Chapter 467: talent

Chapter 467: Talent
People, in fact, can only fight for those few years. Those years without marriage and having children are the best time to lay the foundation. With the foundation over time, maybe you can sublimate. Once swaying, it will be difficult to try again.
In other words, Zhang Fan has a system, eats and drinks enough, sleeps, and the battery is full! In the hospital, especially the surgical system, because of the excessive work, doctors who have reached the age are really clenching their teeth, and even the life of husband and wife has become a luxury.
In the morning of the general surgery, a group of doctors in the face of the doctor's face was slumped. A high-hanging hospital stay is like a carrot dangling in front of a donkey's eyes.
After arranging tomorrow's surgery, after explaining some department work, General Director Zhao Pingquan told the doctor, "Now, let Zhang Yuan say a few words."
"Our surgery today is gastrolith removal for patients with gastrolithosis. Are you ready for surgery?" After a period of confusion, Zhang Fan is now accustomed to this position.
"Zhang Yuan, it's ready. Gastrointestinal decompression has been prepared the day before yesterday. Fasting has started since yesterday, and all nutrition is taken out of the bowel." The attending doctor of the tube bed reported.
"Director, are you going to this operation?" Zhang Fan still respects Lao Zhao.
"Well, I'll give you a hand." Old Zhao likes to have surgery with Zhang Fan, except that he can't talk casually on the hand table, it really seems like an artistic enjoyment to have surgery with Zhang Fan.
"Okay, call the operating room to pick up the patient."
Fan Fan and Director Zhao went to the operating room together. The two talked while walking. "The doctors in the department have all been screaming and rushing to get their sick numbers."
"It's all your support, director. Unlike other surgeries, doctors' maturity cycle is too long."
They chatted and entered the operating room from a dedicated elevator. The elevators of the hospital, when the building was originally built, Lao Huang was stingy and made four. At that time, I felt that these four elevators were a bit wasteful.
As a result, the elevators in the surgical building are not enough now, and someone must organize a line in the morning. Otherwise, someone fights every day for the elevator.
Ouyang is better than Lao Huang in this respect. There are a total of eight elevators in the emergency center, one for the emergency room number of an operating room, one for doctors and nurses, and the remaining six are reserved for patients and their families.
Entering the operating room, Uncle Jinya saw Zhang Fan, smiled at Zhang Fan, and wanted to talk, but the little nurse who followed was not as good as Zhang Fan, and he didn't dare run over to talk to Zhang Fan.
Golden teeth have long been placed in the family. Disinfect, brush hands, spread towels, and go to surgery. The stomach, the stomach of the human body, is too boring if it is described in technical terms.
At that time, when Zhang Fan was teaching, he didn't like to study the courses of abdominal organs and nerves, or was simple in orthopedics. The anatomy of the abdominal organs is too much and too complicated. Different forms, if you do not work hard, you will get confused.
The neuroanatomy is almost the same as listening to Tianshu. It is too abstract. Sometimes it is electrical conduction, body fluid conduction, and jumping conduction from time to time. I can't understand in class, I don't review in class, and the exam is a mess.
That is to say, after having the system, Zhang Fan had countless times to understand the anatomy of these two systems.
The esophagus and stomach can be described as cables in popular language. This cable became thicker and thicker when derived from the esophagus to the stomach.
The outer skin is a wear-resistant protective layer, and the inner layer walks the blood vessels and nerves.
The structure of the stomach can be divided into four layers, which are divided into the mucosal layer, the submucosal layer, the muscular layer, and the serosa layer from the inside to the outside. The muscle layer can be divided into 30%.
It is complicated. The shape of this muscle layer is not the same. The innermost muscle is oblique, starting from the contact between the esophagus and the stomach to the duodenum.
This form makes sense. The oblique muscle shape is conducive to the downward movement of food. If you have a ring-shaped muscle, maybe the food will be embedded in the stomach.
The middle layer is the ring muscle. This form wraps the stomach around and around, increasing the firmness of the stomach. The outermost layer is vertical, which is to reduce friction with other organs. Because the stomach is always active.
Circles and circles are really like of yarn.
The stomach can secrete many things, no less than a dozen. In the early years, the medical community only believed that the stomach had only digestive and grinding functions. Later, it was discovered that the stomach also had secretory functions.
The most important secretion is HCL and some special enzymes. Its PH is between 0.5 and 1. This concentration of hydrochloric acid can be thrown into an iron flake, maybe it can be turned into you.
Stomach, isn't it eroded by HCL? Yes, it will be corroded, but there is a weakly alkaline protective layer on the inner surface of the stomach, and a bicarbonate barrier with a thickness of about 0.5mm, which is the most important protective layer of the stomach.
Without this protective layer, even if the muscles of the stomach are ten meters, the stomach acid can penetrate. Eating pepper, drinking wine, eating chocolate in your mouth, and then having stomach pain, this means that the stomach has ulcers.
Angry, especially young women, because the body's strong secretion function, various hormones produced after angry, can also cause this layer of mucous membrane to decrease, so this is also the reason for stomach pain after angry. The temperamental person perforates the stomach, but it is not without.
Ulcers are caused when the protective layer of bicarbonate is penetrated by gastric acid. Always angry, always corroded by stomach acid, corroded and corroded, the stomach is open, that is, perforation. The treatment of perforation is very simple. If the area is small, sew it. If the area is large, cut the stomach.
And ulcers, once the area is too large, there will be a certain depth, well, even if there is no perforation, the time will become cancerous, it will not run away.
Therefore, three meals on time, less alcohol and less spicy food, less anger, is the best protection for the stomach.
After anesthesia, surgery begins. "This is a typical example of small lesions and serious diseases. With such a large stone, the incision of the stomach will not be small, and maybe the patient will have chronic chronic pain in the future."
While preparing for surgery, Zhang Fan said something to others. In fact, Zhang Fan said this to see if other people have any other ideas.
No result! Others just said, "Just, make a big cut!"
Zhang Fan smiled and didn't speak. "Alcohol cotton ball!" Zhang Fan took the cotton ball and started the last disinfection of the skin, and then opened a particularly small mouth in the middle.
It is almost as large as an ordinary appendix incision. "Zhang Yuan, the mouth is a bit small. How can you take out the stones in this mouth?" The director of the tube bed wondered. "What are you doing!" He was confused and couldn't understand!
Old Zhao understood it. But he didn't say anything, after Zhang Fan turned to look at a few doctors, he said, "The technique is indeterminate!"
"MMP! I haven't even finished the fixed surgery. Your resident doctor has started surgery. What a world!" Several doctors who listened to Zhang Fan's pretends collapsed.
This is not to blame the doctor. Other than that, there are no less than six types of surgical methods for gastric ulcers in textbooks, and there are some textbooks that are not in the text. Now there is a sentence indecisive, which still makes people living. Only by learning a lot of surgery can you sublimate or have super talent.
There are more and more diseases, and doctors' disciplines are becoming more and more detailed. This is no way out, but people are a whole, so it is a contradictory matter. This is also a problem for the future development of medicine.
Open the abdominal cavity, stop bleeding, pull the omentum, and finally see the stomach. Because of the stones, the patient's stomach was full, although he had not eaten for two days.
It really feels like a pregnant woman expecting a baby. "A sharp knife!" After Zhang Fan took the scalpel, he opened a small opening in the stomach, a very small one.
At this time, the talent opened up. Some doctors understood, and some doctors were still confused.
The doctor who understood did suddenly realize, "Fuck! How can I not think of this, it is too simple, and the damage has become much smaller."
The incomprehensible doctor was still confused, "What is this for! What can be done by opening a mouth with only one finger!"
"Pliers, blessing both sides of the incision." Muscles are different from skin and fat. The skin and fat open a small opening, and if you don't use a lot of force, it will not allow the incision to be derived.
But the muscles don't work. As long as it splits, it will automatically enlarge with the incision. Zhang Fan uses pliers to hold the incision to prevent the incision from becoming larger.
Surgical pliers, in the hands of doctors, click! Click! Click! Closed incision. "Gauze! Alice pliers one end of the gauze." Zhang Fan explained to the nurse.
This kind of operation has never been encountered by a nurse. Zhang Fan had to make it clear to the nurse. Otherwise, the nurse does not know the procedure.
Surgery is too sophisticated and talented for doctors. Confused doctors continue to be confused, doctors who understand, have begun to cooperate actively.
Long Alice forceps the gauze into the stomach through the small hole in the stomach.
"Gently push the stone toward the spray door." Zhang Fan said to the third assistant. The third assistant is a resident. Although he doesn't work long, he is talented. He has understood the meaning of Zhang Fan's operation.
Cooperating with Zhang Fan's Alice pliers, Zhang Fan's Alice pliers left, he gently pushed the stone to the right, Zhang Fan to the right, he pushed to the left.
He knew the surgery and assisted him. Zhang Fan did very well. The old Zhao looked at this young resident doctor in surprise. "Ma Yichen, okay. Have you had this surgery before?" Lao Zhao said.
The second assistant is attending, and I'm not confused yet. I didn't expect this kid to understand the operation. One hasn't worked for half a year, and one has been working for ten years. This is the talent gap.
"Director, I haven't had this kind of surgery." Ma Yichen said to Director Zhao Quanping with a smile.
Ma Yichen is a graduate student of Sanchuan North Medical College. Because he was doing business in the frontier, he graduated from North Sichuan General Gastroenterology. To stay in Xihua, graduate students are not enough.
After graduation, he simply came to the border tea. Originally, I was going to work for a few years, and then Kao Bo continued to study. I did not expect that the small hospital in this small place turned out to be so powerful.
Zhang Fan also glanced up at the young man. Although wearing a mask, it can be seen that the guy should be very handsome, and his body is also great.
Zhang Fan used Alice pliers to slowly change the direction while holding the gauze. The previous operation was performed very quickly, and at this time it slowed down. This is a patient work. Don't worry, you must start over from scratch.
Ma Yichen cooperated very well, and Lao Zhao was tempted. Zhang Fan is the best example of the hospital. When Zhang Fan was in his early years, he even led Lao Gao to suppress several orthopedic directors. This was the apprentice cattle, and the master began to cattle.
"Which direction do you want to pursue in the future?" Before Zhao said, Zhang Fan spoke first.
"Continue to do gastrointestinal treatment, I like gastrointestinal." Ma Yichen said with a smile.
"You ..." Old Zhao Gang said, and Zhang Fan said immediately, "Don't confine yourself to gastrointestinal. Although you are a master of gastrointestinal, it is better to broaden your horizons. I have a few liver tumors in the Affiliated Hospital of Bird City on the weekend Surgery, follow me. "
"Okay, Zhang Yuan." Ma Yichen estimated that he smiled and opened his mouth.
This is not an interrogative sentence, but an affirmative sentence. Zhang Fan is also tempted, talented, young, this is Miaozi. If he had surgery, if Zhang Fan and Xue Fei were together, he would be able to kill Zhang Fan half-heartedly.
It's not that Xue Fei's technique is not good, but his talent is not good. There are so many things that he didn't want to be thorough. And this young man can figure out Zhang Fan's intention in such a short time. This is talent.
"Zhang Yuan, it's not right!" Old Zhao was unhappy. "MMP, there is no need to say anything about domineering surgery. Now I have begun to pay attention to my apprentices." Before that, Lao Zhao had not found Ma Yichen's talent so good.
"More insight, it is good for him. After all, there are still few sick numbers in our place. The director pulls the hook, quickly use the suction device, blood, and the blood is out." Crooked, what could I do?
Little by little, Zhang Fan finally wrapped the stones with gauze. "Oh. I see!" The doctor in charge of the bed now understood Zhang Fan's intentions.
He is Lao Zhao's apprentice. "You only understand!" Lao Zhao Qi's liver hurt.
"Ha ha!" The doctor in charge of the bed smiled slightly embarrassed. I have scolded my mother long ago, "I don't know clearly, who wants to know what you are doing!"
"Electric drill! Wide pull hook!" The incisions have been pulled out on all four sides of the gauze. At this time, it is tantamount to Zhang Fan using gauze to suspend the stones in Uncle Jinya's stomach.
The electric drill is to break down the stones in the stomach, and the wide hook is to protect the incision from being damaged by the electric drill.
Picking up the electric drill, Zhang Fan began to drill along the small incision toward the stone in the stomach. The protein is mixed with calcium and hair and is very strong.
After drilling the drill bit, it spattered like powder of gypsum because of the hair, and the high temperature of the drill bit directly produced a smell of burning hair. Drill up, drill down, drill left, drill right. Several assistants pulled the gauze hard.
The gauze must be removed with a lot of force, and once the hand slips, maybe the drill will enter the body. Finally, with a click, the stone cracked.
"Bull! Too good, good way. The damage is small and simple, which is equivalent to a minimally invasive surgery." The attending doctor said enviously. There is also a mMP in his heart. "How can I not think of it. The operation is too simple."
Continue drilling and drill the larger stones and drill smaller ones. At this time, it is not very easy to drill, "just mention it!" Zhang Fan said.
Several other doctors held on to the gauze.
Happy holiday!
You can speak
I started quietly
Can't dial
But tickets still need to be.
(End of this chapter)