Medical road
Chapter 378
The gonad smell of this animal male is very strong.It is said that female rats can smell it as many kilometers away.Fortunately, it was the left hand, otherwise Zhang Fan would have to grab the chopsticks with his right hand.Although not difficult, it is still inconvenient after all.
"Eat well, why do you wrinkle your nose?" Shao Hua's father was unhappy when he saw Shao Hua wrinkle his nose while eating.The old man has a lot of rules. You can't eat anything lying down, and you can't have leftover rice in the bowl.Anyway, set by set.
"No, which one~~" Shao Hua couldn't go on, she was a little sick!
"Haha, Uncle, I went to do an animal experiment today and let the mouse give it a hand. It smelled a bit unpleasant." Zhang Fan quickly explained. If he doesn't explain, he will definitely be sentenced by Shao Hua.
"What's wrong, we used to work in the ground and killed how many mice? Don't you still eat!" After speaking, the old man took a sip of wine and ate two taels of white wine.
"It smells really bad. You haven't been pissed by a mouse again!" Shao Hua was unhappy.This is how the daughter and father are. Although the old man looks serious, in fact, if Shao Hua is really angry, her father will definitely surrender first.
"I smell it, how unpleasant it is, it's weird." The old man didn't believe it anymore.
"Forget it!" Zhang Fan deliberately put his hand back.
"Eating, you have a lot of things. The two of them have been in a day's work, aren't they tired?" Shao Hua's mother took a look at her old man, "It's so annoying, he is everywhere!"
"Don't listen to them, come to me and hear, I won't believe it." The old man was stubborn.
"Okay." Zhang Fan helplessly extended his left hand in front of the old man, but didn't extend it further.
"Uh!" The old man stretched his head, his nose moved forward, hiccups!"Oh my god, what is this, it smells so bad. The buns are rotten, and then I cover them for half a year! It's too rushing." The old man hurriedly drank the liquor in the glass in front of him.
"You immortal, you can't eat anymore! I'm so angry." The old lady was unhappy.
"Hehe! Look, it smells bad. Say me! Hehe!" Shao Hua was happy, and her eyes narrowed when she saw the ugly face of the old man.
"And you, can't eat anymore." Shao Hua's mother turned to look at Shao Hua.
"Eat, isn't this just eating! Hehe!" Shao Hua was really happy.
"Laughing!" Shao Hua's mother couldn't help laughing too. The old man looked so weird. After taking a sip of wine, she held her breath for a long time.
"Oh my God, I almost held it back." The old man knew that Shao Hua was the wrong one, and said an apologetic apology.
"Eat some small rapeseed, this is light, hey, it's really hard to be a doctor. I heard that Nurse Chen upstairs is exhausted in the department, isn't it?" The old lady asked Zhang Fan gossiping.
"Well, it is probably hypoglycemia." Zhang Fan is not very clear, there are too many such things in the hospital.Especially for women, losing weight, dieting and taking menstrual holidays, and then the workload is too strong, fainting can not be passed.
"Why is it low blood sugar!" the old lady asked curiously.
"Die, lose weight or something."
"Have you heard, I don't like to eat meat all day, yes, I gnaw this ribs, look at you, if the wind is stronger, you will be blown away." Shao Hua's mother babbled to Shao Hua and Zhang Fan.
There are guests, Shao Hua’s father is the head of the family, and without outsiders, Shao Hua’s mother is the head of the family.Very warm, very warm, the days are like this day by day, living in peace and stability.
Going to work early in the morning, handing over shifts, and rounds, Zhang Fan and his group had no sick number, and the first three sick numbers were discharged. Fortunately, Xue Fei came to the clinic, otherwise it is estimated that he would have to shave his head this week.
I only received a patient number one morning, and now because the emergency center is about to be established, no one knows who will be sent to the emergency department.Therefore, surgeons, especially orthopedic doctors, are more dedicated.If he was sent to an emergency, it would be too late to cry.
In the emergency department, the layman looked as if the scenery was boundless and handsome, and the doctors were like agents, shuttled around the scene of various accidents.In practice, insiders would rather do pediatrics than emergency treatment.
First of all, the diseases that the emergency department can handle are almost all basic diseases. The doctors themselves have not improved much for the number of years.Second, the emergency department is so complicated that there are all kinds of accidents from head to toe. You have to learn wherever you go, and getting started in various liver departments has become the so-called panacea.
The third and most important point.The emergency department often visits various accident scenes, and vice versa for doctors.If you are drunk and fighting, the one who is beaten can't beat the other party, and maybe he will throw his anger on the doctor's head.The most annoying thing is that you have to endure some unreasonable people in an emergency.
"Does the ambulance still charge? Why? I don't pay, you have the ability to get me down?"
The doctors are actually helpless. The prices and charges are not in the doctor's control, but if they don't pay, then the person dies, something goes wrong, and it is troublesome.Therefore, few doctors are willing to be emergency doctors.
Large hospitals, especially super hospitals, have more methods. The general doctors in the emergency department are almost all hired outside, so there is no establishment.
They are all people who use their youth to make money. When they are a little older and don't need the hospital to rush, they leave by themselves because he can't do it anymore.
Basic-level hospitals won’t work anymore. Whoever does not have an establishment will go to the emergency department if there is an establishment!Therefore, this department is troublesome enough.Xue Fei finally accepted a case of a clavicle fracture, and Zhang Fan and his group were also open.
The sick number is a young girl who is a dancer from the Tea Troupe.Beautiful, fair skin, long neck, it seems that during dance rehearsal, I didn't cooperate well with the dancing partner, and broke the clavicle after falling.
The girl was crying when it arrived.It hurts, it hurts too much, coupled with the dance makeup, the face is black.Things that should have been sympathetic, but seeing her face makes you want to laugh unconsciously.
"Take it away. Take some dehydration medicine today, and tomorrow the operation will cause the swelling to be too severe." Zhang Fan said to Wang Yanan after checking.
"it is good!"
"Doctor, it hurts me so much. You have to think of a way." The girl cried.
"Okay, I will handle it for you now." Zhang Fan calmed the patient.Then he prepared a triangle scarf to hang the girl's arm."Give me some more painkillers. Prepare for surgery as soon as possible."
One morning, Xue Fei received a sick number.Let the expectant Wang Yanan disappointed again.The girl's level is getting better and better now. The stitching and the steel plate are already well-known.
Zhang Fan is now running on both ends, working in the hospital in the morning, and going to the animal laboratory of the Tea City University in the afternoon.Now that he agreed to Professor Zhao, he must take it seriously and complete it.
"Dr. Zhang is here!" Dr. Liang and two graduate students are already in the laboratory.
"Hehe, do you want to catch a mouse? I went back and thought about it all night. I think I can catch a mouse safely now!" Zhang Fan really thought about it for a long time in bed, and he practiced Dr. Liang's movements repeatedly in his mind. How many times.
"No need for today. Just start the operation." Lao Liang was also worried, if he came again today, he would be in trouble.
No need to catch the mice yourself, which is better.Zhang Fan washes his hands and disinfects his hands. This procedure is actually similar to performing an operation on a person.The mouse has been anesthetized.
The anesthetized mouse, with its tongue sticking out, its head tilted, was firmly fixed, and its limbs were fixed on a small operating table, one more than a human, and its tail was also tied.
"Prepare skin! Disinfect!" Xia Qingyang and Liu Hanqing began to prepare and disinfect while Zhang Fan was wearing gloves.This kind of mouse is big, it looks as big as a bunny, its body hair is very heavy, and its belly is thick.The two masters did too many things when they were in school, and they were very skilled.
"Dr. Zhang, you have such a high level of knowledge in hepatobiliary surgery, and the division is a very orthodox general hepatobiliary surgery. How did you go to the orthopedics department?" Xia Qingyang asked casually while disinfecting.
More and more people now know about Zhang Fan's story about the old blue bird Lu.People in other departments listened to it and didn't think it was so good.
But for the master of hepatobiliary surgery, it can be said to be jealous.Really, too jealous.After all, Master Zhang Fan’s master is the originator of Chinese surgery. His main contribution is in the liver and gallbladder. Even Germany recognizes the achievements of others.
And the brother of Master Zhang Fan, Academician Wu Mengchao.It is even more fierce. The first liver and gallbladder center in China was set up by others, and many of the world's firsts in liver and gallbladder surgery were created by others.
Although Zhang Fan's master doesn't seem to be very famous, it's actually because they are too dazzling.Zhang Fan is so lucky at such an age that he can become the third generation of this series. Can they not be envied by them!
Look at the other third generations, almost all of them can participate in publishing medical textbooks.
"Um! Orthopedics, orthopedics makes money." Zhang Fan said embarrassedly.Zhang Fan felt that this tugging was a bit unbearable.He knew that Mr. Lu was very good.As a result, I didn't expect that Mr. Lu's master and elder brother were even more ancient gods.
"Um, make money?" Xia Qingyang heard it and wanted to choke Zhang Fan to death. He was about to scold Zhang Fan to death in his heart: "A turtle, what a big turtle, I'll give you one million, and I'll be Lu's apprentice! "
"Haha, okay, start the operation." Zhang Fan stopped the topic directly, there was no way to talk, it was so annoying.
The liver has super powerful regeneration ability.80% of the liver of a rat or dog is cut away. After a year, the liver can regenerate and repair to the original liver weight, and the liver of a human is similar.
And because the liver has so many functions, from blood coagulation to hematopoiesis, from detoxification to immunity, from metabolism to synthesis, the liver is directly or indirectly involved in almost all biochemical reactions of the human body.
Strong repairability means more plasticity, and more functions mean its importance. Therefore, many medical teams all over the world have entered this liver pit.
Although it can regenerate, the liver structure is very complicated.Not to mention other things, first of all there are two sets of this blood system, the liver.The normal blood supply of the liver, 50% comes from the hepatic artery, and the remaining half comes from the portal vein.
The portal vein converges from the lower abdomen, from the intestines and spleen veins.When the liver develops a tumor, it has problems or even fails, it will cause poor venous blood return.
Zhang Fan's goal now is to shunt the portal vein, dividing the small vein from the large vein to the normal liver tissue.Because the blood in the intestine contains a lot of ammonia, if it is not detoxified by the liver, it will poison the brain if it enters the blood directly.
Ammonia is actually a product of protein decomposition. For example, eating legumes will cause a lot of farts. In fact, this is the reason why legumes contain a lot of protein.
Rebuilding, but also to ensure the normal operation of the body.Difficult, very difficult.Zhang Fan and the others chose a collateral circulation, and the difficulty was very high.
"The rat portal system is still too small." Zhang Fan also had difficulty doing it. Under the microscope, the pipes near the hepatic portal were scattered like disordered electric wires.
"We have limited funds. If we choose dogs, we may not be able to do this experiment. Moreover, the liver of this kind of mice recovers the fastest per unit time." Lao Liang monitored the vital signs of the mice.
"Not good!" Dr. Liang said.
"Not good!" The mouse's blood vessels collapsed instantly, and Zhang Fan felt it. It was a sign of heart failure and lost motivation.
Woohoo.The mouse died, "Well, the operation is still too big and the irritation is too strong. The stress response is too strong, and we have to find a way to improve the operation method." Dr. Liang said while looking at the ECG monitor.
"Yes, think about it." Although the operation was unsuccessful, Zhang Fan's progress was much faster than the progress made by Dr. Liang and the others in Bird City. This is the first operation with such a big one. Promote.
Although the operation failed, Lao Liang was not depressed."Yes, Dr. Zhang, I have had a huge liver tumor before losing money. It's really good, it's amazing!~"
The other two research laboratories have no deep experience.But they watched Zhang Fan's operation, especially the degree of Zhang Fan's fine operation, which made them quite aware.
"Teacher Zhang, how do you usually exercise? It's too stable!" Xia Qingyang, who graduated from Sanchuan, asked enviously.
"Do more surgery, uh, and that is, practice more, buy some pig liver, practice more." Zhang Fan thought for a while and said, this is really hard to explain.
"Okay, it seems that I still haven't practiced enough." Six months later, our doctor Xia Qingyang no longer eats liver. He hurts. One pig liver a day, vitamin A is really not lacking.
After the operation, when Zhang Fan was washing his hands, he took the time to enter the system and took a look. As expected, the progress of the operation remained unchanged."Hey! I still have to go to the hospital. It's not hit here." Zhang Fan knew the result, but was also a little disappointed.If only animal experiments can improve the progress of the operation!This is how people look at Shu.
The next day, I just finished checking the room.The family member of the patient who suffered a clavicle fracture came to the department. Zhang Fan made it easy to go out. When he returned to the department, he found that Wang Yanan and the patient’s family quarreled again. The girl’s face was flushed with tears rolling in the eye sockets, and he was about to fall Up.