Medical road

Zhang Fan didn't want to go, but the nurse was very enthusiastic. If he didn't go, it would be a bit shameful and embarrassing!Zhang Fan bit his head and went in.The nurse's duty room is cleaner and tidy than the doctor's duty room, with a faint fragrance!Minato lie down alive for a while.result!Can't sleep, the pillow is full of faint fragrance.Zhang Fan can't stand it anymore!~

In the morning meeting, Liu Zhaoyun really couldn't stand it anymore. Sitting there listlessly, Zhang Fan and Xia Huadong were relatively better, after all, they were young.After explaining the work of the department, several bosses were guarding outside the department before the rounds.Liu Zhaoyun had to greet them. Sometimes the face of money is also very great.

After all, Zhang Fan's time in Chasu City is very short, and many people are not familiar with it.After the ward round, Zhang Fan went to the ICU again. Although there are specialized doctors and nurses to take care of him 24 hours a day, Zhang Fan was still uneasy. He went up and took another look. It was not bad. The vital signs were OK or not. Fever, the luckiest thing is that there is no epilepsy.Brain injury has a high chance of epilepsy.

After returning to the dormitory, after speaking to Shao Hua, he did not dare to turn off the phone. Dai Wen just didn't get out of danger, and there might be a call at any time.go to bed!I was nervous all night, lying on my bed, really comfortable!What is happiness? This is happiness. After staying up all night, I close the curtains and lie on my own bed comfortably. It's so easy!

Li Liang left the county hospital completely.No way, no hope!And the family also supports it, anyway, the family doesn't need Li Liang to subsidize the family, as long as he likes it.Since Ma Wentao has made money in surgery, he has taken care of it.What can make people crazy, profiteering!

Why does the hospital seem to not make money for many operations?Because all kinds of inspection equipment, supplies, houses, and infrastructure in the hospital have depreciation fees, these things are funded by the state, and a little fee is deducted every month!In addition, there are many medicines and equipment in the hospital, because the cost is very expensive anyway, so if you don't make money, doctors are unwilling to do it.

For example, the operation of a severed limb replantation costs 7,000 to 8,000 yuan for a finger, and the doctor will receive a fee of 20 for each operation, and then a bonus. About one such operation is only about 100 yuan, because of this operation. Almost no consumables are used, and it takes time. There is no three or four hours. Don’t even think about doing it. The most important thing is that 90% of this kind of trauma is in emergency department. You have to worry about it for a long time. Survival, so doctors in this department are reluctant to do it.

This market was left to private hospitals. Ma Wentao's operation was very angry, but the effect was particularly obvious.Old Chen took Li Liang to find Ma Wentao. Ma Wentao offered five thousand, and Li Liang turned around and left.Let Ma Wentao stop, because he knew that the group of people with Zhang Fan could be considered technically.The final salary was 5,000, but 3% of the operation fee was given to Li Liang and 5% to Lao Chen.A house was also arranged for Li Liang!

Then there is market ownership. Although mines and other places will give Ma Wentao face, hospitals and doctors in counties and townships will not give face. Not to mention that he is only a second generation, even if it is a generation, it may not be useful, because there is Too much mess.What about places where power cannot be involved?Then money clears the way!

Salesman, starting from the county hospital below to the township hospital and then to the private clinic, as long as it is a place with a medical nature, they all ran over. No other sickness is needed, as long as this kind of limb needs replantation.

No one in public hospitals, this market is left to Ma Wentao!The clerk said to the doctors in the county and township that for a single operation, 30% of the operation fee will be settled when the patient is discharged from the hospital.

crazy!The surgeons in the surrounding counties of Chasu City are crazy. The regular hospitals are not willing to perform this kind of surgery. Now there are places where they can take the initiative and return the money.

The first surgical patient appeared!A young man in his twenties, when cutting grass for his family's livestock in the afternoon, accidentally cut off the three fingers of his left hand.Sent to the county hospital, the surgeon from the county hospital sent directly to Ma Wentao's hospital.

Two hours had passed by the time I arrived in the city.This kind of surgery is said to be difficult, it is difficult, time-consuming and the technique is not good, the chance of survival of the finger is not high, even if it is alive, it has no function.

Human fingers are not leeks, and they won’t grow longer if they are cut.If you want to perform microsurgery operations, you must have tools and equipment. First, a microscope that can automatically change the magnification between 6 and 30 times, and when you change the magnification, you can maintain a clear view without adjusting the focus.It must also have two sets of mirrors for the surgeon and assistant, and a cold light source.

Zhang Fan slept, and after dinner at Shao Hua's house, he was about to go for a walk with Shao Hua. Recently, the old man stopped playing chess with Zhang Fan.Zhang Fan is relieved, and recently there have been more relatives coming to the house. Aunts and aunts are always picking Zhang Fan to visit when he is at home.

As soon as Zhang Fan and Shao Hua were about to go out, they received a call from Ma Wentao, "Doctor Zhang, where are you, hurry up! There is a major operation, and you have to get started."

"I'm at my girlfriend's house, what kind of surgery?"

"Three fingers were severed! People have already arrived in the operating room. You said the address I will pick you up." After Zhang Fan reported the address, he smiled apologetically to Shao Hua.

"Then I will send you to the gate of the community! Pay attention to yourself. The labor intensity is too high. You stayed up late yesterday and you have to have surgery today. There is no need to work hard. Your salary and my salary are enough for us to live!" Shao Hua arranged the collar for Zhang Fan, and said to Zhang Fan with some distress.

"It's okay, I'm still young! And I like this too, don't worry, I will definitely rest when I'm tired, but I'm a bit sorry for you, you see, I've been too busy lately, I haven't been with you for a few days!"

"It will be a long time in the future! Don't worry! Let's go and I will send you out."

The tea market is not big, and the two of them stood at the gate of the community for a few minutes. Ma Wentao drove to pick Zhang Fan in person, a Mercedes-Benz, like a matchbox in all directions!

"How about it, am I satisfied with being a driver for you myself?" After getting acquainted with Zhang Fan, Ma Wentao also started joking with Zhang Fan!

"Is it a cut injury or a crush injury?" Zhang Fan ignored him and asked what he was concerned about.

"The incision, Director Chen said, I didn't dare to look at the patient! It was wrapped in gauze when I came. It has been treated at the county hospital." Zhang Fan was so boring, Ma Wentao suffocated his mouth.

There shouldn’t be too many people who want to be friends with Ma Wentao in the frontier. As a result, Zhang Fan didn’t give any face, and Ma Shaoye felt a little frustrated. "Is the Laozi official not big enough?"

Zhang Fan entered the operating room, Lao Chen and Li Liang had already started cleaning work, Zhang Fan took a look, it was okay!It is a cut wound, the edges are neat, and the fingers are well preserved.

This severed finger preservation is exquisite, and a dry and refrigerated environment is the best.Never allow the severed finger to come into direct contact with the ice cubes, which will cause frostbite.Don't soak the severed finger in any liquid, this is not making kimchi!

In the operating room, the three severed fingers have been marked and stored in the refrigerator at 4 degrees Celsius.Finger severed surgery must race against time. The longer the time, the lower the chance of survival. If the time is too long, the degeneration of muscle tissue will release a large amount of toxic substances such as potassium ions, myoglobin and peptides into the blood, which will cause systemic symptoms of poisoning.

Zhang Fan washed his hands and disinfected, put on his surgical clothes and went to the operating table. Without much talk, he started the operation directly."Debridement!" Zhang Fan said simply.Lao Chen and Li Liang were very comfortable with Zhang Fan's surgical habits. They could not speak as much as possible, and they were also very concise.

During the debridement and debridement process, Zhang Fan had already found the blood vessels, nerves, and tendons to be repaired.When the limb is replanted, the broken bone must be fixed first, and the bone must be trimmed according to the injury. This step is very important. If the trimming is not appropriate, it will affect the repair of other tissues later.And this operation needs to be fast, because it is not one finger, but three!

One is an operation, and when choosing a repair, you must first choose the least injured one. The principle of this operation is to save and repair the ones that can be saved.For bone fixation, finger plates are generally used in public hospitals.In private hospitals, Kirschner wires or steel wires are generally used. In this regard, private hospitals have already taken the lead!Zhang Fan's speed is very fast. For this kind of incision, the two crossed Kirschner wires are directly connected with an electric drill.The finger bones are flat bones. If the electric drill is too strong, the finger bones will be broken!

Tendon sutures, tendon sutures need to be sutured with important tendons, and the rest do not need to be sutured. This kind of operation is simply a race against corrupted cells. Whoever runs faster will win.

Suture blood vessels.The blood vessels and tendons are different again, too delicate!You can hold bones and tendons at will!But the blood vessels are not good. As long as the internal injury occurs, this thing will cause trouble for you. Even if you are stitched up, you will become a dead blood vessel. Why, the endothelium of the blood vessel is damaged, and it blocks the damaged place by itself!So suturing blood vessels is time-consuming!Fixation of orthopedics and suture of tendons can be performed under the naked eye, but blood vessels must be operated under a microscope.

Finally, the nerve suture, the system is too powerful.This kind of nerve does not have five years of work experience in microsurgery, so don't think about suture successfully.And Zhang Fan has done it countless times under the systematic training, relying on the attitude of the liver!The cumulative number of these operations is estimated to become the top three sub-high in a region!This number can be imagined by Zhang Fan's effort.

Once one is completed, this is the first step, and there are two more.Old Chen was a little dazzled with one finger. The microsurgery was too arduous, he was old!Cruel?Surgery is so cruel, you can't do it when you get old!

The heart-wrenching old Chen gave the position of Yizhu to Li Liang~!Zhang Fan wouldn't care about Old Chen, there are two more.carry on!There is no time to explain to them now.Look first!I'll explain it to them when I'm familiar!

After more than three hours, the operation was over.This operation is done sitting on a stool.Keeping his head down, Zhang Fan didn't raise his head several times for three hours. After the operation, he shook his sore neck.

"Be sure to change the dressing on time to prevent infection. The side light is careful not to scald the skin. The affected limb must be too high above the heart. Smoking is strictly prohibited, and no one is allowed to smoke in the ward. All the small blood vessels are repaired. Once the spasm is in trouble!" Zhang Fan carefully explained a few words to Li Liang.

After taking off his surgical clothes, he did not rush to find Ma Wentao. Pulling Lao Chen to sit on the floor of the operating room! Old Chen is very sluggish! Zhang Fan wants to enlighten and enlighten Lao Chen, but he doesn't know how to speak!