Chapter 471: Troublesome (Thank you, Lord Luyi)

Chapter 471: An Unforgettable Hump (Thanks to Alliance Leader Lu Yi)
Zhang Fan is young, full of energy, and has no so-called framework. What was the previous attitude? What kind of attitude is it?
Surgery first, see the patient number, this is his habit, very good habit. "It's okay. Your tumor is not big. It will definitely recover well after the operation. Don't drink this wine again!"
On the weekend morning, Zhang Fan took Ma Yichen and the doctors of Hepatobiliary Surgery of the affiliated hospital to conduct preoperative rounds.
Zhang Fan came to perform the operation, and the deputy senior directors were very active, because they could learn the technology, and the hospitalized dog and the transfer department were as uncomfortable as the dead father.
"For the big weekend, I have surgery again. It's been weeks. Can't you take a week off! Can't you change places!" A group of people embraced Zhang Fan for rounds, and the young doctors walking behind were helpless!
"Okay, okay, I must listen to you, please use snacks!" Today's operation was a very young patient. The child was just three years old, and his family held Zhang Fan's hand, and they were anxious to kneel.
Although Zhang Fan was young, he was embraced by a group of doctors in a provincial hospital. Naturally, he also had a momentum of experts.
The liver is most afraid of three things. The first one is afraid of various viruses, especially hepatitis B virus, which is directly the liver killer.
Secondly, I am afraid of long-term heavy drinking and a large amount of dietary fat. This can be prevented or cured.
Third, I'm afraid of aflatoxin. If I eat bitter melon seeds and moldy peanuts, don't drink saliva and let it go. You must vomit. This thing is aflatoxin, and the liver is afraid of it.
In the operating room, Zhang Fan sat and looked at the patient's examination. Although the patient's examination had been printed in his mind, Zhang Fan still looked at the examination tirelessly.
The two directors of liver and gallbladder accompanied Zhang Fan to check it. Zhang Fan's habit also made the two directors slowly adapt.
Although Ma Yichen was brought by Zhang Fan, including the director of the liver and gallbladder department, he was very kind to him, but the young man was an understanding person and knew his position.
Zhang Fan and the director were resting while he actively helped the anesthesiologist to position himself and helped the nurse to bind the patient. Do not let it go, smile and take the initiative to start.
Fan Zhang occasionally glanced at him and saw a busy Ma Yichen, a little proud of himself, "My vision is also good!"
"Zhang Yuan, wash your hands!" The director of the anesthesia department said softly. The director of the affiliated hospital specifically explained that as long as Zhang Fan came to the surgery, the anesthesiologist must be the director of the anesthesia department to come to the stage.
"Okay! Wash your hands."
At the beginning of the operation, Ma Yichen was also pulled on the table by Zhang Fan. "One of the horses has a rest and one. There are not many such cases in our hospital. We can learn more from the affiliated hospitals.
Although Zhang Fan can appoint the person who will go to the operation, if necessary, he still has to say that he cannot eat alone. A deputy senior who had no longer looked so good, heard Zhang Fan's words and said that it instantly improved a lot.
Those who work hard are always worthy of respect.
The medical industry is too special, it is a more special existence in special industries. Not only does it need a good platform, but the personal effort of the doctor is also very important.
A simple abdominal color Doppler ultrasound with the same advanced level of machines, but the reports made by doctors with good skills and doctors with poor skills are not the same, so although doctors are not ranked in the world, hospitals are ranked.
The doctors strive to improve, and then strive to go to a bigger and better platform. The big platform also strives to improve various welfare benefits, and it absorbs excellent doctors.
The particularity of the industry has also created the particularity of this profession. High-end skills are always concentrated in several places, and medicine may develop rapidly. Maybe it will create a lot of high-end medical technology, and then slowly popularize it, and slowly benefit the general public.
However, the relative situation also forms a threshold, and a relative imbalance or inequality is formed. It is a very contradictory issue.
Mr. Wang almost took his father to Modu. For his level, money is not a problem, but for most people, money is the biggest problem, which is why European and American countries are doing well.
In the early years of Huaguo, many people scolded, but those who could not afford to see a doctor directly threw the patient in the hospital and turned away.
The hospital not only manages meals, but also gives everyone the best treatment possible, without exaggerating. This is also a major reason why private hospitals have not developed in China.
"How big is the liver? The human body develops its liver in the first few weeks. What are its characteristics?" Zhang Fan took alcohol for skin disinfection, and then asked without a thought.
The two directors knew that it was Zhang Fan who asked his little assistant again, and they looked at Ma Yichen with a smile.
"The liver weighs about 1200-1500 g and is about 25 cm long. At the fourth week of the embryo, the liver protrudes from the foregut into the liver.
The liver is the body's largest chemical farm, and almost all hormone inactivation is in the liver.
Most vitamins are stored in the liver, ... "Ma Yichen did not disappoint Zhang Fan. He systematically took the liver from physiology to pathology, from anatomy to biochemistry, and said briefly.
"Pony's foundation is good!" After Ma Yichen finished speaking, Director Li of the second department of liver and gallbladder praised.
Zhang Fan didn't say anything, just nodded. If he didn't even have a little skill, Zhang Fan wouldn't expect anything from him.
Surgery started, and Zhang Fan, who had been through the liver surgery, was transparent and entered the liver area quickly. There is nothing to say before entering the liver. When choosing the incision, Zhang Fan said a word, and then no words.
In the first operation, the patient was a male in his fifties, and when he entered the liver area, the tumor was very obvious.
The liver, as long as it is normal and not pathological, can actually make people feel pleasing.
The normal liver covered by the membrane slightly reflects a soft luster under a shadowless lamp, a little rosy red, and can be regarded as shiny and smooth. It really makes people feel a little closer.
But with a tumor, it's different immediately. The cancer cell thing is overbearing. If the normal cell growth rate of the liver is walking, the growth rate of liver cancer cells is an airplane.
When a cell becomes cancerous, cells that cannot be found under normal light microscope become cancerous, and then begin to grow, one becomes two, and two becomes four.
It is growing rapidly, and almost all the nutrients in the area are absorbed by it. The growth becomes larger and larger, the outer cancer cells continue to proliferate, and the inner cancer cells continue to die.
When the number of deaths increases, the cancer cells rupture. Something like pus will flow out.
Moreover, the morphology is different. The most typical one is a giant tumor, which protrudes from the liver like an abscess on a dog with a skin, indicating that it is white and greasy because of the presence of a liver capsule.
Cancer cells are tightly enveloped by an envelope, like a brain flower tightened by a plastic film, in which the visible blood vessels rot and die while growing.
The coexistence of freshness and corruption not only makes people feel nauseous, but also makes people feel scared. Yes, it is scared. This thing is like the black (a) society, with its teeth on the liver.
The scalpel was opened, and the liver and gallbladder were peeled a little, and the electrocoagulation was performed. The electrocoagulation of muscle fat tastes like roasted meat with a scent of meat.
And because the liver is very rich in chemicals, the smoke produced after electrocoagulation is a little bit irritating, and the smell of overnight urine.
"When separating tumors, if you are not sure, use a knife handle." Zhang Fan explained as he did.
The two directors have already started. Zhang Fan now chooses the technique with more steps, but the relative difficulty.
The two directors kept nodding, studying Zhang Fan's steps intently.
The disfigured and disgusting tumor was completely removed by Zhang Fan, just like the brain flower that was destroyed.
The liver tumor was removed. Although there was a large pit above the liver, the liver at this time seemed to know that the danger had been touched, and even the blood flowing out was lovely.
"How is it, do you feel it?" The tumor was removed and Zhang Fan breathed a sigh of relief. The tumor surgery was not a fracture fixation.
Even if the fixation of the fracture is a bit rough, the ugly on the steel plate is not a problem, but the tumor is different.
Rupture and uncleanness can make the operation fail, so every time a liver tumor operation, Zhang Fan is not easy.
Only after the resection was completed, Zhang Fan breathed easily and relieved, which is not an exaggeration.
"It feels a little bit, but it still seems a little lacking." The director of the fifth department of liver and gallbladder thought for a while and said.
"Yes, it seems like I'm so short now." The director of the second department of liver and gallbladder also said.
"Well, then continue to do it, and do a dozen more, I guess you can get started and try." Zhang Fan sweeper said at the beginning and end of the operation.
Ma Yichen also did not realize the difficulty of the operation. After all, he was not a master of liver and gallbladder, but he admired the accuracy of Zhang Fan's operation.
Rarely, a single knife appears to cause bleeding, which indicates that Zhang Fan is quite familiar with anatomy, and each knife can avoid larger arteries.
"Too fierce, even the complex parts of the liver can clearly understand the vasculature of the vasculature! Terrible!" Ma Yichen unconsciously compared with Zhang Fan and found that the gap was too large.
One operation in the morning, the nurse changed, but the doctor's anesthesiologist couldn't change it, and after lunch in a hurry, proceed to the next operation.
Regarding the physical cost of surgery, it is estimated that orthopedic surgery can definitely enter the top three of all surgeries, but orthopedic surgery is relatively less energy-consuming for doctors.
Tumor surgery is not the same, it is quite energy-intensive, and the doctor does not force himself to concentrate on the operation, especially when cleaning, it must not be distracted.
Sometimes, a small omission can cause endless suffering to the patient.
After a few bites, Zhang Fan sat in the lobby of the operating room and began to rest for a few minutes with his eyes closed.
In this series of operations, there was no intermission. One operation was taken off, and the other patients had already sent antibiotics to the operating room.
The chief surgeon can rest for ten minutes. If there is no other replacement doctor, the assistant will be busy setting his body to help anesthesia.
Posture is quite particular during surgery. It's not just throwing people on the operating table and scoring a knife.
The position of the patient must first ensure the convenience of the surgeon, and because the patient remains motionless for a long time, some pads should be placed in the place where the subcutaneous fat is weak, to prevent the skin from being crushed.
This is not a joke, as long as two hours of compression, there is less subcutaneous fat, necrosis and ulceration will occur, and it is ischemic necrosis and ulceration. This kind of injury is particularly troublesome to recover.
It will spread. The patient number of one department is transferred to another department, and the handover nurse will conduct a comprehensive examination of the patient's skin.
Once a bedsore occurs in a hospital due to improper care, this is a medical accident.
The reason why ICU's nursing cost is so high is scary. Without talking about others, first of all, the nurse pats the patient's back and turns around very frequently, once every 15 minutes.
ICU in a large hospital, the number of patients is definitely not less than 30 people, and the night shift nurses are not more than six people, you can imagine how much workload.
I want to sleep after eating. Zhang Fan usually hardly drink coffee, but this kind of surgery, Zhang Fan has to drink some instant coffee, and sometimes they have to get Red Bull, otherwise they can't keep up.
In the afternoon surgery, Ma Yichen was eating a melon under the operating table. The young man was very wink. He helped the nurse wipe the sweat and adjusted the air conditioner. He was not idle anyway.
This is an attitude to study.
In the afternoon surgery, Zhang Fan did not have the energy to explain it in the morning. After all, human energy is also limited.
Zhang Fan did it quickly and carefully. The two directors also knew that Zhang Fan was a little tired and didn't say much. There was only the sound of a ticking monitor in the operating room.
Mr. Wang's father's surgery was placed the next morning. The night when he was separated from Zhang Fan, he began to inquire about Zhang Fan through various relationships.
Although according to the director of the affiliated hospital, Zhang Fan is very powerful, but after all, he is his father, and he is still a bit uneasy.
"Lao Zhao, Zhang Fan of Cha Su ..." This is a call to Zhao Jingjin.
"Dean Ouyang, I'm ..." This was specifically understood from Zhang Fan.
"Old, ask someone." After asking a few people, they all said that Zhang Fan was very powerful.
He was relieved, but he was a doctor in the frontier. He decided to ask the doctor who left the frontier. After all, he was not in an area and should not cover him up.
He often felt that the dark clouds were covering the sky, and he changed his number, but for this rich man, he still sent his new number in a dog-legged way.
However, when he heard the other person inquiring about someone, he started to get worse. Hanging up the phone, he didn't dare, he was even more afraid to tell lies.
Zhang Fan, is he not familiar! He is too familiar!
After Mr. Wang understood, he began to instruct his secretary, "Are you satisfied with the place where Zhang Yuan lives?"
"Satisfied, the best suite in the Frontier Hotel. When I got up in the morning, Dean Zhang was in a good spirit." The female secretary held her hands lightly and placed it slightly below her belly.
"Prepare 200,000 cash and directly deliver it to his room at night, and I will not show up. Be polite and tell Zhang Yuan that the labor cost is the labor cost. This is my intention."
"Ok!"
I originally wanted to add more,
I found myself unable to move
Owe first, let me make up a little bit slowly
Thank you
Thank you all for reading,
To be honest, very moved,
Rain-like rewards, monthly tickets, recommendations,
Really moved Lao Zang
Have you guys,
Is my greatest sense of accomplishment!
(End of this chapter)