Chapter 414: hellokitty

Chapter 414: Hellokitty
In the early years of the medical industry, there was a joke, saying that gold ophthalmology, silver orthopedics, and gynecology. Although not very accurate, in general it is similar.
However, with the development of science and technology and the rapid improvement of national pharmaceutical equipment manufacturers, this statement in the medical community has become a thing of the past. Let's start with ophthalmology. The state subsidies for this are very large. Every year, bright action costs a lot of money.
Orthopedics is even more difficult. Most of the instruments are made in China, and medical insurance for orthopedics is directly guarded against death and stuck. Therefore, the life of orthopedics is not good. It must be carefully calculated, otherwise a drug ratio exceeds the standard and the fine is super fierce.
Needless to say, the obstetrics and gynecology department, fortunately not beaten, but also tired to die. Of course, this is all for ordinary doctors, just like ordinary people talking about gossip.
With the changes in recent years, in fact, it is not these departments that ordinary doctors really make money. Instead, some emerging departments are the best.
Such as reproductive centers, male and female specialists, oral and cosmetic, and leisure bonuses are high. Pulling a few thousand skins and lifting tens of thousands of breasts, there is really no way to say.
In the hospital, the income of an intervention department is currently the highest, but even if it is the highest, no one is rushing to do it. This is the case of the city hospital. For example, Zhang Fan, who was in the heart to teach Ye Jing at the time, even if she was given 100,000 a month, she would not get involved.
Because this thing has too much radiation, it is protected, and the radiation is very strong. Almost all of the interventional procedures work under the X-ray. Therefore, the doctors involved in the intervention are almost fighting.
Orthopedics is almost the same, although not as exaggerated as the intervention, but also similar. After many internal fixation operations are done, you need to see if it is reset, whether the bones are aligned, and you must look under the X-rays.
Generally, this kind of situation needs to support the fixed place of the patient, who supports it? Of course, who has the disease number who helped, and also eat a lot of rays in a day.
protective suit? It ’s all torn. Is it necessary to wear protective clothing when wearing surgical gowns? Who does who knows.
Xu Xian was extremely unhappy and did not blame him. When he was a graduate student in Bird Market, there was a teacher who ate too much because of the rays, and then the white blood cells dropped sharply. In the end, he hung up without retirement. So he was in conflict.
"Come on, all come, just be happy, it's okay, eating once or twice is good!" Zhang Fan said with a smile. Zhang Fan didn't hang a teacher, so he wasn't afraid. People were like this, they didn't see it with their own eyes, they didn't believe their ears at all, no matter their majors or not.
"Trust you a ghost!" Xu Xian said helplessly. Although Xu Xian said so, he also admired Zhang Fan very much. There are really not many active C-arm resets.
Galeazzi's fracture was actually a fracture of the bone on the side of the upper thumb of the wrist. It's that simple, the most convenient and quickest way is to cut open the steel plate, remove the wire in ten days, remove the plaster in half a month, and remove the steel plate in one or two years. It's that simple and rude.
The damage is of course great. Generally, resetting is also possible, but this is too difficult if you are not looking directly. Because the forearm of the human body is this place under the elbow joint, it has two bones inside it, the ulna and the radius, the radius is on the thumb side and the ulna on the other side. The radius is slightly thicker and the ulna is slightly thinner.
Other than that, you take two and chopsticks, cut off one and wrap it with a towel. Outside of the towel, it is not easy to pinch your hands, let alone thicker muscles than towels.
"My director Zhang, how are you going to do this, this position is really difficult to fix." Xu Xian said nothing wrong. This bone is like chopsticks, pinched, and the muscles may be skewed when pulled, so he is also worried.
"You see me. I'll teach you a trick." Zhang Fan squeezed his eyes at Xu Xian. Xu Xian could follow him to do this reset, and he already recognized Xu Xian.
"Sister Xia, brachial plexus anesthesia. We reset him today." Zhang Fan said to Xia Yonghong, the oldest anesthesiologist in the anesthesia room.
"Okay, just stay on your feet. If you can't do it, you can do surgery." The method of resetting was very large in Sister Xia's era, so she knew it well.
"Okay. Xu Xian, put on your protective clothing." Zhang Fan said.
"Is it useful? Our three points are broken like this, and the straps are all gone. Do I have to clamp them with my legs?" Xu Xianyi said that the protective clothing was also ill.
Hospital's protective clothing, TM is a fool. This was bought for a C-arm, and it's long worn out. And it's the oldest one.
Protect one piece of thyroid, then one large chest, and one piece to protect male testa (a) pills, but this one in the hospital is too broken. Cannot be used directly.
"Come wherever you want." Zhang Fan couldn't help it. The hospital is pursuing big equipment and high technology, but it really doesn't care about such small things. I don't know what the director of Ouyang He thinks. Zhang Fan complained in his heart.
Reduction, forearm reduction is very demanding on the doctor. Therefore, now the hospital does not directly reset the forearm and directly performs surgery. Because this is too difficult.
Human dexterous hands rely on the rotation function of the forearm. If the reset is not appropriate, then there is a problem with the rotation of the arm, and then it affects the function of the hand. Not to mention writing and working, even unbuttoning the girl's button can't be done.
It's like putting two pieces of wood together, one of which is round and the other is a track, and then the two bones turn around, pulling on this muscle and letting the hand make corresponding actions.
If the sticks are of different lengths or angled to block the rotation. Give you a cola, you can't open the lid. The complications of open reduction are relatively rare, so doctors are almost unwilling to reset.
Although Sister Xia is older, her eyes are still pretty good. "Boy, your body is really strong!" Sister Xia said with a smile while watching the fat and fat body of the fat man.
"Hehe!" At this time, the fat man was uglier than laughing. Lying on the operating table, he could not panic.
"Well, you guys start." After Sister Xia was anesthetized, she packed the tray and said to Zhang Fan.
"Turn on the power, Xiao Li, you can go out too, the radiation is too sensitive to women." Zhang Fan said to the nurse who had the operation. Xiao Li was a nurse who had a little interest in Zhang Fan at the time. This girl had revenge, and she didn't talk to Zhang Fan so much.
After hearing what Fan Fan said, the girl subconsciously touched her twin peaks, hurried out, and then closed the electric door of the operating room.
"You see me as useless. If you have subcutaneous fat on the chest and as many glands as her, I will let you out." Xu Xian looked at Zhang Fan innocently, and Zhang Fan said angrily.
"But I am ..."
"Okay, hurry up, why do you look a bit like the person with the same name?"
"Your sister!" Xu Xian hates others to compare him with those who have married the snake.
"It hurts!"
"pain!"
Zhang Fan held his hand and twisted the fat arm slightly. "It's too fat, wait a minute, the anesthetic has not yet taken effect."
After a few minutes, "Does it hurt?"
"pain!"
"No bullshit, I haven't touched you yet. Does it hurt?" Zhang Fan asked after deliberately touching it. In special moments, the patient is like this. Everyone is the same when lying on the operating table.
Zhang Fan looked at the expression of the fat man and twisted it secretly. The fat man's face did not respond.
"At first, he was a little scared," he said, and then said to the fat man, "Why is such a big person and such a strong body so timid. Rest assured, it's okay."
"Thank you doctor."
"Come, let's get started." Zhang Fan greeted Xu Xian.
The first method of reduction is to pull, that is, to pull the bones that are incarcerated together first. Zhang Fan turned one side of the patient's wrist, and Xu Xian held the patient's elbow.
"Slow down, use your strength slowly and slowly." Zhang Fan spoke to Xu Xian. They were like tug-of-war, with their butts falling, their waists bent, and their hands straight.
"No, use some energy!" The fat man was too fat, and Xu Xian of his forearm was incomplete with both hands.
"Oh my God, it's too hard." Xu Xian gritted his teeth, and then said, "Why your muscles are so strong, what are you doing?"
"It's like that! It's been a teenager since it was a teenager." At first glance, the fat man was relieved that he wasn't really undergoing surgery. In fact, he was worried, and the patient did not agree with the operation. The doctor was bold and direct. Forced surgery.
"Okay, okay, hold on, hold on, this is the position." Zhang Fan gently pressed his thumb to the place where the forearm broke, and said to Xu Xian.
This is really not an easy job. You have to work hard in the front, from small to big. When the pull has a tendency to separate, you must always maintain a constant strength.
The muscle is not a rubber stopper and cannot be pulled violently. The bone gap must be slowly opened with a force just greater than the muscle pulling force. Zhang Fan is better. After all, he is a systematic person, and he has long-term exercise and good strength.
Xu Xian couldn't do it. When I was in school, I talked about the subject and saved money. I made myself like a wooden stick. After working, I bought a house and got ready for marriage. .
Xu Xian's sweat at this time, clenching his teeth and insisting. In just ten minutes, a man can sweat directly. I can imagine how much work it takes.
"Xiao Li, open the C-arm." Zhang Fanmeng shouted. Orthopedic surgery has one more observation room than other operations, a small house isolated with lead plates. The door is a dozen centimeters thick. Not loud, Xiao Li can't hear.
This sound almost scared Xu Xian away.
"Humm! Humm! Humm!" The C-arm was activated, as if thousands of mosquitoes had taken off. Then the monitor next to the C-arm showed an image.
Images like X-rays, but in real time. "Take it well, don't let go." After Zhang Fan said a word, he began to reset.
Relying on two big thumbs, Zhang Fan worked hard to make the angled bones start to reset. The thumb needs to work hard, and the body also needs to move slowly from side to side to allow the fracture to form a moment.
This action is too strenuous, both hands must be pulled steadily, the body must be moved, and the two thumbs must cooperate to reset. Zhang Fan also clenched his teeth and insisted.
Too fat, thick fat, muscles that have been practiced for many years, directly smashed Zhang Fan and Xu Xian.
After more than forty minutes, Zhang Fan's hands started to shake a little. "Okay, don't move, Xu Xian slowly release. Slow down." Xu Xian also took a breath through the display, and the fracture finally reset.
It is still very dangerous now, because this fracture is like a broken chopstick, and it may move slightly and it may appear skewed.
"bandage!"
Xu Xianliso, who released her hands, brought a bandage. "Bandage. Spiral!"
Finally, the plaster was also cast, and the fat man left with gratitude. Costs: 80 for manual resetting, 230 for anesthesia, and 122 for materials. Doctor skills are the least valuable.
"No, I can't get tired. I'm going to sleep for a while." Xu Xian said with her head down. Although Zhang Fan was a little dizzy, he hadn't reached that point yet. "You can't, let's go to sleep."
Zhang Fan didn't take it seriously. As a result, the next morning, Zhang Fan was tired and couldn't get up. He was very tired. Worked under the rays for more than forty minutes, I didn't even think it was hellokitty!
Uncles,
You know what i am doing
Hurry up!
(End of this chapter)