Medical road
Chapter 605 Unconventional pain (thanks to the leader: if we agree)
What is success?People are different, with different definitions.For the profession of a doctor, success or fame is success. It is really hard to say.
However, what I know now is that you are not famous, you have no status, and you have no rights. It is not easy to take one step forward.
Separation, continuous separation, hemostasis, finally, after entering the brain tissue, began to appear in large numbers.
Zhang Fan is so awesome. He has almost no bleeding when dealing with the cortex of the brain tissue. He is too familiar with the anatomy.
"Hemostatic gelatin is on!" It seems that when everyone sees Zhang Fan on hemostatic gelatin, everyone's breathing is much smoother.
Usually, after the craniotomy, the average doctor will almost use three or four packs of this stuff.But after Zhang Fan entered the skull, this was the first time he used it.
If saving is not saving, the hospital is a big waste. Moreover, doctors at this level definitely don't think about saving, but how to make the operation better.
Hemostatic gelatin, the lower-end general component is polyethylene, this material must not be used in the brain.Because this thing does not decompose and absorb.
The high-end is collagen, a special type of collagen.Just like the green arrow chewing gum, a white strip that melts instantly when placed in the blood, and then adheres to the surface of the bleeding blood vessel.
Bleeding in the human body is different in different organs and in different ways.Large blood vessels and heart bleeding are the most terrifying.Just like a whale spitting water, there is no problem with the height of three or four meters.
The brain hemorrhage is oozing.It's like digging a pit by the sea. Although there is no obvious running water, but after a while, the sand pit is full of water.
The same goes for the brain.This thing is really a big piece of fat with a big bag of blood.
"Boost!" Zhang Fan said to the anesthesiologist.
"Okay!" The assistant Lu Lao brought was a young doctor, but the anesthesiologist directly brought the most high-end personnel from Jade Bird.
This kind of anesthesiologist does not need to discuss with any cardiologist. For him, he is an anesthesiologist in the anesthesiology department, and an internal medicine expert in the internal medicine department.
"This guy is too fierce. He's too courageous! It's already broken, he actually let the pressure rise!"
In the venue, when he heard Zhang Fan's order to increase the pressure, it really ignited agitation, and everyone whispered.
Boost is good, good, good, bad.Just like a punch, the opponent comes with a fist, and you close your eyes to avoid. You may be hit, but you will never hit your eyes or other vital organs.
But if you keep your eyes open and face your fists to avoid, you have high skills, and you can directly rely on the feedback of your eyes to avoid the opponent's fists. If you have poor skills, they will just be an eye-closing fist and kill you.
Now Zhang Fan is facing his fist with his eyes open.
The blood pressure rose little by little, and the anesthesiologist took the medicine little by little, while watching the dose of the medicine with his eyes, while staring at Zhang Fan's expression with his eyes.
Zhang Fan is definitely not the one with poor technique. When the pressure rises, the bleeding speeds up. I saw Zhang Fan's three ophthalmic tweezers holding the hemostatic gelatin and weirdly entering from the side.
Two tweezers in the left hand, one tweezers in the right hand, and two tweezers on the left are like two-finger Zen.
Snapped!Gently press on the brain tissue, and then the right hand ophthalmic forceps, very accurately and quickly inserted into the middle of the two-finger Zen.
"Hiss!" The sound of air-conditioning appeared directly.The inhalation sound of the assistant in the operating room came from the sound.
And the sound of inhalation in the venue seemed to cooperate, and they appeared one after another.
"Too courageous, too courageous. He doesn't look at who is lying on the operating table. It's too big, too big, really too big."
An old man in his fifties outside the capital, spoke directly.This technique is only used as a last resort. Under normal circumstances, let alone use it, ordinary doctors have never seen it.
"Is something wrong? Is the patient's vital signs in crisis?" Old Lu turned his head unwillingly and asked.
"But..." The half-old expert was speechless, uncomfortable, really uncomfortable. It was like swallowing a boiled egg. It was stuck in the esophagus and trachea and throat, and the chest was tight. To die!
"Three pieces of gelatin will set the world!" This kind of operation does not require dozens of pieces of gelatin and I am sorry that this operation is so compelling, but Zhang Fan only used three pieces, and the bleeding was solved directly.
"Buck!"
"Roger that!"
Surgery, this kind of teamwork.Once the chief surgeon can't suppress the assistant.
The chain reaction is very troublesome.
Many people feel that on the operating table, doctors should be fully focused and meticulous.
This situation accounts for the majority, but when the skills of the chief surgeon and assistant are similar, and when the status in the department is similar, troubles come.
"Why are you not doing this? Why are you doing that? No, it's too much damage!" The chief surgeon and assistants were at the top, and the anesthesiologist and nurse were also at a loss.
This is why there is a three-level system in the hospital, with the subordinate high, the subordinate high, and the hospitalized.It is never said that the sub-high is accompanied by the sub-high.
Separation and resolution, perfect hemostasis.Zhang Fan entered the lesion.The secondary focus is in the brain stem.
The organs of the human body are divided into autonomous organs and involuntary organs.
For example, the tongue is involuntary. You can go deep into the other person's mouth, or hide it in your own mouth so that the other person cannot find it.
This autonomous and non-autonomous is not about human will, but about the brain, which seems very contradictory!
In fact, in layman's terms, it just doesn't listen to you.The obedient is involuntary, and the disobedient is autonomous.
For example, the anus has a line, the outside of the line is obedient, and the inside of the line is disobedient.This function is exactly the same as the mouth. You can order the lips to put ice cream in, or you can order the anus to clamp the stool.
But you can't command the esophagus to clamp the meatballs, nor can you command the inner anus to contract and suck in the stool.
The brainstem of the brain is a real boss. The human body gives all of the most important heartbeat and breathing to the brainstem.
Moreover, the most terrifying thing about autonomous organs is not the problem of constant pinching, but the fact that this thing is unreasonable.
Involuntary organs, one shot of anesthesia, what you want to do, do not resist at all, waking up with a hooded head and a dull face.
But autonomous organs can't.This thing, such as being ill, and tumors sometimes destroys almost all organs to the point where there is no one left. It still continues to work, just like a lonely hero.
But sometimes, foreign objects, such as doctor's hands, doctor's instruments, lightly touch its body.
When it's over, it's like a torii hero who has no virginity, and begins to seek life and death.
Can give you a collective dead body in an instant, motionless, work?The beauty of thinking is such a weird thing.
The brainstem is the general leader who manages these weird flowers, so it is even more weird.When Zhang Fan entered the brainstem, the secondary lesions were clearly lying on the brainstem.
A good team has the most prominent C leader, but people in other positions are also very good people.
This time, Lu Lao assigned Zhang Fan's assistant, one of them counted as one, absolutely amazing.Dehydration, the anaesthetist's medication is very precise.
The original edema of the brainstem was the same as the girl in the gym, with water beads all over, but it was not greasy.
If the brainstem dehydration fails to meet Zhang Fan's requirements, there is only the outer membrane of the brainstem, which is the girl's coat, and Zhang Fan can't take it off.
Like the plastic film of the box, the swollen brainstem is tightly wrapped by the outer membrane.
When you touch someone, you will definitely be unhappy about this stuff, and then you will strike you directly, not scaring you.
The brainstem that has taken off the water is like a kid wearing her mother's mink coat. The doctor can take off this mink coat without touching your body.
Of course, this analogy is to say that a doctor with Zhang Fan's level of skill, without this level of skill, even if someone wears heavy clothes, one carelessly does not take off the clothes, and the result is that people are gone.
Many people don't understand what this outer membrane is. In fact, it is very simple. To eat hot pot, you need a complete brain flower, don't cut it.
Then it is cooked, but for those with heavy taste, it is not necessary to cook it, and it will feel more obvious if it is not cooked.
When you lightly bite it on, the pig brain will have a little sense of breakthrough, which is the outer membrane of the brain.
Of course, he doesn't understand the general barking, he will only say that it is too cooked and there is no blood!
After seeing the brainstem full of water drops, Zhang Fan raised his head slightly and nodded to the anesthesiologist.
An anesthesiologist, the boss of the Blue Bird Anesthesiology Department.At this time, when he saw Zhang Fan's nod, he was a little proud.
Although there is no talk, the recognition between technologies, sometimes, is really more than the so-called pleasure of life and a sense of accomplishment.
Give you five thousand, you may be happy for ten minutes, and then you start to think why not give fifty thousand.
The recognition of technology is different. Which kind of feeling is like drinking a glass of 100-year-old pure brew after ten years of drunkenness. It's so beautiful. The language description is pale in front of this feeling.
Handy, really handy, Zhang Fan started to peel off his brainstem with tweezers in one hand and pliers in the other.
"Dimming the light!" Following Zhang Fan's voice, the 30X itinerant nurse stood behind Zhang Fan with a footstool, leaning her head against Zhang Fan's head, and spotted the light on the lesion very accurately.
"Director Zhang, how is it?"
"can!"
Among doctors, when you don't know what to call, you call him the director. It's absolutely correct.
In small hospitals, even the nurses in provincial hospitals, to be honest, most of them are girls from ordinary people. There will be nothing but wealth.
But top-level hospitals are different. Most doctors in these hospitals, especially young doctors, rely on step-by-step examinations and assessments.
But the nurse is different. Maybe a little girl can bring out a leading uncle of some department, which is not an exaggeration.
Zhang Fan is good at undressing.Especially the clothes for taking off his organs, Zhang Fan is too particular about it.Just his hands that are experienced in the system.
On the level of surgery, Zhang Fan may not be ranked in the world.But when it comes to the accuracy of his hands, Zhang Fan said he was second, and no one would dare to say first.
It was too accurate and too gentle. Before the brainstem knew it, Zhang Fan pulled off its coat.
"The physical signs have not changed at all, it's too stable!" As Zhang Fan took off his brainstem clothes, many doctors in the meeting were staring at the monitor.
Respiration, blood pressure, and pulse are unchanged!
"Yes, it's too stable. Which hospital does this guy belong to?" At this time, everyone really started to pay attention to Zhang Fan.
"I think there is really less homework for him. Look at his hands. They are really stable. It's time to make him more difficult."
Elder Wu looked at Zhang Fan's hands, not knowing whether he admired Zhang Fan's youth, or Zhang Fan's bi-stable and perverted hands, and directly demanded from Mr. Lu.
"Well, I also feel that I underestimated him. I already regarded him very high, but I didn't expect it, but I underestimated him."
Lao Lu also felt that Zhang Fan's talent could not be wasted. General surgery, orthopedic surgery, and steady and precise hands were sometimes not obvious.
However, for craniocerebral surgery, these hands are too advantageous. These two hands are comparable to robots. At this time, it is really amazing.
When the outer membrane of the brainstem was peeled off, the lesions appeared naked in front of Zhang Fan and the others.
"Cryogenic surgical forceps! Put on double gloves!" Zhang Fan said to the instrument nurse.
The focus of this operation is like a small sarcoma on the arm. Fortunately, it is superficial. If you go deeper, the patient's breathing and heartbeat will have been disturbed.
For the removal of lesions in this kind of place, no knife is used, no sharp knife is acceptable. The best is laser, but laser generates heat, and no one can guarantee whether the patient will suffer a life threat.
Therefore, the conventional method is to use drugs to kill. As for whether it will recur, it is not a matter of this operation.
Because Zhang Fan has a pair of super stable hands, he did not choose the conventional method, but used cryosurgery forceps.
Special refrigerators in hospitals are so expensive, and many people think they have taken bribes!In fact, it is not the case. In general, the refrigerator at home can freeze at most minus ten degrees.
But the hospital’s special refrigerators have no problem at minus 40 degrees, and there are even refrigerators with minus 80 degrees.
At this temperature, let alone ordinary equipment, conventional bacteria can freeze into slag.
"What is he going to do?" The doctors really didn't calm down when they heard Zhang Fan asked the nurse to prepare the freezing equipment.
This is a bit of crushing them on a technical level.If you are a doctor who invites you to do your butt, you can do craniocerebral surgery, even if you can do craniocerebral surgery, you can still use unconventional surgery to crush us.
"Damn! Is he a member of the extra-brain subject?" When this is done, everyone will no longer doubt whether Zhang Fan can perform surgery. Now everyone doubts whether this guy will come to the capital!
There is so much rice, and there is a man so young, so strong, and with such a strong background, who is not timid.
In fact, that is the kung fu under Zhang Fan's hands, which really makes everyone feel bad.Instead, Zhang Fan's other shortcomings were covered up.
For example, Zhang Fan is not so good at diagnosis of diseases.Although not the donkey of Guizhou, Zhang Fan really needs to improve.
Lao Lu and Lao Wu, who knew this, looked at the young man in the monitor with a smile.