Vol 2 Chapter 1530: look at me like before

   Chapter 1530 Look at me like before
  In the medical field, like many industries, the standards around the world are different. For example, the division of the liver is different.
   Liver surgery is not the same as the tip of the liver, as long as the cut is about the same thickness, no matter it is the left liver or the right liver, the taste is the same anyway.
  This partition is not only for the convenience of surgery, but also for the best comparison with normal organs.
   In the early morning, Zhang Fan, Wang Hong, Qian Weiwei, and two nurses entered the hospital in yesterday's Mercedes-Benz. Wang Yanan and Xu Xian were given a holiday by Zhang Fan. Today is a general liver operation, and the orthopedic carpenter is useless.
   "Zhang Yuan!"
   "Hello Zhang Yuan!"
   If the Orthopedics Department of the Affiliated General Hospital did not dare to underestimate Zhang Fan as a kind of chief doctor, and the lower-level doctors did not take it seriously.
   Zhang Fan entered Puwai's office, and it was a matter of respect. All the doctors from top to bottom stood up and greeted Zhang Fan one by one, lining up to shake hands with Zhang Fan. If they weren't all adults, it is estimated that some of them would have taken out their white coats and asked Zhang Fan to sign.
   To be honest, the recognition of the ancestral line by the general public is unimaginable by other departments.
   "Zhangyuan, let's do rounds!"
   "There's no need for the big rounds, just look at the patients who have surgery today." Zhang Fan said with a smile, after all, the dean of his family was born in the general area, and his big rounds here are a bit overwhelming.
   And there is a teaching operation, which is quite a card for Zhang Fan.
   "Look, you're polite. In this way, Zhang Yuan is not willing to make a big round of wards, so let's hold a morning meeting for business study in the office!"
The dean of the Affiliated General Hospital said with a smile, and his heart was even more impressed with Zhang Fan, "This kid, when it's time to strike, will never be soft. When it shouldn't, he won't move. stuff!"
Since there is no ward round, but business study, the doctors in the department will quickly clean up the office, and then print out their most proud surgical medical records, or sort out the recent difficult operations, okay. Discuss with Zhang Fan.
This kind of business discussion, to be honest, is a test of skill more than a speech. The topic of the speech is fixed, but this business study is different. The problems are very complicated, and it is also general. To be honest, the general knife expert will go to other places. Hospitals will not easily participate in such discussions.
   It was successful, and it was impossible to gain fame or fortune. At most, the doctors present shouted in surprise: "Fuck, this is a big cow!" Failed, gossip, really not worth it.
Of course, this is just an ordinary calf. The real calf is actually quite willing to participate in this kind of morning meeting. This thing is a matter of setting the tone with a hammer, as long as it knocks over the doctor in the department, well, as long as it doesn't Frequent changes of directors, the flying knife of this department is almost the same as this doctor.
   Therefore, under normal circumstances, the director of the department will also selectively inquire, this thing is not forced, and one can't just fly in the department office and let him participate.
   Although Zhang Fan has never participated in this kind of experience in Feidao Hospital, he can be said to have Chasu almost every day, so he is not timid at all.
   Not only is he not timid, but he also has the urge to try.
   The director of the general field presided over the morning meeting, and there were about forty or fifty doctors and nurses in the department. The dean of the Affiliated General Hospital sat next to Zhang Fan, and the doctors of Cha Su sat behind Zhang Fan.
Wang Hong took out a notebook early, and when she took out the Parker gold pen, she immediately made her look different from the others who came with her. It is estimated that Ouyang was not here, so she still had to show it off, otherwise how would she let others know? She is the director of the deputy division level hospital.
   "Hospital Zhang, this is the operation we performed on a huge dry tumor in March this year. The operation was done according to the method you established to completely remove the huge tumor. However, the patient's liver function failed after the operation."
   said that a deputy chief physician of the department brought a medical record to Zhang Fan in both hands. Sometimes people say that there is no deceased person in the west out of Yangguan. It sounds like a desolate feeling. In medical care, especially modern surgery, it is really appropriate.
  For example, why the ancestral disciples are so popular, not only because the genre is very powerful, but the most important thing is that there are very few ancestral disciples in the northwest.
   When Zhang Fan went to the south, he went to a developed city, and there were too many teachers to count. The dean was either his own teacher or a disciple of that teacher. The department of general surgery is directly a litter.
When he arrived in the south, Zhang Fan felt as if his academic status had suddenly become higher. When he entered a conference room, the speaker had to stop his speech. He solemnly introduced to everyone: This is my little uncle Chasu Zhang Fan. !
   Even in some county-level hospitals, there is no way to calculate it.
   And in the Northwest, even if the General Surgery Department of the Affiliated General Hospital does not have a single ancestral disciple, the graduates from the Eighth Hospital don’t have to ask, they are definitely the college students of workers, peasants and soldiers.
  Therefore, in the words of the director of Zhongyong Puwai, Zhang Fan is a nail that his ancestors placed in the north.
The words    seem to be a bit gnashing of teeth, but the mood of the chief director is understandable, because now the frontier has become a no-fly zone for flying knives.
  Because Zhang Fan is here!
   Zhang Fan took the medical record with a smile, looked at it carefully, there was no problem with the treatment, and looked at the amount of intraoperative blood loss and fluid replacement, he had a rough idea of ​​the patient's blood loss, and then turned to the position of the pathological anatomy picture.
   Zhang Fan knew at a glance why his liver was failing. However, Zhang Fan had to organize his language and speak directly, which would be a bit of a slap in the face.
   The time to consider is very short, "The tumor is not small, but it is also within the scope of surgical indications, and the choice of surgery is correct. If the liver stripping is smaller, it may be slightly better.
   Of course, the specific problem is treated in detail. After all, the case cannot fully reflect the situation at that time, but my suggestion is to reduce the liver peeling. "
   After Zhang Fan finished speaking, he handed the case to the deputy director.
   This is a euphemism, but once it is said, everyone will understand.
   No one stood up to refute, because there will be one later, a scientific and educational operation with a bigger tumor than the deputy director.
   Questions were asked one after another, and the more they were asked, the more envied the surrounding doctors, especially young doctors.
"A good teacher is Niu. He and I graduated from the same undergraduate school. My research institute is a graduate of the Fourth Military Medical College, but the gap between Nima is too big." After thinking about it, he looked at his master and looked at Master crawled in front of Zhang Fan, wishing that the recorder looked like.
   He is a stock of MMP.
   "Zhangyuan, there are relatively rare pancreatic patients here. Would you like to take a look?"
   Zhang Fan did not hesitate, "Okay!"
   The dean of the Affiliated General Hospital opened his mouth first, but held back, "Young man, you are not being cautious! How can you be so careless."
  If Zhang Fan rolls over, he won't do any good, and he will lose face. Because everyone knows that Zhang Fan's master, uncle, and ancestor are all above the liver and gallbladder, but the pancreas problem, although the old men are also very powerful, but relatively not as strong as the liver and gallbladder.
  You are a young boy, just point and point on the liver and gallbladder, but you get rid of it and promise to go to the pancreas.
Why!
   The director of the Affiliated General Hospital glanced a little unhappily, and took the pancreas to ask the doctor.
The doctor    didn't understand what he meant, but suddenly he seemed to understand, "I'm going to bring the patient in!"
   The dean of the Affiliated General Hospital was completely unable to stop him. He covered his forehead and cursed in his heart: "Technical dog, technical dog, you are not smart at all, oops!"
   Not even a minute later, the young doctor dragged the patient in as if he was pulling an Erha who was unwilling to walk.
   is young and thin.
   "The patient found a suspected mass near the head of the pancreas when he participated in the unit's physical examination a year ago. At that time, the medical examination hospital suggested that the patient go to a higher-level hospital for treatment.
   After the patient received medical treatment in the Endocrinology Department of our hospital for six months, the tumor did not decrease significantly, so he was transferred to me for treatment. "
   The young doctor excitedly told the patient's current medical history. He felt that he had discovered a disease that the dean could make experts pay attention to, and it was estimated that everyone could pay attention to it, and then he would pay more attention to himself.
   Suddenly he seemed to see that he would be taken seriously tomorrow and sent to the Demon Capital for further study.
  Since all the patients are here, Zhang Fan is not polite, so let the patient lie on the medical bed and do a physical examination.
   I looked at the results of the color Doppler ultrasound, and then I looked at the CT.
   "What's your usual discomfort?"
   The patient thought for a while, "When I didn't have a physical examination to find out the problem, I just ate a lot and I was hungry. Later, during the physical examination, the doctor told me that I might be pancreatic cancer.
   almost scared me to death. After half a year of medical treatment here, even though I ate less, I still get hungry easily. It's easy to get hungry even when you're in a particularly bad mood. "
   The patient's mood is very low.
   "What is your treatment plan?" Zhang Fan asked the patient while examining the body, and then asked the doctor with a smile.
   "Because the nature of the tumor cannot be determined, for the sake of safety, we decided to give the patient tumor resection."
   The young doctor said something, then glanced at his teacher.
   The superior doctor nodded slightly, expressing satisfaction, and then looked at Zhang Fan.
   He also wanted to know if Zhang Fan could have any good suggestions, but he didn't have much expectations.
   There is no biopsy, and the examination is perfect. What other opinions can there be? There are only two types, surgery and conservative observation.
   is a commonplace!
  Zhang Fan finished his physical examination and listened to the doctors' surgical plan.
   smiled, gently took the hand sanitizer on the table, wiped it on his hands, and asked the patient.
   "Do you have a twin brother or brother?"
   "Uh? Why did you start chatting about the family and guess that they were twins?" The young doctor felt that it was not right, because Zhang Fan didn't read the medical records, and only saw the patients directly.
   When he was still wondering.
   The patient also wondered, "Yeah, what's wrong? I also have a twin brother."
   "Hehe, your tumor is not an abnormal mass or tumor, but a part of your brother's pancreas was brought into your body by adhesion during the embryonic period."
"Forehead!"
"Ok?"
   "Don't believe it?" Zhang Fan not only asked the patient with a smile, but also turned around and asked the young doctor with a smile.
   "My brother is also in the ward, he is here to see me." The patient was slightly weak as if he was afraid of the doctor's nonsense.
  In terms of medical treatment, the greatest pain is not being declared a death sentence as soon as you enter the hospital, but having hope and then shattering it.
   Like dying twice, this is the most painful.
   "Go and make a CT for his brother!" Zhang Fan said.
The young doctor was stunned and didn't move, and the director of the affiliated hospital added a sentence: "Go, I don't understand what Zhang Yuan said? You take it with you, don't rush back, after the examination, you will be guarding in the CT room. , urge the doctors in the radiology department to get the results quickly!"
  The young doctor walked away in discomfort. He paid attention to it, and as a result, he was taken seriously and went to CT to wait for the report.
   After a while, the results of the CT department came out.
   On the computer, Zhang Fan was not required to operate it. The deputy director next to him operated it himself, holding the two brothers’ CTs on the computer for comparison.
   Don't even look at it, Zhijian's brother's pancreas is missing a piece, while his brother's has an extra piece.
  Although it is not a strict anastomosis, everyone knows that Zhang Fan is right, this is not a tumor, and it does not need to be surgically removed, it is just an extra piece of normal pancreatic tissue.
   This one! The people in the department were shocked, really shocked!
   The head nurse looked at Zhang Fan, who was calm in front of others, and remembered that when this black boy entered the department, his face was sweaty, as if he had just run from the construction site.
   She also disliked the course that Zhang Fan waited outside the door for more than an hour before admitting him.
   But look at him now, really, the head nurse was worried that Zhang Fan still remembered her.
   The head nurse looked at Zhang Fan secretly, really, she couldn't see the poor student at all.
   (end of this chapter)