Chapter 1218: Knowledge and knowledge

   Chapter 1218
  In the operating room, the little girl was already lying on the operating table, and the shadowless light was turned on. If you squat a little girl, you don’t know if you think the girl will have a C-section because the girl’s belly is too big.
  The girl is lying down, without raising her head, she can see her belly button like two fleshy bugs on her belly. Or it's like the eat too much, it feels like they have to push the intestines out of the belly button.
  If the medical industry is described in an anthropomorphic way, it will be very bullying. Bullying not only the patient, but also the doctor. The more people who have been in this industry for a long time, especially those doctors who have been in the clinic for more than 20 years, the more they understand this sentence.
  Successes and failures of operations are often confirmed before the operation, and only a small number of operations are due to the doctor's efforts to turn the tide. Moreover, this depends on the cooperation of the patient and the disease.
  In surgery, there are two unforgivable sins. The first is to perform an operation that does not need to be performed, and the second is that the doctor himself does not have the technical ability to complete the operation. Therefore, there is often a classic medical saying: The more you do, the greater the risk.
In particular, some surgeries that have not been fully checked, and some urgent and capable of affecting doctors and even hospitals. Often the more this is related to the operation, the more likely it is to have problems. Therefore, in small hospitals and hospitals in some small places A knife inside.
Just like liquor in various regions, everybody’s favorite brand has to be changed every year, because if you drink too much, it’s easy to drink fake ones, and the same is true for a knife in a hospital. The smaller the hospital, the less resistant it is. The easier it is to use the knife.
Of course. The big hospitals are not without incident. For example, there was a year of pancreatic cancer surgery. The two top masters from the North and the South were gathered in the Capital Hospital. The anesthesiologist was the top and the visiting nurse was the top. As a result, the patient died on the operating table.
  Then the northern masters were dismissed, and the southern masters bidding for the director of the super hospital became a thing of the past.
  There are two sentences in the doctor industry: one side is to practice a thousand songs and then make a sound, and watch a thousand swords and then recognize the device. It is the dogma of famous doctors to do nothing on one side and kill others to death. To be honest, most people don't believe the second sentence for a reason. Everyone likes the first sentence. After all, when he was young, who didn't want to kill the Quartet and become famous.
Therefore, when Wu Lao took him to the tea after the operation that no one had done that year, the hepatobiliary circle looked as calm as an unopened Coke. In fact, this bottle of Coke has been shaken up and down. After countless times, I just waited the moment I opened the lid.
  Because Zhang Fan is too young, some people may have no hope of killing Zhang Fan. So when a strong three-generation disciple appeared in the Qiu School, at this time, everyone was watching and failing, as if nothing happened, everyone continued to live in the past, and compared with each other who lived longer.
  If it succeeds, many people have already figured out what to do. Fighting ridicule is probably not enough. People Wu Lao and Lu Lao are in town, they can't beat and scold them, can they stop Lao Tzu from joining? This is also the reason why many people watched their doctors rush to the tea, and pretended not to see them.
  To be honest, Zhang Fan didn't expect that this operation could cause such a big movement. Actually Old Man Wu and Old Man Lu didn't expect it either.
  In the past, Old Man Wu finished this operation, and then slowly fermented, and then slowly became the overlord of the party. It's not that his master is not well-known, other masters are known as the first generation of the king, and it is not that the old man himself is not skilled, and the old man is known as the second generation of the king.
  But now it can’t be compared with before. In the old days, people cared about what the neighbors had eaten today, what food they fried, and whether they had meat. Today, people may not know their neighbors, but gossip from thousands of miles away is still very clear.
  For example, when Lao Ke slept with Xiao Lai, people all over the world celebrated with firecrackers in minutes. So the old one didn't expect it, and even the small one didn't expect it.
  If it weren't for Lao Gao's stopping, Chasu TV would want to come in for an interview. Outsiders think this is a happy event, which is the result of the efforts of the tea doctors. In fact, before Zhang Fan had the operation, the eggs were all shrunk.
  This kind of surgery, the old man Wu used his own technique and bet on his own future. For what? To make money for promotion? No, no one will blame the old man even if he doesn't perform this super-difficult operation.
  He can still walk to where he is now step by step. But once you do, once you fail, this is not something that you can clarify if you have a mouth. Therefore, a doctor should cherish feathers, but if you cherish too much, you will not be a good doctor.
  And Zhang Fan, if he doesn’t undergo this operation, even Old Man Wu can’t say much. After all, this operation is too difficult, and Zhang Fan’s bet is actually the way to the future. Now he doesn’t need to bet anymore. He lies on the road paved by Ouyang, with old man Lu opening the way in front of him, and walking along by himself. That's it. Once you bet and win, there may not be any big improvement. But I lost, it is estimated that I will not be able to raise my head for decades.
  Therefore, people are not pursued, but they are actually very moisturizing.
For example, if the doctor doesn’t pursue it, he treats common diseases, and doesn’t worry about other high-end and high-end diseases. He sees a few patient numbers a day, writes prescriptions, collects rebates, and goes to the female medical representative to pull the trousers from time to time. It's pretty good.
  I'm lucky. If I become the dean, I will feel more comfortable. I can zip my pants with the medical representative, and I can dazzle with the beautiful nurse inside. The joy of life is nothing more than that.
  However, as long as there is pursuit, it is quite difficult.
  Yes, this world still needs people to work hard. Everyone is going to zipper their pants, okay?
  The operation begins.
On the little girl’s pregnant belly, waves of iodophor gauze were wiped several times. Ma Yichen was the disinfectant of this operation. For this place, Ma Yichen and several doctors robbed him of it. Fortunately, this place is someone else’s. It’s a land, and the main sword is still a teacher.
  "Master, all right!" Ma Yichen looked at his young master in a low voice and worried. To be honest, Ma Yichen didn't know what it was like. He had the idea of ​​discouraging Master and the idea of ​​being proud of Master.
  In short, this feels very complicated.
   "Okay!" Zhang Fan nodded, taking his eyes out of the patient's CT and MRI. Zhang Fan nodded to Old Wu.
   "Uncle, ready." When Zhang Fan finished saying this, his temperament was different.
  If Zhang Fan was a little sheep before the operation, and when the operation was about to begin, Zhang Fan’s eyes would be obviously different, as if I was the boss here.
"Okay!" The old man Wu originally wanted to cheer Zhang Fan, but when he saw Zhang Fan's mental head and eyes, he couldn't say anything he wanted to say. The old man clearly felt that he was a guest here, and Not the owner.
  The host here is Zhang Fan!
  After Zhang Fan finished speaking to the old man, he looked at the two seniors, Zhao Jingjin, and a group of assistants on the operating table.
   "The operation is beginning!" After speaking, he stretched out his hands, and on his sterilized arms, there was still a yellowish iodophor. The head nurse in the operating room put on Zhang Fan's clothes early. Then he tied his belt gently behind him.
  Finally, he gently pushed Zhang Fan's waist with a half-clipped fist.
  Zhang Fan got on the stage, "Turn on the lights!"
At the end of the day, the itinerant nurse immediately stood on the small bench, grabbed the shadowless lamp and started to adjust the light.
   "Zhang Yuan, how is it?"
"okay!"
   "Anesthesia?"
   "Zhang Yuan, the anesthesia is completed, the patient's current physical signs are all normal, the ventilator is working well, and the operation can be performed."
"Great!"
   Then he stretched out his hand, slapped it, and put the sharp knife in his sterile gloved hand.
   "Time!"
  After Zhang Fan said the timing, Tang Zhenghao and Zhou Hongyi immediately took two pieces of gauze, pressed the gauze tightly on the opposite side of Zhang Fan, and pulled the patient's skin. Zhang Fan had a knife in one hand and gauze in the other. Zhao Jingjin is holding a big plastic tube like drinking milk tea, ready to blood.
  Knife, a matt sharp knife, scratched the patient’s skin. In this operation, Maruko Country’s Takeda Medicine has a contract with Maruko Country and Chasu Hospital. As long as it is a tumor surgery, the first partner is Takeda Corporation.
  Medicine companies in the country of are also divided among the tea ingredients. All tumors belong to Takeda, all endoscopes belong to Olympus, and Maurtai is responsible for cardiovascular...
  So, all the instruments for this operation were all prepared by Takeda for Zhang Fan. They also measured Zhang Fan’s palms. It took a whole week for the measurement. Although Zhang Fan didn’t feel that he had a particularly obvious advantage, he used other people’s instruments for several times and then used a domestic operation. It seems that something is not right.
  The sharp knife slashed through the skin, Zhang Fan's speed was very fast. The patient's skin is as thin as a translucent plastic during the operation of this huge tumor. What is this thing like, in fact, it is really the same as a pregnant woman who is about to give birth.
   and thinner than the average pregnant woman, the blood vessels on the belly are obviously like blue lines attached. At this time, it must not be slow, once it is slow, the huge pressure will tear the skin.
  Quickly, a knife cut, from the patient's rib stem directly to the belly button, and then without a trace of pause, around the belly button in an arc around the belly button, the blade continued to slide down the abdomen directly to the place of the pubic symphysis.
to be honest. How fast this knife is, before the blood beads near the rib stem have time to condense and form, Zhang Fan's knife has reached the end.
  It can be said that this knife directly cut the patient's stomach from the middle.
  This kind of operation is rather large than small. It is different from other operations in that it reduces the wound area and damage.
  In this kind of surgery, I would rather have more damage now and open the field of vision to cleanly remove the tumor. If the tumor is not cleanly removed, even if your incision is one millimeter, it is a failed operation.
   "Press!"
  Zhang Fan didn't talk much during the operation. Unlike other old doctors, who usually look serious and pedantic, they don't make jokes with anyone, and I guess they don't laugh at all when they play with their wives.
   Kete Mo went to the operating table, drove up and flew up, and said that the nurse did not sleep well last night, was it too late to play, and then I would like to tell you a joke.
  Anyway, Zhang Fan didn't like this. No matter how simple the operation was, Zhang Fan didn't speak too much. Therefore, in Chasu, the nurses don't like to have surgery with Zhang Fan. After all, talking and laughing are more joyful, not only learning knowledge but also gaining insights. After all, Uncle Greasy has seen a lot.
  But when Zhang Fan spoke of pressure, the two seniors and Zhao Jingjin inserted their hands into the patient's abdominal cavity with three hands at the same time, and directly pressed down on the abdominal muscles.
  This kind of huge tumor is so big that the belly can hardly stop it, so once the pressure is removed, the thing will often burst like a balloon by self-expansion.
  Once it ruptures, the liver ruptures, so obediently, there is no need for surgery. So the three hands, like six big pu fans, with all ten fingers apart, crawling on top of the tumor like a net. This force cannot be too large or small.
  It will be crushed when it is too big, but it will not be stopped when it is small!
  (End of this chapter)