surgery, while running while calling the director of the cardiothoracic surgery department, but the phone was connected, and the director's wife answered the phone, "He is drunk! "

Zhang Fan hung up immediately, and then called the chief Tang Xiong outside his chest. Tang Xiongxiang was from the frontier of Zuo Zongtang’s ancestors. He was a descendant of Tsarist Russia and later settled here. The south is no longer visible. The shadow of a person, a big beard on his face, the people are everywhere.

"Brother, a patient who is about to rupture a large alveolus. Now he is suffocating badly and has an operation. You are coming soon."

Tang Xiong didn't talk nonsense. He was going to be with his wife and took off his pants, but he called and he had to leave now.Tang Xiong left the house while his wife gritted his teeth.

The operating room is ready. When there was no laparoscope before, this would be a major operation and the chest had to be opened!Now it is not too big to have laparoscopy, but the difficulty is not small. Tang Xiong is a newly promoted attending officer, and he can't perform laparoscopy outside the chest.

The difficulty lies in the chest. General surgeons can remove the laparoscopic appendix in one year, and they can perform cholecystoscopy in three or four years. Try a thoracic surgery. Clear in the mirror. You can clearly see the heart beating, the major blood vessels beating, and the hand shakes slightly, puncturing a blood vessel in the chest cavity, then it is over. There is no chance of rescue.

The abdomen fault tolerance rate is still a bit higher, so this department cannot develop in the northwest, and no one wants to learn it. The risk is high, the difficulty is high, and the source of disease is not many.Many people have heart problems and have to undergo surgery. As long as the conditions are slightly better, almost all families go to the provincial capital hospitals, directly avoiding the top three in the area.

"Brother, you told me to come too bad, I can't do this operation." Tang Xiong went to the department to see that the director was not there, and asked again, the director was drunk!Tang Xiong was dumbfounded. It's okay if he doesn't come. Once he comes, the patient dies, and it's trouble!Although anxious, but not angry.

"Go on, can you help me with the mirror?" Zhang Fan said to Tang Xiong looking at the X-film.

"No, this can't be a joke, that! Can you really do that thoracoscope?" Zhang Fan could hear Tang Xiong's spitting voice.

"Yes, it's not a big problem. The pulmonary vesicles of this patient are on the edge. It is easy to do. It will be OK as soon as you go in. Who supplied the equipment here." As soon as Zhang Fan said this, Tang Xiong I was a little settled, and even knew about the equipment manufacturer, and it seemed that he had not done less surgery.Moreover, Zhang Fan was the person who ordered the generals by the dean, so he should be reliable.

"I will contact you now. It won't delay your operation. Which one do you want? A domestic clip or an imported one?" Tang Xiong asked. He is not the chief surgeon and has no right to decide.

"You use the one you usually use. You are more familiar with this." Zhang Fan handed the decision to Tang Xiong. People can take the risk and follow you for surgery. If you don't give me any benefit, call next time. If you can still call people, it's a hell!

What Zhang Fan said, Tang Xiong ran faster, he understood what Zhang Fan meant!What to sign or talk to, Tang Xiong rushed to do it, "Doctor Zhang, all right!"

"Okay, let's go for surgery!" Zhang Fan took the lead into the operating room.

With the development of science and technology, the operation is becoming more convenient and simpler. In the past, this operation had to open the chest, cut the lung bullae, and then carefully suture the leaking part. The operation time was at least five or six hours.Don't use it now, a long absorbable bioclip.Just hold it directly along the lung bullae, it clicks, clicks, the sound is beautiful, the damage is small, and the operation time is short, but this is based on RMB, and it costs three thousand clicks!A click is three thousand.

Tang Xiong held the mirror and looked at the clip operated by Zhang Fan from the display, and started to clamp the lung bullae little by little.Before the operation, Tang Xiong had nothing to worry about, but seeing the beating heart and the beating aorta on the monitor, he was sweating a little.

Looking at Zhang Fan quietly, he didn't look like that kind of reckless person.The arrow has to be sent on the string, now it is too late to stop it, the mirror has entered the chest cavity!He couldn't do it again, so he had to cooperate fully. If something really happened, Tang Xiong had to recite the main responsibility. Who made him a superior doctor.

Zhang Fan didn't pay attention to Tang Xiong at all. Once the operation was performed, it can be said that Zhang Fan did not recognize his six relatives.A little bit of exchange of the forceps peeled off the lung tissue. The lungs of the elderly were not pink anymore, a bit like crimson, with various black and gray spots inside.

"The mirror is too high, be careful of the artery next to it. Pull it back a bit, yes!" Zhang Fan directed Tang Xiong while looking at the monitor.

After the separation is completed, the clamping is started. Tang Xiong is relieved when the operation is done. Zhang Fan is very skilled. The separation and peeling movements are gentle and accurate, not to mention fast. It is like their director who has an endoscopic operation and feels like flying an airplane. !He scolded the doctor below.

Starting to clamp, click, click, and click Zhang Fan used four clamps, and Tang Xiong's face smiled into a flower. If it weren't covered by a mask, he could definitely see the back alveolar!

After clamping, after gently cutting off the lung bullae, he said to the nurse, "Tissue bag." Then, he put the cut tissue in, and said to Tang Xiong, "Doctor Tang, this sick number is yours." , I will give you the medical examination."

"How embarrassing you are, you are on duty and you will be treated, otherwise I will never help you again!" Tang Xiong said very firmly. They are all face-seeking people. They have already benefited from the surgical instruments, and even the patients are robbed. It's really bad.So Tang Xiong also insisted.

"Well, Brother Tang, I'm sorry to trouble you today, go home quickly, I guess my sister-in-law is waiting in a hurry!" Zhang Fan said politely, making Tang Xiong blush!

"Good, good! I'll go back quickly. Just work hard!" Tang Xiong hurriedly took off his surgical gown and hand-washing gown while supporting."Hey! I have to take care of the tigress when I go back, my waist! I have to let the Chinese doctor adjust it in time!"

Zhang Fan began to give medical advice to deal with the sick number.This sick person is also an aboriginal in Chasu City. Several of his children contacted Shao Hua's father around the corners.

Shao Hua's father has been a farm worker throughout his life, and it is really rare that people have been asked to the door.This time, it was the former farm secretary who brought the patient's family members to the door.Old Shao blushed and glowed.There is face, this person is like this. The secretary who used to be aloof came to ask, but Lao Shao probably didn't hear anything clearly, so he agreed!

Shao Hua's mother trembled with anger.There are too many people to say anything. After the door-to-door person left, he said to Lao Shao: "What do you promise? No problem. What trouble do you make to Zhang Fan. Then, what will Zhang Fan think about you? Look at Huazi."

"It should be nothing. I'll ask first. If it doesn't work, then forget it." Lao Shao's head cooled down as soon as he heard it.Don't make it difficult for your daughter.In the evening, during dinner, Lao Shao Qiqi couldn't tell, because recently, when playing chess, the old man bullied Zhang Fan too much.Zhang Fan, who often kills, becomes the commander of the polished rod!

The meal was almost finished, Shao Hua's mother stepped on Shao Hua's father under the table.

"Well, Zhang Fan, for example, your doctor will take more care of the patient, explain to the nurse, and arrange a ward with fewer individuals. Isn't it simple? Isn't it troublesome?"

Zhang Fan knew when he heard that the old man wanted him.Because the old man never took the initiative to talk to Zhang Fan about the hospital.Zhang Fan thought for a while and said, "It's not too difficult, what's the matter, uncle?"

"A friend of an old colleague of mine is hospitalized. I want you to take care of it and say hello to the nurse. My colleague's friend is not too young, and the children at home are not at ease."

"No problem!" Zhang Fan said."But I also have a request, I want to talk to my uncle."

Both Shao Hua's father and Shao Hua's mother were stunned.I really will look for opportunities!It's easier for Zhang Fan to refuse directly than to deal with each other!Shao Hua looked at Zhang Fan. Although she believed that Zhang Fan was not the kind of caregiver, she was a bit surprised today. Shao Hua bit his chopsticks and waited for Zhang Fan's following, but did not stop.She believes in Zhang Fan.