Medical road

Zhang Fan is young and energetic, and he has no so-called arrogance. What kind of attitude he used to be, what kind of attitude he still has now.

For surgery, first see the patient number. This is his habit, a very good habit."It's okay, your tumor is not big, you will be able to recover well after the operation, don't drink this wine again!"

On weekend mornings, Zhang Fan took Ma Yichen and the doctors from the Department of Hepatobiliary Surgery of the Affiliated Hospital for preoperative rounds.

Zhang Fan came to perform the operation. The directors and vice-seniors were very active because they could learn the technique, but the hospitalized dog and the transfer department Wang felt as uncomfortable as his dead father.

"I'm here for surgery again on the big weekend. It has been several weeks. Can't you take a week off! Can't you change the place!" A group of people hugged Zhang Fan for rounds, and the young doctors walking behind were helpless!

"Okay, okay, I must listen to you, please use a snack!" There was a very young patient in today's operation. The child was just three years old. The family members took Zhang Fan's hand and wanted to kneel down.

Although Zhang Fan was young, he was surrounded by a group of doctors in the provincial hospital, and naturally he also had an aura, an expert aura.

The liver is most afraid of three things. The first fear is all kinds of viruses, especially hepatitis B virus, which is directly a liver killer.

Second, I am afraid of long-term heavy drinking and a large amount of dietary fat. This can be prevented and cured.

The third is afraid of aflatoxin. Eat bitter gourd seeds and moldy peanuts. Don't drink your saliva and let it go. You must vomit.This thing is aflatoxin, the liver is afraid of it.

In the operating room, Zhang Fan sat and watched the patient's examination. Although he had already printed the patient's examination in his mind, Zhang Fan took the trouble to watch the examination.

The two hepatobiliary directors also accompanied Zhang Fan to see the examination, and Zhang Fan's habit made the two directors gradually adapt.

Although Ma Yichen was brought by Zhang Fan, including the director of the Hepatobiliary Department, he was very kind to him, but the young man was a sensible person and knew his position.

Zhang Fan was resting with the director, and he actively helped the anesthesiologist to position the anaesthetist and help the nurse tie up the patient.It won't work if you don't let it go, and smiles actively.

Zhang Fan occasionally took a glance, and when he saw the busy Ma Yichen, he was a little proud, "My vision is also good!"

"Yuan Zhang, prepare to wash your hands!" The director of the anesthesiology department said softly.The dean of the affiliated hospital specifically explained that as long as Zhang Fan comes to the operation, the anesthesiologist must be the director of the anesthesiology department to come on stage.

"Okay! Wash your hands."

At the beginning of the operation, Ma Yichen was also put on the stage by Zhang Fan, “The little horses take a rest one by one. There are not many patients in our hospital. Let’s take advantage of the light of the affiliated hospital to learn more.”

Although Zhang Fan can appoint the personnel for the operation, he still has to say if necessary, and he cannot eat alone.A vice-high who had an ugly face, when he heard Zhang Fan say this, he instantly got better.

People who work hard are always worthy of respect.

The medical industry is too special, it is a more special existence in a special industry.Not only a good platform is needed, but the personal efforts of doctors are also very important.

A simple abdominal color Doppler ultrasound, the machine is the same advanced, but the reports of good doctors and poor doctors are different, so although doctors are not ranked in the world, hospitals are ranked.

Doctors work hard to improve, and then work hard to go to bigger and better platforms. Big platforms also work hard to improve various welfare benefits, and those who work hard to absorb excellent doctors.

The particularity of the industry has also created the particularity of this profession. The high-end and precision will always be concentrated in a few places, and medicine may develop rapidly.Perhaps many high-end medical technologies will be created, and then gradually popularized, slowly benefiting the general public.

However, relative this has also formed a threshold, formed a relative imbalance or inequality, right and wrong is really a very contradictory question.

Mr. Wang took his father almost to the magic city. For his level, money is not a problem, but for most people, money is the biggest problem. This is also the reason why European and American countries have become popular.

In the early days of China, many people scolded, but people who had no money to see a doctor threw the patient in the hospital, turned their heads and left.

It is not an exaggeration that the hospital not only has to take care of the meals, but also do its best to treat others.This is also one of the main reasons why private hospitals cannot develop in China.

"How big is the liver? In the first few weeks of the human body, the liver develops and forms. What are its characteristics." Zhang Fan took the alcohol to disinfect his skin, and then asked nonchalantly.

The two directors knew that this was Zhang Fan's question to his little assistant again, and they smiled and looked at Ma Yichen.

"The liver weighs about 1200~1500g and is about 25cm long. At the fourth week of the embryo, the liver protrudes from the foregut and becomes the liver.

The liver is the human body's largest chemical field, and almost all hormone inactivation is in the liver.

Most of the vitamins are stored in the liver..." Ma Yichen did not disappoint Zhang Fan. He organized the liver from physiology to pathology, from anatomy to biochemistry, concisely.

"Little Ma has a good foundation!" When Ma Yichen finished speaking, Director Li of the Second Hepatobiliary Department praised him.

Zhang Fan didn't say anything, but just nodded. If he didn't even have any knowledge, Zhang Fan wouldn't expect him.

At the beginning of the operation, Zhang Fan was already transparent for the liver operation, and he entered the liver area very quickly.There was nothing to say before entering the liver. Just when he chose the incision, Zhang Fan made a special statement, and then he was speechless.

In the first operation, a male with a patient in his fifties, when he entered the liver area, the tumor was clearly revealed.

The liver, as long as it is a normal liver without disease, can actually make people feel pleasing to the eye.

The normal liver covered by the membrane reflects a soft luster under the shadowless lamp, slightly rose red, which can be considered oily and smooth.It really makes people feel close.

But after having a tumor, it was immediately different.Cancer cells are too domineering.If the normal cell growth rate of the liver is walking, the growth rate of liver cancer cells is an airplane.

One cell becomes cancerous. After the cancer becomes cancerous, the cells that cannot be found under the light microscope begin to grow. One cell becomes two, and two becomes four.

With rapid growth, almost all the nutrients in the area are absorbed by it. The growth becomes larger, and the outer cancer cells continue to proliferate, while the inner cancer cells continue to die.

When the number of deaths increases, cancer cells rupture.Things like pus will flow out.

And the shape is different, the most typical is a giant tumor, just like an abscess on a mangy dog, protruding from the liver, it shows that the white and greasy person is because of the existence of liver capsule.

Cancer cells are tightly wrapped by the envelope, like a brain flower tightened by a plastic film. The blood vessels that are clearly visible in it grow and rot and die.

The coexistence of freshness and corruption not only makes people feel nauseous, but also makes people feel scared. Yes, it is scary. This thing is like a black (a) society, lying on the liver with teeth and claws.

The scalpel opened the way, stripped a little bit along the liver and gallbladder, and the electrosurgery clotted blood.The electrocoagulation taste of muscle fat is like roasted meat, with a meaty aroma.

And because the liver is rich in many chemicals, after electrocoagulation, the smoke produced is a little bit fussy, a little bit of overnight urine.

"When separating the tumor, if you are not sure, use a knife handle." Zhang Fan explained as he made it.

The two directors have already started, and what Zhang Fan now chooses is a technique that has many steps but is relatively less difficult.

The two directors kept nodding their heads, studying Zhang Fan's steps with full concentration.

After cleaning, the disgusting tumor was completely resected by Zhang Fan, like a brain flower that had been damaged.

The liver tumor was removed. Although there was a big pit on the liver, the liver at this time knew that the danger had been touched, and even the blood flowing out was lovely.

"How is it, do you feel it?" After the tumor was removed, Zhang Fan also breathed a sigh of relief. The tumor operation is not fracture fixation.

Fracture fixation is not a problem even if the technique is a little rougher and the plate is a little ugly, but the tumor is different.

Ulceration and poor cleansing can make the operation fail, so every time he has a liver tumor operation, Zhang Fan is not easy.

Only after the excision was completed, Zhang Fan could breathe with ease. This is not an exaggeration.

"It feels a bit, but it seems that it is still lacking a little bit." The director of the Fifth Hepatobiliary Department said after thinking about it.

"Yes, it seems to be so bad now." The director of the Second Hepatobiliary Division also followed.

"Well, then continue to do it, and make more than a dozen sets. I guess you can try it out." Zhang Fan said, sweeping the beginning and the end of the operation.

Ma Yichen still can't realize the difficulty of the operation. After all, he is not a master of liver and gallbladder, but he admires the accuracy of Zhang Fan's operation.

It is rare to experience bleeding after a single cut, which shows that Zhang Fan is quite familiar with anatomy and can avoid larger arteries with every cut.

"It's too fierce, even in a place as complicated as the liver, you can understand the dislocation of the vascular system! It's terrible!" Ma Yichen unconsciously compared Zhang Fan and found that the gap was too big.

During an operation in the morning, the nurse was changed, but the doctor anesthetist could not be changed. After hurriedly eating lunch, he continued to the next operation.

Regarding the physical consumption of surgery, it is estimated that orthopedic surgery can definitely be the top three of all surgeries, but orthopedic surgery is relatively not that consuming the doctor's energy.

Tumor surgery is different. It takes a lot of energy. Doctors don't force oneself to concentrate on the operation, especially when it comes to cleaning.

Sometimes, a small omission may cause endless suffering for the patient.

After eating a few bites of food casually, Zhang Fan sat in the lobby of the operating room and began to close his eyes and rest for a few minutes.

There is no intermission for this type of operation. One operation is completed, and the patient of the other operation has been put on antibiotics and sent to the operating room.

The chief surgeon can still rest for about ten minutes. If there are no other doctors on the stage, the assistant will be busy setting up positions and helping with anesthesia.

The posture is quite particular during surgery.It's not just throwing people on the operating table and knives.

The position of the patient must first ensure the convenience of the surgeon, and because the patient stays motionless for a long time, some cushions should be placed in the weaker subcutaneous fat to prevent the skin from being crushed.

This is not a joke, as long as two hours of compression, where there is less subcutaneous fat, necrosis and rupture will appear, and it is ischemic necrosis and rupture, this kind of damage is particularly troublesome to recover.

It will spread.The patient number of one department is transferred to another department, and the handover nurse will do a comprehensive examination of the patient's skin.

Once bedsores appear in the hospital due to improper care, this is a medical accident.

Why is the cost of nursing in the ICU so high? Let’s not talk about other things. First of all, nurses do this very frequently, every 15 minutes.

In the ICU of a large hospital, there are definitely no less than 30 patients, and no more than six night nurses. One can imagine the workload.

I want to sleep after eating. Zhang Fan usually doesn't drink much coffee, but for this type of surgery, Zhang Fan has to drink some instant coffee. Sometimes he has to catch up with Red Bull, otherwise he can't keep up.

During the operation in the afternoon, Ma Yichen was like a crowd eating melons under the operating table. The young man was winking. He helped the nurse wipe the doctor's sweat, and adjusted the air conditioner. He was not idle anyway.

This is an attitude towards learning.

In the afternoon, Zhang Fan did not have the energy to explain the surgery in the morning. After all, human energy is also limited.

Zhang Fan did it quickly and carefully.The two directors also knew that Zhang Fan was a little tired and didn't talk much.There was only the sound of the ticking monitor in the operating room.

President Wang's father's operation was put on the next morning.On the night he separated from Zhang Fan, he began to inquire about Zhang Fan through various relationships.

Although Zhang Fan is very powerful according to the dean of the affiliated hospital, he is still a little uneasy because he is his father after all.

"Old Zhao, Zhang Fan of tea..." This was calling Zhao Jingjin.

"Dean Ouyang, I am..." This is specifically to learn from the leader of Zhang Fan.

"Old Chang, inquire about someone." After asking a few people, they all said that Zhang Fan was very good.

He felt relieved, but they were all doctors from the frontier. He decided to ask the doctors who left the frontier. After all, they were not in the same area, so they shouldn't cover up for him.

Old Chang, who was far in the mainland, felt that the dark clouds were covering the sky, so he changed his number, but for such a rich man, he still sent his new number very dogmatically.

However, when he heard the other person talking about asking someone, he started to get bad. He didn't dare to hang up, and he didn't dare to tell lies. He could only grit his teeth and say that he was unfamiliar.

Zhang Fan, isn't he familiar?He is so familiar!

After Mr. Wang got to know it, he began to tell his secretary, "Is the place where Zhang Yuan lives still satisfactory?"

"Satisfied, the best suite in Frontier Hotel. When I got up in the morning, Dean Zhang was in good spirits." The female secretary held her hands lightly and placed it slightly under her belly.

"Prepare 200,000 in cash and send it directly to his room in the evening, so I won't come forward. Be polite and tell Zhang Yuan that the labor service fee belongs to the labor service fee. This is my little heart."

"Ok!"