Vol 2 Chapter 1758: Can't you be more reserved?


   Chapter 1758 Can't you be a little more subtle?
   Medicine and poison have been inseparable since ancient times. There is a saying in Huaguo that the imperial doctor should exaggerate three points when talking about the illness, and restrain three points when taking medicine.
In modern times, many people don’t understand the pharmacology, let’s not talk about it. Anyway, if Astragalus is good, then soak astragalus, and Codonopsis is good for Codonopsis. on the sky. Then a lot of Codonopsis, Astragalus, and Lycium barbarum were gathered together.
   Every morning, I came to the health soup on time than taking the medicine. As a result, after drinking it for half a year, I drank vitiligo.
   To be honest, this is all lucky, if you drink it out of liver and kidney failure, it will be really troublesome. Many drugs are only effective because of the presence of alkaloids, and how this alkaloid matches, let alone ordinary people, doctors who are just a little bit less aware.
  You have the guts to drink it every day, how can you not have trouble.
  This is what the young children from Magic Capital to Chasu are facing now, and there is no medicine available. Some drugs are depressants in small doses, but become stimulants when they exceed a certain dose.
   Usually everyone thinks that the heart rate does not seem to be a big problem. In fact, this thing is to break the normal operation of the heart and lead to pathological conditions.
  Normal people, people with no underlying heart disease, have a high heart rate all the year round, which means that the car is running in S gear, and there must be wear and tear on the car.
   And the result of the human heart is the corresponding enlargement of the heart.
  The heart is like a house, with doors and windows. The heart becomes larger, but these matching doors and windows are not of the same material as the house, so the windows and doors will not become larger at this time.
The result of    is that the air leaks out, and then the mitral valve regurgitation, tricuspid valve regurgitation, and aortic valve regurgitation are actually caused by the enlarged heart.
And once there is an underlying disease, such as a dissection, a fast heart rate can increase the possibility of the dissection rupture. In layman's terms, the dissection is similar to a condom. If the friction speed is too fast, this thing will also break. That's the reason .
   A normal person may not be able to determine whether he is a good person or a bad person with one click or two, but the heart is good or bad. How to determine the reserves of his heart is simple! It is the difference between the heart rate in the calm period and the heart rate after intense exercise. The larger the difference, the better the heart can be stored. This is the easiest way to evaluate.
   For example, your heart rate is 60 before the fight with your wife, and 80 after the fight. It is estimated that antiemetics and sildenafil tablets will soon be scheduled on the schedule.
  The most advanced medical equipment in China is almost assembled in the operating room. Academician Jiang from the Department of Pediatrics sits in the operating room and hands-on the heart color Doppler ultrasound. There is an academician and there is no academician, this thing is really different. Of course, this can't be an academician who has been rewarded for paddling or appeasement.
  With the development of science and technology, the surgical medical team has become more and more integrated. For example, a good cardiac surgery team has a chief surgeon, assistants, and a cardiac sonographer.
  How to say, in the past, the doctor's surgical level, at most, depends on the curative effect, but now because of the birth of various instruments, the surgical standard is quantified.
For example, the foramen ovale does not have a good ultrasound doctor. Whether the hole is elliptical or round, the doctor does not have a bottom. With a good ultrasound doctor, people can directly measure the size of the hole, and the surgeon can directly measure the size of the hole. Once you know your size, you don't need to think about it. You can see if you can pass through it when you look at other people's data.
   To be honest, if an academician can act as an assistant doctor for the surgical team, it is estimated that doctors with this treatment can count with one slap. If there is an age limit, Zhang Fan can have this treatment.
   Zhang Fan in the operating room can be said to be a knife and a catheter in one hand.
  Hua Guo’s intervention is very strange, and the Cardiology Department is involved. To be honest, this thing should actually be done by cardiac surgery. In layman's terms, intervention is similar to laparoscopy.
  A doctor who can do laparoscopy to six or six is ​​definitely a master of laparotomy, because this thing is the bottom. Once the laparoscopy fails, people can immediately lift the knife to cut the intestines.
   The doctor in his heart can intervene. Once an accident occurs, he has no follow-up measures and cannot open his chest. He can only watch the patient die.
   "No, the intervention failed, the ventricular aneurysm cannot be sealed and must be removed."
  The probe went in and tried several times. Looking at the aneurysm that swayed with the blood flow like a balloon, the probe did not dare to move forward at all.
   "Open the chest!" Zhang Fan saw that something was wrong, he immediately took out the probe and said to the people in the operating room.
   This is the basis for a surgeon to intervene. If you ask a physician to do it, he can only get in and out, and he doesn’t dare to say a word.
  The director of Chasu Cardiothoracic Surgery Lin Qingan immediately informed him. Although he is a cardiothoracic surgeon, he is a pediatric heart after all.
  The heart surgery of children in China, in the early years, most of them went to three places, one was the capital, the other was the magic capital, and the other was the digital hospital.
  Because the compensatory ability of young children is too poor, a little carelessness will cause problems.
   In those days, the hospital with the most severe congenital heart disease was the Digital Hospital. Every year, they sent a medical team to the plateau to perform operations on the children in the plateau pastoral area.
   When Zhang Fan finished saying that he was going to open his chest, Bayin quickly brought Zhang Fan's special equipment, which BlackRock specially customized for Zhang Fan for cardiothoracic surgery.
The chief director of the magic city glanced at it, and when the nurses were preparing, he asked, "Why does this look like a high imitation, it is not available on the market, BlackRock's is not the one specially designed for sewing heads. Do you help the goods make equipment?"
Zhang Fan took a bone-cutting knife and handed it to the chief director of Huaxin, Magic Capital, "I don't know if it is a high imitation. When I was in the ball country last time, I was specially made several sets, one set of orthopedics, one In addition to the brain, there is also a heart. There is only one set, otherwise I will give you a set, which is very useful. "
After the Chief Director took it, he was still trying to feel it, but when Zhang Fan said that, he immediately put down the equipment, and the most skeptical one put up the mask.
  The operation started, because it was a child, the ribs were as soft as the tendons of adults, and a scalpel could gently cut them.
   When he entered, he opened his chest cavity and opened his lungs. The little doll's heart stopped in the heart like a candied haws, shaking like a little egg that was about to hatch.
This is the difficulty of open surgery. Originally it was not as big as an egg. Now I have to open the egg and cut a piece of shredded meat from the egg. To be honest, this shredded meat is really no big man. After eating the meat, it is big.
  This kind of excision is not a simple one-knife finish.
   First, cut off the outer layer of the shredded meat, then open the inner cavity of the shredded meat, plug the hole with occlusion, and then completely cut off the shredded meat.
   is troublesome to hear, and even more troublesome to do.
  The Leica long-arm large microscope hangs like a crane above the children. I don’t know how difficult this microscope is. Anyway, it is three hospitals, and this large microscope is Leica.
  The Special Orthopedics Hospital gave Zhang Fan what was said to be a high-pressure freezer combined with light stimulation, and Huaguo had this one. Later, Zhang Fan thought it was easy to use, so he asked Dean Stein of the Special Orthopaedic Department to buy one for Neurosurgery and Ophthalmology.
   The four directors looked at the equipment in the operating room of Chasu Hospital, and his stomach swelled with air-conditioning. Zhang Fan really did not brag. According to this equipment level, Chasu can really be said to be the first operating room in Asia.
The tweezers, which are not much thicker than a hair, are flipped back and forth in the hands of the four people and exchanged gently, just like when one was sucking on an ice lolly with four or five people when they were young. Turn it upside down to get the film out of the way a bit.
   This kind of action must not be fast, because this thing is glued, and each time it is separated, it is separated according to how much it is separated.
   Once the action is a little bigger, it breaks, and the blood flower explodes directly.
   A ruptured aorta can spray onto the roof, and that heart is even more terrifying. Therefore, this operation should be practiced not only by doctors in the hospital, but also at home.
   For example, toothpicks are used as chopsticks, and this kind of fine operation is practiced.
   The five doctors, as if time had stopped, could hardly see any movement. Little by little, several doctors from other departments who passed by outside the operation looked at the surgery on the screen.
   "Nima, it's so slow, I'm not so slow to take off my partner's clothes."
  Little by little, take off the film, plug the hole, then retreat in the same way, and then suture the heart.
   The heart of an egg made Zhang Fan and the others toss for almost 20 hours.
   When the four directors lamented the advanced equipment of Chasu Hospital, Zhang Fan also lamented the strong assistance of the four directors today.
   To tell the truth, if Dr. Cha Su was alone today, this operation would not be possible.
   When the heart was sutured, the chest was closed, and when the heart rate slowly dropped from over 130 to below 100, Zhang Fan and the others finally breathed a sigh of relief.
  This kind of surgery is different from other surgery, such as fracture surgery, no matter how broken it is, as long as it is fixed according to the direction of the moment, the doctor can predict the prognosis.
   But the heart is not good, you can't see the return to normal, you really can't make sure that this thing will beat according to the normal rhythm when it beats.
   After watching the electrocardiogram slowly become normal, Zhang Fan said with a smile, "Today's operation, without a few directors, might fail."
   "Zhang Yuan is very polite, we have seen Zhang Yuan's precision."
  The chief director took the lead and said politely, and he wanted to brag about the hospital's equipment, but he still didn't say anything.
   Zhang Fan said, "Apart from the chief director, all of your directors have a department each?"
   Liu Ailian, the fourth-ranked director, smiled embarrassedly, obviously a man, his father gave him a feminine name, and he didn't know what his father thought.
   Director Liu said embarrassingly, "I am the deputy director of the department, and the title is chief physician."
   After saying this, Zhang Fan's tired body is no longer tired.
"How much is Director Liu's annual scientific research funding? Your hospital is too stingy. You don't even arrange for a director. Isn't this a waste of you? Come to Chasu, as long as you can join the full-time job, the scientific research funding is as much as you want. Capped. Bring out a graduate student, reward 500,000, bring out a Ph.D. reward 1 million.
   Director Liu is over 40 this year, and our hospital still has a place for outstanding young people this year..."
  Modu's chief director's face turned green.
   (end of this chapter)
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