Vol 2 Chapter 1395: My eldest nephew is right

   Chapter 1395 My eldest nephew is right
  Under the leadership of Yang Hao, Zhang Fan walked with the head of the attached first, followed by a group of general doctors.
In particular, a group of residents who were about the same age as Zhang Fan watched Zhang Fan whispering from behind: "Three generations of the Qiu school, this Nima is much better than the four generations of the rhinestones of our director. Have you heard of it? At the major county hospitals of tea, Academician Lu is now giving lectures."
   "Why don't you come to Bird City? After all, Bird City is still the provincial capital! An academician went to the county hospital and it was wasted!"
  "Nima, is the Blue Bird not bigger than Bird City? The capital is not bigger than Bird City? This is all looking at the face of Zhang Yuan, and I don’t understand how you graduated with a master’s degree. Didn’t you wash your socks?"
  The victim blushed and didn't know what to say.
  Of course, these words are also privately spoken by the hospitalized dogs. They dare not speak louder. The work unit is not a school, and the director is not the former head teacher.
   Entering the ward, Zhang Fan saw the patient, a middle-aged man, who was thin and emaciated.
   And all kinds of plastic channels were inserted all over, like thin white candles inserted on birthday, almost lit.
  The chest channel is the drainage tube. Because of the fistula, what leek leaves, spinach leaves, and trotters are more or less leaking into the chest cavity. This thing, just leave it for a day or two.
  But once forty-eight hours passed, fermentation began, and then pus was formed. The local hospital did not open the chest horizontally, so it could only be drained by intubation.
  Sometimes it is helpless. For example, in many county hospitals, various interventions, such as cardiac intervention bypass, seem to improve the medical level of the hospital, but Nima is purely moving forward.
  A county hospital that doesn’t even have a heart surgery, dare to go for heart intervention. If Nima's heart is punctured, are you going to let the patient die on the spot, or go to the table to open the chest cavity to plug the hole in your heart.
  Also, for example, the closed drainage of a pleural pneumothorax in a hospital can't be done, and as a result, they even have a bronchoscope! It's still flying.
  There is no way to tell this kind of thing. It’s not an accident. It’s really convenient. Patients in the county don’t have to go to the city or higher-level hospitals for treatment. Once something goes wrong, the unlucky person for Nima is the patient.
  For example, this patient is, but what can Zhang Fan say, standing in front of the patient and accusing him of the original hospital? It's useless, so Zhang Fan can only take care of the doctor.
  Patients have tubes in the upper body, as well as many tubes in the abdomen, including urinary catheters, drainage tubes, and nutrition tubes.
  The small intestine, intestine, is a big food for the human body. For example, the gastric mucosa, if you do not eat for 48 hours, you will feel uncomfortable at most, but the intestinal tract is not good. If you don't eat regularly, the villi on the intestinal mucosa will become necrotic and degenerate.
  What does the fluff do? This thing is the mouth of the intestine, which is used to absorb nutrients.
  For example, many people pay attention to a diet without eating, and their perseverance is amazing. They say not to eat, and they insist on eating breakfast every day for ten and a half months.
  Sure enough, Nima lost weight, her big face turned into an awl face, and her little belly disappeared, but suddenly she seemed to be a sick beauty.
  From time to time, I have stomach pains and abdominal discomforts. I went to the hospital for examination. There was no problem at all. I used to eat hot pot and dared to eat it, but now I can eat a little bit of spicy.
  This is the damage to the intestinal mucosa caused by dieting, and this damage is irreparable.
Therefore, in the hospital, if a patient cannot eat for a long time, he will never simply give you some fat milk, glucose, vitamins or something. First of all, you have to punch your stomach, and then put the chylo-containing food directly. Into the intestines.
  This is not only to maintain life, but also to avoid intestinal necrosis.
After seeing the patient, Yang Hao quickly introduced Zhang Fan to the patient and his family. This is the rule of the medical industry. This is also the so-called right of patients to know.
  "This is the general hospital expert Zhang, and we have specially invited you to consult." Yang Hao did not mention tea. Sometimes it's true, the less the doctor talks, the more problematic it is. When the condition is mild, some doctors will still teach the patient sternly.
  Because he knows that as long as he is optimistic about the illness, he can say anything, and whatever you say is right. But if you don’t get sick, the doctor will definitely cherish words like gold.
  And the tea is not as good as the bird market. Most people don't know how to do this clearly or not many.
  Zhang Fan smiled and nodded, and then realized that the temperature of his hands was not bad, so he started the physical examination.
   To be honest, it was the first time he had seen this. Nima ate a fish and got sepsis, which is also killing her.
  Dry abdomen, bowel sounds are extremely weak, but the body is hot as if there is an electric treasure in the body. It was really a guilt. There was a trachea near the neck and a urinary tube underneath. Raising hands weakly is an extravagant hope.
  People, once you can’t eat, you have to rely on people to feed you, and when you have to rely on urinary catheters to urinate and defecate, life is better than death.
   With both hands on the chest, the breathing range is obviously restricted. "This is obviously caused by an infection inside the chest cavity."
  The sound of bowel sounds like nothing. After placing the stethoscope on it for five minutes, I heard the intestines groaning slightly, and it sounded like a pitiful little cat without its mother.
  The structure of the human body is wonderful, many places are similar, and even homologous, but after growing up, I split up and did different jobs.
  For example, lips and anus, if you take a closer look at the structure, you will find that this Nima is obviously one thing.
  Although they are similar, they are still slightly different after all. The slightly different structure makes a huge difference in function.
   Therefore, human beings are inherent advantages, but not always the advantages. The hard work acquired is the most important thing. If you don’t work hard, you may not be able to pinch the banana. Of course, this kind of reincarnation is not discussed.
  The intestine and esophagus are actually the same.
  But the anatomical description of these two things is different. The esophagus is a flat muscular tubular organ before and after, while the intestine is a tubular organ. But in fact, their structure is exactly the same.
  The intestine is like a soft bug with many feet, it is a wave of super pushing food. The esophagus is the same, it also pushes the food toward the stomach in waves.
  Don’t believe me, you stand upside down and take a big pot, eat a bite of the egg, the egg can still enter the stomach.
  Moreover, they all have four layers, the inner membrane, the muscle, the outer membrane, and the mucous membrane, exactly the same. But when it comes to the muscle layer, it's a little bit different.
  The muscles of the small intestine are firm, but not tough.
  The muscles of the esophagus are like a layer of cotton wool, which can’t support even a little bit of weight.
  In this reality, everyone can find out. For example, if you eat braised large intestine, if the heat is not enough, you can eat a kind of braised rubber sensation. But the small intestine is different. It feels like one click when you eat it.
  As for the esophagus, you are eating like buns with some meat, not chewy.
   "Surgery is difficult, but now the liver and kidney function can barely be supported. If the operation is not as fast as possible, I want to have surgery in the future, and my physical condition will not support it anymore."
  After Zhang Fan finished the physical examination, he not only told the attached doctor, but also informed the family and patients.
   "Yes, because this kind of surgery is not easy! The opinions of our department are not uniform at present."
   "Okay, let's go to the office and say that the family members will strengthen nutrition for the patient these days, and there is no shortage of protein and fat at all."
  The dean took a look and quickly closed the topic, don’t tell the patient about his own messy things.
   entered the office. Zhang Fan is not welcome, and sits directly at the top position. This makes sense. If you hold an administrative business meeting, Zhang Fan, no matter how good the operation is, is not the dean of another hospital.
  Today, when talking about surgery, Zhang Fan must have the posture of being unique. After all, after flying knives so many times, he has already developed a kind of control ability.
"First of all, I would like to commend the tube bed doctor attached to the General Surgery Department. After the patient's fistula is formed, he enters the hospital and provides various drainages as soon as he enters the hospital. Hope of life.
  Although it cannot be thoroughly diagnosed and treated, this step is the basis for all future treatments. Yes, the attached doctor can still do it. "
  Zhang Fanyi said, a tube bed attendant stood up and bowed a little excitedly. Then said it was an oral doctor's order given by a superior teacher.
  Zhang Fan nodded to a deputy director,
The old doctor is an old doctor. You have seen so many, Director Li, have you seen this kind of injury?

The senior deputy director of the bedside doctor, when he heard Zhang Fan’s name, he felt resistance at first. Although he is not as good as Zhang Fan, he still has an identity after all. This is like a foreign monk who can recite sutras. Come to an expert in the capital. People don't have this resistance anymore, it's very strange.
  However, the first few words of Zhang Fan have already made the director satisfied and can no longer be satisfied. This meeting has already entered the working state. "Zhang Yuan, to be honest, I haven't seen it. I also gave oral doctor orders based on instinct. The comrades below are very capable of execution."
   "Hmm!" Zhang Fan smiled and nodded, then turned to ask Old Xu, "Dean Xu, you are a senior, have you seen this kind of damage?"
After thinking about it, Old Xu said: "I saw such a case when I was a resident in the Department of General Surgery for 30 years. However, after the patient went to the hospital for examination, he did not undergo surgery. Fei, I just brought it home."
   "Yes, esophageal cancer is more common here in the northwest, while esophageal fistulas are rare, and more common in the south. Director Yang, have you seen it when you were studying."
   "I have seen it. I have seen it when I was involved in foreign affairs. The operation is very difficult. The main reason is that the chance of forming a fistula after suture is extremely high. Moreover, this patient in our department has developed sepsis.
  His fistula repair is even more difficult! So I advocate using flying knives. "
"Yeah!" Zhang Fan nodded, "Director Yang is right. This cautious attitude is a qualified general surgery director. This operation is difficult, especially in the case of rare fistulas in our northwest. Difficulty. Therefore, for this operation, I need the attached directors and experts to fully cooperate with me!
  About six assistants are needed! "
  The directors of the first attachment heard that Nima required six people to repair a hole. You didn't say so on purpose to support your nephew.
  But everyone just thinks about it for a moment. The operating table, especially this kind of flying knife operating table, is similar to the battlefield, and Zhang Fan should not be able to play tricks.
  In fact, when Zhang Fan was questioning, he went into the system and took a look at this type of fistula repair operation after infection and suppuration.
  To tell the truth, there are thousands of surgeries. There is really the kind of surgery that can make you stunned.
  (End of this chapter)