Medical road

Mime private 467

Shabra picked up the stone in his stomach. After the electric drill destroyed most of the stones, although it became smaller, it could not be taken out from the small incision.

The incision is so small that you can almost only put a middle finger in, and you can't put your thumb in. It is so small, and the damage is so little. If you don't use your brain and take this kind of stone, it will almost become a big stomach incision.

"Alice pliers." Zhang Fan put down the electric drill and began to ask for pliers.

"Dean Zhang, can you use larger needle-nose pliers? Last time you broke the equipment, the leader called me." The nurse held the Alice pliers in her hand but didn’t give it to Zhang Fan. She cried as she spoke. Sound.

Head nurse, don't look at being gentle and polite to high-level doctors, she is actually a fierce woman.Also, the nurse in charge of the operating room is not fierce. First of all, an aseptic operation must always remind the surrounding doctors and nurses.This is the last line of defense for surgery.

To be honest, the effect is not good, only shouting and cursing, so the nurses are also very afraid of the head nurse getting angry.

"It's okay. Give it to me. I will have the operation later. I will tell the head nurse that I won't trouble you. The needle-nose pliers can't get in." Zhang Fan said to the little nurse with a smile. Known things.

"Don't you say that I said it, otherwise the head nurse..." The little nurse gave Alice the forceps to Zhang Fan.

"Don't worry, I won't say it. We are not in the same group!" Zhang Fanyi said, the little nurse was happy and wiped the surgical instruments happily.

When the surgery is handed over to the doctor, it will be bloody. At this time, the nurse must wipe it clean before the blood coagulates.So the nurses on the operating table are also very busy.

"I like to set up a platform with Zhang Yuan." The little nurse said with a smile.

"Doctor Li, how many sick numbers do you have in your hand?" After Zhang Fan took the Alice forceps, he clamped the stones hard, and asked the attending physician.

"Zhang Yuan, I still have fifteen sick numbers. I only got five sick numbers today, otherwise there will be 20 sick numbers." The attending doctor showed his number of cases.

Zhao Quanping, the director of General Foreign Affairs, changed his face with anger, "It's fine if you don't have talent in the operation, why don't you even have a low EQ. Isn't it obvious that you are going to leave your illness? You are stupid!"

"Oh, you have to pay attention to your body. I think Dr. Li is still very good at this stage of general surgery. However, he is not very good, and he has to bring the doctor under his hand to be called good. This patient is handed over to Ma Yichen, go down In the future, you must check it well, and I will ask you if something goes wrong."

"Okay, okay, Zhang Yuan, don't worry, I must worry about letting Xiao Ma take care of this sick number and improve the medical level as soon as possible."

Doctor Li was happy, Zhang Fan didn't use him as an outsider in his speech!

"Hey! The operation level is high and he can talk. He is not the leader who is the leader." Zhao Ping was full of emotion, and when he looked at his apprentice again, he didn't get angry. "This second fool!"

Zhang Fan was able to do this, first of all, thanks to the credit of selling instant noodles that year. With this bowl of wine at the bottom, Zhang Fan's EQ is considered to be practiced compared to other technical dogs.

Coupled with the promotion of the position, the improvement of vision, and because of Ouyang's beating, Batu's teaching, Lao Gao's example, Zhang Fan's view of the overall situation, and dealing with people have all improved to a certain extent.

How to deal with people is actually a very important skill. Relying on pleasing, oppression is not the right way.

"Ma Yichen, can you take care of this sick number?" Zhang Fan asked while looking at Ma Yichen.

"Zhang Yuan, don't worry, I will take care of it." Ma Yichen was also very happy when the leader gave the opportunity.

"Okay, I've given you this sick number." Zhang Fan nodded. At this time, Lao Zhao coughed, and the meaning was obvious, "I am the director of General Wai!"

"If you don't understand, ask Director Zhao a lot. In terms of tea and general medicine, Director Zhao is the first knife."

"Okay, don't fool me. You! After practicing, have you taken down the hepatobiliary department of the affiliated hospital?" Old Zhao admired Zhang Fan very much, so he didn't pursue it.Otherwise, Zhang Fan will directly intervene in the work of the department, and in front of him, it is strange not to fight.

"Forget it, I have made appointments for several operations. I will go this weekend, or would you go too?" At this time, the operation is simple, just like a walnut.So Zhang Fan was also happy to say a few words.

"You praised me! Bring more ponies. But let's say yes, don't take them to the hepatobiliary surgery, I don't agree." Old Zhao stared.

"Okay, rest assured, definitely not." Zhang Fan smiled.As for whether or not, it depends on Ma Yichen's talent.

"Girl, come and hold the needle holder for me. Alice is dead and can't be clamped." Zhang Fan handed Alice to the nurse, and the little nurse was about to cry with Alice forceps.

Zhang Fan went to the operating table, and the head nurse usually arranged the latest and greatest surgical instruments. Originally, he thought it would be a general surgery, and the instruments should not be damaged.

As a result, the new Alice pliers are already a bit bent!Does this still work!The little nurse looked distressedly over and over with the pliers.

"Hehe, it's okay girl, don't worry, I will tell you the head nurse later. She won't criticize you."

"Yeah! You must tell the head nurse, Alice's forceps are crooked. Now you need to use the needle holder again!"

"It's okay, don't worry." Zhang Fan said cheerfully.Medical treatment, especially western medicine, is actually a big waste. If Zhang Fan is like this, this tens of dollars of equipment can't be used.In the past, the national conditions were not good, and everything was used many times.

Now that the conditions are good, there are not many things that can be reused, almost all of them are disposable.Although the cost has increased, the safety has been greatly improved.

"You orthopedic doctor, it is rough! Good needle holders can be used crooked, let us general surgeon doctors, retired, can not be used. In the future, you will use orthopedic instruments and general surgery instruments. Separate." Old Zhao said unevenly.

"Well, next time I use my own equipment, I have a set of imported equipment." Zhang Fan said triumphantly. Zhang Fan didn’t like to use his own equipment before, but he didn’t reach his status. Besides, the nurse in the equipment department will not disinfect you, and your little resident can't do it.

But it's different now.This is also the benefit of being a leader.

"Which country?"

"German!"

"If you have a chance, give me a set." Old Zhao knew what was going on as soon as he heard it, but compared with orthopedics, the general surgery department did not pay much attention to the equipment.

"Good!" Zhang Fan held the needle holder while squeezing the stone vigorously.

The hardness of this stone is too hard.Gallstones are crisp.Not to mention the use of equipment, you can knead the noodles with your hands. The kidney stones are a little harder, but it doesn't take so much effort.

This gastrolith is too hard, it is not for nothing that can survive the corrosion of strong acid."Come on, Doctor Li, pinch it for a while, my hands are sore!" The handle of the needle holder was relatively thin, and Zhang Fan pinched it for a while, and his hands started to hurt.

Zhang Fan really couldn't squeeze anymore. It was really troublesome to squeeze the big stone on the baby's head.After receiving the needle holder, Dr. Li began to pinch. After squeezing the needle for ten times, he embarrassedly gave the needle holder to Ma Yichen, but he couldn't move it anymore.

The pony hand squeezed a dozen times."Looking at Zhang Yuan holding it easily, I thought it was very simple, but the stone was so hard, like an iron block."

"I see, Zhang Yuan usually exercises very well. When you slept late in the morning, Zhang Yuan started running." The head nurse didn't know when he came in.

Old Zhao is getting old, and Zhang Fan didn't let him do this pure physical work.Listening to the head nurse coming in, Zhang Fan took the needle holder and spoke.The little equipment nurse stared at Zhang Fan with wide eyes, for fear that Zhang Fan would get her out.

"The head nurse, I caused you trouble again." Zhang Fan said with a smile.

"Look at what you said, I'm happy to do what you are doing." The head nurse helped Zhang Fan wipe his sweat-free forehead, and then tidyed Zhang Fan's surgical gown from behind.

Then he said to the itinerant nurse: "I will give Zhang Yuan later, wear the surgical gown a little looser. It is too tight and the operation time is long, and I feel uncomfortable."

"Okay, the head nurse." The itinerant nurse smiled.

"It's quite appropriate, the head nurse, I broke a few more instruments. Nurse Xiao Wang has said that I have been several times, but there is no way for this operation. The stone is too hard."

"Oh! Let me see." Then he leaned behind Zhang Fan, standing on a small stool and looking at the equipment across Zhang Fan's shoulder, Zhang Fan seemed to feel something.

"Oh my God, Yuan Zhang, your strength is so hard. It is so hard that you can bend it. Next time I hit the equipment report, you have to sign it earlier. The former deputy elder said we were eating equipment, you are I know, right?" The head nurse said with a smile.

"No problem, no problem at all, don't worry." Zhang Fan smiled, and then moved slightly ahead.Although it was already posted on the operating table, Zhang Fan still walked a bit ahead.

"Zhang Yuan is easy to talk! I like this kind of leader." After speaking, the head nurse shook the slightly thick Yang Liu waist and went out.

Three people directly destroyed the three needle holders."It's really too strong, this thing is almost the same as the lower-marked cement." Zhang Fan said, rubbing his sour tiger's mouth.

After squeezing the stones into small pieces, Zhang Fan began to clamp them, one by one, and the small curved plate was directly filled with it.Finally, the gauze was slowly raised, and the stone was finally taken out.

"For this patient, when you go back, you must decide to decompress the stomach and intestines. Don't worry about letting him eat. Medicines to protect the gastric mucosa and suppress acid should be used.

If necessary, give him several enemas. This thing can't be digested in the stomach. Don't let the remaining residue enter the intestine and form an obstruction."Zhang Fan explained to Ma Yichen.

"Okay, Zhang Yuan." Ma Yichen was also very happy that the leader could appreciate it.

After Zhang Fan explained the matter, he began to stitch."Yuan Zhang, isn't the ulcer treated?" the attending doctor asked.

"No, this kind of ulcer is caused by the rubbing of this stone. As long as the stone is gone, use some acid-suppressing and gastric mucosal drugs to recover. It is the wife of this patient who is a troublesome thing." Zhang Fan was right. After finishing talking about the attending, he said to Old Zhao.

"Yes, her liver hydatid surgery has already been done once in the local hospital, and now it has recurred. The operation is more troublesome."

"Director Zhao, please invite my brother and Professor Zhao Jingjin from Bird City tomorrow. Let's have a consultation together. See if there is a good way."

"Okay. Conventional surgery is not enough. You have to think of a better way."

Zhang Fan sutured the stomach body layer by layer.The small hole is not damaged, so recovery should be no problem.

"Yuan Zhang and Director Zhao, I also often have stomach pains. One day, let me see if it will work." The operation is about to end, and the head nurse will not be troubled by the nurses and the nurses, who will also become lively.

"If you don't eat on time, you still lose weight, right?" Lao Zhao didn't speak, and Zhang Fan continued talking.

"Well! There is no object if you don't lose weight." The little girl is also a man!

"How old are you, don't ruin your stomach just to lose weight, you can go to fitness!" Old Zhao listened with a smile.

"Lazy! My legs are almost broken after get off work, and I don’t want to walk. I have no strength to exercise. And I’ve been nauseated recently after eating some chocolate! Zhang Yuan, please tell me!" The little girl said deliberately. This guy has a head nurse. Potential.

"This stomach, it has two ports. The entrance is called the ben door, which is like the fuel injection port of a car, and the exit is called the pylorus, which is connected to the duodenum.

There is a sphincter at the cardia, like a valve, when food enters the stomach, this switch is turned off, so there is generally no reflux.

But once a lot of fat and alcohol are used, reflux will occur. Many people don’t talk about eating and drinking, but eating a little and drinking a little, and reflux symptoms will occur. So if this happens, avoid eating chocolate. High-fat, alcoholic food.

If there is long-term reflux, the esophagus will be corroded, corroded, and the esophageal mucosa will start to recover when it is broken, and it will start to be corroded when it recovers. The eroded place of the week compound will proliferate and mutate, and cancer cells may appear. ."

Zhang Fan also knew that the little girl did it deliberately, but since she started to say it, she must make it clear.

"Oh my god, it's terrible, I love chocolate the most. I also love white chocolate."

"With such a greedy mouth, you probably won't lose weight anymore." Director Zhao of General Wai said with a smile.

"Director Zhao, you hate it. I've decided, I won't eat chocolate anymore!"

"Why do I quit eating too!"

"Haha, for the sake of Director Zhao's body, I'd better eat a little bit!"

The operation went well, and several people talked and laughed and ended the operation.

"Be careful, and pay attention to postoperative recovery." Zhang Fan deliberately explained to Ma Yichen again.

"Zhang Yuan, rest assured, absolutely complete the task. Let the patient leave the hospital in good health." Ma Yichen promised, patting his chest.

"That's good."

Uncle Golden Teeth, remove the teeth, a plastic gastrointestinal decompression tube is inserted in the nose, a light bloody liquid can be seen in the tube, and the nurse and anesthesiologist are pushed out of the operating room.

The old man had no teeth, his upper lip and lower lip were constricted together, and then because of the customs of life, there was a long beard around his lips, how it looked, how weird.It seemed to be a strange flower, after Zhang Fan looked at it, he decided to be resolute in the future.