Medical road

Other industries do not know, but as far as the medical field is concerned, what is the difficulty is to formulate a postoperative return visit and expected big data, but the human body is too complicated.Without a large-scale test base, it is too slim to figure out the possibility.But this matter is too expensive, and there is no substantial economic benefit, so!

And the payback period in this industry is too long. You have to endure when the youngest is short of money.Most industries also need to endure, but the time for this industry is a bit too long.Five years of undergraduate studies, three years of transfer, and five years of hospitalization were the smoothest. It was a bit of a foundation until the attending treatment, but during this period of time, a group of people have survived.

Then a large number of medical students flooded the civil service, and some medical students went to work in drug agents and other industries.No matter how they hate or hate this industry, when the night is quiet, they will definitely miss him who was once in a white coat!

The sense of accomplishment between life and death is so beautiful!With every rescue, the adrenaline soars like a roller coaster.Take a person back alive from death.Which kind of feeling is really hearty, and this feeling is addictive.

"Director, prepare for bone grafting." Zhang Fan turned his head and said to Lao Gao after splitting the spinous process.If there is a small amount of bone defect, osteoblasts will gradually fill the defect. If it is such a large defect, it cannot be filled.

"Good!" Lao Gao placed the automatic retractor.Go to the sterile table next to the instrument nurse and start preparing the allograft bone needed for bone grafting.

For bone grafting, the best bone quality is actually the patient's own bones. But Bart is too small to get it, so he can only place allogeneic bone.

"Doctor Zhang, let me wipe the blood for you." Although Zhang Fan's chopping was very accurate and gentle, there was still a lot of blood splashing on Zhang Fan's face and eyelids.

This kind of surgery is a little better. If you do a knee replacement surgery, it is called flesh and blood. Generally, when doing a knee replacement surgery, the surgeon must wear glasses like windproof glasses.Because it is necessary to cut the thickest femur of the human body, when the cutting machine cuts, bone marrow, blood, and a small amount of soft tissue splash out directly with the cutting machine.

The itinerant nurse was soaked in Xinjieermei solution and gently wiped off the blood on Zhang Fan's face, "Okay, Doctor Zhang."

"Yeah!" Zhang Fan said without even thanking him, this kind of operation damage is too great, so we must hurry up the operation time.

How exactly is this operation done? It is actually simple. It is to separate the deformed bones that connect up and down first.

Then, adjust the position.Place fixed alloy instruments from the upper and lower bone blocks.Then use this alloy instrument to slowly correct the deformed spine.

"Pedicle hook." Zhang Fan said to the operating nurse after cleaning up the broken bones in the operating area.

At the moment of the operation, two hours have passed.Now is the time to place the titanium alloy equipment. Everything you do at this time has to be confirmed three times.

Because at this time, once the device is implanted, there is no way to modify it.If there is a mistake at this time, the operation will simply fail.There is no way to make up for it. The human spine is just a little bit bigger. Once there is an error, if you want to start again, what is dreaming.

The upper and lower spine, several curved spine, began to place corrective equipment.What does it mean? It is quite simple in popular terms, such as a curved sapling.

To correct it, first drill an eye in a relatively straight place and put in a nut with a hole. This nut is the pedicle hook. In turn, punch a nut with a hole at the interruption, lower end and bottom of the sapling, or directly The thing is to make a hole in the ground.

Then use an iron rod to pass through the hole at the upper end of the nut from the top end to the ground, and then tighten the nut so that as the sapling grows, the curvature becomes smaller and smaller, until it becomes straight.

"Director Wang, help me support." Zhang Fan took the pedicle hook and placed it on Bart's pedicle.The pedicle hook is actually like a screw with a screw, which kind of expansion screw is commonly used in daily life, and then a buckle is connected to the top of the screw.A snap like a question mark.

The tool for placing this buckle is like a wine corkscrew, but this one is not for pulling, but for drilling inside."Doctor Zhang, let's get started." After the old Wang grasped the nail driver, he confirmed to Zhang Fan.

"Okay, I'm going." One circle, two circles, three circles. The thickness of the bone is different, and the number of circles is different. This is not wood, not brick, and can't be turned casually. Once it is turned through, it is the spinal cord.

One lumbar vertebra, two lumbar vertebrae, three lumbar vertebrae, seven have been on.There are thousands of imported screws for such a screw.Titanium alloy, because this metal is relatively stable, it is not easy to electrolysis in the body, and it is not easy to be infected.

Screwing the screws, this is not a laborious job, but just like this, Zhang Fan's sweat has already soaked the hand washing gown. If it weren't for the thick surgical gown, it is estimated that the gown is soaked.

Here comes the most laborious work.Orthopedic implant rod, the implant rod is a straight titanium alloy rod.The hardness is not known, but this is probably the hardest metal Zhang Fan has ever seen.

Because the spine is originally curved, now we need to correct the implant rod to a certain curvature, a specific curvature, an curvature that allows the spine to develop toward a normal physiological curvature.Why are there a few other female surgeons? Orthopedics are indeed very, very few, because orthopedic surgery is a lot of work, not to mention women, men with less physical strength are not good.

Orthotics are not tall things, especially this kind of metal orthoses, they are very simple, they are three fixed circular iron pillars placed on an iron tuft in a triangular shape.

"Doctor Zhang, let me do the orthopedics in the early stage, and you will do the fine-tuning in the later stage. You have already had more than two hours of surgery." Xu Xian said.

"It's okay. I'll come!" On the operating table, Zhang Fan was too alone, don't talk about Xu Xian at this time, even the old Gao, Zhang Fan is not at ease.

"Don't worry, he won't worry about anyone at this time." Lao Wang understood Zhang Fan, doctors are like this, only if he does it himself will he be relieved.

Zhang Fan took a titanium alloy rod about ten centimeters long and put it into the orthosis.Xu Xian grasped the orthosis with his hand, Zhang Fan held a rongeur in his left hand and a rongeur in his right, holding the two ends of the titanium alloy.

"Have you grasped it?" Zhang Fan asked Xu Xian.

"All right."

"Hey!" With a dull sound from Zhang Fan's nasal cavity, the titanium alloy rod began to bend visible to the naked eye, and it really bends it alive.

This kind of orthopedics is particularly strenuous.First, it needs to be corrected to a certain arc. Once the expected arc is not reached for the first time, fine-tuning in the later stage will be more laborious.

The effort is too strong, the breaking is too bend, and the effort is too small, people won't move.And the number of orthopedics can not be too many, because metal has a fatigue level, repeated violent orthopedics, although not visible to the naked eye, in fact the metal is no longer good, after installing it, it takes not long and it breaks!

So one-time molding is best, which requires a fairly familiarity with force control and understanding of this material.Zhang Fan blushed and bent the titanium alloy rod in one breath, and it was very beautiful, in line with the expected curvature.

Zhang Fan held a hot titanium alloy rod and gestured on the lumbar spine. Although it seemed appropriate to the naked eye, he still had to make gestures.At this time, all the mallets that were installed directly without gestures, but it is true that the mallet estimates that this operation will not be performed.

Zhang Fan was making gestures, and Xu Xian was shocked."This guy isn't very strong either. Why is he so strong? The real animal is a brute! Such a thick rod will be orthopedic in place at once. It seems that I have to go to the gym to lift the iron in the future."

Lao Wang and Lao Gao were both surprised. Looking at Xu Xian, Lao Wang gave a smirk and asked, "Xiao Xu, are there any objects?"

"Oh! There is a director."

"You don't have Zhang Fan, the Maotou boy is so powerful!"

"Uh!" Xu Xianhan came down.The operation went smoothly, and Lao Wang couldn't help but want to talk. Zhang Fan was so disgusted that he barely spoke from the operation and was too difficult to suffer.

Zhang Fan cast a glance at Lao Wang, but didn't say a word.Today the head nurse was a little excited, otherwise the annoyance of an old man with a young woman would be annoying.

"Zhang Fan, see if it fits." Lao Gao took the repaired alien bone and handed it to Zhang Fan.Zhang Fan looked at it and said, "It's just right." Zhang Fan would definitely have to boast in normal times, but once the operation was performed, Zhang Fan seemed to be in a posture that strangers should not enter.

Zhang Fan took the allograft bone and shook it lightly with his hand screw by screw. Although he did it by himself, this final check must be indispensable.If you forget this step, well, surgery is the time to torment people.

It can be as long as a week or as long as a month. It is estimated that you can dream about the screw falling off every day.

"Implant the rod and fix it," Zhang Fan said. Several people straightened their bodies involuntarily. This was the most critical step in the operation.Zhang Fan gently inserted the orthopedic implant rod from the first fixed nut until the last nut. The orthopedic was very successful, as if it was tailor-made for Bart.

Then turn the nut screwdriver counterclockwise gently and steadily until the nut is in place, and then tighten it clockwise to prevent the nut from slipping.Tighten one by one, and finally you must use extra force to push the implant stick into the top of the hook.

OK, the placement of the implant rod is complete, is this operation finished?No, this is only half done.In order to pull the deformed spine over, such equipment must be inserted on both sides.

This is like a small curved tree. Pulling on one side can pull the curvature over, but there is also a risk of breaking the small tree.The best thing is to put one on the opposite side to counter the pull.

After installing the screws, Zhang Fan confirmed it again, and then said to Lao Wang: "Come on, Director Wang, let's change positions." On the operating table, especially for this kind of planar surgery, the surgeon is usually a helper. opposite.

Now we have to do the other side, so Zhang Fan wants to change positions with Lao Wang.When Lao Wang saw Zhang Fan, he had set the position. He originally wanted to say: Come and do it. But after seeing Zhang Fan's six relatives who didn't recognize him, he didn't say anything.

Anyhow, it was a director who asked Zhang Fan to refuse. He was not ashamed.So I didn't talk much, and started to change positions with Zhang Fan.

For the doctor himself, this sterile area is actually defined as follows: the area below the neck and above the straps of the surgical gown is sterile, and the hands to the shoulders are sterile.Once you have the surgery, whether you are contaminated or not, the rest of the area is considered a contaminated area.

What does the surgical gown look like? In fact, it is made of a very thick fabric in the same shape as a raincoat. When worn, it is the opposite of the raincoat, that is, the button side of the raincoat is on the doctor's back.However, there are no buttons on the surgical gowns, they are all fixed by cloth belts.

In general surgery, try not to move around. If you have to change positions, it is not random. When two people meet, they must change their positions back to back.Novice doctors are often scolded by nurses in the operating room for violating aseptic operations.

Once the position is fixed, the fixation on this side is relatively faster.Repeat the above steps, after four hours of surgery, the fixation is finally completed.Zhang Fan looked at the spine that was fixed by the titanium alloy and smiled softly.

Because he seemed to see Bart growing up.Strong as a mountain, with a straight back!

"Flush!" Xu Xian took over from Lao Wang and helped Zhang Fan flush. With the experience of the last time, Xu Xian no longer asked for stitches.

No need, I want to replace him, but this guy is afraid that he will grab the credit, and he won't even let the stitching, stingy!Xu Xian glanced at Zhang Fan, muttering in his stomach.

Outside the operating room, Bart’s mother and grandma read silently, expecting that Bart’s father kept walking in the corridor.Check the time on the phone from time to time.

This mood, especially for people who are parents.Really, it's not an ordinary anxiety.For a while, I look forward to the success of the operation and the child can jump out, and for a while, I am worried about the failure of the operation and what should they do.Their hearts are as if they are shrinking together, and they dare not do it with big mouthfuls.I am afraid that it will affect the surgeons in the operating room.

"Bart's family!" The head nurse was much better at this time.After the operation, the family members must be informed that this is usually the work of a young nurse, and she rushed to do it today.

"I am! I am!" Bart's father strode over.

"I'm Bart's mother! Doctor, I'm his mother." Bart's mother, who had been sitting on the stool for a long time, rushed over staggeringly.

"Bart's operation is over. The operation was very successful. This meeting has been sent to the ICU. You can go to visit at the specified time tomorrow morning." After that, he added: "Don't worry! It's okay."

Just this sentence made Bart's parents hang in the air."Thank you! Thank you! Doctor, thank you!"

"I am a nurse. You are welcome. Keep your voice down. There are other people operating. Okay, let's go." The nurse entered the operating room.Back to the operating room lightly.

"Bart has finished the operation. Let's go back." The old grandmother with the back of her ears fell to the ground with the rosary in her hand. Her toothless lips trembled and looked at Bart's parents. Mom Bart said while supporting her mother-in-law. One sentence.

"Done? What about Bart? Why didn't you come out? Don't coax me! My grandson." The old lady watched the nurse come out and went in again. Now the daughter-in-law said so.

The anxious old lady shed muddy tears, clutching Bart's mother to desperately want her grandson.

"Mom, I really don't lie to you!"