Chapter 276: high tech! Can speak

Chapter 276 High Technology! Can speak
Surgery is being prepared quickly. China is one of the few countries where finances can advance medical expenses. However, the country is really moving forward, developing, and improving. There are far fewer hospital evasion charges now.
Earlier, when township hospitals were still able to perform caesarean operations, and when county hospitals were still very useful, many people with no money left their sick family members or children in the hospital and left! This is the slyness of the small citizens, the slyness of helplessness, because there is no money.
Then, the township hospital or county hospital gave treatment directly, and managed the meal! After the cure, the patient's family came. Pay with wheat or flour! This kind of thing is not an exception, it is very many.
Once this phenomenon occurs, the doctor's first consideration is not treatment, but whether someone will come to find the post account. It doesn't matter if it is cured. Can it be cured? Who dares to reach out!
Then as people have flocked to the city in recent years, the farms have shrunk, and the township hospital is like a deserted temple. There are not many people in the lonely building! Medical accidents have been greatly reduced, but this unit has also become an inflamed appendix, and it is time to cut it off!
Lao Yang, this lonely old man who is not even a sanitation temporary worker, entered the operating room with several steel bars inserted into his stomach. It was weird. As the surgical cart moved around, this steel bar was like a hairless chicken. Like the wings, it swayed along with the fat of Lao Yang's belly.
Once in the operating room, Zhang Fan's expression changed immediately. He always smiled when he saw him. He always laughed first when he saw anyone. It was a humble humble laugh. He has been in the habit of being small to large, and he still cannot. change.
However, this is also good. The smile of Zhang Fan made his patients satisfied with Zhang Fan. "Dr. Zhang is not only good at medicine, but also kind! He always smiles. It makes people warm!"
But as soon as he entered the operating room, the smile on his face disappeared. Although he was wearing a blue disposable mask, his sharp eyes were no longer the one who laughed at everyone. At this time, Zhang Fan was a murderer. General, hold the knife with light, see the blood before returning!
"Accelerate blood transfusion speed! Give heart-strengthening drugs, correct acidosis, open three channels, relax blood vessels, and see potassium supplemented by urine!" Now Zhang Fan is really awesome, a sentence of doctor's order, only his voice in the operating room.
Lao Gao from the orthopedics department and Lao Li from the chest, holding hands, quietly stood opposite Zhang Fan to stand by! Anesthesiologist and nurse quickly executed Zhang Fan's medical order.
Anesthesiologist, special doctor inside the hospital. In the early years, the anesthesiologists all had clinical backgrounds. Only later did they have an anesthesia department and only professional anesthesiologists. Inside the hospital despise chain, physicians look down on surgeons. Physicians feel that surgeons are too rough and do not understand anything, they will cut!
The surgeon looked down on the anesthesiologist. "They don't understand anything and they will play a painkiller!"
On the operating table, the anesthesiologist and surgeon are in a cooperative relationship, not an affiliate relationship, so the average surgeon cannot command the anesthesiologist.
But in the city hospital, Zhang Fan is a special case, the technology is too powerful, there is already a tendency to crush, and in the operating room, Zhang Fan is too difficult to deal with, face frost, there is anger!
He ordered the doctor, and the anesthesiologist had no courage to refute. The record, Zhang Fan's record is too dazzling, let alone the general anesthesiologist, and even the director of the anesthesia department respected Zhang Fan on the operating table. He respected Zhang Fan's technique, and respected Zhang Fan's level! This is the technical unit!
"Dr. Zhang, you can start the operation. The patient's vital signs can currently support the operation!" Anesthetist reported to Zhang Fan. The patient's condition is critical, and the anesthesiologist has to be cautious. For general surgery, after the anesthesiologist is anesthetized, it is usually one sentence, two words, do it! Then I started writing anesthesia records myself, which would never be as formal as it is now!
"Disinfection!" Zhang Fan did not make nonsense, a sentence of disinfection, the attending chest began to disinfect!
Lao Yang is too thin. The fat layer on the abdominal wall is very thin. Use a round knife to gently pull open the skin. The fat layer, the yellow fat layer is very thin, and it is almost no upper layer! You don't need to use the abdominal hooks to pull, the small hooks are done.
Fat people, especially women who are obese, do abdominal surgery, which is a direct nightmare for doctors. Surgical incisions are elaborate, and do not open the abdominal cavity directly with one stroke.
The surgical incision is layer by layer, looking for gradual, incision of the skin, satisfactory hemostasis, and then peeling off the fat layer, there are blood vessels in the fat layer, also need to stop bleeding, and then reach the muscle layer. If you break off, they are bluntly separated. In layman's terms, you can use a knife handle or fingers to open this muscle along the texture! Then the peritoneum.
Just like peeling onions, if they are peeled layer by layer, if it is two knives, one knife goes straight to the abdomen, not to mention the danger, and it is also a very serious sequelae after surgery.
For patients with thick abdominal fat layers, doctors really have a headache. A female obese patient, when the skin is cut, the plump yellow fat will burst open the incision, and the fat will flow out like a yellow peach flavor jelly!
This is nothing, the most difficult thing is the thickness of this fat, five centimeters thick is nothing, the small pull hook can not be used directly, you must pull the upper abdomen.
At the time, a gynecologist referred to a cesarean section and required sutures when the final suture was performed. As a result, the patient had a thick and slippery fat layer, fat was oil, and good lubricating oil.
As a result, one accidentally dropped the suture needle from the needle holder into the fat! Then, for a few seconds, with the slight vibration of the muscles, the suture needle was swimming in the fat layer and could not be found! The teaching teacher's face was white at the time!
All three were masters, and the operation quickly entered. When the abdomen was opened, Rao was a well-known old man who almost spit out. After the steel bar was inserted into the stomach, it was inserted directly into the intestine. The small and large intestines were broken.
The evolution of the human body is very scientific. From the top to the bottom of the digestive tract, each node has a door. How to say, the junction of the esophagus and the stomach is a spray door. This door prevents the gastric acid from entering the esophagus. The small intestine has a pylorus, and there is a door from the small intestine to the large intestine. So it's impossible to spray dung with your mouth!
The contents of the small intestine are chyle-like foods to be digested, while the large intestine contains feces. The contents of the small and large intestines flowed out after the steel sign had punctured the intestinal wall.
The green ones are the leeks that are not easily digested, and the leeks after chewing. The stars fill the abdominal cavity, and then they are yellowed by the feces in the large intestine, just like egg yolks on the leeks. The sour smell is coming!
"It looks like this fried leek scrambled eggs!" Lao Li said after suppressing the feeling of nausea.
"This is not an egg. The egg is not so slimy. It should be that the feces are stuck on the chives!" Lao Gao was also uncomfortable!
Speaking can reduce this nausea. Although there is no scientific basis, when you see a very disgusting thing, talk about it and describe the disgusting thing in front of you. It will never spit out. The doctor has mastered this skill!
The sour, fermented smell is like old tofu covered with hair, which is too bad. The itinerant nurse was directly dismissed, "Uh! Uh! Uh!" Just like a pregnant woman, hiccups kept running. She ran out for three minutes and the head nurse came!
"Ah! You are so disgusting, you are going to be stinky, and then leek, fried leek, egg fried leek. Our little Chen vomited directly!" No way, the head nurse came to replace the traveling Xiao Chen.
"Oh, still young, the head nurse is the head nurse, and there is no response at all." Old Li was a little embarrassed.
"I have rhinitis, I can't smell it !! I can't smell it! ~ Haha!" The head nurse felt for the first time that this rhinitis was still good.
rinse! Non-stop flushing! This operation is too troublesome, and the intestinal laceration must be repaired one by one. Lao Gao and Li are uncomfortable and disgusting, in fact, Zhang Fan is also uncomfortable! The smell is sour. The smell of disinfection water in the operating room couldn't be suppressed at all.
The two of them desperately said disgusting things, and Zhang Fan was okay and could not join again. If even the anesthesia and equipment nurses vomited, it would be troublesome. When the belly of the abdominal cavity was opened, the sour smell blew his face, The left hand pinches the back of the right hand, desperately pinching, the left hand absolutely pinches the right hand!
Nausea is only a matter of tens of seconds. People are still very tolerant. It is okay to endure the first wave. At this time, even if the leek with yellow soup is sprayed on their faces, it is estimated that they will not be nauseated. It's up!
"Head nurse, the metronid file was washed in normal saline! First come a thousand mL." Zhang Fan said to the head nurse.
Cleaning, non-stop cleaning! The yellow-green feces were finally cleaned. "Change gloves!"
After changing his gloves, Zhang Fan poured saline into the abdomen, and after flooding the intestine, he said to the head nurse, "Head nurse, hit nitrogen."
"You will bully your sister!" The head nurse said deliberately and charmingly.
"It's not Dr. Zhang who gave you nitrogen! It's not bullying!" Lao started driving.
"Dead ghost!" The nurse gave Lao Li a glance, and the director joked with the head nurse, because they were all the same age. To the little nurses, these directors had to keep a little face.
There are too many places where the intestine is punctured. You must watch the place leak like a balloon! How to fight it, simple! It is a plastic nozzle like a tire for a car. After inserting a chrysanthemum, it starts to slowly inflate the inside of the intestine.
This treatment method has no major sequelae, that is, there is a lot of fart after the operation, which is more serious like a continuous shot. And sometimes, there may be snoring within a few days after surgery, or what kind of fullness with the smell of stool!
"Off!" Zhang Fan saw a bubbling place. Then start sewing.
"open!"
"turn off!"
Repeatedly, bubbles finally disappeared.
"Okay, head nurse, remove it." Zhang Fan said to the head nurse after confirming it again.
"Ah, it's miserable, eyes full of eyes!" Lao Li said sympathetically.
"This is okay, the steel sign is not thick, it is estimated that the old king next door will be in trouble. The branch is not a steel sign!" Said the head nurse.
With that said, it was cold. No one cares about her, she also feels like something is wrong, and quickly took the gauze to wipe the doctors sweat.
After the abdomen is cleaned, begin to close the abdomen. "Dr. Wang, help close the abdomen." Zhang Fan said to the attending doctor outside his chest.
"it is good."
In general, Zhang Fan will not give this operation to others, but today is not possible, he must speed up the operation, because he also wants to see which operation is next door.
Regardless of family members or patients, these are not important. When wearing a white coat, doctors should close their emotions and speak with professionalism. No matter who the other person is, whether expensive or cheap, regardless of size, go all out.
Patients can put their lives into your hands. This is a great trust. Please cherish this trust. In this age of money supreme, this trust is precious!
Chest, if it is not serious, Zhang Fan is going to go to the surgery next door and look next.
The abdomen attending sutures the abdominal incision. Zhang Fan, Lao Gao and Lao Li are ready to open their chests.
And next door, Pharaoh, this will be really numb. The scalp was tingling. After opening the abdomen, the little girl's belly was not as disgusting as Lao Yang next door. The little girl drank beer at night without eating, and in order to diet and lose weight, she did not eat much on weekdays, so her intestines were fairly clean.
What made Pharaoh numb was that the intestine of the little girl was bad. The branch is not a steel bar. The steel bar is thin and straight, even if it penetrates into the body, it is just the eye.
This tree branch is troublesome, too troublesome, and the intestines are eroded in several places, and bleeding is not the most troublesome thing.
The most troublesome thing now is intestinal necrosis! This is the case in several places, faint, the intestine is a little blue, which is the inability of the blood to return and cause the intestinal color to become heavy.
"Xiao Li, let's see, Zhang Fan, what step have they taken." Pharaoh, dare not start, he said to the visiting nurse. Because if the little girl's surgery is done according to conventional methods, it can hardly keep much intestine. Performing surgery in accordance with conventional methods has become a typical surgical perfection, and people are dead!
This time is not the time to talk about face or medical status! Pharaoh is ready for help!
"Head nurse, Director Wang asked me to ask, what did Dr. Zhang do with their surgery."
"What happened next door?" Zhang Fan immediately looked up and asked, before the head nurse had spoken.
"The intestinal damage is terrible. Director Wang asked me to ask here."
Zhang Fan, who was already anxious, was even more anxious. This isn't Zhang Fanqin. You have to do as much as you can. If you can live up to the system that God gave you, let ’s not talk about it first. This is a matter of life. This is the doctor! A multi-qualified doctor will do this, with or without the system.
Opening the chest, Lao Yang's life is huge, that is, the ribs are severely broken, but the lungs and heart have nothing at all! Fortunately, luck!
"Director, I'm off!" Zhang Fan stopped and said to Lao Gao and Lao Li.
"Come on! Pharaoh is in big trouble!" Lao Gao said.
Zhang Fan didn't talk nonsense, he just stepped down. Take off the gown underneath. This is a contaminated operation. You must wash your hands again. Just as Zhang Fan took off his gloves with both hands and caught the strap of the surgical gown, the ten thousand years of silent system made a sound!
I'm busy at home today.
Tomorrow is March. Let ’s grab the monthly pass!
For support! Lao Zang prepares for a wave of liver!
(End of this chapter)