Medical road

Decentralization, with the assistance of the higher-level health system, Zhang Fan has autonomy.Treatment is a matter of weighing the pros and cons. It often requires a leading doctor to kill and make a decision, just like a feudal emperor.

It may not be a good thing to see more experts.Sometimes it is better to let one expert be responsible for it.

"Immediately perform CT scans of the abdomen and chest, draw blood cultures, and do drug sensitivity tests." After Zhang Fan and the expert team unanimously approved the patient's diagnosis and treatment opinions, treatment measures began one by one.

After checking one by one report, a lesion was found in the patient's abdominal cavity."Postoperative peritonitis!" Zhang Fan said softly to Ren Li and Jumabek after reading the examination.

"The lesion is not small!"

"Yes."

Postoperative peritonitis, to be honest, it is extremely difficult to determine the cause of the disease. Unless the patient has died after a detailed autopsy, otherwise...

In terms of evidence-based medicine, most of these diseases are actually caused by surgeons during surgery, but...

"It seems that a second operation is necessary." Zhang Fan sighed long while holding the film.

"Explain the illness to the family." Zhang Fan asked Ma Yichen to explain the illness to his family.

After a while, Ma Yichen came in."Zhang Yuan, family members want to see the chief surgeon."

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

"They must see the chief surgeon. When I heard that I was an assistant, they refused to talk to me."

"Oh, let's go and see."

Outside the ICU, a group of white foreigners sat together."I am the patient's chief surgeon. Do you have anything to know?"

The government dispatched an interpreter, and they also brought an interpreter. Although Zhang Fan didn't know how to dress well, looking at the posture of this group of people, it was probably a relatively wealthy family.

"Doctor, is it necessary for my husband to have a second operation?" A white European and American woman who couldn't see her age asked Zhang Fan.

Say she is 50 or 60 years old, but it doesn't seem to be the case. She is in her 30s and 40s. Although there are no wrinkles on her face, the loose skin on her neck already indicates that she is not young.

She must do regular beauty care, but the most difficult part of the beauty of the human body is not the face, but the neck. There are too many muscles in the neck and too long. Once there is slack, it is almost impossible to undergo plastic surgery.

"It is necessary. We have found the infected lesions in his abdomen. If the lesions cannot be removed, the patient's condition can only get worse. And it is best to operate as soon as possible. The longer the delay, the worse the patient's later recovery."

"Thank you, God will bless him!" The woman stopped speaking, with a haggard face and a pious expression. When she made a blessing gesture, it seemed that the pressure had alleviated a lot.

"Hello doctor, I am a supplier of French perfumes. In the ward is my brother, and this is my business card." After that, the businessman handed Zhang Fan a piece of wood or metal. Business cards, but still scented business cards.

Zhang Fan held it in his hand and kept slandering, a big man took a piece of incense!And because it was all in French, Zhang Fan couldn't understand either.

After handing out his business card, the potbellied businessman did not see Zhang Fan's surprise, but he still asked, "Doctor, can you wait a few days before performing the operation?" He has already contacted a specialist in their country, and it is estimated that tomorrow Will be there.

Zhang Fan looked up at the translation, and nodded with certainty.

"The patient's condition can be said to be very serious now. The high fever will not go away. The continuous high fever is constantly eroding his body. If the operation cannot be performed as soon as possible, perhaps the original abdominal disease will become a brain problem. Arrived, the patient has now developed pneumonia! This has explained the problem."

"Well, we need to discuss it and we will get back to you as soon as possible." The businessman said helplessly.

"Good!" Zhang Fan nodded.After entering the ICU, Ren Li asked: "What's wrong, are you planning for surgery?"

"They have to discuss it!"

"where……"

"I can only wait. If they refuse to have surgery today, is there any way to delay the development of the disease?" Zhang Fan had to think about non-surgical treatment options.

"Ice cap, vancomycin, hormones, and ventilators are all on. The high fever still cannot be well controlled. Once it is delayed, I think it is very dangerous. Once sepsis breaks out, the consequences will be disastrous..."

"Hey! I'll talk to them again." Doctors must have the responsibilities and obligations of doctors, and Zhang Fan must explain the consequences to his family.

"Doctor, we have decided and agreed to the operation. I'll leave it to you next." After the potbellied businessman saw Zhang Fan coming out again, he quickly walked over, and they had already decided.

"Okay. Sign! Prepare for surgery." Zhang Fan nodded and said to Ma Yichen.

"Yes, Yuan Zhang. Come on, come and sign your family members!"

After everything was prepared, Zhang Fan and Director Zhao Quanping of General Wai took Ma Yichen to the operation.As for the doctors in Selen County, Zhang Fan would not allow them to undergo surgery, even if it was a retractor.

Postoperative peritonitis, if it was the first operation, the doctor had poor sutures, leaked a hole, or accidentally punctured the intestinal cavity.Therefore, Zhang Fan really didn't dare to make Seleng doctors joking about his professional career.

The curse left by the first laparotomy forced a second operation, and the difficulty of the operation increased by several levels.

The first is bleeding. The most important thing about this kind of surgery is gentleness.Because after the first operation, the patient's peritoneum, intestines, and incision were all edema.

The edema of the body is very troublesome. It was originally a very flexible tissue. Once edema occurs, it becomes very fragile.What exactly is edema?

In fact, the cells are filled with water, and then the water-filled cells form the organs of the body. The swollen cells are like glass-brittle grapes, and the touch is bleeding.

Open the abdomen, can only enter according to the original incision.The worst things in the world include wiping people's butts and cleaning up the mess.

Zhang Fan took the scalpel and gently cut the sutures. Before moving, the bleeding began.Ma Yichen quickly started to wipe with gauze.

"Crack!"

Zhang Fan directly clamped Ma Yichen's gauze hand with his signature.

Director Zhao laughed!Because Zhang Fan's attitude shows that he regards Ma Yichen as an apprentice.The average superior doctor would not be so rude to the average doctor.

And Ma Yichen is a general doctor, or he and Ouyang personally signed a doctor from Sanchuan Medical College back then, can be a direct line!

"Uh, Zhang Yuan?" Ma Yichen was hurt by Zhang Fan.The long toothless curved pliers clamped Ma Yichen's three fingers.

"Remember, the patient's incision is already swollen and must not be wiped with dry gauze!"

"I didn't pay attention, I'm sorry." Ma Yichen made a big red face.

"Crack!" Zhang Fan let go of the pliers!Ma Yichen touched his finger secretly.

"Hehe, this is still good. If it is mine, I will chase you off directly. Zhang Yuan is still soft-hearted." Lao Zhao said to Ma Yichen with a smile, and then said to Zhang Fan: "Zhang Yuan, this is Are you ready to raise the flag?"

What he meant was to ask Zhang Fan if he was going to accept disciples.

"It depends on the performance."

"One is to release, and two are to rush, or bring a few more. The guys in our department are all good."

As soon as Old Zhao heard it, he hurriedly began to sell young doctors in general. It was too difficult for his director to be the director, so he also wanted the young doctor to stand up earlier.

When Ma Yichen heard it, his face was originally red, and it became even more red. This time it was not ashamed, but excited!