Medical road

Chapter 721

It’s not easy to be a doctor. Other than that, whether a patient’s disease can be checked by himself or not is all based on the basic skills of a doctor. You can never prescribe intravenous injections for any cold.Of course, it doesn't count those who mess around.

Being a doctor is not easy, and being a good doctor is not easy.If you want to be a good doctor in a small hospital, as long as you work hard, you will always be able to get ahead.

See a doctor when you are at get off work, find various journals to learn when you are off work, and seize the opportunity to go for further studies, and you will always be recognized by the hospital or by the patients.

But when it comes to big hospitals, especially top-level ministerial-level tertiary hospitals, there are only two types of doctors in such hospitals, those with good talents and those with ordinary talents.

Effort is the basic survival skill of doctors in these hospitals.Almost all the doctors who can enter this kind of hospital have survived to the point of being a master or doctor.

In this way, if you don't work hard, you may not be able to keep up with other people's footsteps.The hospital is also working hard to make doctors work harder.

Resident doctors were actually a process of learning in the inpatient department following and executing the orders of superior doctors and closely observing patients.

But the hospital doesn’t explain it that way. Resident doctors, resident doctors, are doctors who live in the hospital!

When it came time for the main treatment, the hospital felt that it could not be let go, and another inpatient chief came out. The inpatients were all in the hospital, and the inpatients were not allowed to eat or drink.

So hard and so dedicated, in fact, most doctors are in top hospitals just to keep up with others and not to fall behind too much.

At the peak of top-level medical care, the importance of talent is fully reflected.

Suture, one of the simplest skills of doctors, can be considered as mastered by ordinary hospitals and doctors practicing for a few weeks.

But it won't work when it comes to top hospitals.People can suture the inner membrane of an egg without using a microscope.And some people have stitched thousands of eggs, but still can't get it off.

With this technology, the suturing of the nerve sheath will be handy.This is the basic skill of a doctor outside the room in a top hospital.

Is this because the doctor is not working hard?In order to practice this technique, some doctors have eaten eggs for the whole family and the cholesterol exceeds the limit, but they just can’t get it.

What is this, this is talent.

Dr. Ye is a very talented doctor at Shanhua Hospital. How many people and hospitals are there in China?It is not easy to be famous in these hospitals. Don't even think about it if you don't have the talent.

This kind of hospital is like Tsinghua University in the student days.Of course, it's impossible for the top departments of this kind of hospital to get in with their own dad relying on extra points.

Because it is impossible to pay, he will be despised when he enters, and will be looked down upon by others. If he has the ability to enter this kind of hospital, he will not enter the Ministry of Health...

When Doctor Ye saw Zhang Fan's surgeon enter his abdomen, he knew that this young man was not easy.

Just like a good thing, it looks very comfortable.

Zhang Fan's operation is too smooth.The knife passes through the hand pad, layer by layer, with one knife and one knife.

The place where the bleeding should be, the preparations made in advance, the place where the thread should be hanged, will never be remembered before my eyes.

One move, one move, there is no extra knife, not even a trace of extra action.

What is fast, this is fast, plus the precise coordination that can be seen at hand.

The heart that Doctor Ye was clutching was also laid down openly.If Zhang Fan's technique was nearly as good today, it is estimated that Doctor Ye would be going crazy.

"Old Wu, some of your students stuffed this doctor in. It's not bad, it's a good seed!"

No longer in a hurry, he smiled and said to Old Wu.

"Hehe, this is my nephew, a disciple of Luyuan Blue Bird!"

"Oh, oh, academician Lu's disciple? So young! No wonder, no wonder!"

After muttering a few words in his mouth, Doctor Ye said to Zhang Fan: "Young man, my name is Ye Yun, the leaves of leaves, the clouds of Baiyun, what is your name!"

This is regarded as an endorsement of Zhang Fan. Otherwise, this kind of gifted doctor not only has talent, but also has emotional intelligence, he can also become a director, and he is also the supernatural director of the magic capital of Shanhua. Be good, don't be too arrogant.

"Haha, hello, Teacher Ye, my name is Zhang Fan, Zhang, bow length..."

Zhang Fan was performing the operation while learning that the other party was preparing to introduce himself. Last time he reported his name, but the other party hadn't heard of it before, and his old face was blushing. This time Zhang Fan has learnt well!

But before the words were finished, Doctor Ye interrupted Zhang Fan directly.

"Zhang Fan? Which Zhang Fan who has gone to several departments in foreign affairs?" Doctor Ye opened his mouth.

"Uh!" What weird in Zhang Fan's heart is like a mouthful of white steamed buns.

In the same city, although many top hospitals don't think much about foreign affairs, the foreign-related technology is actually just a little bit worse.

Can't fight other hospitals in Magic City, but it still has a good reputation in China.

And many foreign doctors are friends and classmates of Dr. Ye.A few days ago, the doctors from the Foreign-related Hospital that Zhang Fan suddenly gotten could not come to Taiwan. At that time, the doctors from Shenwai were going to call Doctor Ye to save face.

The foreign-related doctors did not feel embarrassed to tell Doctor Ye that the other party was a hairy boy.At this time, Doctor Ye was surprised, too young.

"Haha, his senior brother's foreign-related dean, haha!" Old Wu smiled as if he had eaten a pistachio.

"Oh, you are a general foreigner? There are also foreigners involved?" After listening to Wu Lao's explanation, Dr. Ye stared directly at the back of Zhang Fan's head as if he didn't believe it.

For the preparations before entering the abdomen, blow a calf, even if Zhang Fan closes his eyes, he can do it, so Zhang Fan smiled and said softly: "Well! There are not many operations outside of God."

"I don't do much! Good deed, if you do too much, you will pay it back! Mr. Wu, the director of my classmate's foreign affairs.

He told me that a patient with cerebral hemorrhage, Doctor Zhang Fan, leaned on a physical examination and pulled into the operating room without using CT.

After the operation, the patient woke up immediately.I thought I was an expert outside of God, but I didn't expect it to be a general outsider!"

"Haha..." Old Wu wanted to speak, but Zhang Fan said, "I entered the abdomen, duodenal bleeding, stop the bleeding!"

Old people love gastric ulcers, young people love duodenal ulcers, but stress bleeding, no one can guarantee the bleeding.

"Hemostatic forceps, disconnected." Once the critical moment is reached, Zhang Fan will go all out regardless of the size of the operation. This is not a machine repair, there are replacement parts if it is broken.

When Zhang Fan entered the state, there was only surgery in his eyes, all the greetings and politeness were all forgotten behind his head.

"Adjust the lights, the light is not good!" The cold voice in the tone kept mobilizing the surgical staff.

...

"I heard that you are going to the branch this time?"

"Well, I'm going to the subordinate high school right away, I can't get promoted without supporting. You go too?"

"Where to go?"

"I'm going to go tea vegetarian."

"Me too!~"

Fang Dong’s two doctors chatted.

The souvenirs from Chasu, like those without money, were scattered in the hospital.

"Director Lu, take a look, how good this raisin is. Don't vomit. Be sure to chew it up and swallow it. It's good for the prostate.

Let me tell you, this kind of raisins, you can't buy them at Modu, they are all specially made for you to go abroad to Europe and the United States for dollars and euros!

Which scenery of the tea plant is absolutely uncontaminated, where is the mountain, where is the water, to be honest, it is called a...

When you go, it is a paid vacation, just like going to Northern Europe."

The director of the Tea Vegetarian Medical Department used top raisins from southern Xinjiang to fool the Modu people.

He is Zhang Fan's pioneer, sprinkling flowers with small favors and small benefits to gather the doctors who are going to the side, and some doctors with higher qualifications, he can't do it.

"Well, this subordinate of the liver and gallbladder doesn't want to go to tea, he wants to go to the snow mountain, hey, don't we have a snow mountain? Xiao Chen asks about the director's hobbies. Then, let Zhang Yuan have someone ready."

"Well, good director."

...

The director of the Tea Su Medical Office begged all over the world, and medical equipment vendors all over the world begged him.

"Leader, try it. This is the ice cream I just bought from outside. It's very comfortable to eat two bites in this weather.

Tell Zhang Yuan about it. Although this equipment outside is not well-known, it is cost-effective."

...

As Zhang Fan was about to leave the magic capital, some thoughtful equipment dealers also messed up the rules like big flies.

"The jade that Junior Brother bought you, I specifically asked. It is very good Tian Heyu. People have helped so much. What do you say we give." Grandmaster's wife and Grandmaster chatted.

"Send a better set of surgical instruments?" Grand Master spoke to his daughter-in-law in a confused tone.

"Haha, haven't you seen that the famous equipment dealers are all around people these days. Can you please make some constructive suggestions?"

"Uh, what do you say to give away!" Grand Master was not happy.

"That's what I thought. I bought a better watch for my junior brother. I didn't find him wearing a watch after I met twice."

"Well, yes!" Zhang Fan's master nodded in a big manner.

"Isn't he getting married soon? The cosmetics I bought last time in Europe brought a set of cosmetics to his fiancée. This is almost a bit more..."

"Okay, you can't do that with Junior Brother."

"Look at you, you can't let the little brother suffer, right? Let me tell you..."

Master Zhang Fan's ears began to buzz.

...

In the operating room, Zhang Fan started to stop the bleeding. There is a saying in the medical industry that facing a crappy doctor, the only weapon that a patient under anesthesia can resist is bleeding.

Bleeding, surgeons have various levels of surgical hemostasis.For example, a poorly flexible doctor chases every blood vessel and every red blood cell.

With an electric knife, I can’t wait to bake the fat into scorched lamb skewers, and I can’t wait to burn every exposed tissue and organ with a soldering iron.

This is one extreme, and the other extreme is the butcher-style surgeon, their creed is: bleeding will always stop.

So, in the sight of blood flowing like a surgeon, do they go forward and stop the bleeding?No, the patient can stop bleeding automatically by the coagulation mechanism!

In fact, the best blood coagulation factor is the surgeon. The diffuse blood oozes, and the entire surgical field of vision is slowly oozing blood as if surrounded by blood. This must be a vein problem.

And when the bright red blood rushed to the ceiling, it must be an artery damage.

The more severe the bleeding, the more calm the doctor must be. Once faced with the bleeding, the doctor gets confused, and the patient has to hang up without even thinking about it.

At this time, the doctor must first determine whether it is arterial bleeding or venous bleeding, and also predict which part of the blood is bleeding.

This is the prerequisite element for the rescue of bleeding patients. If these two premises are ignored, like a big-headed fly, with a full stomach, the patient can directly slip into the triad of death (acidosis, hypothermia, coagulopathy).

Once in this field, nothing is too late.

As soon as Zhang Fan entered the abdominal cavity, he determined the bleeding pattern and location.

This method of judgment is based on a large amount of surgical experience, as well as human physiology and human physiology. It is definitely not a chicken shaking dice to guess the size.

One step is fast, the step is fast, and the accuracy of guessing can hold the patient sliding into the abyss on the line of life and death in advance.The doctor who can hold the patient before the line of life and death is the most handsome doctor.

"Electric knife!" Zhang Fan's hand was like the palm of a Tathagata god, and a fist hit the bleeding site directly.

After holding the fist for thirty seconds, the anesthesiologist raised his head and said: "The blood pressure is up!"

With this sentence, everyone no longer needs to doubt or question, Zhang Fan's judgment is quite accurate.

"Doctor Zhang, we don't need an electric knife, we have an energy transmitter!" Doctor Ye reminded him quickly.

This is where the great hospitals are. In order to stop bleeding, normal bleeding must be ligated with sutures, just like the crotch of an old lady. It must be beautiful and practical.

Or use gelatin sponges and collagen hemostatic nets, just like sandbags to block a dam, and the amount is dominant.

As for others, there is something more advanced directly, the ultrasonic knife!What is this stuff?

When this thing was invented, it was to stop bleeding.

I don't know why, but this one did not promote the bleeding, but was regarded as an artifact in beauty. It is said that it was taken by the beauty salon to smooth wrinkles, just like Viagra, which surprised the inventor.

In fact, it uses high-energy sound waves to penetrate deep into the skin for repair. At a depth of about 1.5.6-4.5mm subcutaneously, a focal surface is formed by a radio frequency electric field, which strongly impacts the dermal tissue, generating an electric field concentration effect on the dermal tissue, and making the subcutaneous temperature Raise it to about 60-75°C to ensure that the heat is in the dermis, and then let the blood vessels contract and close the muscles.

In layman's terms, this gadget is a directional microwave oven, just like the microwave oven used to defrost cold meat at home, this gadget is used to stop bleeding, and the effect is very good.

"Oh!" Zhang Fan looked at the probe like a curious baby, he couldn't use this stuff!

Many people have a sense of rejection of new technologies, especially the higher the status, the more rejection they don’t understand. In fact, this is timidity, and this is a manifestation of aging.

But Zhang Fan wouldn't. He wanted to move all Shanhua's operating room away, so when the other party said that he had new equipment, he immediately handed over the position of the chief knife to his uncle.

Then, staring at his uncle's operation with bright eyes, he watched his uncle's operation from beginning to end without blinking.

When the hemostasis was completed, Zhang Fan hadn't opened his mouth, and the uncle spoke first: "This is from the United States! I can contact you for your help."

Granny Wu understands Zhang Fan, and the sooner she is leaving the magic capital, the more Zhang Fan behaves like a landlord's old wealth, walking on the rounder stones on the road, she wants to get back tea!

Stitching, Zhang Fan remembered Dr. Ye's stitching technique. After thinking about it, he began to sew like cats and tigers.

"Hi! This kid stole a teacher!"