Chapter 573: Cramps

Several deputy directors from outside the country were so aggressive that some people shouted that they would establish a second slogan.
This made Old Zhao and Zhao Pingquan very awkward. The Buddha talks about cause and effect. It is difficult to say whether there is cause or effect, but Zhang Fan is now giving the old Zhao a stand.
Lao Zhao loved to let go, not an overbearing person, which also made his doctors grow up very fast. When Zhang Fan was transferred to the general department, Lao Zhao kept standing for Zhang Fan. As long as Zhang Fan needed help, he did n’t Hold yourself as a director.
The human relationship is so wonderful. The old Zhao at the time did not expect that Xiao Zhang, who had a little effort under his hands, would become Zhang Yuan so quickly.
Now it's Zhang Fan's turn to help him. As soon as he went to work, Zhang Fan entered the morning meeting outside the ordinary.
Although he didn't speak, he was like a Buddha. As long as he was there, the deputy directors of Deng Teng didn't have any daring faults, and the technical crushing was directly fatal.
"Ah! Wait for Lao Zhao to retire. Zhang Yuan's posture is obviously to knock on us! ~"
"Who said no, who could have thought that when it was only a few years, he was so dazzling. Is it interesting to bully us in Koike!" The two deputy directors talked in a sullen mood.
Zhang Fan crushed them so much that they did not even dare to resist. This is technology and this is strength.
When the morning meeting was scheduled for surgery, Zhang Fan spoke, "Director Zhao, there have been many surgeries in the department recently, and I have also been included in general surgery.
Some people always say that I don't pay attention to general foreigners, I have recently been sitting in general foreigners! "
After Zhang Fan said, everyone's expressions are different! Lao Zhao said with a smile: "Who said that Zhang Yuan didn't pay much attention to it, everything is nonsense, haha, okay, there are more varicose veins recently. Look at Zhang Yuan?"
"Then varicose veins, what the director arranges is whatever. You have the final say! ~" Zhang Fan smiled and looked at the doctors in the conference room with two words.
Lao Zhao assigned Zhang Fan with two doctors, one was a resident doctor, Ma Yichen, and the other was a newly promoted doctor. The combination of Lao Zhao was to take Zhang Fanduo to take someone.
A general doctor has grown up too long.
Symptoms of varicose veins are very typical. Just look at the skin of the lower extremity. As long as there is a crooked green earthworm lying on the small belly, it will not run away.
With the movement of the lower limbs, the worm can also move up and down, especially on women's fair skin, it is too obvious.
It is a disease that can be diagnosed at a glance.
In the operating room, there are about six such operations today, and the hospital is like this, just like the fruits are ripe on weekdays. There is a corresponding disease in any season.
In the operating room, Zhang Fan brought his young apprentice and attending doctor into the operating room.
The first operation was a taxi driver. None of his calves were visible, and the calf had begun to rupture. This vascular ulceration healed very slowly.
The cyan network of blood vessels on the calf, the broken mouth, is like a red bug falling into the spider web, and the spider bites its head, leaving a hole.
Disinfect, brush your hands, shop, and cover the towel. Zhang Fan took them to start the operation.
A surgery.
Two surgeries.
Three operations.
In the middle, because of an acute cholecystitis attack, Zhang Fan took Ma Yichen and they performed a gallbladder operation.
Starting in the morning, one surgery after another. "Standing down like this, I think I might have to lie here one day and let Zhang Yuan cramp my skin."
He attended the operation with Zhang Fan and said with a bitter smile.
Zhang Fan also smiled helplessly. Is the doctor tired? The doctor in the small hospital is like a fairy. Come to the sick number, look at the mood, feel bad, just say a word, go to the large hospital, I can't see it!
The large hospitals, especially the top three hospitals in a region, are here even the terminal for ordinary people to see a doctor.
You can't just let the sick person go to the capital, shamelessly. Isn't the doctor in the top three hospitals not licensed?
If a person is sick, to be honest, the mentality is to say that everything can be calm like water.
Treatment would like to go to the hospital today and heal the next day. Surgery, check up today, I wish I had to do it today.
All kinds of impatience, this kind of thing, to be honest, whoever encounters it is almost the same. There is nothing wrong with it.
"Is this the last operation?" I have been standing for a day, and have been working continuously for almost ten hours. Not to mention that tiredness is false. Fortunately, Zhang Fan now has not only practiced his hands, but also his legs.
People with strong lower limbs are good! Wang Wangwang doesn't understand!
"Er! Teacher, there is also an operation, which is also a varicose vein." Since Ma Yichen shouted Teacher Zhang Fan, he did not object to seeing Zhang Fan, and simply called Zhang Fan as a teacher.
"How could this elective surgery be arranged until now, and it would be appropriate to starve the patient for a day?"
Zhang Fan couldn't talk about pleasure, nor could he talk about it unwillingly. This kind of thing is too much in the hospital. Zhang Fan just opened his mouth and talked about it. He knew that there was definitely a reason!
Sure enough, Ma Yichen smiled embarrassedly and said: "The chairman of the union greeted a relative of his family.
The genius had originally scheduled her surgery, and the union chairman said for a long time that I arranged her for today's additional surgery. But the patients are younger and younger! "
"Okay, quickly notify the nurse of the infusion and prepare to be sent to the operating room. It may be starving." Zhang Fan nodded.
The last operation was a female teacher who just passed her thirty-fifth birthday and was an English teacher at a key local high school.
The female teacher entered the operating room with the nurse. She was ill and must be in a hurry. She was admitted to the hospital yesterday. With the help of the chairman of the union, the inspection was completed that day. As a result, the operation was scheduled to take place three days later.
Teachers, especially high school teachers, have no rights or money for the current college entrance examination.
But to say something awkward, the main teacher of this local key high school is probably more fierce than the average boss.
Finding a relationship with the hospital's general surgery is also a matter of minutes.
Although I was hungry for a day, I could endure the surgery sooner.
The teacher has a good temperament. Although wearing a sick suit, the temperament brought by the book gas cannot be covered up.
Entering the operating room, as the number of patients generally will be nervous. Doctors and nurses in the operating room with masks and hats used a look at the upcoming meat case ...
This is an occupational disease of doctors and nurses. The anesthesiologist is considering how much anesthetic the patient needs.
The nurse was considering how to open her veins.
The chief surgeon was considering how she should make a knife.
This kind of vision is naked and cold to the patient. Not afraid to be false.
Want to smile at you unless ...
But this female teacher is not simple. After entering the door, she nodded slightly in the face of everyone's eyes. Although she didn't speak, she was full of manners!
Taking off the black-framed glasses that deliberately made him mature, lying on the operating bed, the female teacher stared at Ma Yichen and Zhang Fan with a slight smile.
This smile made Ma Yichen laugh. I've seen people who are afraid of shaking in the operating room, and I've seen them crying. Seen trying to pretend to be calm.
He also saw this kind of staring at the surgeon for the first time.
In fact, the teacher was also afraid, but she took out the look of the naughty student to see the surgeon, which was also to cheer herself up.
The young woman was so staring at the young woman that Ma Yichen blushed!
Zhang Fan almost laughed out loud. He was proud, and he was qualified to laugh at him, "Baby without a girlfriend!"
The operation of varicose veins is big, not really big. In general surgery, this kind of surgery is still not ranked, but it must be cruel. It can definitely be done.
Disinfection. The area sterilized by this operation is too large. It starts from the belly button to the toes.
Imagine that almost half of your body needs disinfection. Directly is to use yellow iodine to rub the entire lower body again.
This disease is caused by impaired blood flow due to damaged veins. Nutritional changes often occur on the skin of the calf, especially the ankle.
These include skin atrophy, desquamation, itching, pigmentation, induration of the skin and subcutaneous tissue, and even the formation of eczema and ulcers, which can sometimes be accompanied by blood and thrombophlebitis.
Once these complications occur, it is more troublesome, so the disease must be detected and treated early.
It is worth pointing out that simple superficial varicose veins are mostly not accompanied by edema, and even if they are present, they are only located at the ankle and the back of the foot, which is relatively minor.
If there is severe lower extremity edema, we must pay attention to it. If the thrombus has formed, it must not be careless. At this time, it will kill people.
Woman, on the fair skin of the calf, a large group of blood vessels flexing like tattoos. After disinfection, surgery begins.
Zhang Fan began to move the knife, and first opened a mouth in the groin, a mouth about 4 to 5 cm long.
Where the groin is the base of the thigh, this place is where the lower limb vascular channels meet.
Shallow and deep venous arteries all pass here, so be very careful when moving the knife here.
Zhang Fan told Ma Yichen while doing it.
The operation was quick, the ligature was ligated, and then a special tool was inserted directly into the blood vessel.
Then, just like eating the bone marrow, the flexed blood vessels are drawn out of the body.
Because the blood has been squeezed back to the heart before the operation, this time, it is really like the bone marrow of a large rod bone, and the blood vessels are pumped out bloody. If you have a garlic sauce, hey! It is directly the Assassination Conference.
This operation can not be seen directly! It's really as cruel as Nezha.
Shao Hua, who sat for one night and two days, finally arrived in Lanshi. Although Jing Yan can drive, but there is no car at home, the little girl brought her parents to the city from the county to pick up Shao Hua.
The little girl is very closely connected with the future uncle. The two are of the same specialty and have a good temper, so they can talk.
Hey 569 got 404
I did n’t drive, so I had a title party and was slapped by others directly
I wanted to write the surgery in this chapter in detail.
It turned out that the disease was too common.
Ca n’t cause psychological obstacles to the uncles,
One more thing
The system is about to open a new discipline,
Which subject do you want to see
Tell Lao Zang,
(End of this chapter)