Medical road

"Come, sit, don't stand, let's have a good chat. What is your last name?" the expert asked Zhang Fan kindly.

"His name is Zhang Fan, the pillar of surgery in our city hospital, Mr. Lu, who is under the tutelage of Jade Bird Surgery, his elder brother has also come to the city hospital these days.

In addition, Professor Li Housen, an expert in the Department of Burns of the Capital, also came to our hospital to carry out the skin transplantation laboratory.

The portal system experiment of Professor Zhao Jingjin from Bird City has also been carried out in our hospital, and these work are led by Dr. Zhang."

Before Zhang Fan could introduce himself, Ouyang did it!chop!chop!It instantly raised Zhang Fan from an ordinary young doctor to several levels.

Although they are telling facts, they are actually exaggerated. In these experiments, Zhang Fan took the technical path, not his research.

But Ouyang's meaning is also obvious, don't think about digging people.The experts in the capital, the experts in the Jade Bird, and the experts in the Bird City have failed, so don't even think about it.

"Haha, are you, academician disciple, or ancestral disciple, great, what a pity!" Anyway, he and the local hospital are not in the same system, and he doesn't worry about anything unpleasant. He doesn't care. After speaking, I see Ouyang. His face flushed with anger, and then he immediately said, "Come on, Doctor Zhang, talk about war surgery."

"Where to start?" This subject is not a small subject, and Zhang Fan really doesn't know where to start.

"From what you know, there is a lot of time, let's have a good chat. Now the superiors are discussing the establishment of military hospitals in the border areas.

The funding is still given to local hospitals to allow them to develop this area. Therefore, as a member of the expert group, I also have the right to first understand the level of doctors in local hospitals."

As soon as I said this, hey, Ouyang, who had smashed the place and withdrew, his eyes were erected, quietly withdrew his momentum.

"Go, pour some tea for the experts, turn on the air conditioner, talk slowly, don't worry. Send someone to take notes. It is not easy for the experts to come down once. We should form a summary of the meeting."

Saying Ouyang snobbery seems to be impossible. Saying not snobbery. This is obviously a performance of snobbery. If it weren't for the chair in the conference room, it is estimated that the experts in front would not even have a place to sit.

At this time, Ouyang prodded it to the end and formed the meeting minutes, as long as the superiors had this meaning.

The city hospital went ahead of other hospitals!You see, we even want the minutes of the expert group's meeting, are you embarrassed not to give the project to our hospital!

That's what the old lady thought, and she was planning to do so.

Before that, drink tea?Thinking too much, isn’t tea count as office expenses?

Zhang Fan was almost covering his face, and he could also see that the old lady was a fool.He is still young, with a thin face.

"Hurry up, talk to the experts, and ask for more advice!" Ouyang patted Zhang Fan on the shoulder, and added a bit of strength, meaning: behave well.

After thinking for a while, Zhang Fan said:

"Speaking of war surgery, we have to say a word about the origin. The earliest medical books on war wound treatment appeared in the 11th century BC. The Zhou rituals in China appeared, and among them the "ulcer doctor" came out. Know the earliest systematic surgical classics.

The treatment of war wounds in the Cold Weapon War, a collection of classics, is the Jin Chuang monograph written by Liu Juanzi during the Southern and Northern Dynasties. This is also a must-read book for surgeons in the early years.

After the emergence of firearms, war wounds have undergone qualitative changes. In the 18th century, French surgeon, Dr. Deasult, first proposed that firearm wounds should be incised and enlarged to remove necrotic tissue and foreign bodies in the wound without initial sutures.This theory is still the classic standard for war injuries.

His student Larry established the first battlefield rescue team during the Napoleonic era, and adopted the principle of rapid rescue. Their teachers and students are the originator of war wound medical treatment.

The real change in the treatment of war wounds is the French microbiologist Professor Bast, who uses heat sterilization, which is now called pasteurization. This theory constitutes the theoretical basis of surgical disinfection.

According to Professor Bastard’s theory, the British professor continuously sprayed carbolic acid on the operating table to significantly reduce wound suppuration. Then Professor Bastard’s theory was carried forward.

The two world wars have allowed the rapid development of war wound medicine, and the modern war wound surgery compiled by Academician Li Ao of Hua Guo has also become a symbol of the establishment of war wound surgery in China."Zhang Fan began to speak with a slight recollection.

"You can know this. I guess you have read a lot of surgical classics, right?" The experts of the General Hospital were really surprised. Not to mention the level of surgery, this amount of reading is estimated to be able to teach the history of medical development in medical schools.

Zhang Fan scratched his head in embarrassment. "I didn't read all of it. Classical Chinese and some foreign languages ​​are not read. Classical Chinese can even be guessed. I have read some translations of foreign classics. The original version is too difficult to read. "

Zhang Fan has a lot of medical books in the system, and most of the classics recognized by the system are not translated versions as long as they are foreign.Therefore, Zhang Fan looked very strenuous.

"These classic teas shouldn't be there yet. You watched it in Jade Bird, after all, it's still a big city! What about you, have you dabbled in war wound ballistics?" Zhang Fan really attracted the interest of experts from the General Hospital.

When it comes to this issue, Zhang Fan has also begun to get serious. He is working behind closed doors in the system. There are many classics in the system. Where there are disputes, the system will not be explained.

There are some controversies, Zhang Fan can still see clues from the systematic surgical tutorial, because the results of some controversies are not reflected in the surgery.

Other controversial conclusions will appear in the surgical tutorials. Although the frequency is different, life is a matter of life, so Zhang Fan does not dare to generalize or blindly believe that that is right.

Now that there are more professional experts in this area, it is just an opportunity, and Zhang Fan can't let it go.

"In trauma ballistics, in addition to exploring the mechanism of damage caused by projectiles such as warheads and fragments, it must also consider the special effects of special environments, such as the characteristics of firearm injuries under plateau conditions.

For example, landmine injuries can not only cause local damage, but also cause systemic contusion-concussion syndrome. Antibiotics and surgery must be given within 1 hour after the injury to limit the continued necrosis.The injury mechanism of firearms is divided into five categories.

The first is direct cutting and crush injuries.

The second is to form a homeopathic cavity.Equivalent to tearing and collapse of tissue.

The third is the shock wave. This injury is very controversial. Some experts believe that this kind of injury has little effect, while some experts believe that this kind of injury is fatal.

The fourth secondary projectile damage.If the damaged bone stubble becomes scattered, secondary damage is formed.

The fifth is blood flow interference. The huge energy generated by firearms in the body instantly causes the surrounding blood vessels to collapse and form blood flow interference waves, such as injury of the lower limbs, and spotting hemorrhages of the heart, brain and lung.

......" Zhang Fan said, the experts listened, and from time to time they also spoke out to explain. The two were happy to talk, and the medical officer's hands almost broke, "MMP, what are you talking about, so much!"

"I can't explain some of your problems, nor can I explain it. There are thousands of injuries and illnesses, and there is no best treatment, only the most suitable. This requires you to summarize in your work, how is the most suitable , What is the most effective.

This is the so-called medical experience, and the time is not short. For your abdominal surgery this time, I think it is very effective. The maximum effect is obtained with the least damage, which is not bad.You are already somewhat qualified to sum up experience.

How, if you are interested in enlisting, the army is a melting pot for training talents, and only the army can see this kind of war injuries. You can take special talent channels if you want.how about it?"

"There is no war now. This kind of trauma is actually only local, and there are definitely more fights than wars! Besides, he has to preside over tens of millions of scientific research projects, and he can sum up experience when working at the local level." Ouyang No. I'm happy, and dig the corner as I say it.

Zhang Fan is actually not very willing, the restrictions are too big.

"Haha! I still like surgery. I like any kind of surgery. It's too simple and meaningless." Zhang Fan said with a smile.

When Ouyang heard this, he didn't worry anymore, picked up the boss cup and drank astragalus water in a very pretentious manner. The bitter old lady bared her teeth, but her smile remained the same.

"Oh! Actually..." The expert paused. The General Hospital also wanted face, even if he didn't come, he was not bad in the army.

"However, we can find a time. When you come to the main academy to give lectures, just talk about your understanding of ballistics. Although you are on a wild road, you are already on the road to Rome. Lectures can also open you up. Own thinking."

"Me? Lecture? This, I haven't talked about it before, I don't know..." Zhang Fan was a little timid. He went to a large hospital to give a lecture. At least he must be a Changhe scholar!

"Why haven't you taught me the exam? Didn’t you teach you specifically for the examination of licensed physicians in our hospital? And the last huge liver tumor surgery, doctors from all over the region came to listen to you. Modest." Ouyang put down his cup and immediately began to correct.

"Grandma, can anyone compare to this one!" Zhang Fan almost cried.

"Hehe, it's all the same. Just like that, just recently, let's make an appointment, you come to the general hospital to report. It can be regarded as a drum beat for the local hospital."

This expert is a staunch supporter of local hospitals. He believes that rebuilding is a waste and reasonable application is the best way.

"No problem, please ask the experts from the higher-level hospitals to set the time, and our lower-level hospitals will cooperate fully." Ouyang directly began to set the time with the experts, and by the way, the city hospital has become a lower-level hospital of the general hospital!

"Well, next Wednesday, I will give you a few days to prepare. I hope you can give a wonderful report next Wednesday to conquer more experts like you conquered me today. Boy, work hard!"

Ouyang took Zhang Fan and a group of people from the medical office and personally sent the expert group away.

"Hehe, I know, I know, it's good. Give you a few days off, as long as you do the laboratory surgery, the rest of the time is at your disposal. If there are no special circumstances in the hospital, it will not call you.

I’m going to prepare the materials to be reported and apply for the position of Assistant Dean for you!"

"The dean, no, I..." Zhang Fan didn't think about being an assistant to the dean, the assistant director of orthopedics is enough!

"Okay, you are too young to be the dean. Being a deputy dean does not have the right to be an assistant to the dean. Doctor, how can you do a good job without a big picture. This position is the best platform to exercise your big picture, hurry up Have fun!"

Before Zhang Fan could reply, Ouyang took a group of people away. The director of the medical department looked at Zhang Fan with complicated eyes, "Assistant to the dean! God, the youngest dean of the city hospital is out. Zhang!"

The others left, leaving Zhang Fan standing on the side of the road obsessed."Why is this an assistant to the dean?"

The government still has a little freedom in the jurisdiction of the medical system. Regarding Ouyang's proposal, it is not a big problem to discuss it at the meeting.

Zhang Fan, who returned home, still didn't react.Speaking of the assistant director of the orthopedics department, it is actually a matter of the team leader, that is, the hospital leader.

As for the assistant to the dean, he is considered a post.In the old saying, this is equivalent to becoming a cadre.

"What's wrong, I almost eat into my nose after eating." Shao Hua smiled and looked at Zhang Fan, and then wiped his mouth with a tissue, "I will do it myself, I will do it myself." Zhang Fan looked at the old couple and looked a little uncomfortable. Sorry.

"Yeah! Cough, cough, have you finished eating? The news network has started, you can watch TV." The old lady just took the old man away, and the young couple seemed to have something to say. What does he mean by piercing his ears? Matter!

"You, hum!" The old man tilted his mouth, put down his chopsticks and left.

"Zhang Fan, here, I got you some radishes. You can eat some more as cold dishes. I'll go to the kitchen to wash the pot." The old lady closed the kitchen door.

"What's wrong? Absent-minded. Are you tired?" Shao Hua looked at Zhang Fan with concern.

"I am going to the Bird City General Hospital to report next Wednesday!"

"Really, haha, Little Stone, you're so amazing. I'm going to report to the main hospital? Oh my god, don't eat it, I will take you to buy a suit. You can't wear T-shirt jeans. Let’s report!"

Shao Hua is happier than Zhang Fan. The fake bird market is also a second-tier city. It's amazing to be able to report in the best hospitals in second-tier cities!Shao Hua, who was born as a commoner, could not be happy.

"Uh, no more!"

"No need, you listen to me, you must be cleaned up, and you look like an expert professor!" Shao Hua began to look forward to Zhang Fan's appearance by her.

"Go!" Shao Hua began to urge!

"There's one more thing!" Zhang Fan said with some uncertainty, because he didn't know if it was Ouyang, that is to say.

"What's the matter, tell me, the Vientiane Hui is about to close!"

"The dean said that the nomination let me be the assistant to the dean!" Zhang Fanyi said.

Shao Hua was also dumbfounded."Assistant Dean?"