Medical road

Surgery preparations are fast, and China is one of the few countries where the finances can advance medical expenses. No matter what, the country is actually advancing, developing, and improving.There are relatively fewer cases of evasion in hospitals.

In the early years, when the township hospital was still able to perform caesarean operations, when the county hospital was still very useful, many people without money threw sick family members or children in the hospital and left!This is the cunning and helpless cunning of the petty citizens, because there is no money.

Then, the township hospital or county hospital directly gave the treatment and took care of the meals!Then after he was cured, the patient's family members came.Bring wheat or flour to pay for it!This kind of thing is not a single case, it is very many.

Now that this phenomenon occurs, the first thing the doctor thinks about is not treatment, but whether someone will come to look for the bill. It doesn't matter if it is cured, can it be cured?Who dares to reach out!

Then, as people flocked to the cities in the past few years, the farms shrank, and the township hospitals were like abandoned temples. There were not a few people in the lonely building!Medical accidents have been greatly reduced, but this unit has also become an inflamed appendix, and it is time to cut it off!

Lao Yang, this lonely old man who is not even a temporary worker in a series of sanitation workers, entered the operating room with a few steel bars inserted in his stomach. It was too weird. As the surgical cart moved, this steel bar was like a chicken that had shed hair. Like wings, it dangled with the fat in Lao Yang's abdomen.

Once in the operating room, Zhang Fan’s expression immediately changed. He always laughed. He always laughed when he saw anyone. It was kind of a humble smirk. It’s a habit since he was a child, and he still can’t. change.

But this is also good. Zhang Fan’s smile makes the patients he sees very satisfied with Zhang Fan. “Doctor Zhang is not only good at medical skills, but also polite! He always smiles. It makes people feel warm!”

But as soon as I entered the operating room, the smile on his face disappeared. Although he was wearing a blue disposable mask, his sharp eyes were no longer the one who laughed at everyone. At this time, Zhang Fan was a murderer. General, hold the knife with light, and return only after seeing blood!

"Speed ​​up blood transfusion! Give cardiotonic drugs, correct acidosis, open three channels, dilate blood vessels, and see urine to supplement potassium!" Now Zhang Fan is really too good. According to the doctor's order, only his voice is in the operating room.

Lao Gao from the orthopedics department and Lao Li outside his chest stood silently opposite Zhang Fan, holding hands!The anaesthetist and nurse swiftly implemented Zhang Fan's medical order.

Anesthesiologist, a special doctor in the hospital.In the early years, the anesthesiologists all had a clinical background. Later, there was an anesthesia department and a professional anesthesiologist.In the hospital contempt chain, physicians look down on surgeons. Internists think that surgeons are too rough and don’t understand anything, so they will cut!

The surgeon looked down on the anesthesiologist, "They don't understand anything, so they play a painkiller!"

On the operating table, the anesthesiologist and the surgeon are in a cooperative relationship, not a subsidiary relationship, so the average surgeon cannot direct the anesthesiologist.

But in the city hospital, Zhang Fan is a special case, the technique is too powerful, and there is already a tendency to crush, and in the operating room, Zhang Fan is too difficult to deal with, his face is frosty, and he is angry!

He gave the doctor's order and the anesthesiologist had no courage to refute.The record, Zhang Fan's record is too dazzling, not to mention the general anesthesiologist, even the director of the anesthesiology department treats Zhang Fan respectfully on the operating table.He respectfully respects Zhang Fan's technique and respectfully Zhang Fan's level!This is the technical unit!

"Dr. Zhang, you can start the operation. The patient's vital signs can support the operation now!" The anesthesiologist reported to Zhang Fan.The patient is in a critical condition, and the anesthesiologist has to be cautious. In general operations, after the anesthesiologist is anesthetized, it is usually one sentence, two words, do it!Then I started to write anesthesia records, which will definitely not be as formal as it is now!

"Disinfection!" Zhang Fan is no nonsense, and with a word of disinfection, the doctors on the chest are starting to disinfect!

Lao Yang is too thin, and the fat layer on the abdominal wall is very thin. Use a round knife to gently pull the skin away. The fat layer, the yellow fat layer is very thin, almost not the upper layer!There is no need to pull the belly hook, the small hook is done.

Obese people, especially female obese patients, undergoing abdominal surgery is a direct nightmare for doctors.Surgical incisions are delicate, not to open the abdominal cavity directly.

The surgical incision is layer by layer, looking for a gradual cut. Cut the skin and stop bleeding. Then peel off the fat layer. There are blood vessels in the fat layer, which also needs to stop bleeding, and then reach the muscle layer. If the muscle layer is not needed When it is broken, it is blunt separation. In layman's terms, it is to use a knife handle or use your fingers to open a hole along the texture of this muscle!Then there is the peritoneum.

Just like peeling an onion, peeling layer by layer, if it is a two knife, one knife goes straight to the abdomen, not to mention the danger, it is also a very serious sequelae after surgery.

For patients with thick abdominal fat layer, doctors really have a headache.An obese female patient, when the skin was cut, the plump yellow fat directly broke the incision, and the fat flowed out like a yellow peach-flavored jelly!

This is nothing. The most difficult thing is the thickness of this fat. Five centimeters thick is nothing. The small hook is directly useless, and the upper abdomen hook must be used.

Back then, a gynecologist transferred to the department of gynaecologists who performed a caesarean section, and when the final suture was completed, he actively asked for sutures. As a result, the patient's fat layer was thick and slippery, and the fat was grease, a good melting lubricant.

As a result, the suture needle fell from the needle holder into the fat by accident!Then, in just a few seconds, with the slight tremor of the muscles, the suture needle was swimming in the fat layer and could not be found!The teacher's face turned pale at the time!

All three of them are masters, and the operation is very fast. When the abdomen was opened, the well-informed Lao Li almost vomited out.After the steel bar was inserted into the stomach, it was directly inserted into the intestine.Both the small and large intestines were punctured.

The evolution of the human body is very scientific. Every node in the digestive tract from top to bottom has a door. How can I say that the junction between the esophagus and the stomach is a spray door. This door prevents the stomach acid from entering the esophagus. The small intestine has a pylorus, and there is a gate from the small intestine to the large intestine.So it is impossible to spray manure with a mouthful!

The contents of the small intestine are chylo-like food to be digested, while the contents of the large intestine are feces.After the steel swab pierced the intestinal wall, the contents of both the large and small intestines flowed out.

The green ones are the indigestible leek leaves and the chewed leek leaves, dotted with stars covering the abdominal cavity, and then yellowed by the feces in the large intestine, like egg yolk on the leek, covering the abdominal cavity!The sour smell is coming!

"It looks like the scrambled eggs with leeks for the evening!" Old Li said after suppressing the sickness that surged.

"This is not an egg, the egg is not so sloppy, it should be the scum on the leeks!" Lao Gao didn't feel good!

Speaking can reduce this feeling of nausea. Although there is no scientific basis, when you see something that is very disgusting, you can speak up and describe the disgusting thing in front of you. You will never spit it out. The doctor has mastered this skill with perfection!

The sour, fermented smell is like aged tofu covered with hair, which is too unpleasant.The visiting nurse was immediately dissuaded, "Uh! Uh! Uh!" Like a pregnant woman, her hiccups kept going, and within three minutes of running out, the head nurse came!

"Hey! You guys are so disgusting, you are already stinking to death, and then leeks, fried leeks, and eggs fried leeks. We Xiao Chen directly vomited!" There is no way, the head nurse will replace the traveling Xiao Chen.

"Hehe, I'm still young, the head nurse is the head nurse, and there is no response at all." Old Li was a little embarrassed.

"I have rhinitis, I can't smell it~! I can't smell it! ~ Haha!" For the first time, the head nurse felt that this rhinitis was still good.

rinse!Keep flushing!This operation is too cumbersome. The intestinal breach must be patched one by one.Lao Gao and Lao Li are uncomfortable and nauseous, but Zhang Fan is also uncomfortable!The smell is too sour.The smell of disinfectant in the operating room can't be suppressed at all.

The two of them desperately said disgusting things, but Zhang Fan did not say anything and could not join anymore. If even the anesthesia and equipment nurses said vomiting, it would be troublesome. When the abdominal cavity was opened, Zhang Fan was sour and smelly. The left hand pinched the back of the right hand, desperately pinching, the left hand definitely pinched the right hand!

Nausea takes only tens of seconds. People are still very resistant. After the first wave, they will be fine. At this time, even if they spray this leek with yellow soup on their faces, they will not be sick. Up!

"The head nurse, add metronidazole files to the saline for cleaning! First come 1000 mL." Zhang Fan said to the head nurse.

Cleaning, non-stop cleaning!The yellow-green feces were finally washed away."Change gloves!"

After changing his gloves, Zhang Fan poured salt water into his abdomen and submerged his intestines, and said to the head nurse: "Head nurse, use nitrogen."

"You will bully your sister!" The head nurse said to Zhang Fan coquettishly.

"It's not that Doctor Zhang gave you nitrogen! It's not a bully!" Old Li started driving.

"Devil!" The head nurse gave Lao Li a blank look, and the director also joked with the head nurse, because they are all about the same age, these directors have to keep a little face to the young nurses.

There are too many places where the intestines are pierced. You must look for air leaks in that place like a balloon!How to fight, simple!It is a plastic nozzle like a car tire. After inserting the chrysanthemum, it starts to pump air slowly into the intestines.

This treatment method has no major sequelae, that is, there are more farts after the operation, which is more serious, like a continuous shot.And sometimes, there may be hiccups within a few days after surgery, or a full hiccup with the smell of stool!

"Off!" Zhang Fan saw a bubbling place.Then start stitching.

"open!"

"turn off!"

Repeatedly, finally no bubbles were seen.

"Alright, head nurse, remove the handle." Zhang Fan said to the head nurse after reconfirming.

"Hey, it's really miserable, holes full of intestines!" Old Li said sympathetically.

"This is okay, the steel sign is not thick, I guess the old Wang next door will be in trouble. The branch is not a steel sign!" said the head nurse.

When I said this, it was cold.No one paid any attention to her, and she also felt that something was wrong, so she quickly wiped the doctors with gauze.

After the abdomen is cleaned, begin to close the abdomen."Doctor Wang, help to seal the abdomen." Zhang Fan said to the attending doctor outside his chest.

"it is good."

Under normal circumstances, Zhang Fan would not leave the operation to someone else, but he can't do it today. The operation must be accelerated because he still wants to see which operation is next door.

No matter what the family is, no matter what the patient is, these are not important. Doctors, when putting on a white coat, they must close their emotions and speak with professionalism.No matter who the opponent is, no matter how high or low, no matter how big or small, you must go all out.

Patients can put their lives in your hands. This is a great trust. Please cherish this trust. In this age of money first, this trust is precious!

If the chest is not serious, Zhang Fan is going to go to the next door to have an operation in advance.

The chief outside the chest sutured the abdominal incision.Zhang Fan, Lao Gao and Lao Li are ready to open their chests.

As for the Lao Wang next door, this would be really awkward.The scalp was numb.After opening the abdomen, inside the little girl's belly, it was not as disgusting as Lao Yang next door.The little girl drank beer without eating at night. In order to lose weight, she didn't eat much on weekdays, so her intestines were fairly clean.

What makes Lao Wang feel numb is that the little girl's intestines are rotten.The branches of the tree are not steel bars. The steel bars are thin and straight. Even if they penetrate the body, they are just right.

But this branch is troublesome, too troublesome, several intestines have been inserted and eroded, and bleeding is not the most troublesome thing.

The most troublesome thing now is the necrosis of the intestine!This is the case in several places, vaguely, the intestines are a little bit blue, this is because the blood can not return and the color of the intestines becomes heavier.

"Xiao Li, go and see what step Zhang Fan and the others have done." Lao Wang, afraid to start, said to the itinerant nurse.Because if the little girl’s operation was performed according to conventional methods, there would be little intestines left.Performing the operation according to the conventional method becomes a typical operation perfect, and the person is dead!

At this time, it is not the time to talk about face and medical status!Pharaoh is ready to ask for help!

"Head nurse, Director Wang asked me to ask what step Dr. Zhang has done in their operation."

"What's wrong next door?" Zhang Fan immediately raised his head and asked before speaking.

"The intestinal injury is severe, Director Wang asked me to come here and ask."

Zhang Fan, who was already a little anxious, became even more anxious.This is not what Zhang Fan can do. No matter how much he can do, he will live up to the system that God opens his eyes and let’s not talk about it. First of all, this is a matter of human life. You must use as much force as you can. This is the doctor!A well-qualified doctor will do this, whether there is a system is the same.

Opening his chest, Lao Yang's life was big, but his ribs were severely broken, but his lungs and heart were all right! Fortunately in misfortune!

"Director, I'm off!" Zhang Fan stopped and said to Lao Gao and Lao Li.

"Hurry up! I guess Pharaoh is in big trouble!" Lao Gao said.

Zhang Fan didn't talk nonsense and stepped down directly.Take off the surgical gown. This is a pollution operation and you must wash your hands again.Just when Zhang Fan took off his gloves with both hands and caught the strap of the surgical gown, the system that hadn't spoken for ten thousand years made a sound!