Chapter 542: Flag

Chapter 542: Banner
Decentralization, with the assistance of the superior health system, Zhang Fan has autonomy. Treatment is a matter of weighing the pros and cons. Often, a leading doctor is needed to kill the decision, just like the feudal emperor.
It is not necessarily a good thing that there are more experts in the consultation. Multi-experts are sometimes worse than having one expert responsible.
"Immediately perform a CT scan of the abdomen and chest on the patient, draw blood for culture, and perform a drug sensitivity test." After Zhang Fan and the expert group unanimously passed the patient's diagnosis and treatment opinions, the treatment measures were also started one by one.
When examining each report, the patient found lesions in the abdominal cavity. "Postoperative peritonitis!" Zhang Fan said softly to Ren Li and Jumabeike after watching the examination.
"The lesions are not small!"
"Yes."
Postoperative peritonitis, to be honest, it is extremely difficult to determine the cause, unless a fine autopsy is performed after the patient has died, otherwise ...
In terms of evidence-based medicine, most of these diseases are actually caused by surgeons during surgery, but ...
"It seems that a second operation is necessary." Zhang Fan took a long sigh of relief.
"Explain the condition to the family members." Zhang Fan asked Ma Yichen to explain the condition to the family members.
After a while, Ma Yichen came in. "Zhang Yuan, the family wants to see the doctor."
"What's wrong?" Zhang Fan asked curiously.
"They must see the doctor. When I heard that I was an assistant, they refused to talk to me."
"Oh, let's go and see."
Outside the ICU, a group of white foreigners sat around. "I'm the patient's surgeon. Do you have anything to know?"
The government dispatched translators, and they brought their own translators. Although Zhang Fan didn't know how to dress, but looking at the posture of these people, it was estimated that they were relatively wealthy families.
"Doctor, is it necessary for my husband to have a second operation?" A white European and American woman who could not see her age asked Zhang Fan.
Say she's 50 or 60 years old, but it doesn't seem to be the same. Say she's 30 or 40 years old. Although her face does not show wrinkles, the slack skin on the neck has reminded her that she is not young.
She must be doing beauty care on a regular basis, but the beauty of the human body is actually not the face, but the neck. The muscles in the neck are too long and too long. Once loosening, it is almost impossible to perform cosmetic surgery.
"It is necessary. We have found infected lesions in his abdomen. If the lesions cannot be removed, the patient's condition can only get worse. And it is best to perform surgery as soon as possible. The longer the delay, the worse the patient's later recovery."
"Thank you, God will bless him!" The woman stopped talking, her stern face, and godly expression, and when she made the gesture of blessing, it seemed that the pressure had eased a lot.
"Hello doctor, I am a supplier of French perfumes. In the ward is my brother. This is my business card." Then the businessman handed Zhang Fan a piece made of wood or metal. Business cards, and still scented business cards.
Zhang Fan took it in his hands, and a big man took a fragrant piece! And because it's all French, Zhang Fan couldn't read it.
After handing out his business card, the pot-bellied businessman did not see Zhang Fan's surprise, but he still asked: "Doctor, can you wait for a few days before surgery?" He has contacted a specialist in their country, and it is estimated that tomorrow Will be there.
Zhang Fan looked up at the translator, and nodded with certainty.
"Now the patient's condition can be said to be very serious. He has a high fever, and the continuous high fever is constantly eroding his body. If the surgery cannot be performed as soon as possible, the original abdominal condition may become a brain problem. You also see Arrived, the patient has pneumonia now! This already illustrates the problem. "
"Well, we need to discuss it and we will give you a reply as soon as possible." The merchant said helplessly.
"Okay!" Zhang Fan nodded. After entering the ICU, Ren Li asked, "What's wrong, are you ready for surgery?"
"They have to discuss it!"
"where……"
"I can only wait. If they refuse to have surgery today, is there any way to delay the development of the condition?" Zhang Fan had to think about non-surgical treatment options.
"The ice cap, vancomycin, hormones, and ventilator are all on. The high fever is still not well controlled. Once delayed, I think it is very dangerous. Once sepsis breaks out, the consequences are unbearable ..."
"Ah! I'll talk to them again." The doctor must have the doctor's responsibilities and obligations, Zhang Fan must explain the consequences to his family.
"Doctor, we have decided, and agree to the operation. I'll leave it to you." After the businessman with a big belly, saw Zhang Fan coming out again, he hurried over and they have already decided.
"Okay. Sign! Ready for surgery." Zhang Fan nodded and said to Ma Yichen.
"Yes, Zhang Yuan. Come on, you have a family member to sign!"
After everything was properly prepared, Zhang Fan and Zhao Quanping, the general director, took Ma Yichen to the operation. As for the doctors in Selen County, Zhang Fan would not let them go to the surgery, and even the hook would not let them go.
Postoperative peritonitis. When it was the first operation, the doctor sutured poorly, leaked, or accidentally punctured the bowel cavity. Therefore, Zhang Fan really didn't dare to use his professional career to make Selenium doctors joke.
The bane left by the first laparotomy, which forced the second operation, increased the difficulty of which operation by several levels.
The first is bleeding. The most important thing in this operation is a gentle one. Because after the first operation, the patient's peritoneum, intestine, and incision were edema.
The edema of the body is very troublesome. It was originally a very tough tissue. Once edema appears, it becomes very brittle. What exactly is edema?
In fact, the cells are filled with water, and then the cells filled with water make up the organs of the body. The swollen cells are like glass crisp grapes, and when they touch, they bleed.
Open the abdomen and can only enter according to the original incision. The worst things in the world include rubbing people's buttocks and giving people a mess.
Zhang Fan took the scalpel and cut the suture gently. Before he started to move, the bleeding started. Ma Yichen's eyes were quick and he began to wipe with gauze.
"Ka!"
Zhang Fan directly clamped Ma Yichen's hand holding the gauze with his signature.
Director Zhao smiled! Because Zhang Fan's attitude showed that he regarded Ma Yichen as an apprentice. General superior doctors are not so rude to ordinary doctors.
And Ma Yichen is a doctor outside the ordinary, or the doctor he and Ouyang personally signed from Sanchuan Medical College at that time, and they can be related!
"Uh, Zhang Yuan?" Ma Yichen was hurt by Zhang Fan. Long toothless curved pliers clamped Ma Yichen's three fingers.
"Remember, the patient's incision has become edema, and you must not wipe it with dry gauze!"
"I didn't notice, I'm sorry." Ma Yichen made a big red face.
"Ka!" Zhang Fan released the bending pliers! Ma Yichen secretly touched his finger.
"Oh, this is still good. If I were, I would just kick you off. Zhang Yuan is still soft-hearted." Old Zhao said to Ma Yichen with a smile, and then said to Zhang Fan: "Zhang Yuan, this Ready to flag? "
What he meant was to ask Zhang Fan if he was going to accept a disciple.
"Look at the performance."
"One is also released, the other is also hurry, or bring a few more. The boys in our department are all good."
As soon as Lao Zhao heard this, he quickly started selling young doctors outside the country. His director was too embarrassed, so he also wanted the young doctor to get up early.
As soon as Ma Yichen heard, his face was reddish and even redder. This time it was not shame, but excitement!
Chapter two
(End of this chapter)