Medical road

In the early years, there was a joke in the medical industry, such as golden ophthalmology, silver orthopedics, and obstetrics and gynecology.Although it's not very accurate, it's almost the same in general.

But with the development of science and technology and the rapid improvement of national pharmaceutical and device manufacturers, this statement in the medical industry has become a thing of the past.Let's talk about ophthalmology first. The state subsidies in this area are very large.The annual Bright Action costs a lot of money.

Orthopedics is even worse. Most of the equipment is made in China, and the medical insurance for orthopedics is to strictly guard against the card.Therefore, the life of orthopedics is not easy. You must plan carefully, otherwise, if a medicine ratio exceeds the standard, the fine is super fierce.

Needless to say, the obstetrics and gynecology department is lucky if you don't get beaten, and you're tired to death.Of course, this is all for ordinary doctors, just like ordinary people who talk about gossip.

With the changes in recent years, it is not these departments that actually make money for ordinary doctors.Instead, some emerging departments are the best.

For example, reproductive centers, men's and women's specialties, dentistry, beauty, and leisure bonuses are high.There is really no way to talk about it by pulling thousands of skins and tens of thousands of breasts.

In the hospital, the income of an interventional department is currently the highest, but even if it is the highest, no one is rushing to do it.This is the case in the city hospital. For example, in my heart, Zhang Fan, the teacher who transferred to the department at the time, Ye Jing, even if she gave her one hundred thousand a month, she would not get involved.

Because this thing has too much radiation, it has protection, and it has strong radiation. Interventional surgery, almost all work under X-ray, so almost all interventional doctors are fighting for their lives.

Orthopedics is actually the same. Although not as exaggerated as the intervention, it is also the same.After a lot of internal fixation operations are completed, it is necessary to see if it is repositioned and whether the bones are aligned. It must be checked under X-ray.

Generally, in this case, the patient's fixed place must be supported. Who will help?Of course, whoever helped the sick person, he took a lot of radiation in a day.

protective suit?It's all ridiculous. Shouldn't I wear protective clothing after wearing surgical gowns?Who knows who does it.

Xu Xian was extremely unhappy. Don't blame him. When he was a graduate student at the Bird Market, there was a teacher who ate too much because of radiation, and his white blood cells dropped sharply.Finally, I died without retirement.So he was very reluctant.

"Come on, all here, just be happy, it's okay, it's good to eat once or twice!" Zhang Fan said with a smile.Zhang Fan doesn't have a teacher, so he is not afraid. People are just like that. They don't see it with their own eyes and don't believe in ears at all, no matter whether they are professional or not.

"Trust you a ghost!" Xu Xian said helplessly.Although Xu Xian said this, he also admired Zhang Fan.Active C-arm lower reset, really not much.

Galeazzi's fracture was actually a bone fracture on the thumb side of the upper wrist.It's that simple. The most convenient and fastest way is to cut open the steel plate, remove the stitches in ten days, remove the plaster in half a month, and remove the steel plate in one or two years.It's that simple and rude.

The damage is of course great.Normal resetting is also possible, but this is too difficult if it is not under direct viewing conditions.Because this forearm of the human body is the place under the elbow joint, there are two bones in it, the ulna and the radius, the radius on the thumb and the ulna on the other.The radius is slightly thicker and the ulna is slightly thinner.

Not to mention other things, you take two chopsticks, break one and wrap it in a towel. It is difficult to pinch it with your hands outside the towel, let alone the muscles thicker than the towel.

"My Director Zhang, what are you going to do? This position is really hard to fix." Xu Xian said nothing wrong.This bone is like chopsticks. When pinched, the muscles may be skewed again, so he is also worried.

"Look at me. I will teach you a trick." Zhang Fan winked at Xu Xian.If Xu Xian can follow him to do this reset, he has already approved Xu Xian.

"Sister Xia, brachial plexus anesthesia. We will reset him manually today." Zhang Fan said to Xia Yonghong, the oldest anesthetist in the anesthesia room.

"Okay, just stay a little longer. If it doesn't work, just operate." There were a lot of manipulative reductions in Xia's era, so she knew very well.

"Okay. Xu Xian, put on the protective clothing for you." Zhang Fan said.

"Does it work? Our three-point break is broken like this, and the straps are gone, let me clamp it with my legs." Xu Xianyi said that this protective suit was also ill.

The protective clothing of the hospital, TM fooled people to death.This is a gift from the C-arm, and it's already in tatters.And it's still the oldest kind.

One piece to protect the thyroid, then a big piece on the chest, and another piece to protect the male testicle (a), but the one in the hospital is too broken.It won't work directly.

"Just do it anyway." Zhang Fan couldn't help it. The hospital pursues large equipment and high technology, but he really doesn't care about such small things.I don't know what Ouyang and the director of the equipment department think.Zhang Fan complained a few words in his heart.

Reduction, forearm reduction is very demanding for doctors.Therefore, now the hospital does not directly reset the forearm, but operates directly.Because this is too difficult.

Human dexterous hands rely on the rotation function of the forearm.If the reset is not appropriate, there will be a problem with the rotation of the arm, which will then affect the function of the hand.Don't talk about writing or doing work, you can't even unbutton your girl.

It's like putting two pieces of wood together, one is round at each end, and the other is a track, and then the two bones turn around, pulling this muscle, and letting the hands make corresponding movements.

If the stick is different in length, or angled to block this rotation.Give you a Coke, you can't unscrew the lid.The complication of open reduction is relatively rare, so doctors are almost reluctant to perform manual reduction.

Although Sister Xia is older, her eyes are still quite good, "Young man, the body is really strong!" Sister Xia said with a smile while looking at the fat and plump meat while being anesthetized.

"Haha!" At this time, the fat man laughed harder than crying.Lying on the operating table, he was flustered.

"Okay, let's start." After the anesthesia, Sister Xia packed the tray and said to Zhang Fan and the others.

"Turn on the power, Xiao Li, go out, too. Radiation is too sensitive to women." Zhang Fan said to the nurse who was operating.Xiao Li was the nurse who was a bit interesting to Zhang Fan at the beginning. This girl has a grudge against Zhang Fan.

Hearing what Zhang Fan said, the girl subconsciously touched her twin peaks, ran out quickly, and closed the electric door of the operating room.

"It's useless to see me. If you have as much subcutaneous fat and glands as hers, I will let you go out." Xu Xian looked at Zhang Fan innocently, and Zhang Fan said angrily.

"But I'm next..."

"Okay, hurry up, why are you a bit like the person with your same name"

"Your sister!" Xu Xian hates that people compare him with someone who has married a big snake.

"Does it hurt?"

"pain!"

Zhang Fan took his hand and twisted the fat man's arm gently."I'm too fat, wait a minute, the anesthetic hasn't worked yet."

After a few minutes, "Does it hurt?"

"pain!"

"Stop nonsense, I haven't touched you yet. Does it hurt or not?" Zhang Fan asked after deliberately touching it.At special moments, the patient is like this, lying on the operating bed, everyone is the same.

Zhang Fan looked at the fat man's expression, secretly twisted it vigorously, the fat man's face didn't respond.

"At first, he was a little scared." After that, he said to the fat man: "How can such a big person and such a strong body be so timid. Don't worry, it's okay."

"Thank you doctor."

"Come on, let's start." Zhang Fan greeted Xu Xian.

For manual reduction, the first step is to stretch, that is, to pull apart the incarcerated bones.Zhang Fan turned the patient's wrist while Xu Xian held the patient's elbow.

"Slow down, slowly exert force, use slow strength." Zhang Fan spoke to Xu Xian. The two of them were like a tug of war, their hips falling, their waists bent, and their hands straightened.

"No, use a little bit!" The fat man was too fat, and Xu Xian's forearm was incomplete with both hands.

"Oh my God, it's too hard." Xu Xian gritted his teeth, and then said: "Why are your muscles so strong? What are you doing?"

"Daughter! I started to do it when I was a teenager." When the fat man saw that he was not operating on him, he was relieved. In fact, he was worried for nothing. The operation was performed. The patient disagreed. The doctor was bold enough. Forced surgery.

"Okay, okay, hold on, hold on, just this position." Zhang Fan said to Xu Xian after gently pressing the broken forearm with his thumb.

This is really not an easy job. You have to work hard in the front, from small to large, when the pulling tends to separate, you must always maintain a constant strength.

Muscles are not rubber plugs and cannot be pulled violently. The bone gap must be slowly opened with a force just greater than the muscle pulling force.Zhang Fan is a little better. After all, he is a systematic person, and he has good strength through long-term exercise.

Xu Xian didn’t work anymore. When he was in school, he made himself like a wooden stick in order to talk about objects, eat frugally, and bought a house after work, and he wanted to get married. He was reluctant to eat and drink, so he didn’t get fat. .

At this time, Xu Xian was sweating and clenching his teeth.It takes only ten minutes to make a man sweat profusely. It is conceivable that this work is too much trouble.

"Xiao Li, open the C-arm." Zhang Fan shouted loudly.Orthopedic surgery has one more observation room than other operations, and a small house isolated with lead plates.The door is ten centimeters thick.It's not loud, Xiao Li can't hear it.

With this sound, Xu Xian almost got rid of his hands.

"Om! Om! Om!" The C-arm started, as if thousands of mosquitoes took off.Then an image appeared on the monitor next to the C-arm.

The image is like an X-film, but in real time."Pull up, don't let go." Zhang Fan said, before resetting.

With the help of two big fingers, Zhang Fan used his strength little by little to reset the horned bones.The thumb must be vigorous, and the body must move slowly from left to right to make the fracture form a moment of force.

This action is too strenuous, the hands must be pulled steadily, the body must be moved, and the two thumbs must be reset together.Zhang Fan also clenched his teeth.

Too fat, thick fat, and muscles that have been practiced for many years directly smashed Zhang Fan and Xu Xiannong.

After more than forty minutes, Zhang Fan's hands began to tremble a little, "Okay, don't move, Xu Xian slowly slow down. Slowly." Through the monitor, Xu Xian also breathed out, and the fracture was finally restored.

It's still very dangerous now, because this fracture is like a broken chopsticks, a little bit of movement may be deflected again.

"bandage!"

Xu Xian, who let go of his hands, brought out the bandage."Bandage. Helix!"

Finally, the plaster was also put on, and the fat man left with great gratitude. Expenses: the manipulative reduction was 80, the anesthesia was 230, and the material cost was 120.The doctor’s skills are the least valuable.

"No, I'm tired, I'm going to sleep for a while." Xu Xian said with his head lowered.Although Zhang Fan is also a little dizzy, but he hasn't reached that point, "You can't, go to sleep."

Zhang Fan didn't take it seriously.As a result, the next morning, Zhang Fan couldn't get out of bed tired, very tired.Working under the rays for more than 40 minutes, I thought it was a hellokitty without showing up.