Chapter 841:

Chapter 841
From a technical person to a comprehensive technical manager, the change of mindset is not made in a day.
Not only my own mentality has a process of adaptation, but even the mentality of my colleagues, friends and family is gradually adapting.
When Zhang Fan first became assistant to the director of orthopedics, the old senior once told Zhang Fan.
The management mentality of the medical industry is different from other industries, and it is very changeable and complicated.
Zhang Fan didn't understand it at first, but now he has a little insight. That is, the technician is not in control.
This is not the personality of a two-person doctor, but the commonality of the entire industry.
Just like there are some little doctors and little nurses secretly calling Zhang Fan to buy Maijiang for Heimai.
Among the names of famous ethnic groups in the frontiers, Maimaijiang is not necessarily the most, but for the Han people, Maimaijiang is the most catchy.
So, no matter how many times you come, I only go all the way. The bid to buy Maijiang became Xiaoming of the Han nationality in the frontier.
The little nurse called Zhang Fan to buy Maijiang for Heimai, which was full of a sense of admiration, strangeness but hope to get acquainted.
The little doctors called Zhang Fanhei to buy Maijiang, most of them were jealous and unwilling to admit.
The same is a young man, also a graduate of undergraduate, why is he so powerful?
It is estimated that he is black!
Zhang Fan didn't mind a thing at all. He is now just like a king, constantly patrolling his chassis and digging out the materials that can be made.
Talents in the medical industry are too difficult to find. Not only do you have to work hard, you must also have talent.
Moreover, it is necessary to have a mental state that can withstand great pressure. Not only can it bear the pressure, but also the heart is very important.
In this line, if the mentality is not good, there is no problem. The problem is a big problem. If you want to pull up the team and build a good team, it is not much easier than the improvement of surgical techniques.
The patient transferred from the TCM hospital was scheduled for surgery. On the day before the operation, Zhang Fan specially held a morning meeting for general discussion before the operation.
The current general hospitals in the city have separate liver and gallbladders. Although the anorectal department is separated, they are not independent, and often have many operations.
As for vascular surgery, few people go to specialized research. First of all, this subject develops relatively late, and the requirements for hardware equipment are also very high.
In the past, the city hospital had such a lack of strength. After Zhang Fan's trip to the magic city, he brought a lot of equipment.
In fact, Zhang Fan also slowly considered the necessity of establishing vascular surgery, so now, Zhang Fan should slowly observe.
Vascular surgery, the true essence of vascular surgery is to dig the west wall to fill the east wall.
Therefore, the macroscopic vascular surgeon must have a certain height, which is different from other general, specific to an organ.
For example, the appendix can be cut incredibly. For example, the gallbladder is also a reason. Even if the most difficult pancreas can be done, it is still cut.
But the blood vessels are not good. This thing is a closed ring. If you antagonize the disease in a closed ring, it requires the doctor to have a strong perspective.
Therefore, Zhang Fan also began to investigate slowly, if the city hospital has no candidates, then cultivate it by himself.
The morning meeting was very successful, but Zhang Fan's goal was not achieved. The doctors in the outside world were very rude and rarely mentioned conservative treatment.
Although the patient's condition is very serious, the possibility of conservative treatment is already very low, but everyone's views on conservative treatment are still a little shallow.
Vascular lymphopathy, surgical treatment is a last resort, conservative treatment is king.
For example, the treatment of lymphatic diseases, although Hua Guo started relatively late, but relying on the baking therapy created by academician Zhang Disheng, the first person of Hua Guo Plastic Surgery, Modu Jiuyuan suddenly took the lead in the cosmetic industry.
In terms of lymphatic therapy, Hua Guo's treatment is still unique.
It is estimated that this old gentleman is also a glutton. The roasting 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 apply pressure.
Then put it in a special oven, according to the patient's tolerance level, the temperature is at least 60 °, up to 130 °, baking.
Evenly heated, the patient's edema is significantly improved, but what is the principle of this thing, as far as everyone is concerned, there is no conclusion, but it is effective!
It is estimated that the old gentleman watched the roast duck rotating and heated, and his body contracted, but there was very little fluid loss, so he was inspired!
Otherwise, there is no way to explain this thing using medical theory.
The old man is also a man! Modu Jiuyuan is famous all over the world, and the students brought by the old man almost monopolized Modu Jiuyuan.
The treatment methods abroad focus on rehabilitation, that is, manual massage.
What does it mean that the tissues of the human body are actually isolated, such as the calf muscles.
These muscles are all wrapped together by a wear-resistant outer mold, just like frozen meat in the refrigerator. It looks like they are frozen together, but they are separated by plastic.
The edema is between this muscle. The conservative concept abroad is to use massage to open the gap between the upper and lower.
Let the lymph elsewhere absorb the blocked lymph fluid.
The advantages are obvious and the disadvantages are obvious. First of all, this kind of physiotherapist must be professionally trained.
This physiotherapy is not done by stepping on the back, pushing the oil, and pulling down the rolling gate to make you feel comfortable.
This method is a kind of violent massage. It is necessary to open the barriers of the upper and lower tissues. The method is almost impossible to massage the swelling of the legs to the reproductive (a) organs.
Therefore, the cost of such treatment is extremely high, and it takes a long time. If the main workforce of a family has this problem, it is a disease that will kill the whole family.
After the morning meeting, Zhang Fan smiled helplessly, let the doctors outside Pu play barbecue, massage, it is estimated that these people will definitely not want.
It seems that we can only choose another talent.
After the patient was admitted to the operating room, the nurse in the operating room looked at the meat jar on the patient's leg and dared not to laugh.
The anesthetist took a closer look, "Zhang Yuan, lumbar anesthesia is probably not good. The blood vessel fluctuations in this place are not very obvious, and it is a general anesthesia."
"OK! Have you talked to your family?"
Zhang Fan responded.
General doctors compare one thief to another, and Zhang Fan questions one by one in the morning. Everyone estimates that Zhang Fan may be looking for someone to specialize in blood vessels.
Therefore, a group of people entered the operating room, one by one, quietly, fearing that Zhang Fan would order the blood vessels.
The twisted melons are not sweet, and Zhang Fan didn't even want them to make blood vessels, but it's okay to scare them.
"The blood vessels are still promising, no overtime, no emergency, and clean!"
With these words, one rushed to work more than one.
General Director Zhao Quanping smiled, and quietly gave thumbs up to Zhang Fan.
"Zhang Yuan, disinfected, the patient has been numb!" Pu Wai's attendant shouted to Zhang Fan.
"Surgery begins!"
Once Zhang Fan entered the state of surgery, he had no other superfluous ideas.
The operation of lymphatic vessels is similar to that of arteries and veins.
Although not as dangerous as arteriovenous vessels, the difficulty is not small.
Arteriovenous veins are one-to-one, the only difference is the thickness. If you can control the blood flow, in fact, there is little difference between suture blood vessel and suture rubber tube.
But the lymph is different. When it comes out of the muscle, it is like a mouthpiece, with a flared mouth, and it absorbs with the movement of the muscle.
Therefore, there are three surgical methods for this disease, and since these three surgical methods have been invented, they have not been significantly improved over a wide range.
In addition to changes in medication, how to do it a few decades ago, is actually still how to do it now.
The first, and the most cruel, is direct resection, even with muscle and lymph.
For example, rubber swelling, directly removed, men will be scared to death after hearing it.
The second is to promote absorption. The third and most difficult one is the reconstruction of lymphatic reflux.
The lymphatic reflux of the calf is actually a bit like Huashan's posture. There is no good way to change this thing. The excision and damage are too great.
Although most doctors will choose resection, it is difficult to say whether the patient's calf contracture after surgery, but there will never be edema.
However, Zhang Fan chose to rebuild, and the reconstruction operation took a long time, so in the morning, Zhang Fan greeted the doctors who were on the stage in advance.
Eat less and drink less, Zhang Fan just ate a little steamed bun and a little pickles, not even drinking water.
If you do n’t want to be so hungry, you should bring a diaper. To be honest, no matter how advanced the diaper is.
The feeling of warmth on the paper after urinating is really uncomfortable, just like someone who vomits and sticks to the skin, can't wipe it!
At the beginning of the operation, the meat jar was cut open, and the tissue inside felt like cotton wool or foamed white fungus.
The skin feels like leather in the hand, there is no flexibility of human skin at all, it is directly dead and stiff like blisters for a long time, like four pigskins, it is a pity to bite in the mouth, it is a pity to chew for a long time, the people's lines are still, and the tooth shadow is left No less.
The operation is scratched on this skin, just like a person is on the snow. It is a little bit harder and harder to move, and a little harder. If the knife is not good, it will be inserted.
However, for Zhang Fan, no matter how it changes, a scalpel is in hand, and the changes are irrelevant.
"Tooth tweezers!" After Zhang Fan cut the skin, let the assistant pull the skin with the tooth tweezers to reveal all the tissues inside the calf.
The calf tissue is not seen inside. Even normal people, even if they are obese, all muscles are muscles and fat is fat.
After the patient's meat jar was cut, it was like a pile of water-filled pork, with white liquid overflowing everywhere.
Muscles don't have that kind of tendon flesh, as if they were chewed by a toothless old lady for half an hour, and then spit out like meat with foam.
Zhang Fan cuts the tissue and looks for lymphatic vessels.
"Zhang Yuan, if you can't do it, remove it. I feel that this edema is too strong. I gently pinch it and it's all protein."
The general director frowned.
"Save, you listen to me, come and help me find the right vein."
Zhang Fan didn't speak much or explain much, and directly assigned Zhao Quanping the task.
This is the case on the operating table. As long as the surgeon hesitates a little, other doctors' suggestions will increase.
One said to the left, and the other to the right, so on the operating table, a surgeon should actually have some dominance.
Zhang Fan said that several assistants wanted to speak, but they didn't say anything. With your head down, look carefully for the right vein.
Lymph blockage is just a road in Huashan, what to do, rebuild, shrink the entrance of the lymph first and then find a suitable vein, and connect them together.
Therefore, at this time, a doctor of vascular surgery can actually get the job done. The most difficult thing is after the vascular lymphatic connection.
Hi,
It's a low fever
Uncles
Not isolated
Do n’t be pleased
I took some antipyretics
Drink a little Lianhua Qingwen
Live again today
(End of this chapter)