Medical road

Fear, for adults, there are too many things that can bring them fear, such as riding in a bumpy little plane like a tractor.The biggest fear of children is to leave their parents.

Bart was lying on the flat car with antibiotics on one hand.The operation was too big, and antibiotics were routinely instilled one day before the operation.The other hand was holding the corner of the hospital gown tightly. Although it was covered with the quilt, the buckled body was still obvious.Turning his head sideways, his big innocent eyes looked pitifully at the far away parents.I wanted to cry, but looked at the two sisters in white coats beside me, but didn't dare to cry.

The operation flat car disappeared at the end of the corridor. Mother Bart didn't know what to do. The two hands were shaking and didn't know where to put them. They kept rubbing and rubbing each other, muttering in their mouths.

Huaguo Hospital, as long as it goes to the comprehensive third level.There is a rule, three super large departments, general surgery, respiratory, orthopedics, and many hospital leaders are from orthopedics.Then there are all kinds of high-end orthopedics, but it is strange that such a tall place can't even connect a little finger.

Zhang Fan was already waiting in the operating room.Bart was the sick number of their group. Originally, she wanted to put Wang Yanan on the operating table, but the girl was a little uncomfortable these days, so she asked Xue Fei to come on. She didn't know what kind of business he made with Xu Xian in private.

Xu Xian happily entered the operating room, looked at Director Gao, and then said to Zhang Fan, "Dr. Zhang, I will be the third assistant in this operation, okay? Teacher Xue has a little diarrhea."

Before Zhang Fan spoke, Lao Gao said, "He is itchy again. Why do you think he doesn't grow at all." Zhou Chengfu left. Although he left quietly and silently, Lao Gao was still a bit sad. .

Xue Fei and Zhou Chengfu were the disciples he brought out when he was in the most difficult time. They can't talk about their sons, but they are also the two with the deepest feelings. The scene of the three people holding together for warmth is vivid.But now, one has left the master for his own future.And the other one is directly indifferent.

Although Zhang Fan is also considered as his disciple, he always feels something is missing for Zhang Fan. Perhaps what is missing is the process of training.Zhang Fan got up too fast, he hadn't noticed yet, he was about to look up.So when it comes to Xue Fei, Lao Gao gritted his teeth a bit.

Everyone knows about Xue Fei's problems, and Zhang Fan can't explain it even if he wants to explain it. Xue Fei is definitely not in the department at this time. Maybe he had already played mahjong with his aunts.

"Xiao Xu, which major are you?" Pharaoh asked with a smile on his face, gleeful.Lao Gao's disciples are proud of him if they are not up to date. Compared to Lao Gao, his disciples are much more powerful. Several of them are better than one, but they can't be compared with Zhang Fan!

"Director Wang, I graduated from spine orthopedics." Xu Xian had already stood with Zhang Fan to watch X-rays and MRI, but when he heard Lao Wang's question, he turned around and answered.

"Oh! Spine and Orthopedics, how did the hospital assign you to the Orthopedics of Joints? Isn't this a waste? It's inappropriate. I have to ask."

After Xu Xian decided to take the department, the orthopedics department was divided into three, so there was such a thing.When Pharaoh said this, Xu Xian couldn't answer the conversation.

Xu Xian was practical and capable. Of course Lao Gao couldn't bear it. He rolled his eyes at Lao Wang and said, "What's wrong, he is an orthopedic doctor first."

"Take the patient number!" The head nurse's voice came over.The head nurse in the operating room helped the visiting nurses get Bart in."Children, don't be afraid, it doesn't hurt at all, you'll be fine as soon as you sleep." Then lightly touched Bart's small face with raised hair and goose bumps.

Little Bart was lying on the bed, holding the head nurse's hand tightly with his hand without the injection.Don't look at the head nurses who are usually devilish, but they really have an affinity for children.

"Sister! Don't go!" After the head nurse was sent to the place, he was going to talk to Zhang Fan and the others.After coming out of the ward, Bart, who hadn't spoken all the time, spoke blushingly.

"Oh, haha, good, obedient, sister won't leave." The head nurse is really happy, and she can let such a pure and innocent child call sister, she is really happy, and her heart blossoms.

Bart, who is like a lamb, although nervous and scared, the soft-spoken comfort of the head nurse is the only thing he can rely on in this strange and strange place.

Putting his little hand into the quilt, and then shaking and took out something, "Send you, Shishi!" Bart did not know where he took out a bone that looked like an animal, and it looked a little jade. It's Bart's beloved thing.

Bart's pure eyes are like Wang Qingquan.The young head nurse, who had experienced many winds and rains, suddenly had a sore nose and tears came down.

"Thank you! Sister no."

"Sister, take it! Shishi, bless you."

"Yeah! Sister take it, sister take it! You will be the younger brother of the elder sister from now on." Although he doesn't know what surgery is in the strange environment, he also knows that it is not a good thing.

Innocent, pitiful, but with a very sincere look, it directly touched the head nurse, who can be considered a storm in the operating room."Hey! What is missing is precious. The sincerity of the children's world is so precious in the adult world." Lao Gao also felt a little deeply moved.

"Yes." Old Wang nodded involuntarily.The head nurse held the wolf stone given by Bart, and the other hand held Bart’s small hand, tearing uncontrollably until Bart was slowly anesthetized and lethargic!

"I'm going to wash my face. Zhang Fan must use my heart!" The head nurse said to Zhang Fan, standing in front of the operating room.

"Relax!" Zhang Fan nodded.Itinerant nurses disinfected Xu Xian, and Zhang Fan, Lao Gao, and Lao Wang brushed their hands.Spread the bills, cover the hole towels, and everything is ready later.

Zhang Fan put on his gloves and took the scalpel handed by the instrument nurse. The alcohol cotton ball wiped the skin that was about to be cut.Turning his head to look at the clock on the wall of the operating room, he said softly, "The operation has begun."

Bart is lying on his stomach.In this position, there is a special operating table.Many people have gone to the big bath for bathing and massaging. That's the kind of bed that has a hole at the head of the bed to put your face down.

Zhang Fan's chief sword, Lao Wang Yizhu, Senior High School Second Help, Xu Xian Third Help.Zhang Fan's surgery was originally performed at a relatively low air pressure. Before the operation, Bart was brought here all of a sudden, and the atmosphere of the operation became even lower.

No one has the desire to speak, this may be the sadness of adults!Simple things are luxury items that can no longer be obtained.

The scalpel opened a hole in the tender skin, and instantly the skin was pulled open with a white line, which is the dermis.Then the handle of the knife opens the subcutaneous tissue.Then change the electrosurgical knife to stop the bleeding.

Surgery, as long as it is a traumatic operation, must be entered layer by layer according to the physiological level, and layer by layer to stop bleeding.Experts, especially surgeons who pay attention to details, look at their operations as if they were art.

It is clean, tidy, well-defined, and has a clear anatomy. There is almost no bleeding in the entire surgical field.And some doctors who are not very skilled, do not know whether they are seeking speed or do not understand anatomy.The level is unclear, and the bleeding from the field of vision is really like a slaughterhouse.

Continue to extend inward to reveal the spinous process, cut the supraspinous ligament, and then gently separate the incised ligament to both sides."Periosteum dissector." Zhang Fan said softly after the bone leaked out.

The surgical nurse accurately handed the periosteal dissector to Zhang Fan.On the operating table, the delivery of things is exquisite.Sharp weapons, such as knives, scissors, etc., should be handed over with the sharp blade to yourself.

When it is passed to the opponent's hand, it must be pressed downward until the opponent makes a confrontational force before letting go.With regard to this detail, many nurses have to practice many times. Is it easy?Simple, but you must practice this movement into a subconscious movement, so that your muscles have memory to be qualified.

This is not exacting, because there is nothing to be fortunate on the operating table.There may be only one special device. If it falls underground during delivery, it is directly an accident.

Zhang Fan used a periosteal dissector to close the spinous process, and pushed the thoracic paraspinal muscles from under the periosteum to the tip of the transverse process, and stopped when the lumbar spine revealed the articular process.

"Gauze!" Lao Wang stared at Zhang Fan's movements intently.For lumbar spine surgery, let alone other things, there is a lot of bleeding.Human evolution is very advanced.As long as it is around the bones, there will be large blood vessels and important nerves.

The spine not only supports the body, but also protects the derivation of the brain, so there are many large blood vessels. During the operation, large blood vessels can be avoided, but the small blood vessels that separate from the large blood vessels cannot avoid being destroyed.

Surgery requires sight and hands. When the surgeon gives a command, no one else needs to think about it.For example, at this time, there are two bleedings in the lumbar bypass.

Zhang Fan also simply said: "Stop bleeding." Which one should stop first, which one should stop later, how to stop the bleeding, use gauze or use an electrocoagulation knife, these are all rules, these are all rules and regulations, this is all knowledge.

And whether it's an assistant or a nurse, you must watch the surgeon's steps.

After Zhang Fan took the gauze that Lao Wang handed over, he began to fill the oppression.During the operation, a lot of bleeding was not leaking but oozing. When the muscles detached from the bones, blood oozes like sweat. At this time, the bleeding cannot be stopped with an electric knife or silk thread.This requires gauze compression to stop bleeding.

And the gauze used in the operation cannot be dry gauze.It must be infiltrated with physiological saline before it can be used. This is not a dressing. If a piece of dry gauze is handed at this time, Zhang Fan can directly drive the assistant and the instrument nurse.Because the tissue under the skin is very delicate, dry gauze is like sandpaper.

"Retract." Zhang Fan said to his assistant after stuffing gauze.

They are not newbies, they are already ready.As soon as Zhang Fan spoke, Lao Gao and Xu Xian took the retractor to pull the skin apart, exposing the field of vision as much as possible.

Ragou, surgical residents, especially general surgery residents are most afraid of.What is this thing like? It is an L-shaped blunt alloy, which is very hard and ordinary people cannot deform it.

Orthopedics are a bit better, and General Wai is really sad.The large retractor is estimated to be the same size as an adult's curved arm.For surgery such as stomach cuts, the second and third helpers do one thing from beginning to end, pulling their stomachs with steady strength.

The surgical site is too deep.They couldn't see that for four or five hours of surgery, they just pulled it blankly, a little bit bad, and the surgeon was not happy.After an operation, my hands and arms won't move.

After opening the surgical field of vision, the critical period of surgery has entered.This time is the time for the level of the surgeon to manifest.How to adjust, how much to adjust, this is too difficult.

In the image data, when you look at the spine and when you open the body to see the spine, there are directly two different things.On the image data, you still have a general concept.

Surgery also opens up those places that need to be adjusted, the longest length is no more than ten centimeters.The anatomy is not clear, or the technique is not in place, and there is no bone to be adjusted.

This is not a joke, let alone the spine.Just a simple plate removal operation after clavicle fracture.Before the operation, the clavicle and the plate can be touched directly on the skin, as if just a little bit under the skin, it seems very simple.

But the fact is, when the operation is single, the hole is covered, the scalpel is pulled, the subcutaneous tissue is swollen, then bleeding, and the muscle is stretched.Ok!What about the steel plate?Can't find it!This happened to many transfer doctors.

What Zhang Fan has to do now is to change this deformed whole or let it grow in the direction it has expected in the future.

It must first destroy its original connection.It is very dangerous at this time, because the front of the spine is the spinal cord.This position is fixed and not changed because the patient is lying on his stomach. For example, the skin on the back should normally be in front of the spine. In fact, the professional language on the operating table is not like this, but just the opposite.

Time has slowly passed by more than an hour, almost two hours.Zhang Fan and Lao Wang sweat directly like beans, they couldn't be wiped off during the tour, and they directly put a towel on their foreheads.

Bone pliers are the sharp-nose pliers that everyone uses in daily life.Zhang Fan bit the bones bit by bit, and then used a curette to remove all the broken bones, cartilage and soft tissues between the vertebrae.

Clean here must be clean.Because once a small bone enters the spinal cord, the milder is postoperative inflammation, and the more severe is the patient's lifelong waist pain or corresponding limb numbness.

Take care of these.Here comes the most dangerous step of surgery.Adjust the position at this time. Before adjusting the position, you must first separate these abnormal bones.

How to separate, anyone who has eaten animal spine knows that the spinous processes of the spine are stacked together. At this time, they must split apart, yes, it is forced split.At this time, it cannot be light or heavy.

If it's lighter, it won't be able to split it, and it will make more pieces of bone.It's heavy, and the spinal cord is in front."Ka! Ka!" Zhang Fan gritted his teeth and split the spinous process in two clicks.

Zhang Fan didn't realize how difficult it was, but Lao Gao and Lao Wang, the voice was like cutting their hearts, their hearts hanging.If at this time, a slippery hand or too much effort, the consequences are really unimaginable.

Xu Xian also sweated, even though he graduated with a master's degree.But this kind of operation is a difficult operation in provincial hospitals.