Chapter 54

Wang Qian bought another set for Zhang Fan from head to toe. Zhang Fan doesn't want to. She's not happy yet. Her children have gone abroad to study. The old man is busy with his career. It's better to go to work. It's boring after work. Her old man's identity makes it inconvenient for her to make friends with others. Zhang Fan has a simple temperament and has love and righteousness for Batu. She sees it in her eyes, so she especially appreciates Zhang Fan. She not only has a high level of medical skills, but also has a good character. Li Xiao and Dong Hua also commented quite well on Zhang Fan.

Some of Wang Qian's shopping cards were sent by the company, some of which were sent by unknown people. After turning to the mall, Zhang Fan sent Wang Qian home and asked him to stay for dinner before he left. Before leaving, I gave cigarettes and tea. Zhang Fan always comes like this. He's embarrassed to come to Wang Qian's house.

After Dong Hua met Li Xiao through that double buckle, Wang Qian helped to speak, and finally got a chance to meet the big leader. The result was very good, county magistrate D. These are far away from Zhang Fan. No matter whether the agent is formal or formal, Zhang Fan doesn't feel much. This is also the sorrow of the technical man. He only has technology in his eyes and thinks that technology is the king.

The new year is coming, and all kinds of benefits in the hospital are constantly. Rice flour oil, even noodles, Ouyang's first year in office, let everyone celebrate with her. Zhao Jun is not on the night shift, and Zhang fan can't work on the night shift. This month is Zhang Fan's most leisure time in more than a year.

Early in the morning, hepatobiliary surgery had an operation today, which is a very common disease in Northwest China: hepatic hydatid, also known as hepatic echinococcosis. It is mainly popular in provinces and regions with developed animal husbandry. The etiology of canine tapeworm is parasitic in the small intestine of dogs. The eggs discharged with feces often adhere to the hair of dogs and sheep. People are infected after swallowing food contaminated by eggs. Through the action of intestinal digestive fluid, the insect eggs shelled out, passed through the intestinal mucosa, entered the portal vein system, and most of them were blocked in the liver. After 3 weeks in vivo, the larvae develop into hydatid cysts. Hydatid cysts gradually grow up in the liver, cause compression symptoms of adjacent organs according to the location, and can have complications such as infection, rupture and dissemination and hollow organ obstruction.

Generally speaking, in pastoral areas, you must be careful with water and food that come into contact with dogs or are polluted by dog feces. If you don't do it well, you will get liver hydatid. These insects will parasitize and reproduce in the liver of the human body. With the development of time, there are more and more insects, bigger and bigger. The liver will be pressed and squeezed, resulting in nausea, vomiting and jaundice.

Today, there are many surgeries in the Department. Several transferred patients rush to have gallbladder surgery. They are unwilling to have liver hydatid surgery. It's too disgusting. Open a large bag of white mumbling insects, and patients with dense phobia can directly see dizzy. After this operation, the treatment is not clean, especially easy to relapse, and insect eggs are easy to remain. Zhao Jun is the main knife, and Zhang Fan is on stage with him for the first time.

Open abdomen, stop bleeding and suck blood. Zhang Fan's cooperation made Zhao Jun very comfortable and had a good vision. What he wanted to do next, Zhang Fan prepared for him early. After the internal capsule was removed, the focus was directly cleaned with alcohol. The operation was basically completed, leaving only suture. Zhao Jun consciously wanted to see Zhang Fan's skills, so he said to Zhang Fan: "the surgery of general surgery is different from that of orthopedics. Are you familiar with abdominal suture? Why don't you suture?"

Although I have heard that Zhang Fan is very good in orthopedics, I haven't seen it with my own eyes and I'm not sure. I'll make sure first. Zhang Fan looked up at Zhao Jun and said, "OK, director Zhao, it should be no problem." Then they began to suture. The peritoneum, fascia and muscles were sutured very fast, and the instrument nurse couldn't keep up with the thread. Extremely skilled, very sharp at hand. Zhang Fan doesn't mean to show off. That's the speed.

Zhao Jun looked at Zhang Fan's suture and said after a little meditation: "Zhang Fan, he has been in the liver and gallbladder for a month. How is the operation? Is he familiar with the liver and gallbladder operation now?" He regarded Zhang Fan as a nimble resident doctor. He inquired normally and appreciated it a little. He was basically solid. Zhang Fan has been depressed for a month. Without considering Zhao Jun's feelings, he directly said: "the operation of liver and gallbladder is not difficult."

"Er!" Zhao Jun directly choked, "well, arrange a gallbladder tomorrow. Can you do it?"

"Yes." If you say it, there's no reason to beg for mercy and say soft words. It's not necessary.

Zhao Jun is really angry. You can say that his own technology is not good, but you can't say that this hepatobiliary surgery is not difficult. That is, it directly denies his hard work and honor for the rest of his life. It's impossible not to be angry. In the border areas, due to the factors of pastoral areas, hepatobiliary surgery can rank first in China and has seats. Although angry, I won't argue with Zhang Fan in a quarrel. It's too childish.

At the morning meeting the next day, after discussing today's surgery, Zhao Jun said: "the hospital organized the transfer of hospitalized doctors to make young doctors familiar with the basic diseases of each department and be able to complete simple basic surgery. We can't walk through the stage. The transferred doctors are going to leave the department immediately. Our department organized an examination, and the examination results are written in the transfer report. Today, five beds of gallbladder surgery will be performed by Dr. Zhang Fan as his graduation examination. "

As soon as these words were said, the faces of the other transferred students were white. They had surgery every day, but it was only a month. Did the director not wake up and talk nonsense after cholecystectomy! And write it in the transfer report. Isn't it life-threatening!

Zhao Jun is also angry. In the general surgery department of the hospital, the liver and gallbladder were separated the earliest. But so far, in addition to the liver hydatid operation, the rest is cholecystectomy. The development of other operations is not ideal. Now even pancreatic cysts are not done much. The old director of general foreign affairs often said that they should not be separated. So as soon as I heard Zhang Fan's words yesterday, I'm going to let him do it today. Let Zhang Fan see if it's difficult or not.

Although angry, the patient who can be selected is a patient who is young, has no severe gallbladder adhesion and is very difficult to operate. He just wanted everyone to understand that hepatobiliary surgery is not simple. He personally helped Zhang Fan.

In the operating room, general laparoscopic surgery and drilling will not be transferred to other departments. They are afraid of accidents. If the strength is not well mastered, it will be troublesome to break through internal organs. After brushing and disinfecting his hands, Zhang Fan began the operation. Zhao Jun was going to let him try. His technique was unfamiliar, so he didn't let him do it directly. Then criticize a few words. Be down-to-earth and don't aim too high. As a result, Zhang Fan didn't have any problems from punching.

Expose the cystic duct, separate the cystic artery, ligate and remove the gallbladder to stop bleeding. It's very skilled. Originally, he planned to stop Zhang Fan if he was not even skilled in holding the mirror. As a result, Zhao Jun didn't say a word throughout the whole process from worry to reassurance to shock. After the operation, he deflated and sutured the air holes. Zhao Jun got off the operating table and left the operating room directly.

The second assistant is a attending doctor, but he is also surprised. "Dr. Zhang, cow, the boss has lost a word. The operation is clean and neat. I can't reach this level. What department do you want to transfer? Let the boss talk to the president and directly fix it in our department."

Zhao Jun went out of the operating room and returned to the director's office. He sat in a chair for a long time. After quitting smoking for a long time, he lit a cigarette. "Shouldn't the grass-roots hospitals really separate the liver and gallbladder! Is it really simple? " His worldview almost collapsed.

The next day, continue to let the transferred doctor do the operation. Drilling almost had an accident, and directly asked Zhao Jun to get off the operating table. The transferred little doctors cried. For a month in total, I took the exam without drilling. Can I pass it! Although Zhao Jun drove people, he was not angry and was very happy. Special case. Zhang Fan is a special case. It's still difficult to be brave. Such a thought also has a lot of balance in mind.

In the director's office, Zhang Fan sits opposite Zhao Jun. Lao Zhao sends a cigarette to Zhang Fan. After Zhang Fan points it to Zhao Jun, Zhao Jun says, "yes, it's been a hard month. In fact, liver and gallbladder are promising. Liver transplantation and pancreatic cancer are world-class difficult skills. How about you? Are you interested? If you are interested, transfer to the Department, I'll go to the dean and ask for someone. " Zhang Fan is excellent. He feels it, so he can't let go.

At present, systems such as liver transplantation have not been opened, but there are many liver and gallbladder operations. Due to the factors of Northwest eating habits, there are especially many stones. In pastoral areas, the number of liver hydatid is the largest in the country. His purpose is to brush the quantity. It doesn't matter which department, "director, you look up to me and give face. As long as other departments don't want me, I'll come." Zhang Fan didn't nail his words, because there are many operations in general surgery, urology and extrathoracic surgery.

"Er!" Zhao Jun is messy. The boy doesn't want to come yet.