Chapter 159: The 155th annoying operation!

Chapter 159 Chapter 155 Annoying Operation!
Zhang Fan didn't want to go, but the nurse was very enthusiastic. If he didn't go, he would be a little shameless, too awkward! Zhang Fan went in hard. The nurse's duty room is a bit cleaner and neat than the doctor's duty room, and there is a faint scent! Stay alive for a while. result! Can't sleep, the pillows are all scented. Zhang Fan couldn't bear it! ~
In the morning meeting, Liu Zhaoyun really couldn't stand it. Sitting at the listless list, Zhang Fan and Xia Huadong were relatively better, after all, young. After explaining the work of the department, several bosses stood outside the department before the rounds. Liu Zhaoyun had to greet them, and the face of money was sometimes great.
After all, Zhang Fan has been in Chasu City for a short time, and many people are not familiar with it. At the end of the round, Zhang Fan went to the ICU again. Although there were special doctors and nurses to take care of him 24 hours a day, Zhang Fan was still not assured. He went up and took a look again. Fever, luckily no epilepsy. Brain damage has a high chance of developing epilepsy.
After returning to the dormitory, after telling Shao Hua, he did not dare to turn off the phone. Dai Wengang was not out of danger, and he might call at any time. go to bed! Nervous all night, lying in my bed, really comfortable! What is happiness? This is happiness. After staying up all night, pull the curtains and lie comfortably on your bed, so comfortable!
Li Liang was completely detached from the county hospital. No way, no hope! And the family also supports, anyway, the family does not need Li Liang to subsidize the household, as long as he likes it. Ma Wentao has been interested since he made money in surgery. What makes people crazy, huge profits!
Why does the hospital seem to make a lot of surgery? Because the hospital's various inspection equipment, supplies, houses, infrastructure have depreciation fees, these things are funded by the state, you must deduct a little cost every month! And many of the hospital's drugs and equipment can not be said, anyway, it is expensive, so do not make money, doctors are not willing to do it.
For example, a limb replantation operation costs 8,000 yuan for a finger, and the doctor gets 20 yuan for the first stage of the operation, and then the bonus, about one hundred yuan for such an operation, because of this operation. Consumables are scarcely used, and it takes time. There are no three or four hours. Don't think about it. The most important thing is that 90% of this trauma is emergency. You have to worry about it for a long time after you finish it. Survival, so this department, doctors are unwilling to do it.
This market was left to private hospitals. Ma Wentao's operation was very irritating, but the effect was particularly obvious. Lao Chen took Ma Wentao with Li Liang to look for, Ma Wentao bid 5,000, and Li Liang turned his head and left. Let Ma Wentao hold back, because he knows that these people with Zhang Fan can be regarded as techniques. The final salary was 5,000, but 3% of the operation cost went to Li Liang and 5% to Lao Chen. I also arranged a house for Li Liang!
Then there is the market occupation. Although the mine and other places will give Ma Wentao's face, but the county hospitals and doctors will not give face, let alone he is only a second generation, even if it is a generation, it may not be useful because Too much too much. What to do where power cannot be covered? Then money makes way!
Salesman, starting from the county hospital below to the township hospital and then to the private clinic, as long as it is a medical place, all came over, and no other disease number, as long as this kind of limb replantation is needed.
No one in public hospitals, this market is left to Ma Wentao! The salesman told the doctors in the county and township that for a single operation, 30% of the cost of the operation, the patient was discharged and discharged without arrears!
crazy! The surgeons in the counties around Chasu City are crazy, and this type of surgery is unwilling to be performed by regular hospitals. Now there are places to take the initiative to accept and return money, one by one.
The first surgery patient appeared! When a young man was in his twenties, when cutting grass for the livestock in the afternoon, he accidentally cut off his three fingers in his left hand. He was rushed to the county hospital, where the surgeon sent him directly to Ma Wentao's hospital.
Two hours had passed when we arrived in the city. This kind of surgery is difficult, difficult, time-consuming, and the technique is not good. The chance of survival of the fingers is not high. Even if it is alive, it has no function.
Human fingers are not leeks, and they won't grow any longer. If you want to perform microsurgery, you must have tools and equipment. The first is a microscope that can automatically change the magnification between 6 and 30 times. When the magnification is changed, the field of view can be kept clear without adjusting the focus. You must also have two sets of mirrors for the surgeon and the assistant, and a cold light source.
Zhang Fan took a nap and was ready to go for a walk with Shao Hua after eating at Shao Hua's house. The old man also stopped pulling Zhang Fan to play chess recently. Zhang Fan is relieved, and more relatives have come to the house recently. Any aunt or aunt is picking Zhang Fan when he is at home.
Just when Zhang Fan and Shao Hua were about to go out, they received a call from Ma Wentao, "Dr. Zhang, where is it, hurry up! There is a major operation, you must get started."
"I'm at my girlfriend's house. What kind of surgery?"
"Three fingers have been cut off! The person has already arrived at the operating room. You said I'll pick you up at the address." After Zhang Fan reported the address, he smiled sorry for Shao Hua.
"Then I will take you to the gate of the community! You should pay attention to it too. The labor intensity is too great. I stayed up yesterday and had surgery today. There is no need to fight too much. You and I are already paid enough for our lives!" Shao Hua arranged the collar for Zhang Fan, and said to Zhang Fan with some distress.
"It's okay, I'm still young! And I like it too. Don't worry, I will rest when I'm tired, but I'm a bit sorry for you. You see, I've been too busy recently and haven't been with you for a few days!"
"It's a long time later! Don't worry! Let's go and I'll take you out."
The city of Chasu is not big. The two stood at the gate of the community for a few minutes. Ma Wentao drove in to pick up Zhang Fan, a Mercedes-Benz, a box-shaped Mercedes-Benz!
"How about, I'll be a driver for you personally, are you satisfied?" After getting familiar with Zhang Fan, Ma Wentao also started joking with Zhang Fan!
"Is it a cut or crush injury?" Zhang Fan ignored him, asking questions he cared about.
"Cut injury, Director Chen said, I didn't dare to see the patient! It was wrapped in gauze when I came. It was already treated in the county hospital." Zhang Fan was so boring, Ma Wentao pouted.
Don't have too many people who want to be friends with Ma Wentao in the frontier. As a result, Zhang Fan doesn't give any face, which makes Master Ma a little frustrated.
Zhang Fan entered the operating room. Lao Chen and Li Liang had already started cleaning. Zhang Fan looked at it. It is a cut injury, the broken edge is neat, and the broken finger is not bad.
This broken finger is well-preserved. A dry, refrigerated environment is best. Do not allow the broken finger to come into direct contact with ice cubes, as it will frostbite the broken finger. Do not soak the broken fingers in any liquid, this is not making kimchi!
In the operating room, three broken fingers have been marked and stored in a refrigerator at 4 degrees Celsius. Severe finger surgery must be against time. The longer the time, the lower the chance of survival. If the time is too long, the degeneration of muscle tissue releases a lot of toxic substances such as potassium ions, myoglobin and peptides into the blood, which will cause symptoms of systemic poisoning.
Fan Fan washed his hands and disinfected them. He wore surgical clothes and went to the operating table. "Debridement!" Zhang Fan said simply. Lao Chen and Li Liang are very adaptable to Zhang Fan's surgical habits. They can talk as much as possible, and they are very concise.
At the beginning of debridement, Zhang Fan has found the blood vessels, nerves and tendons to be repaired. The first step is to fix the broken bone when replanting the broken limb, and to repair the bone according to the damage. This step is very important. If the dressing is not suitable, it will affect the repair of other tissues in the later stage. And this operation is faster, because it is not one finger, but three!
One is a surgery, and when choosing a repair, you must first choose the one with the least injury. The principle of this surgery is that you can save and repair first. Bone fixation, if in public hospitals, finger plates are generally used. In private hospitals, Kirschner wires or steel wires are generally used. Private hospitals have already taken the lead in this regard! Zhang Fan was very fast. For this kind of cutting injury, two crossed Kirschner wires were directly connected with an electric drill. The phalanges are flat bones. If the power drill is too strong, it will break the phalanx!
Tendon sutures, tendon sutures need to be selected with important tendon sutures, and the rest can be left without sutures. This operation is plainly a race against corrupted cells. Whoever runs faster wins.
Suture the blood vessel. Blood vessels and tendons are different, too delicate! Hold your bones and tendons at will! But the blood vessels are not good, as long as the internal injuries, this stuff will cause you trouble, even if you suture it will become a dead blood vessel, why, the vascular endothelium is damaged, it will block its own damaged area! So suturing blood vessels is time consuming! Both fixed orthopedics and suture tendons can be performed under the naked eye, but blood vessels must be operated under a microscope.
Finally, nerve suture, the system is too powerful. This nerve does not have five years of experience in microsurgery, don't think about suture success. And under the systematic training, Zhang Fan has done it countless times by relying on his liver attitude! The cumulative number of these operations is estimated to be the deputy high in the top three in a region! This amount you can imagine the extent of Zhang Fan's efforts.
One is done. This is the first step. There are two more. Lao Chen was a little dazzled with the assistance of a finger. Microsurgery was too expensive. He was old! Cruel? Surgery is so cruel, you can't do it anymore!
Lao Chen's heart is like a knife, gave the position of help to Li Liang ~! Zhang Fan wouldn't care about old Chen, there are two more. carry on! I don't have time to explain them now. Look first! Tell them when they are familiar!
After more than three hours, the operation was over. The operation was performed on a stool. He kept his head down for three hours. Zhang Fan did not look up a few times before finishing the operation and shook his sour neck.
"Be sure to change your medicine on time and do n’t get infected. The side lights should be careful not to burn your skin. It must be too high for the affected limb to be higher than the heart. Smoking is strictly prohibited and no one is allowed to smoke in the ward. Once the spasm is in trouble!
Zhang Fan explained to Li Liang carefully.
He took off his surgical clothes and did not rush to find Ma Wentao. Pulling old Chen sitting on the floor of the operating room! Lao Chen is very weak! Zhang Fan wants to enlighten Lao Chen, but he doesn't know how to speak!
(End of this chapter)