Medical road

From a technical staff to a comprehensive technical management staff, the mentality change is not a day-to-day change.

Not only does my mentality have a process of adapting, but even the mentality of colleagues, friends and family is also slowly adapting.

When Zhang Fan first became the assistant to the head of orthopedics, Lao Gao had said to Zhang Fan.

The mentality of managers in the medical industry is different from other industries, it is very changeable and complicated.

Zhang Fan didn't understand it at the beginning, but now he finally has a sense of it.That is, the technical staff does not obey.

This is not the personality of two doctors, but the commonality of the entire industry.

Just like some little doctors and little nurses secretly calling Zhang Fan to buy Jiang for the black.

Among the frontier clan names, Mai Mai Jiang is not necessarily the most popular, but for the Han people, Mai Mai Jiang is the most catchy.

So, I don't care how many ways you come, I only go all the way.Called Mai Maijiang, he became Xiao Ming of the Han people in the frontier.

The little nurse called Zhang Fan to buy the river for the black shop, and there was a trace of worship, strangeness, but hope to be familiar.

And the young doctors called Zhang Fanhei to buy and buy Jiang, most of them were jealous and unwilling to admit it.

He is also a young man and graduated from a bachelor degree. Why is he so good?

It is probably because he is dark!

Zhang Fan didn't mind a thing at all. He was like a king now, constantly patrolling his chassis, and constantly digging for things that could be made.

Talents in the medical industry are too difficult to find. Not only do they have to work hard, they must also have talent.

And you must have a mentality that can withstand great pressure. Not only can you withstand pressure, but your temperament is also very important.

In this line, if the character is not good and there are no problems, it is a big problem. If you want to pull up a team and build a good team, it is not much simpler than the improvement of surgical skills.

The patients transferred from the Hospital of Traditional Chinese Medicine were queued for surgery. One day before the operation, Zhang Fan held a morning meeting for preoperative discussion in general surgery.

In the current general surgery of the city hospital, the liver and gallbladder have long been separated and independent. Although the anorectal department is separated, it is still not independent. There are often many operations, and the general expatriate of the family is still needed to help.

As for vascular surgery, few people go to special research. First of all, the development of this discipline is relatively late, and the requirements for hardware equipment are also high.

In the past, the city hospital had this heart and powerlessness, after Zhang Fan brought a lot of equipment on his trip to the magic city.

In fact, Zhang Fan slowly considers the necessity of establishing vascular surgery, so now, Zhang Fan wants to observe slowly.

Vascular surgery, the real essence of vascular surgery lies in digging the western wall to fill the eastern wall.

Therefore, the vascular surgeon's macro must have a certain height, which is different from other general surgery, specific to a certain organ.

For example, the appendix is ​​great, and for example the gallbladder, it is also the same reason. Even if the pancreas is the most difficult to provoke, it is still cut.

But blood vessels don’t work. This thing is a closed loop. If the disease is antagonized in a closed loop, the doctor needs to have a strong overall view.

Therefore, Zhang Fan also began to study slowly, if there is no candidate for the city hospital, then train it by himself.

The morning meeting was very successful, but Zhang Fan's goal was not achieved. The doctors in general surgery were very rude and rarely mentioned conservative treatment.

Although the patient's condition is very serious and the possibility of conservative treatment is low, everyone's views on conservative treatment are still a bit shallow.

For vascular and lymphatic diseases, surgical treatment is the last resort, and conservative treatment is the kingly way.

For example, the treatment of lymphatic diseases, although China started relatively late, but relying on the tying therapy established by Academician Zhang Disheng, the first person in China to undergo plastic surgery, Magic City Nine Institute suddenly became a leader in the plastic surgery industry.

In terms of lymphatic treatment, Huaguo's treatment method is still unique.

It is estimated that this old gentleman is also a glutton. The baking method he invented is similar to roast duck.

For example, patients with lymphedema of the lower limbs, first use elastic bandages or tight stockings to compress.

Then put it into a special oven, according to the patient's tolerance, the temperature is as low as 60° and the highest is 130° for baking.

Even if the heat is applied, the patient's edema is obviously improved, but what is the principle of this thing? For now, everyone has no conclusion, but it is effective!

It is estimated that when the old man watched the roast duck rotating and heated, his body contracted, but there was little loss of body fluid, so he was inspired!

Otherwise, there is no way to explain this thing with medical theory.

The old man is also a god!The Ninth Academy of Magic City is well known in the world, and the students brought out by the old man almost monopolize the Ninth Academy of Magic City.

The treatment methods abroad focus on rehabilitation, that is, focus on manual massage.

What do you mean? The tissues of the human body are actually isolated from each other, such as the calf muscles.

These muscles are all wrapped together piece by piece by a wear-resistant outer mold, just like frozen meat in the refrigerator, which looks frozen together, but is actually separated piece by piece by plastic.

The edema is between this piece of muscle.The conservative concept abroad is to use massage to open the gap between the upper and lower sides.

Let the lymph in other places absorb the clogged lymph fluid.

The advantages are obvious, and the disadvantages are also obvious. First of all, this kind of physical therapist must be professionally trained.

This physiotherapy technique is not about stepping on your back, pushing oil, and pulling down the rolling gate to let you relax.

This technique can be regarded as a kind of violent massage. It is necessary to open up the barriers between the upper and lower tissues. The technique is almost impossible to massage the swelling of the legs to the reproductive (a) organs, then it will cause disaster, and it can directly become a bull's head.

Therefore, the cost of such treatment is extremely high, and it takes a long time. If the main labor force of a family has this problem, it is a disease that will kill the whole family.

After the morning meeting, Zhang Fan smiled helplessly, and asked the doctors in general surgery to have a barbecue and massage. It is estimated that these people would never be willing.

It seems that we can only choose another talent.

After the patient was sent to the operating room, the young nurse in the operating room looked at the meat jar on the patient's leg, daring not to laugh.

The anesthesiologist looked at it carefully, "Zhang Yuan, spinal anesthesia is probably not good, the blood vessel fluctuations in this place are not very obvious, it deserves general anesthesia."

"Okay! Have you finished talking with your family."

Zhang Fan responded.

The doctors in general surgery are more than thieves. In the morning, Zhang Fan asked one by one. Everyone guessed that Zhang Fan might find someone specializing in blood vessels.

Therefore, a group of people entered the operating room, one by one quietly, for fear that Zhang Fan would get rid of blood vessels.

The twisted melons are not sweet, and Zhang Fan didn't even want them to get blood vessels, but it's okay to scare them.

"The blood vessels are still promising, no overtime, no emergencies, and clean!"

When I said this, one rushed to work more quickly.

Zhao Quanping, the director of General Foreign Affairs Office, smiled, and quietly gave Zhang Fan a thumbs up.

"Zhang Yuan, the disinfection is complete, and the patient has been numb!" The general surgeon called Zhang Fan to please.

"The operation begins!"

As soon as Zhang Fan entered the state of surgery, there were no other superfluous thoughts.

The operation of lymphatic vessels is similar to that of arteries and veins.

Although it is not as dangerous as the arteries and veins, the difficulty is not small.

The arteries and veins are one-to-one, and the great thing is that they are different in thickness.If the blood flow can be controlled, there is not much difference between suturing blood vessels and suturing rubber tubes.

But the lymph is different. After this thing comes out of the muscle, it is like a mouthpart, opening the bell mouth, and it is absorbed by the movement of the muscle.

Therefore, there are three surgical methods for this disease, and these three surgical methods have not been significantly improved on a large scale since they were invented.

In addition to changes in medication, what was done decades ago is actually still how to do it now.

The first, and the most cruel, is to remove directly, including muscle and lymph.

For example, if the rubber swelling is directly removed, men will be scared to death after hearing it.

The second is to promote absorption. To put it bluntly, it is to divert.The third and most difficult one is the reconstruction of lymphatic drainage.

The lymphatic reflux of the calf is actually a bit like Huashan's posture. There is no good way to change the route of this thing, and the removal will cause too much damage.

Although most doctors will choose to remove, because of this method, it is difficult to say whether the patient will contracture in the calf, but there will never be edema.

However, Zhang Fan chose to rebuild. Reconstructive surgery took a long time, so in the morning, Zhang Fan greeted the doctors who were on stage in general surgery in advance.

Eat less and drink less, Zhang Fan only ate a little steamed buns and a little pickles, not even water.

If you don’t want to be hungry like this, you should wear diapers. To be honest, no matter how advanced the diapers are.

The warm feeling on the paper after urinating is really uncomfortable. It is like being stuck on the skin by someone spitting on it. I can't wipe it!

At the beginning of the operation, the meat jar is cut open, and the tissue inside it feels like cotton wool or foamed white fungus.

The skin feels like leather in the hand, without the flexibility of human skin at all. It is directly as rigid as four pigskins after being soaked in water for a long time. It is a pity to bite in the mouth and vomit, but after chewing for a long time, people don't move, and the teeth shadows remain. No less.

Surgery to scratch this kind of skin, it's like a person is on the snow, puff, puff, use a little bit of force and can't walk, use a little bit more force, and the knife will be inserted if it is not done well.

But for Zhang Fan, no matter how it changes, with a scalpel in his hand, all changes are irrelevant.

"Tooth forceps!" After Zhang Fan cut through the skin, he asked his assistant to pull the skin away with the tooth forceps to reveal all the tissues inside the calf.

Nothing can be seen inside the calf tissues. Normal people, even if they are obese, in the calf are muscles and fats.

After the patient's meat jar was cut open, it looked like a pile of fattened pork with water, overflowing with white liquid everywhere.

The muscles don't have the feeling of tendon flesh, as if they were chewed by a toothless old lady for half an hour, and then the flesh was spitting out.

When the gauze was dipped, it brought up a sticky liquid, and when it was dipped, it was really like a boy who became a master Lu and didn't get the paper towel, all of which got the feeling under the skin of the calf.

The tissue on the meat jar is white and greasy, and it feels like your hands are sticking to it with gloves.

Zhang Fan cut the tissue and looked for lymphatic vessels.

"Zhang Yuan, if it doesn't work, let's remove it. I feel that the edema is too severe. A light pinch, it's all egg whites."

The director of General Wai frowned.

"There is help, listen to me, come and help me find a suitable vein."

Zhang Fan didn't speak much or explain much, and directly assigned Zhao Quanping the task.

That's it on the operating table. As long as the chief surgeon hesitates a little, other doctors will make more and more suggestions.

One is on the left and the other is on the right, so on the operating table, a surgeon actually has to be domineering.

Zhang Fan said to look for it, but several assistants originally wanted to speak, but stopped.Look for the right vein carefully with your head down.

Lymphatic blockage is a road in Huashan. What to do, rebuild, shrink the entrance of the lymphatic system first, and then find a suitable vein to connect it together.

Therefore, this operation can actually be done by a vascular surgeon at this time, but the most difficult thing is after the vascular and lymphatic connection.