Medical road

Open abdomen exploration, many general surgery, the examination is not clear, open the stomach, many can be clear.

For example, is it a problem with the appendix or other intestinal problems? Open the stomach and see with your own eyes, everything will be understood.

After all, the gas and liquid in the abdominal cavity, like the intestine coiled by a python, layer upon layer, can affect the results of the examination.

But outside the brain is different. This thing, such as necrosis and degeneration at the bottom of the right side, after the onset of the disease, the signs often displayed are not the signs at the bottom of the right side.

As if it was obviously necrosis of the thalamic tract, but the patient's signs were nonsense, as if a great god had possessed his body.

For a while, he said that he was Sun Dasheng, and for a while, he insisted on holding his husband and saying that he was the Sea Dragon King, and had to ask him to take out the hidden golden hoop!

Another example is some patients, who are clearly quiet as a virgin, sitting there with a gentle and elegant temperament, and they can be called a gentleman directly by holding a teacup.

But once it becomes ill, it will move like a rabbit.The brain is a very thief and thief organ. On weekdays, a three-meter-high wall may not be able to climb on a bench by ordinary people.

But at the moment of danger, when the dog opened his butt and opened his mouth to bite, the two-hundred-jin big fat man slammed up, making him in the normal environment, and again, he couldn't get up to death.

It's because of the chicken thieves of the brain, this thing is also very lazy, and it is easy to not mobilize all the organs to cooperate. Isn't it good to be an uncle lying down?

After brain diseases, the brain can no longer control the body, and the reserves of the whole body will burst out sometimes.

A girl who is ill, the three big men may not be able to stay.

Doctors have no way to determine exactly where the problem is. They can only determine it based on the examination and their own naked eyes, so the more advanced the equipment is definitely beneficial to the diagnosis.

The panting doctor came to the operating room with the results of the examination, and looked at his teacher. Dr. Guo stared at him like a wolf watching a sheep, as if he was about to peel and swallow him.

The young man felt cold in his heart, "This guy, I'm going to vent my anger again, and I won't take care of Lao Tzu. I will apply for a change when I go out!"

Already planning to change jobs and teams!Since he was not afraid, and since he was willing to give up, he also stood in the operating room regardless, and began to observe the operation.

The operation began, and the craniotomy.This craniotomy, to explain it in a serious way, is quite boring, let alone a doctor, even a doctor, listening to slurred terms, breaking through the sky, his head is big.

The frontal lobe, temporal lobe, pineal gland, hard inner, hard outer, arachnoid membrane, one movement, two smells and three audiovisuals, almost all nouns are made by foreigners, and after they are translated into Chinese, they directly let the little tongue come. of.

These are also some of the simplest medical terms and rhetoric. The doctor outside the brain not only has to figure out the tissues in the brain that are forcibly named by others.

We also need to figure out the muscles and layers outside the brain.

To put it simply, for example, if there is pain near the collarbone, which nerve is causing the pain in this place after the discharge organ changes?Oh, the nerve from the fifth neck is managed near the collarbone.

Does it hurt near the bird?Oh, it turned out to be the nerve from the first lumbar vertebra, so the old saying is good, it makes sense that the backache is not useful!

And surgery outside the brain is also quite cruel, this thing is the opposite of general surgery.

Before the general surgery, the doctors were like Chinese aristocrats pretending to be forced to eat Western food.

First wash the belly clean, not only wash it clean, but also put some butter (iodine, alcohol), set the knife and fork, it feels quite tall.

Once it enters the abdomen, the nature becomes clear, holding a knife and fork and rushing to the fat intestine, cecum and appendix, and the taste is strong, otherwise it will not show the hobby of others.

But the outside of the brain is different. The surgery outside the brain is the same as the nouveau riche.

First shave your head to show the blue light, whether you are a blue silk or a peach heart, shave it for you.

Then take an iron frame to fix it for you.What is this stuff like? Those who have seen some disgusting videos know that the nouveau riche eats monkey brains, exactly the same.

Just like the iron frame of a building, the head is fixed first, how to fix it?

In fact, it is a fixed bracket, which fixes the brain. This thing is actually three brackets, and each bracket has a short nail. The rotating nut is directly nailed to the skull to fix it.

It is equivalent to the three nails nailing the head to the cross.

Then draw a circle with gentian purple where you want to make the hole.

Then, hammers, air drills, bone chisels, bone knives, just like orthopedic carpenters, began rough.

First use a knife to lift the scalp for you, and the one with the hair and the skin is called a clean one, just like a pig's head that has been dehaired, and it's bones.

Then, the air drill opened the eyes on the skull and squeaked!Squeak!At the edge of the circle, start drilling along the line.

It can be made into a round shape, a fan shape, or a peach heart. It's really like some people's hairstyles.

Bone meal is flying all over the sky!The fat and blood in the bones volatilized for a while, a fishy smell of singe-hair barbecue.

Sometimes, when hitting the skull, I don’t know if it is because the doctor’s technique is not good, or if the skull grows like a luncheon meat lid, but the quality is not good enough.

Opening your eyes is like making a pull ring, but it's hard to pull it out!The lid is not opened and the pull ring is broken!

That can only be rougher, rongeur on the field.

With this thing, dealing with the skull is like cutting a nail with a nail clipper. After biting off all the bones bit by bit, the brain inside is revealed.

What does a normal brain say, it's actually like a fat meatball, really like a big pile of bloody fat meatballs rolling slowly in a hot pot.

This thing is in the skull, slowly as if twitching, and as if it is shrinking one after another, it is like an alien brood in an alien movie.

Open the brain, the normal brain is like a big girl who has not been out of the cabinet, will be shy, see a strange man will be shy, movement will slow down, as if to hide.

And this mutated brain caused by inhalation of poison (a) is like Erha let out the door, it can't be pulled even when you open the skull and see the brain.

This thing is not only exhilarating, it seems to be sudden and sudden, like an explosion of small balls, and it keeps clamoring: come, come, see Laozi not hit you.

It's really like there are countless parasites squirming in a piece of fat flying meat.

Zhang Fan took Xue Xiaoqiao into his head and went into the head very neatly. After all, Zhang Fan was also an orthopedic surgeon anyway, and doing this kind of bone opening is clean and easy.

Lao Li sucked the smoke from the electric drill with a suction device like soy sauce.

Lao Guo hadn't adjusted from the shame, for a while, watching the head nurse clench his teeth, and then watch his junior doctor cut his teeth.

It is estimated that I imagined myself as the dean, what happened to the head nurse, became the director myself, what happened to this doctor, and was still stuck in endless feelings.

The young doctor who was determined to change the group looked at him without blinking.He doesn't know other things, but one thing he can be sure of is: a doctor who can open a throwing knife in a tertiary hospital in the capital of the provincial capital must have skill.

"Rotate the fixed bracket!" After entering the head, Zhang Fan looked at the squirming brain and gently said to the itinerant nurse.

The itinerant nurse turned the angle carefully.

"Okay! Zhang Yuan, how about this angle." Xue Xiaoqiao kept directing the visiting nurse from the side to fix it.

"Yes!" Zhang Fan nodded after taking a look.

"Adjust the shadowless lamp!" After setting the position, Xue Xiaoqiao was busy instructing the nurse to get the lamp.

After everything was prepared, even if it had entered the skull at this time, all the tools that were originally crude were off the scene at this time.

At this point, the elegant, delicate and precise side of the doctor outside the brain has emerged.

The equipment, such as a suction device, a conventional suction device, is actually a big straw, just like a thick straw for drinking bubble tea.

You put your mouth on the other end of the straw and suck it fiercely. You can suck out any fecal residue and blood clots in your abdominal cavity.Sometimes you can suck in the intestinal wall without paying attention.

And the attractor outside of the brain is not working. It is not straight, but a picture like the picture on the Brazilian anti-smoking advertisement that scares men.

The suction device hangs down at a right angle, and the suction mouth is quite thin. If it is a straw for drinking pearl milk tea in general, then the suction device outside the brain is a straw for drinking wife oral liquid.

All instruments, forceps and forceps are of the mm-level width and narrow units, which are quite fine, and these instruments don’t look narrow, but the hardness is unimaginable. It is estimated that the materials used for these equipment outside the brain are more difficult to manufacture than other ordinary instruments. higher.

Carrying a Rhoton gun that was more than a dozen cm long, Zhang Fan began to prepare for the lesion.

This thing is like a long needle. It is long and thin. There are cross-shaped serrations on the 0.5mm needle. This is to prevent the thin needle from generating cutting stress on the organ.

"Current stimulation, awaken the patient!" After preparation, Zhang Fan began to give orders to the anesthesiologist.

"Okay, Yuan Zhang, wake up immediately!" The anesthesiologist immediately turned on the switch of the electrode attached to the patient.

Extra-brain surgery, weird flowers are here.There are often many organs to be removed. Are they functional areas of the patient’s brain?

Sometimes it’s hard to say, what to do, I can only try it little by little under semi-anaesthetic conditions.

A current of 6mA passed through the patient's body, and the girl did not wake up unexpectedly after twitching for a while.

"Uh!" The anesthesiologist was embarrassed. The current on ordinary people would definitely make ordinary people's eyes wide open, but the girl twitched her buttocks!

"Uh!" Zhang Fan was also embarrassed, and the needles were all ready, but people did not wake up.

"Increase the current?" Zhang Fan asked uncertainly.

In the past, most anesthesiologists were actually surgeons who came to work part-time. Later, as the subjects became more and more refined, such as craniocerebral surgery, not a professional anesthesiologist, medication was definitely not available.

Therefore, there is nothing wrong with the conventional anesthesia Zhang Fan, this kind of high-level anesthesia, Zhang Fan is a bit confused.

"Yuan Zhang, no, if the current increases, it will cause abnormal heart rhythm!"

The anesthesiologist said embarrassingly, he was also a PhD graduate anyhow, he really hadn't seen such a patient.

"Where is the short-acting barbiturate hydrochloric acid stimulation!" There is no choice but to use medicine.

Relative to current, the drug has a period of failure and drug resistance, and there is no current stability.

Therefore, conventional surgery usually chooses electric stimulation instead of drug stimulation, which is no way.

A little bit of medicine dripped into the girl's lesion, and the girl's irritation became more and more severe, and then she woke up with a twitch.

"Start!" Zhang Fan opened his eyes when he saw the patient, and said hurriedly, then said to Xue Xiaoqiao: "Start the conversation!"

Surgery to remove brain lesions is so troublesome.Sometimes, the doctor actually cuts while tentatively making sure.

Dialogue, what are we going to do.

First, determine whether she can speak, second, determine whether she thinks clearly, and third, whether she can move.

For example, what is your name and the other party answered correctly, which shows that the area of ​​stimulation is not related to thinking and language. If you ask the other party, what is your name, she said: I eat hot dried noodles.

So broken, this place can't be cut, everything is cut into fools!

Also, for example, when I moved my eyes and fingers, I ended up talking with my eyes wide open for a long time.

While Zhang Fan was stimulating, he asked Xue Xiaoqiao to talk, "What's your name!"

"Give me a bite! Quick, give me a bite!"

"Um!" Xue Xiaoqiao looked at Zhang Fan helplessly.

Zhang Fan glanced at Xue Xiaoqiao, the meaning was obvious, and I should find a way to ask Laozi.

This kind of sickness is really difficult!

Xue Xiaoqiao rolled his eyes, and it lit up like Brother Xiu!

"Okay, take a breath for you, not only for you, but I will also give you some dulending. Did you see that there is dulending in this syringe, and do you want to eat estazolam? You behave, what am I asking? What do you say, I will eat it for you!"

"Okay, okay, okay!" Bone nail stared at the head, the girl who couldn't move, her saliva flowed directly, really, she pulled her silk downwards.Just like a clear nose from a cold, it's streaming and pulling constantly.

Zhang Fan and Xue Xiaoqiao glanced at each other. Zhang Fan blinked his eyes, meaning: Ask some conventional questions. How do you ask the doctors at the Provincial Central Hospital to write medical records?

Could it be written: Experts use poison (a) to lure patients?

"What's your name?"

"Xxx"

"Do you have a boyfriend?"

Zhang Fan immediately glared at Xue Xiaoqiao.

This kind of privacy problem is actually asked in the obstetrics and gynecology department. Generally, other departments also ask about marriage.

Xue Xiaoqiao curled his lips and whispered in his heart: "What do you ask Lao Tzu to ask, this kind of person, besides these few questions, what else can they ask? Can you ask about the history and geography of China?"

"Yes, boyfriends and girlfriends. We sometimes..."

"Ask others!" Zhang Fan stared at Xue Xiaoqiao. Xue Xiaoqiao was sitting on the wax, he didn't expect it!

"Um, where did you go to kindergarten!"

Following the test step by step, Zhang Fan took the spear into the opponent's brain, and then cut it bit by bit.

At this time, the young doctor on the tube bed who was observing the operation could see it.

"The level of this expert is very high!" Not to mention that Zhang Fan's operation is not disorderly, and he can determine the patient's brain function. To be honest, they can only see this when they invite the capital experts to come.

Although he can't tell how high-end it is, he knows that this Zhang Yuan is very high-end.

Then, he rolled his eyes and turned out of the operating room, without even looking at Lao Guo when he went out.

"Ms. Wang! If you are not busy, come to the operating room to have a look!"

"What's the matter? The patient is dying?" Another deputy chief physician is also paying attention to this operation.

"No, no, this Zhangyuan feels very good, but I can't tell how good it is. I think you can tell, so I will call you as soon as possible."

"Good boy, I'm interested. I'll come right away." After hanging up the phone, Dr. Wang ran to the operating room hurriedly.

There are several brain surgery departments in the hospital, and there are many deputy directors in the department and many eyeliners.

The news spread from the operating room, and then one phone call came in.

"Xiao Li, how is the operation done." This is the deputy director of the department.

"Director, I just wanted to call you. I observed that the operation went smoothly. The patient did not appear unconscious, did not appear asphyxiated, and did not have a heart rate. From the beginning to the present, the patient's vital signs are particularly stable."

The bed doctor said on the phone.

"Okay, I see." After hanging up the phone, the deputy director couldn't figure it out. "Orthopedics? General surgeons? Do they have the same name?"

Although I don't seem to understand in my heart, but under my feet is not slow.

The deputy directors entered the operation observation room one by one, "Turn on the camera!"

"Hiss!" A torrent of air was continuously emitted between them, like a toothache and cold air.

"This is awesome."

Soon after, when the deputy directors entered the operating room one by one, the directors couldn't sit still.

"How is it, how is the other party."

"Awesome, not inferior to the director of the capital."

"Director, I think our department should be more and more communication with the dean!"

At this time, the directors in the office stopped making excuses for meetings, and rushed to the operating room one by one.

Lao Guo's superior, Director Chen of the Second Department of Shenwai, who was looking for an excuse to have a meeting, entered the operating room with a mask and hand-washing clothes.

He first glanced at Lao Guo, then gently stood opposite Zhang Fan.

"Zhang Yuan, is it going well?"

Zhang Fan didn't turn his head, he was never distracted during the operation!

Time, one second, ten seconds, half a minute, Director Chen was embarrassed.

Lao Li was dying in embarrassment. He knew Zhang Fan's problem and underwent an operation. Six relatives did not recognize him!

"Director Chen, it's okay, our dean is a little focused on the operation, don't think too much!"

"Hehe, it's okay, it's okay, it's the same, I'm the same. Or, or, I'm on the stage to help?"

Lao Li looked at Zhang Fan, thought about it, and said, "Okay, you will replace me! I'll take a rest."

The good guy got off the stage and replaced him with Old Chen, Director Chen.In the face of technology, to be honest, doctors are actually quite active, especially in the top three hospitals, in this industry, it is like going against the current without advancing or retreating.

"Dr. Chen finished the meeting!" Xue Xiaoqiao asked jokingly as he watched his director step off the stage.

"Xiao Xue! Can't you learn from Zhang Yuan for surgery?"

Old Li was very warm, but for young doctors, not only should he help him technically, but he also had to check his personality. This is what an old school master does.

"Oh!" Xue Xiaoqiao still respects Director Li very much.

The operation continues, this kind of operation, said to be broken, is actually simple.

First try to see if it is a functional area or not, and then stop the bleeding and ligate the surrounding blood vessels.

Don't look at the brain just a little bit, there is a lot of blood supply!

After ligating the blood vessels, the rest is simple.

First use the spear to jump off the outer membrane, and then pick up the bone scraper. This kind of thing is not the thick black of orthopedics.

This thing is like a silver ear pick, very delicate.

Use a bone scraper little by little, just like a child eating strawberry ice cream with white cream, digging out the inside lesions little by little and putting them into your mouth.

Looking at Zhang Fan's technique, Director Chen felt envious, "MMP, it's good to be young, this technique is stable and too stable. How can I practice this technique~!"

"Zhang Yuan, haha, your technique is really good, it seems to be a little bit like the shadow of the director of the mean, but it seems different, I have stayed in the mean for a year, I don’t know you are..."

This is almost ready to pull relationships.

"Oh, I'm just a little interested outside my head, I usually figure it out by myself!"

The operation went well, and Zhang Fan said a word.

"Um!" Director Chen Khan is all down, not only is Director Chen Khan down, but a group of directors and deputy directors in the observation room, one of them counts as one, yelling in their hearts: TN's are too capable!

Old Chen Xin said, "Why don't you speak! This is awesome!"

The original thoughts of wanting to build a relationship are gone, and the original thoughts of learning some skills are gone.

He felt that this young man was too ridiculous, and the proud cow went to the sky.

To be honest, it was regarded as bragging, but who asked him to ask Zhang Fan on the operating table, Zhang Fan on the operating table, it would be good to answer!

As for the feelings of others, I'm sorry, I'm having an operation, and I didn't want to fool you!