Chapter 58

The ward is full of people. After checking in the morning, the room director received a cancer patient for Su Jing, a female in her thirties. The left breast must be completely removed. Surgical procedures for breast cancer include two parts, mammary glands and axillary lymph nodes. Breast surgery includes breast conserving surgery and total mastectomy. Axillary lymph node surgery includes sentinel lymph node biopsy and axillary lymph node dissection. It's painful to finish chemotherapy.

After Zhang Fan finished writing out the checklist, the patient went for an examination. Su Jing said after seeing the patient go far: "ah, it's so poor, young. Women of school age must have regular checks, otherwise it's too late to regret. " After the preoperative examination, we have to arrange an operation for her.

The cancer surgery of the double gland department is mainly done by the director of the Department. This operation is not difficult. The old lady won't let the following people start, because it's too simple. Others will do it several times, and she won't have authority.

On the third day, because it was Su Jing's patient, the director arranged for Su Jing and Zhang Fan to have cancer surgery. The old lady looked kind and kind, but Su Jing said that the whole person was not soft hearted. Once upon a time, a female doctor was frozen by the old lady for a year because she was a cow in the treatment plan. Finally, there was no way. The female doctor was also powerful. She took the postgraduate entrance examination directly.

Breast (a) adenocarcinoma surgery is not difficult. The difficulty is actually pathology. It is necessary to conduct rapid disease examination, especially to test the basic skills of a hospital. After obtaining the report, the clinician decides whether to perform total resection or breast preservation according to the disease examination report. The old lady is too old to sit still. Zhang Fan and Su Jing were asked to do the early operation, and she did the lymph node dissection. This operation is a major operation in the breast (a) gland department.

Su Jing asked Zhang Fan, "have you done it all? I'll do it if you haven't done it." She was worried that Zhang Fan would not do it.

Zhang Fan will not let go of the opportunity of surgery, "elder martial sister, don't worry. I often do this operation. " Zhang Fan often does it in the system. It's the first time in reality, but it's not difficult.

When Zhang Fan washed her hands and went to the operating table, the old lady was still gossiping with the director of the anesthesiology department. The steps in Zhang Fan's mind are very clear. He cuts and stops bleeding without delay. Zhang Fan finished it in more than ten minutes. It's really fast! Su Jing sees that Zhang Fan is about to finish. She is going to call the director in and get on the stage. As a result, the old lady comes in.

She thought that Su Jing did it slowly and sometimes hesitated. She wasn't ready to wash her hands. She came in to give advice. Look at the results, darling! All done, waiting for her to clean her lymph nodes. She looked carefully. There was no problem with the incision and hemostasis. She didn't speak. She went straight to wash her hands.

After washing her hands, she began to clean her lymph nodes. While doing it, he said, "Su Jing, I've improved a lot recently. The operation is much faster and done well."

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

"Really?" The old lady looked at Su Jing and said, "yes, boys have an advantage in surgery." Su Jing said this with a flat mouth. Although the old lady is a woman, she may be a same-sex exclusion, and she has no good color for young female doctors.

Although the old lady is domineering, she did a good job in the operation and performed lymph node dissection very quickly. After the operation, she said to Zhang Fan and Su Jing, "after going back, give the doctor's advice, explain the patient and his family, and come to chemotherapy regularly after discharge."

After the operation, Zhang Fan turned on the computer and specially looked at the previous patients of the breast (a) gland. As a result, the number was huge and startled. Because of people's ideas and the marginalization of cities, women's regular physical examination has not been popularized. It's better to work in the city, and there is almost no physical examination in rural and pastoral areas. The incidence is particularly high.

If the disease occurs, an ordinary family will immediately change from well-off to poverty. Many people become poor due to illness. Although the state strongly supports medical reform, they can't work after illness, but they also need to strengthen nutrition, chemotherapy and medicine. It's really a human war.

The general survey of mammary gland (a) is very simple. Young people do color Doppler ultrasound and old people do molybdenum targets. Here, it's a reminder that it's best for family members or themselves to have a physical examination once a year and care for themselves.

Recently, Zhang Fan is not too busy, because the new year is coming and the sports school has a holiday. Zhang Fan didn't start a business himself. After eating in the canteen, he was ready to go back to the dormitory. Li Liang called, "brother Zhang, where are you? Director Chen and I will have a business meeting. Are you busy? Let's come out and sit down."

As soon as Zhang Fan heard that Lao Chen and Li Liang had come to the city, he was very happy and hurriedly said, "no, you're not busy. I'll go there to find you."

"Master, we are in the hotel next to the city hospital. It will take two days to have a business meeting. I'd like to see you after today. "

"OK, I'll be right there."

After the results came out, the hospital directly removed Lao Chen's agent. His operation was top-notch in the county hospital. Now his achievements have come. Shi Lei also supports him. Now he is finally coming out.

Lao Chen and Li Liang were waiting for Zhang Fan at the gate of the hotel. They were very happy to see Zhang Fan. Lao Chen directly picked up Zhang Fan, "master, thank you really. I've passed. ha-ha! Let's go and have some good food today. "

Li Liang smiled on one side. Although he passed the exam in the first year, Zhang Fan didn't set an example in the hospital. Come on and read. Maybe he'll have to hang up this year.

Zhang Fan has already had dinner, but seeing Lao Chen and Li Liang so happy, he doesn't want to spoil the fun. The three men found a hot pot shop with a big face. Zhang Fan couldn't persuade Lao Chen. He asked for a lot of food. In his words, he wasted one today. For many years, he really doesn't have to live humbly. Master, let me indulge.

Zhang Fan didn't expect that Lao Chen really took him as a master. He's not kidding. Looking at this disciple who is much older than himself, Zhang Fan also has a trace of pride.

Considering Zhang Fan's poor drinking capacity, the three asked for the local characteristic horse milk wine, which is sour and sweet. Those who haven't drunk it are really not used to that taste. The three people chatted while eating. "Master, will you do orthopedics in the future?"

"I'm not sure yet. Let's talk about it at that time. When I'm a new dean, I'll transfer to another department. After that, I'll talk about it. How about you? Are there many patients now? "

Old Chen ate some meat and said, "it's OK. Now old Zou gave the surgery to Shi Lei. Shi Lei supported me very much, and specially told me that if you want to invite experts for surgery in the future, please do it. The price is according to the price of the director of the municipal hospital."

"Hehe, say it again." Zhang Fan doesn't know what to say.

Li Liang asked again, "brother Zhang, do you say whether I will take the exam in the city hospital next year? Now director Chen is on the stage and takes special care of me. I'm afraid I can't go to surgery in the city hospital, but I especially like surgery and really don't want to do internal medicine."

Zhang Fan glanced at old Chen. Old Chen immediately said, "if young people have a chance to rise, go and break through it. I won't stop it. If I were ten or twenty years younger, I would come to the city, but now I'm old and have no chance."

As soon as Zhang Fan listened to Lao Chen's words, he knew that he took care of Li Liangzhen. After thinking for a while, he said, "it's best to be admitted to the surgical department. It's good not to be admitted to the county. Lao Chen will take you for a few years. When your surgical level is mature, it's not too late to come to the city and transfer to another department. You have to plan for yourself. What if you can't go to surgery? "

Three people are not drunk, mainly happy, not drinking. Zhang Fan had a plan in his heart through his conversation with Lao Chen and Li Liang. When the opportunity matures, he may want to implement it.