Medical road

When Zhang Fan arrived in the operating room, the director of anesthesia just came out of the office. He smiled bitterly when he saw Zhang Fan.

"Zhang Yuan, the fat man from the orthopedics department is too troublesome!"

"What's wrong?" Zhang Fan asked curiously.

"You'll know when you enter the operating room. I won't say anything. Just called me and asked me to help carry people."

"Okay, you go first, I'll come right after I change my clothes." Zhang Fan nodded.

The head nurse in the operating room specially made a small dressing room for Zhang Fan. Although it was not big, it had a small sofa and a small table.

Change your hand washing clothes and wear a hat and mask.

The hand-washing clothes in the hospital are made of pure cotton, and because of the frequent high-pressure and high-temperature disinfection, they are soaked in disinfectant from time to time. They look tattered, but they are very comfortable to wear.

Because it is a pure cotton product, it will not be like some century-old boutique clothes, full of static electricity, crackling when walking.

When he walked into the operating room, Zhang Fan almost laughed.The fat boss broke the Achilles tendon in his right leg.

The pants were only taken off on the right side, and the white fat legs and fat were hung on the edge of the operating bed, like unsmoked fat hung on the wall beam.

In the early days of Huaguo’s operating bed, there were some Mordu products in the hospital, bearing the nameplate: Mordu Third Surgical Instrument Factory.

I don’t know why. It is probably because they can’t make money or have too little money. They don’t like it. In the mid to late 1990s, Huaguo products were launched in the medical market.

The old-fashioned operating table is very crude. If you want to move the operating table, don't think about it if you don't have a strong man in your 20s.

What is the old-fashioned operating bed like? The average person really has no idea.

It's not easy to explain, so I can only talk about it briefly.

People who are a little bit older don’t know if they still remember the state-owned barbershop.

There are a few aunts inside, and there are some very comfortable chairs.

There is a big iron lump under the chair, and there are various magical gear levers around the chair, which can be turned and can be put down as a bed.

Putting this kind of chair behind is actually an operating bed.

The earliest surgeons were all hairdressers.So many things in the operating room in the early years were similar to those in the barbershop.

Even now, the three-color rotating signs hung at the entrances of many barbershops actually represent arteries, veins, blood vessels and nerves.

The products of Modu No. 3 Instrument Factory were eliminated by Grade-A hospitals after entering zero years.Because Maruko Country and Germany have developed new surgical beds.

Their operating beds have all become automated and remotely adjusted.And because of the battery, it can run as an electric car at critical moments.

This function seems to be very tasteless, but in a critical moment, it can save lives.

The things in Maruko Country are stingy, the beds are not expensive, but there are many additional things, and the sum of them is expensive.One surgeon, millions!

But because there are hospitals in developed cities that support counterpart hospitals in the west.

The operating beds of the Chasu City Hospital are relatively advanced, all made from Germany.

However, even after the extension plate of the operating bed had been opened, after the fat boss lay down, part of his body was still hanging on the edge of the bed.

"Zhang Yuan! Can only put a small table under his feet.

However, the height cannot be adjusted, and the operation may be more tiring."

The head nurse was also helping. After seeing Zhang Fan, the head nurse stood up, and it was too troublesome to bend over, because... Wang Wangwang certainly didn't understand.

"Okay, let's put a suitable table." Zhang Fan did not say anything.The operating table can be adjusted in height, but ordinary tables do not have this function.

The height of the table cannot be adjusted, the position cannot be adjusted, so the doctor can only adjust itself.

Those who are kneeling for surgery or squatting for surgery may sound nonsense. In fact, this is a routine operation for many special operations.

"Zhang Yuan, the patient's weight is too large, and the anesthetic can not be given too much, otherwise the dose will exceed the standard." The anesthesiologist also began to talk about the problem.

"Consult this with your anesthesiologist." Zhang Fan really didn't dare to interfere.

Medicine is divided into several university disciplines. Let alone the others, the anesthesia and clinical disciplines involved in this operation are directly different disciplines.

Zhang Fan really didn't dare to give any advice to others.

"It is estimated that the anesthesia effect is not good, and the weight is too large. When you are in the hospital, you should try to be as fast as possible."

The director of the anesthesiology department is also helpless. For patients of this size, the anesthesia dose is too difficult to control.

Less medicine does not work well, and more medicine may make the patient never wake up.

"Okay." Zhang Fan agreed, then looked at Xu Xian and Wang Yanan, "Which one of you raised your foot?"

"Uh!" Xu Xianhan all came down, isn't this just asking him to lift his foot.Zhang Fan is the leader, and Wang Yanan is the girl. He is the only one.

However, looking at the fat boss's thick legs like an elephant, he is a little bad.

...

"Hehe, where is Xu Xian raising his leg, I disinfect, rest assured, I am very fast!"

Although wearing a mask, looking at Wang Yanan's eyes, everyone knows that she is very happy.

Disinfection and surgical disinfection are very strict. Generally, it must be disinfected to about 15cm from the incision.

Because the patient has a ruptured Achilles tendon, he must lift his lower limbs, starting from the Achilles tendon, and disinfecting it until the lower edge of the knee.

Moreover, the seam between the toes is the key point. This is the place where the dirt and dirt are hidden, and the sweat glands are abundant, and the skin is thickened here to form wrinkles for wear resistance.

This is also the reason why some people's feet, although they don't have athlete's foot, can still smell bad.

After washing his hands, Wang Yanan began to disinfect.The disinfection of the lower limb surgery is not troublesome. Routine disinfection is enough, but it is too much trouble for people who lift their feet.

From the place where the calf connects with the footsteps, Wang Yanan took the oval forceps and clamped the iodophor cotton ball to start disinfection.

At this time, Xu Xian grabbed the back of the patient's instep with both hands and lifted it up, his legs were too thick.

Lifting a distance of more than ten centimeters from the bed, Xu Xian used all his milk-feeding energy, and he grinned directly under the mask.

At this time, it was time to test Xu Xian's arm strength. Whether it was a unicorn arm or not was also reflected.

With Wang Yanan, the scope of disinfection is shrinking.

Xu Xian grasped the patient's instep with both hands, and slowly became a large toe holding the patient in his hand.

It doesn't matter if it is just lifted up, but Wang Yanan has to hold the oval forceps to hold the iodophor cotton ball and wipe it back and forth between the patient's feet.

This calf is at least 30 catties!Xu Xian sighed.

His face flushed, her neck flushed, one hand held the wrist of the other hand, and the thumb and index finger of the other hand tightly pinched the fleshy big toe.

It is hard to be single for many years, otherwise the weight of this action will not be lifted by people who got married early.

Xu Xian shouted again in his heart, "Ah! Ah! Ah! Come on, come on, shit will come out!"

Wang Yanan was very fast, and in the end only one big toe was left without disinfection.

As soon as she turned and Zhang Fan turned back to back, Zhang Fan held the small sheet in the surgical kit in his hand and quickly laid it on the operating table.

"Alright, let it go!"

Xu Xian gently put down the patient's foot, and the sweat directly soaked his hand sanitizer.

While breathing heavily, he pinched the Qilin finger of his right hand, which he usually exercises.

After Wang Yanan finally disinfected his big toe, he took a pair of sterile gloves from the surgical nurse.

"This won't work, it's too small, how big is the biggest surgical glove in our hospital?" Wang Yanan asked.

Because the toes are relatively contaminated and are too close to the surgical area, they must be wrapped in gloves.

"Eight and a half!"

"Change to eight and a half."

The surgical gloves for girls are usually size six and a half, boys with a little thinner are size seven, and those with larger hands are size seven and a half, or size 8.

Zhang Fan is 1.8 meters tall and usually wears a size seven and a half.One can imagine how fat the fat boss' feet are. The thinner pig's feet are probably not as heavy as his.

Put on gloves.Shop orders, four small orders up and down left and right, two mid orders up and down, and a hole in the middle.

When these lists were covered, the fat boss' body was gone.

There was only one leg with a rubber cap left, standing alone on the green surgical drape.

Fat feet stained with iodophor are as fat and greasy as the hilarious bugs in cartoons.

Sports medicine is counted as one in Asian countries, but it is not very good.Bangziguo Medical is a direct copy of the European and American system.

But they have taken a different approach, leading the world trend in plastic surgery.

Don't underestimate this plastic surgery, the authoritative experts in spinal plastic surgery, Bangzi Country accounted for the majority.As for facial surgery, they have already rushed out of the universe.

Although the medical system of Maruko Country seems to be not very well-known, it is the most perfect country combining Chinese and Western medicine.

Especially when it comes to endoscopes, no one in the world is an opponent.

As long as it talks about endoscopy, there is no way to bypass Maruko Kingdom. An Olympus endoscopy is directly a contradiction.

Muscles can be divided into three categories, cardiac muscle, smooth muscle (muscles in internal organs and blood vessel walls), and skeletal muscle.

For skeletal muscle, there are too many categories.There are long and short, with feather-shaped muscles.

The most peculiar is the orbicularis muscle, the muscular structure of the lips and anus are similar.Like a finger made of rubber.

Moreover, there are experts in Chinese medicine who treat hemorrhoids and do acupuncture directly on the mouth, but it is strange that it is actually effective for hemorrhoids!

Skeletal muscles are like rubber bands glued to two bones.

When the brain gives orders, the skeletal muscles begin to contract and stretch, pulling the connected bones to perform various actions.

This is also the only muscle that the brain can command. Myocardium and smooth muscle do not directly affect the brain.People have their own system.

In skeletal movement, there are a lot of muscles that are mobilized, synergistic, and antagonistic.Muscles that are not coordinated cannot make fine movements.

The muscles that are not antagonized, a simple football kick may be able to kick the knee back.

The muscles of the calf, the middle is the abdominal muscles, the two ends are the tendons, one section is hung on the femur, and the other is hung on the bottom of the calf.

Stretching depends on the muscle belly of the skeletal muscle, while the fixation depends on the tendon.The tensile strength of the tendon is more than one hundred times that of the muscle belly.

Why have you heard of a ruptured tendon but never heard of a ruptured muscle? Although the tendon is strong, it has no contraction function.

Therefore, when violence occurs, the tendon will sacrifice itself to absorb a lot of energy, thereby protecting the bones and muscle belly.

Tendon rupture, as long as there is a slight tear, it is considered a rupture.And according to time, it is divided into acute fracture and chronic fracture.

Many athletes fell out with their teams just because of this acute and chronic problem.

There is something to talk about in this.Tendons can be said to have no blood vessels to supply nutrients.It lives on a thin film covering the surface of the muscle.

The nutrients in the blood are divided into the film, and after the film is eaten and drunk, another point is distributed to the tendons.As you get older, the less nutrients are delivered by the membrane and the tendons are more likely to be injured.

Acute tendon rupture is called acute rupture that is operated within forty-eight hours, and the recovery is relatively better.Once it exceeds forty-eight hours, it is called a chronic tendon rupture.

Once more than forty-eight hours, whether surgery or conservative treatment, it is very troublesome, and the effect after recovery is also very poor.

However, after a tendon rupture operation, it may not be possible to keep athletes in a competitive state.

As long as the tendon is not completely ruptured, many teams will give the athletes a closed needle for pain relief, and then some fixed measures.

In this way, athletes can continue to play. As for the future of athletes, this is not their consideration.

Therefore, athletes often fall out with the team because of tendon injuries.Dayao’s thumb tendon, he chose conservative treatment for some reason, but...

The gold standard for tendon repair is open surgical repair.The effect of plaster fixation and inflatable walking boots is not as good as that of open surgery.

Fat people have a lot of fat, and fat is a very strange thing. As long as it is something that the human body eats, whether it is alcohol or nutrition, it must be tasted.

Fat boss, more than two hundred catties, full of fat, just taste a little, the amount of medicine needed is terrible.The anaesthetist really didn't dare to give it anymore, and he would never wake up again if he was afraid of being fat.

After the anesthesia stabilized, the fat man quickly went to sleep.Zhang Fan, Wang Yanan and Xu Xian also started surgery.

"Alcohol, sharp knife. Hurry up, the amount of anesthetic is not enough." Zhang Fan said quickly as he disinfected the knife.

The scalpel cuts across the skin without waiting for Zhang Fan and the others to bluntly separate. The plump yellow fat particles are directly squeezed out of the wound just like a Japanese tofu with a hand.

"It's too fat, and the hook is so slippery that it can't be hung!" Wang Yanan hung it hard for a long time, but he didn't catch the fat man's skin. There was too much fat and too oily.

"Electric knife, suction device." Zhang Fan ignored Wang Yanan. As the bleeding was stopped by Zhang Fan with an electric knife, a hint of green smoke had already risen.

There is a saying in surgery, saying: You can judge the level of the surgeon from the smell of electric paste in the operating room.

For electrosurgical coagulation, the point is to stop, move fast, and be quick.

When the smell of burning hair came out, the level of this doctor can be said to be extremely poor.

Because he absolutely roasted the hair follicles in his skin with an electric knife, it is absolutely forbidden to use an electric knife on his skin.

And smelling a lot of stinking burnt smell, it shows that the doctor is average,

It must be that the blood vessels were not clearly seen, and instead of using a spot method to stop the bleeding, it was directly flattened with a discharge knife, and a large area of ​​electrocoagulation was used.

Only a faint smell of grilled meat was smelled.Such as grilled fatty meat, the smell of meat when cooked but not burnt, the smell of meat that can arouse appetite.

So this doctor is at least a master in the use of electric knife.

Of course, Zhang Fan's use of the electric knife is definitely a master level. In the system, he doesn't know how many times he has used it.

When he was using an electric knife, especially during meals, he could definitely hear someone swallowing saliva.

Don't talk about others, sometimes, even Zhang Fan himself will be greeted by the green smoke he made.

Superb technology, stop there.

The ultimate technique is art.

...

Of course, if the bleeding is severe, Zhang Fan would not use an electric knife, so he would just hang up the suture.

The incision for tendon repair is very long. Regarding the choice of incision, some doctors believe in a small incision, while some doctors prefer a large opening.

And Zhang Fan believes in one sentence: Everything should be based on reality, not dogmatism.

The incision is healed from one side to the other, not from one end to the other. A suitable incision is the beginning of an operation.

The sharp blade swims in the fatty fat, gently, like a steel boat breaking the waves on the yellow lake.

Open the skin and cut the fat.The tendons of the fat boss were exposed in front of Zhang Fan.