Path of Medicine With a System

Zhang Fan didn't want to go at first, but the nurse was very enthusiastic. If he didn't go, it would be a bit embarrassing for him. It's too embarrassing! Zhang Fan bit the bullet and went in. Compared with the doctor's duty room, the nurse's duty room is a little cleaner and tidy, and there is a faint fragrance! Go live and lie down for a while. result! I can't fall asleep, the pillow is covered with a faint fragrance. Zhang Fan couldn't take it anymore! ~

In the morning meeting, Liu Zhaoyun really couldn't stand it any longer, and sat there listlessly. Zhang Fan and Xia Huadong were better, after all, they were young. After explaining the work of the department, several bosses stood guard outside the department before the ward round. Liu Zhaoyun had no choice but to greet them, and Qian's face was sometimes great.

After all, Zhang Fan has only been in Chasu City for a short time, and many people are not familiar with it. After the ward rounds were over, Zhang Fan went to the ICU again. Although there were dedicated doctors and nurses to take care of him 24 hours a day, Zhang Fan was still worried, so he went up to take another look. Fever, luckily no epilepsy. Brain damage has a high chance of developing epilepsy.

Back in the dormitory, after telling Shao Hua, he didn't dare to turn off the phone. Dai Wen was not out of danger just now, and there might be a call at any time. sleep! After a tense night, lying on my own bed, it was really comfortable! What is happiness, this is happiness. After staying up all night, draw the curtains and lie comfortably on your own bed, so comfortable!

Li Liang completely left the county hospital. There is no way, there is no hope! And the family members also support it. Anyway, the family doesn't need Li Liang to subsidize the family, as long as he likes it. Since Ma Wentao made money from surgery, he has taken care of it. What can make people crazy, huge profits!

Why do hospitals seem to be making no money for many surgeries? Because there are depreciation fees for various inspection equipment, supplies, houses, and infrastructure in the hospital. These things are funded by the state, and a little fee will be deducted every month! And many medicines and equipment in the hospital can't be said. Anyway, the cost is very expensive, so it doesn't make money, and doctors are unwilling to do it.

For example, the replantation of a severed limb costs 7,000 to 8,000 yuan per finger, and the doctor receives a 20 stage fee for each operation, and then a bonus. A surgery like this only costs about 100 yuan, because this operation Almost no consumables are needed, and it takes time. It doesn’t take three or four hours. Don’t try to finish it. The most important thing is that 90% of this kind of trauma is emergency. Survival, so doctors in this department are not willing to do it.

This market is left to private hospitals. Ma Wentao's operation is very aggressive, but the effect is particularly obvious. Lao Chen took Li Liang to find Ma Wentao, and Ma Wentao offered five thousand, but Li Liang turned around and left. Let Ma Wentao hold back, because he knew that the group of people with Zhang Fan were all skilled. The final salary was 5,000, but 3 of the surgery fee was given to Li Liang and 5 to Lao Chen. They also arranged a house for Li Liang!

Then there is the possession of the market. Although the mines and other places will give Ma Wentao face, the hospitals and doctors in the county and township will not. Let alone he is just a second generation, even if he is a first generation, it may not be useful, because the inside There are too many tricks.

What about where power cannot touch? Then money will clear the way!

The clerks, from the county hospital below to the township hospital and then to the private clinic, as long as it is a place with a medical nature, they all come here. They don't want any other patients, as long as they need replantation of amputated limbs.

There is no one in public hospitals, so this market is left to Ma Wentao! The clerk told the doctors in the county and township that for one operation, the operation fee is 30, and the patient will settle the payment when he is discharged from the hospital, and there will be no arrears!

crazy! The surgeons in the surrounding counties of Chasu City are all crazy. No regular hospital is willing to perform this kind of operation. Now there are some places that take the initiative to accept it and return the money. One is more attentive than the other.

The first surgery patient appeared! A young man in his twenties accidentally cut off three fingers on his left hand while cutting grass for the family’s livestock in the afternoon. He was sent to the county hospital, and the surgeon from the county hospital was sent directly to Ma Wentao's hospital.

Two hours had passed by the time we arrived in the city. This kind of surgery is difficult to say the least, it is time-consuming and the technique is not good, the survival rate of the finger is not high, even if it is alive, it will be useless.

Human fingers are not leeks, if you cut them off, they will not grow back. If you want to do microsurgery, you must have tools and equipment. The first is a microscope that can automatically change the magnification between 6 and 30 times. When changing the magnification, you can keep the field of view clear without adjusting the focus. There must also be two sets of mirrors for the operator and assistant, and a cold light source.

Zhang Fan took a nap, and after dinner at Shao Hua's house, he was going to go for a walk with Shao Hua. The old man had stopped playing chess with Zhang Fan recently. Zhang Fan was relieved, and more relatives came to the house recently, and aunts and aunts would pick Zhang Fan to visit when he was at home.

Just as Zhang Fan and Shao Hua were about to go out, they received a call from Zhu Wentao, "Dr. Zhang, where are you? Hurry up! A major operation is coming, and you must do it."

"I'm at my girlfriend's house, what surgery?"

"Three fingers were cut off! You have already arrived in the operating room. Tell me the address and I will pick you up." After Zhang Fan reported the address, he smiled apologetically at Shao Hua.

"Then I'll take you to the gate of the community! You should also pay attention to yourself. The labor intensity is too high. You stayed up late yesterday and have surgery today. There is no need to work too hard. Your salary and mine are enough for us to live on!" Shao Hua straightened Zhang Fan's collar, and said to Zhang Fan with some distress.

"It's okay, I'm still young! And I like this too. Don't worry, I will definitely rest when I'm tired. I'm just a little sorry for you. Look, I've been too busy recently, so I haven't been with you for a few days!"

"It will be a long time in the future! Don't worry! Let's go and I will take you out."

Chasu City is not big, the two stood at the gate of the community for a few minutes, Ma Wentao personally drove to pick up Zhang Fan, a Mercedes-Benz, boxy like a matchbox!

"How about it, I'll be your driver myself, are you satisfied?" After getting acquainted with Zhang Fan, Ma Wentao also started to joke with Zhang Fan!

"Is it a cut injury or a crush injury?" Zhang Fan ignored him and asked his concern.

"Cut injury, Director Chen said, I didn't dare to see the patient! It was wrapped in gauze when it came here. It has been treated in the county hospital." Zhang Fan was so bored, Ma Wentao held back his mouth.

There are not too many people who want to be friends with Ma Wentao in the frontier, but in the end, Zhang Fan didn't give him any face, which made Young Master Ma a little frustrated, "Is my father's official not big enough?"

When Zhang Fan entered the operating room, Lao Chen and Li Liang had already started cleaning. Zhang Fan saw that it was okay! It was a cut, the broken edge was neat, and the severed finger was well preserved.

The preservation of severed fingers is particular, and a dry and refrigerated environment is the best. Never let the severed finger come into direct contact with the ice, as it will frostbite the severed finger. Also don't soak your severed finger in any liquid, it's not making a pickle!

In the operating room, the three severed fingers have been marked and stored in a refrigerator at 4 degrees Celsius. Finger amputation surgery must race against time. The longer the time, the lower the chance of survival. If the time is too long, the muscle tissue will degenerate and release a large amount of toxic substances such as potassium ions, myoglobin and peptides into the blood, which will cause symptoms of poisoning throughout the body.

Zhang Fan washed his hands and disinfected them, put on surgical clothes and went to the operating table, and started the operation without saying much. "Debrid!" Zhang Fan said simply. Lao Chen and Li Liang were very adaptable to Zhang Fan's surgical habits. They tried not to speak as much as possible, and they spoke very concisely.

At the beginning of debridement, Zhang Fan has already found blood vessels, nerves, and tendons to be repaired during the debridement process. When a broken limb is replanted, the broken bone must first be fixed, and the bone must be trimmed according to the damage. This step is very important. If the trimming is not appropriate, it will affect the repair of other tissues in the later stage. And this operation must be fast, because it is not one finger, but three!

One operation is one operation, and when choosing to repair, the one with the least injury must be selected first. The principle of this operation is to save the one that can be preserved first and repair it first. For bone fixation, finger plates are usually used in public hospitals. In private hospitals, Kirschner wires or steel wires are generally used. In this regard, private hospitals have already taken the lead! Zhang Fan's speed was very fast. For this kind of cutting injury, two crossed Kirschner wires were directly connected with an electric drill. The finger bone is a flat bone, and if the electric drill is too powerful, it will break the finger bone!

For tendon sutures, tendon sutures need to be sutured with important functions, and the rest can be sutured. To put it bluntly, this kind of surgery is a race against the cells of the body, and whoever runs faster will win.

Suture blood vessels. Blood vessels and tendons are different again, so delicate! You can clamp bones and tendons as you like! But blood vessels are not good, as long as the inside is injured, this thing will cause trouble for you. Even if you suture it, it will become a dead blood vessel. Why, the endothelium of the blood vessel is damaged, and it blocks the damaged place by itself! So suturing blood vessels is time-consuming! Fixing orthopedics and suturing tendons can all be done with the naked eye, but blood vessels must be done under a microscope.

And finally the neural stitching, the system is too powerful. This kind of nerve does not have five years of experience in microsurgery, so don't even think about suturing it successfully. And under the systematic training, Zhang Fan has done it countless times relying on his attitude! The cumulative number of these surgeries is estimated to be the top three sub-highest in a region! With this amount, you can imagine how hard Zhang Fan worked.

One is finished, this is the first step, there are two more. Lao Chen was a little dazzled after assisting with a finger. Microsurgery is too taxing for his eyes. He is old! Cruel? Surgery is so cruel, you will die when you are old!

The heartbroken Lao Chen gave up the position of first assistant to Li Liang~! Zhang Fan doesn't care about Lao Chen, he still has two. continue! There is no time to explain to them now. Let's see first! Wait until you are familiar with it before explaining it to them!

After more than three hours, the operation was over. This procedure is done while sitting on a stool. Keeping his head down, Zhang Fan didn't raise his head several times for three hours. After the operation, he shook his sore neck.

"Be sure to change the dressing on time to avoid infection. Be careful not to burn the skin with the side light. It must be too high and the affected limb is higher than the heart. Smoking is strictly prohibited, and no one is allowed to smoke in the ward. The repairs are all small blood vessels. Once you have a spasm, you will be in trouble!" Zhang Fan explained a few words to Li Liang carefully.

After taking off his surgical clothes, he was not in a hurry to find Ma Wentao. Pulling Lao Chen to sit on the floor of the operating room! Lao Chen is very depressed! Zhang Fan wanted to enlighten Lao Chen, but he didn't know how to speak!

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