Path of Medicine With a System

The ward was full of people. After checking in the morning, the director of the ward admitted a cancer patient to Su Jing. She was only in her thirties, and her left breast had to be completely removed. Surgery for breast cancer involves two parts, the breast and the axillary lymph nodes. Breast surgery is divided into breast conserving surgery and total breast resection. Axillary lymph node surgery includes sentinel lymph node biopsy and axillary lymph node dissection. Chemotherapy is needed after the treatment, which is very painful.

After Zhang Fan wrote out the checklist, the patient went for the checkup. Su Jing saw the patient walk away and said, "Oh, what a pity, you are so young. Women of the right age must have regular checkups, otherwise it will be too late to regret it." After the preoperative checkup , we have to arrange surgery for her.

Cancer surgery in the double gland department is mainly performed by the director of the department. This operation is not very difficult. The old lady does not let the people below do it, because it is too simple, and other people will be able to do it a few times, so she has no authority.

On the third day, because it was Su Jing's patient, the director arranged for Su Jing and Zhang Fan to undergo cancer surgery. The old lady seemed kind-hearted, but Su Jing said that she was not soft-hearted. In the past, there was a female doctor, because she was the best in the treatment plan, but the old lady kept her in cold storage for a year, and she was not allowed to undergo surgery. In the end, there was no other way, and the female doctor was also very good, so she just left for the postgraduate entrance examination.

Surgery for breast (a) adenocarcinoma is not difficult, but the pathology is the most difficult part. A quick pathological examination is required, which especially tests the basic skills of a hospital. After the report is obtained, the clinician decides whether to perform a total resection or breast-conservation based on the pathological examination report. The old lady is too old to sit still. Zhang Fan and Su Jing were asked to do the early stage surgery, and she did the lymphatic dissection. This operation is considered a major operation in the breast (a) department.

Su Jing asked Zhang Fan: "Have you done everything? If not, I will do it." She was worried that Zhang Fan would not do it.

If there is an opportunity for surgery, Zhang Fan will definitely not let it go, "Sister, don't worry. I do this surgery often." Zhang Fan often does it in the system, and it is the first time in reality, but it is not difficult.

When Zhang Fan washed his hands and went to the operating table, the old lady was still chatting with the director of the anesthesiology department. The steps in Zhang Fan's mind were very clear, incision and hemostasis, without any delay, Zhang Fan finished it in ten minutes, really fast! Seeing that Zhang Fan was done, Su Jing was going to call the director to come in and take the stage, but the old lady came in.

She thought that Su Jing did it slowly, and sometimes hesitated. She was not ready to wash her hands, so she came in to give pointers. As a result, I saw it, darling! All done, just wait for her to clean the lymph. She took a closer look and found that there was no problem with the incision and hemostasis, so she went to wash her hands without saying a word.

After washing her hands, she began to clean the lymph. While doing it, she said: "Su Jing, I have improved a lot recently. The operation is much faster, and I did a good job."

Su Jing was embarrassed, and murmured, "Zhang Fan did it."

"Really?" The old lady took a look at Su Jing and said, "That's right, boys have an advantage in surgery." Su Jing's lips pouted when she said this. Although the old lady is a woman herself, she may be homophobic, and she doesn't like young female doctors.

Although the old lady is rather domineering, the operation was really good, and the lymphatic cleaning was done very quickly. After the operation, she said to Zhang Fan and Su Jing: "When you go back, give the doctor's order, explain this patient number and family members, and come for chemotherapy regularly after you leave the hospital."

After the operation, Zhang Fan turned on the computer and looked at the patient numbers of the mammary (a) glands in previous years. He was shocked to see the huge number. Because of people's ideas and the fringes of the city, women's regular medical examinations have not been popularized. It is better for those who work in the city, but there is almost no medical examination for those who work in rural and pastoral areas. The incidence rate is particularly high.

If the disease occurs, an ordinary family will immediately become poor from well-to-do. There are many people who become poor due to illness. Although the country strongly supports the medical reform, they cannot work after illness, but they have to strengthen nutrition, take chemotherapy and take medicine. Truly a tragedy for mankind.

Breast (a) gland screening is very simple. The young ones do color Doppler ultrasound and the older ones do mammography. Speaking of which, I would like to remind you that it is best for your family or yourself to have a physical examination once a year.

Take care of yourself.

Zhang Fan is not very busy recently, because the Chinese New Year is coming soon, and the sports school is also on holiday. Zhang Fan didn't start a business himself, and was about to go back to the dormitory after eating in the cafeteria, when Li Liang called, "Brother Zhang, where are you, Director Chen and I are here for a business meeting, are you busy, let's come out and sit down Bundle."

When Zhang Fan heard that Lao Chen and Li Liang had come to the city, he was very happy, and hurriedly said, "No busy, I'll go find you when you are there."

"Master, we are in the hotel next to the city hospital. It will take two days to hold a business meeting. Today is over, and I want to see you."

"Okay, I'll be right there."

After the results came out, the hospital directly removed Lao Chen's agent. His surgery is considered top-notch in the county hospital, and now his grades have come, and Shi Lei also supports him, and now he is finally in his prime.

Lao Chen and Li Liang were waiting for Zhang Fan at the entrance of the hotel, and they were very happy to see Zhang Fan. Lao Chen directly hugged Zhang Fan, "Master, thank you so much, I've passed. Haha! Let's go and eat something good today."

Li Liang was also smiling all over his face. Although he passed the exam in the first year, Zhang Fan didn't set an example in the hospital and read the books. Otherwise, he might have to pass the exam this year.

Zhang Fan had already eaten, but seeing that Lao Chen and Li Liang were so happy, he didn't want to disappoint. The three of them found a hot pot restaurant with a big face. Zhang Fan couldn't persuade Lao Chen, he asked for a lot of food, in his words, today is a waste, after many years, it is really no longer necessary to live humblely, master, just let me indulge.

Zhang Fan didn't expect that Lao Chen really regarded him as a master, no kidding. Looking at this apprentice who was much older than himself, Zhang Fan also felt a little proud.

Considering that Zhang Fan can't drink, the three of them ordered the local specialty kumiss, which is sweet and sour. Those who haven't tried it are really not used to the taste. The three chatted while eating, "Master, will you do orthopedics in the future?"

"I'm not sure yet. Let's talk about it when the time comes. I have to transfer to the new dean. I'll talk about it after the transfer. How many patients are there now?"

Lao Chen ate his meat and said, "It's okay. Now Lao Zou gave the surgery to Shi Lei. Shi Lei is very supportive of me, and he specifically explained that in the future, surgery needs to hire experts, so I invite you to do it. The price is based on the price of the director of the city hospital." Give."

"Hehe, let's talk." Zhang Fan didn't know what to say.

Li Liang asked again: "Brother Zhang, do you think I will be admitted to the city hospital next year? Now that Director Chen is on stage, he takes special care of me. And I especially like surgery, I really don’t want to do internal medicine.”

Zhang Fan glanced at Old Chen, and Old Chen immediately said: "Young people have a chance to advance, so I won't stop it. If I was ten or twenty years younger, I would come to the city, but now Too big, no chance."

As soon as Zhang Fan heard Lao Chen's words, he knew that he really took care of Li Liang, so he thought for a while and said, "It's best to be admitted to the department of surgery, but it's also good if you can't pass the exam in the county. Lao Chen will take you for a few years, and when your surgical skills mature It’s not too late, you have to transfer to another department when you come to the city. You have to make a plan yourself, what will you do if you can’t get into surgery.”

The three of them were not drunk, mainly because they were happy and were not drinking. Through Zhang Fan's conversation with old Chen Liliang, he had a plan in mind, and when the opportunity was ripe, he might implement it.