Medical road

It was heavy rain. After getting up early in the morning, Zhang Fan found that it was raining outside. Looking out the window, the rain on the street began to bubble."Summer hasn't arrived yet, it has started to rain so much!" Zhang Fan said to himself in wonder.

"Zhang Fan, come and wash my face, give me a visit after the meal, it is raining, I have to go to the work unit early today. One of my clients has made an appointment with me, and I will lend him money today."

When Zhang Fan stared out the window in a daze, Shao Hua shouted loudly in the bathroom."Good!" After Zhang Fan entered the bathroom, he saw Shao Hua blowing his hair again.

"Go early, you still wash your hair, come and I will blow it for you, it's raining outside, you can catch a cold if you can't dry it." Zhang Fan started to help Shao Hua blow his hair after turning to the hair dryer in Shao Hua's hand.

"Isn't this forgotten? I only remembered when I heard it rained. Which of my clients is engaged in civil engineering, and he can only rest when it rains, so I remembered.

Which one of my clients has a bitter and hated look, and seems to have a good relationship with our president. If he neglects, he will file a complaint. Last time, I sued Xiao Liu from our department because he didn’t give him the initiative. water."Shao Hua was talking while enjoying Zhang Fan's service.

With jet-black hair, like satin, Zhang Fan gently shook the hair dryer, looking for hair that had not yet dried.

"Have you done, the food is ready. Come and eat." Shao Hua's mother shouted at the dinner table.

"It's here, it's coming soon." Shao Hua agreed.

Milk tea, naan, side dishes, and some sausages, protein, fat, and vitamins are all complete."This heavy rain started last night. Such heavy rain is rare. It must be troublesome." The old man held the milk tea and looked out the window. After Zhang Fan sat down, he said to Zhang Fan.

Before Zhang Fan could reply, Shao Hua's mother gave him back: "Hurry up and eat, one day with the gods and gods. After eating, accompany me to the market to buy some food, and the food at home is gone."

"Huh, what do you know!" The old man was stunned and finished the milk tea in one sip.

"Quickly, go. I'm too late." Shao Hua yelled after taking a little naan.After Zhang Fan had eaten in two of three, he went out to eat and wear shoes.

"I know that I have something to do today, so I don’t get up early. I don’t eat well every day, which affects Zhang Fan’s bad eating. Then I won’t cook anymore." The old lady became angry when she saw that more than half of the meal was left. .

"Hey, I know my dear mother, we are gone. You be careful, it rains and the road is slippery, wait for us to buy groceries after work if it doesn't get off work." Shao Hua smiled and comforted his mother.

"I can't count on it! Go ahead. Wear hot spots," the old lady calmed down.The old man frowned when he heard his old woman's constant chatter, and muttered in his heart: "It's not a kid!"

Zhang Fan drove Shao Hua to the unit.When it rained, the speed was very slow, and there was still a bit of pressure on the road. "There was an accident ahead." Zhang Fan poked his head and saw the road ahead.

"is it serious?"

"It shouldn't be serious, and the speed is not serious, maybe it's just a scratch."

After a while, Zhang Fan sent Shao Hua to the unit, "I'm leaving, be careful on your way. I put an umbrella on the car for you, right behind."

"Ok, you also pay attention."

It is better to rain than snow in the frontier. It does not need to arrive at the unit before it rains. If it snows, it will not work. If it snows, it is to blow the Charge. You must arrive at the unit half an hour earlier.

When Zhang Fan rushed to the unit, there was a bit of water at the gate of the hospital."It's been all night, and it hasn't stopped." In the surgical building, Zhang Fan saw the director outside his chest.

"Yes, there are probably many car accidents today." The two chatted casually and went to their respective floors.

The size of the rain, the hospital's work as usual.Patients with hallux valgus were taken to the operating room early.Routine disinfection, Zhang Fan took Wang Yanan to start the operation.

Hallux valgus, a small hallux valgus, has almost two hundred surgical methods.Many surgical methods are not a good thing, because it means that everyone is not sure which surgical method is the best, and they are constantly exploring.

Zhang Fandang then has an advantage, because of the system, he knows which technique is the future trend, but this kind of thing can only be done by himself, and others will not believe it.

This kind of thing requires data, and only data can be used to persuade others, but now Huaguo's research medicine can't take care of such minor operations.Do it on your own. It is estimated that the data will be a bit convincing until you retire.

"Zhang Fan, let's use that kind of surgery. Last night, I read the surgical data for the night. There are too many surgical procedures. No matter how I look at it, they have advantages." Wang Yanan is very labor-intensive. Do your homework in private if you encounter it.

Zhang Fan looked at the girl with bags under her eyes and said, "Yes, if there is no advantage, it is probably eliminated. Let's use the combined method of lysis and cartilage correction."

"Uh, I haven't seen this kind of surgery." Wang Yanan slightly lowered his head to think, then raised his head and said affirmatively.

"Have you finished reading more than two hundred ways?" Zhang Fan was a little surprised. He didn't expect this girl to be so capable.

"Well, I'm finished." Wang Yanan said with a little pride.

"Don't be so livery, you will get old quickly." Zhang Fan also said casually, which is nonsense. If you are a doctor, you can't be a doctor.

"Hey, there are more and more graduate students. I am a girl again, and Xue Fei is unreliable. You may leave someday. After I lose my liver, I may suddenly lose my position." The girl said with emotion.

"Um! Your uncle~~" Zhang Fan felt that it was inappropriate, and immediately changed and said: "If you don't understand, just ask me, don't be impatient, the operation is gradual." Zhang Fan ignored himself.

"My uncle will retire sooner or later, and I can't help but worry. I have to study with you. Although it can't reach the level of your hard work, but at least half of it, otherwise you will become Xue Xianyu."

"Okay, if you have confidence, let's start." When Zhang Fan heard this, she felt that the girl thought clearly, so she didn't say much. They are all grown-ups. They choose the path by themselves.Do you need to persuade?

This operation is actually not difficult. The difficulty lies in the control of the angle, the angle formed by the toe joints, if it is not well controlled, it is very easy to relapse.

This kind of angle is not stipulated to be dead, but must be considered in all aspects, such as the weight of the patient, whether to engage in heavy physical labor, etc. Incomplete consideration is to plant the root of the disaster.So sometimes when you go to see a doctor, don't conceal your occupation.

"Start!" Zhang Fan said and started the operation.

First, make a 5cm longitudinal incision on the dorsal side of the hallux between the first and second toes, and extend it proximally to reach the metatarsal heads. "Be careful here. This is the dorsal peroneal cutaneous nerve and vein of the hallux. It must not be damaged."

With this, Zhang Fan pulled the dorsal peroneal cutaneous nerve and vein of the hallux to the tibia.

Then continue, along the deep part of the fibular side of the hallux metatarsophalangeal joint capsule, cut off the transverse metatarsal ligament, and cut off the transverse head and oblique head of the adductor hallucis muscle from the base of the proximal phalanx and the lateral sesamoid bone.

Then bluntly separated proximally, suture the end with thick silk thread, and leave a long thread for later use.Cut the hypertrophic lateral joint capsule along the joint line from the dorsal midline to the plantar side so that the hallux can move inward, and then tie a knot to fix it.

Zhang Fan explained to Wang Yanan while doing it.It would be too difficult to explore the operation by yourself, and a teacher must take care of it.A good teacher can avoid many detours.

The operation was very fast, over half an hour."Next time there is such an operation, can I do it?" Wang Yanan put on a plaster and said to Zhang Fan.

"Do you understand?" Zhang Fan asked.

"Understood. You taught me in detail, I think I should know it."

"That's OK." Zhang Fan nodded. In fact, this operation is also simple. It is to cut the skin muscles, open the tendons, loosen the thumb joints, and then adjust to the position where you want to recover, then suture and cast.

At this moment, Lao Gao came in and said, "I guess your surgery is complete. Hurry up and prepare. Two traffic accident victims came here with open fractures and must be operated on as soon as possible."

"Broken in that place?" Zhang Fan asked.

"One radius and ulna, one femur." Old Gao said, leaving the operating room to the operating room of another group.

"You send the patient number back to the ward, give a good doctor's order, and then come up, I will grab the femur. Remember to make it clear to the patient’s family that the hallux must be fixed in the orthopedic position with a plaster bandage, and the plaster can be removed after 3 weeks. Walking with shoes." Zhang Fan specifically confessed after putting the cast.

"Okay, rest assured. I'll go down and slip Xue Feiti up. I know that you can definitely get the sick number back. I have confidence in you, come on!" The girl made a special gesture of clenching her fist and cheering.

"OK! Don't worry." Zhang Fan smiled.

Slippery roads cause more car accidents when raining.The wounded who came were a Sanbengzi driver and passengers on the Sanbengzi.Sanbengzi is actually a motorcycle with a tin box.Yuda couldn't see the road clearly and clashed with a car.

Neither the driver nor the passenger's skin was broken, and the result was too tragic here.

When Zhang Fan went out, he went to the conference room of the operating room.Inside, Lao Gao, deputy director and Xu Xian are watching the film.

"Director, where's the patient?" It was delivered right away. You can watch it first.With that said, Lao Gao gave way to the computer, because it was a local area network. After the radiology department took the film, it was displayed on the computer.

"The ulna and radius are not very broken. The femur is quite heavy."

"Yeah, which one do you do." Old Gao asked.

"Let’s do femurs, Dr. Xu and his team are exhausted recently. We will share some of the labor for them."

"It's okay, we can do it!"

"Nothing is better, we have all rested for a long time, it is a new force, we do femurs. What do you think of the director and deputy director."

"Haha, all right. You can do femurs."

"Look, haha, this is Doctor Zhang, he's overbearing." The deputy director said with a smile, and said to Xu Xian with a pun.

"Um!" Xu Xian had no choice.In the orthopedics department, Zhang Fan spoke, and Lao Gao would definitely agree. Even if Lao Gao is not there and Zhang Fan speaks, the deputy director will have to weigh up. The technology is here.He had to think about it.