Chapter 148: Chapter 144 (Please Quit Smoking!)


Chapter 148 Chapter 144 Exchange (Please Quit Smoking!)
Cardiothoracic surgery, Zhang Fan started on duty alone. Cardiothoracic surgery is much easier than other departments. The little nurses have the time to sit and chat together. Zhang Fan reads and studies in the department. Studying medicine is a matter of life and free. You have to learn.
The hospital department is fair, with more busy and less spare money. Many older nurses want to come to cardiothoracic surgery, there are few patients, there is no need to boil at night, and doctors are not willing to come.
Zhang Fan ’s first cardiothoracic surgery number came. At more than eight o’clock in the evening, 120 sent a patient number, a male patient in his sixties. The patient was short of breath, cough, and difficulty breathing. Cardiology.
The doctor of Cardiology was Dr. Ye Jingye who was teaching in Zhang Fan's heart. When she checked and found that the old man had no problem with the heart, she had a snack too fast, but the old man's lungs auscultated the left chest breathing sound disappeared, and the percussion showed a drum Yin, "Hurry up, call the cardiothoracic department and ask their doctor to come to the consultation!" Ye Jing said to the nurse on duty.
The consultation in the hospital must be reached within five minutes. Although the surgical building and the internal medicine building have a passageway, it is not a building. Zhang Fan had to run, with a stethoscope, all the way through the corridor and across the courtyard. This happens every day in the hospital, and doctors and nurses will give way in advance when they see it.
This rule has become stricter after Ouyang came to power, if not, the bonus will be deducted. Zhang Fan ran to the Department of Internal Medicine. Ye Jing was Zhang Fan at first glance. He was very surprised, but now is not the time to recount the past. At that time, Ye Jing had an accident. Zhang Fan didn't say anything, Ye Jing was very grateful.
"Doctor Zhang, take a look, spontaneous pneumothorax. I have asked about my medical history, and there is no history of injuries!"
Zhang Fan gently exposed a smiley face to Ye Jing, and quickly turned into a serious face. The hospital had an emergency case number, and people were dying in pain. If you smiled again, people who do n’t understand may happen. dispute.
Zhang Fan did a quick examination, and found that the old man was getting more and more discouraged, "No! You must have surgery right away. Transfer to the department and transfer the patient's things to cardiothoracic surgery." Doctor and nurse said.
"Okay, you go quickly. We'll contact you when you're done." Ye Jing said to Zhang Fan.
"Okay, I'm leaving now." Zhang Fan helped the nurse to push the sick number towards the surgery, and called the director of cardiothoracic surgery while running, but the call was connected, the director's wife answered, "He's drunk! "
Zhang Fan hung up directly, and then called the main attendant Tang Xiong. Tang Xiongxiang, the ancestor was the frontier who came with Zuo Zongtang's troops. He was a descendant of the Tsarist Russia. He later settled here. The shadow of a man with a beard on his face is very common.
"Brother, almost a patient with a ruptured pulmonary bullae, is now very discouraged and has to undergo surgery. Come on."
Tang Xiong didn't talk nonsense. He had planned to take off his pants with his wife. As a result, he called and must go now. Tang Xiong left the house while his wife gritted his teeth.
The operating room is ready. When there was no laparoscope before, this is a major operation and you have to open your chest! Now that laparoscopic surgery is not too big, but the difficulty is not small, Tang Xiong is the attending doctor who has just been promoted, and can not perform the laparoscopic surgery outside the chest.
Difficulty in the chest is difficult here. General doctors can remove the laparoscopic appendix within one year, and can perform cholecystoscopy in three or four years. Try a chest surgery. You can clearly see the heart beating, the major vessels beating, the hand shaking slightly, and piercing a vessel in the chest cavity, and it is over, and there is no chance of rescue.
The abdominal fault tolerance rate is still a bit higher, so this department cannot develop in the northwest, and no one is willing to learn, it is risky, difficult, and the source of the disease is not many. Many people have some problems with their heart. To do surgery, as long as the families who can go through a little condition, almost all went to the provincial capital hospital and directly avoided the regional top three.
"Brother, you didn't ask me to come here, I can't get this operation done." Tang Xiong went to the department to see that the director was not there, and asked again, the director was drunk! Tang Xiong was dumbfounded, it was all right not to come, once the patient came, the patient was in trouble! Although anxious, I was not angry.
"Well, can you help me with a mirror?" Zhang Fan said to Tang Xiong while watching X-rays.
"No, this can't be joke, that! Can you really make that thoracoscope?" Zhang Fan could hear Tang Xiong swallowing.
"Yes, no big problem. The lungs of this patient are on the edge. They can be done very well. It is OK to go in a clamp. Who supplies the equipment here?" Zhang Fan said this and Tang Xiong said A little settled, even the equipment maker knows that it seems that there is no less surgery. And Zhang Fan is the one who the president has nominated, and it should be reliable.
"I'll contact now. It won't delay your surgery. Which one do you want to use? The domestic clips are still imported?" Tang Xiong asked. He was not the main knife and had no right to decide.
"The one you usually use, you use the one. You are more familiar than me." Zhang Fan gave the decision to Tang Xiong. People can take the risk to follow you on the operation. You do n’t give any benefit. The next call If he can still call people, hell!
Zhang Fan said this, Tang Xiong runs faster, Zhang Fan means he understands! What sign and what talk Tang Xiong all rushed to do, "Doctor Zhang, OK!"
"Okay, let's go for surgery!" Zhang Fan took the lead and entered the operating room.
With the development of technology, surgery has become more and more convenient and concise. In the past, this operation had to open the chest, cut the pulmonary bullae, and then carefully sew the leaking part. The operation time was at least five or six hours. Not in use now, the long, resorbable bioclip. Just hold it directly along the lung bullae, click, click, beautiful sound, little damage, and short operation time, but this is based on RMB, click three thousand! Three clicks with a click.
Tang Xiong held the mirror, looked at the clip operated by Zhang Fan from the display, and began to clamp the bullae a little. Before the operation, Tang Xiong had nothing to worry about, but when he saw the beating heart and beating aorta on the monitor, he was a little sweaty.
Quietly looking at the dedicated Zhang Fan, it doesn't look like a kind of rash person. The arrow had to be fired on the string, and now it was too late to stop it, the mirror was in the chest! He couldn't do it again, so he could only cooperate fully. If something really happened, the main responsibility would be for him to come back, who made him a superior doctor.
Zhang Fan didn't pay attention to Tang Xiong at all. As soon as he had surgery, it can be said that Zhang Fan refused to recognize his six relatives. A little bit of exchanging forceps stripped the lung tissue, the lungs of the elderly were no longer pink, a bit like dark red, with various black and gray spots inside.
"The mirror is too high, be careful of the arteries next to it. Pull it back a little, right!" Zhang Fan directed Tang Xiong while looking at the monitor.
After the separation, clamping was started. The operation was done here. Tang Xiong was also assured. Zhang Fan was very skilled. The movements of separation and peeling were gentle and accurate, and it was not fast. It ’s like their director who had a laparoscopic surgery and felt like he was flying a plane !! He scolded the doctors below.
Began to clamp, Kacha, Kacha, Kacha Zhang Fan used four clips, Tang Xiong's face smiled into a flower, if not covered by a mask, you can definitely see the posterior alveolar!
After clamping, gently cut the bulla, and said to the nurse, "Tissue bag." Then put the cut tissue into it, and said to Tang Xiong: "Dr. Tang, this patient number is yours. I'll leave it to you for the medical examination. "
"How embarrassing you are, you are on duty, you will be treated, otherwise I will definitely not help you again!" Tang Xiong said very firmly, all people who want to face, the surgery equipment has already benefited, and even the patients are robbed, It's really bad. So Tang Xiong also insisted.
"Well then, Brother Tang, I'm bothering you today. Hurry up and go home, I guess the sister-in-law is anxious!" Zhang Fan politely made Tang Xiong blush!
"Okay! I'll go back quickly. You'll have to work hard!" Tang Xiong hurriedly took off his surgical gown and hand-washing clothes while supporting. "Ah! I have to wait for the tigress to go back, my waist! Find time to let the Chinese medicine adjust!"
Zhang Fan began to order a doctor to deal with the patient number. This patient was also indigenous in Chasu City. Several of his children made contact with Shao Hua's father.
Shao Hua's father, a farm worker in his life, has never been asked for anything on the door. This time, the former farm secretary brought the patient's family to the door. Old Shao blushed. There is face, this person is like this. The secretary who had been high above came to ask, and Lao Shao estimated that he didn't understand anything, so he promised!
Shao Hua's mother shivered. It ’s hard to say a lot of people. After the people left, he said to Lao Shao, "You promised anything, nothing is wrong, what trouble do you give Zhang Fan to others. When that time, let Zhang Fan see you, how Look at Huazi. "
"It should be fine. I'll ask first. If it doesn't work, old Shao's head cools as soon as he hears it, yeah, his daughter's happiness is beyond heaven. Don't make it difficult for your daughter. In the evening, when eating, the old Shao period Ai Ai couldn't tell, because recently, the old man bullied Zhang Fan too much when he played chess. Commander Zhang Fancheng who kills frequently!
The meal was almost finished, Shao Hua's mother stepped on Shao Hua's father under the table.
"Well, Zhang Fan, is it easy for your doctor to take care of the patient, explain it to the nurse, and arrange a ward with few people? Is it trouble?"
Zhang Fan knew that the old man asked him. Because usually the old man never took the initiative to talk to Zhang Fan about the hospital. Zhang Fan thought for a moment and said, "It's not too difficult if it's too difficult. What's wrong, uncle?"
"A friend of my old colleague was hospitalized. I want you to take care of it and say hello to the nurse. My colleague's friend is not too young, and the children at home are not assured."
"No problem!" Zhang Fan said. "But I also have a request, and I want to talk to my uncle."
Both Shao Hua's father and Shao Hua's mother were stunned. Really looking for opportunities! Zhang Fan just rejected it, it was faster than the mutual transaction! Shao Hua looked at Zhang Fan. Although she believed that Zhang Fan was not the kind of person who cares, but today this was really a bit surprised. Shao Hua bit his chopsticks and waited for Zhang Fan's next article, but did not stop. She believes in Zhang Fan.
A reader is sick! Must quit smoking!
No perseverance!
I stand here as proof!
You quit smoking!
I promise three more every day until the end of the smooth journey!
(End of this chapter)
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