Chapter 90

After entering the Department, Wang Yanan couldn't be considerate to Zhang Fan. He brought tea and poured water to ask for warmth. Zhang Fan, who is concerned, is creepy. "Say it. I will promise anything I can promise. If I can't promise, it's no use burning incense for me." Zhang Fan really couldn't bear it, so he asked.

"What do I do to you? You're looking for your girlfriend. I'll say a good word for you. Shaohua was going to leave yesterday, but I forced him to hold him. Let's see if you have a conscience today! "

"What's the matter? I'm frightened. If I can't borrow a car, I'll be responsible for you and your family. I'm not reluctant to give up." Zhang Fan thinks she wants to borrow a car. Her skills are too rough. Zhang Fan is really afraid of an accident.

"It's no use pulling less, and the car won't find you. I received a clavicle fracture yesterday. Today, will you let me take the lead?" I'm impatient. Wang Yanan really turned his face and didn't recognize people.

"Is this the attitude of begging?" Zhang Fan joked.

"I'll call Shaohua now and say you and the nurses in the operating room ~ ~" Wang Yanan made Zhang Fan angry. She had been prepared for a long time. This uneasy mood really couldn't stand teasing.

"Comrade Wang Yanan, after consideration by the superior, I agree that you will perform the operation today, but first let me see the film. If it's broken badly, let's go next. Where did this patient come from? It was not our turn to collect the patient yesterday. "

"Here, it's very simple. It doesn't break bones fast. It's an oblique fracture. I can! " Wang Yanan looked at Zhang Fan eagerly.

"Well, the fracture is not very serious. Let me tell you. Here's the tip of the lung. If you're not careful, you'll hurt your lungs. You must be careful. " Zhang Fan told again.

"I know. I've done it with you many times." Wang Yanan's tone is much better. Although she is impatient, she can talk about her major. She must listen. This is the superior and subordinate of surgery. Dare not listen! On the contrary, stop your operation directly.

The head nurse of the operating room walked over and stared at each operating room. This is her territory, patrolling her territory like a lioness. If someone's action does not comply with aseptic operation, she can pull you up to review aseptic operation rules.

Zhang Fan stood beside the operating table and hung his hands on his chest. He watched Wang Yanan operate, disinfect and lay towels step by step. He could not find the problem. The patient was a non pioneering fracture. He cut the skin along the fracture end. Zhang Fan took gauze and gently pulled the skin. First, he could remove the bleeding at any time, and second, he could help the operator cut the skin better.

The skin at the clavicle was very thin and soon entered the fracture end. Although it was not very broken in the film, it was different when opening the wound. There were very small fragments, bleeding and congestion. Wang Yanan was a little busy.

Zhang Fan didn't speak. At this time, she had to adjust herself to see her understanding of the operation and the anatomical structure of the tissue. Sucking blood, stopping bleeding, clearing broken bones and connecting bones are not very skilled, but they are already very good.

This is the difference between the assistant and the operator. The assistant follows the operator's ideas, completes the operator's vision and assists the operator, which is equal to the operator's third and fourth hands. You don't need to think. You must follow the main knife's ideas.

The main knife has to consider the steps of the operation. The books are all routine treatment. There are tens of millions of injuries and injuries. There can only be about one classification. It is impossible that each is the same, which depends on your skill level and usual accumulation. Looking for blood vessels in a pile of bloody rotten meat depends on a deep understanding of the normal tissue structure.

Whether to fix the distal end or the proximal end first when the fracture end is broken. There is no fixed statement to turn over the surgical books. This is a problem of experience. Novices rely on the masters to slowly impart experience and accumulate thin hair. To a certain extent, they can also begin to summarize experience, which is the improvement of clinical medical technology.

The instrument nurse was bored in a daze because it was slow! After all, I'm a novice and can't compare with an old doctor. First, I'm careful and second, I'm not confident. Sometimes I have to see Zhang Fan and want Zhang Fan to be sure. Because there are no mistakes, Zhang Fan keeps silent. If Wang Yanan can cross this barrier, the future will be easier. This is a mood improvement. If she can do the first operation herself, it will be very helpful for her future promotion.

Finally, it began to fix. Here is what Zhang Fan was most worried about. One accidentally would pierce the tip of the lung. Wang Yanan fixed which hole. Zhang Fan padded the bone stripping knife under the clavicle to prevent Wang Yanan from losing control of his strength. There was a bone knife under the electric drill.

After fixation, Zhang Fan reached out and touched the broken end of the fracture, which was still in alignment. He breathed a long sigh of relief and stood on the stage for novices. Sometimes he was more tired than his own operation and was always worried.

A few days ago, there was a medical accident in obstetrics and gynecology. The transferred doctor sutured the incision for the women who had caesarean section. As a result, the fat layer was too thick, and the application of force was not good. Accidentally, the needle was separated from the needle holder. The contraction of muscle led to the contraction of the fat layer, and the fat layer was full of oil. In a few seconds, the suture needle could not be found.

He hurriedly contacted the orthopaedic operating room and pushed the C-arm to irradiate for a long time before he found out. Then he took the teacher's rays for more than half an hour and took out the suture needle. It was no responsibility for the transferred doctor. The teacher was shamed by the gynecological director and cleaned up in front of the general practitioner's nurse. Those wronged by the teacher couldn't speak, This is the responsibility of teaching!

"Zhang Fan, will you?" Zhang Fan didn't speak, and Wang Yanan was extremely nervous. She really likes surgery and really wants others to recognize her in surgery. She doesn't rely on her relationship in surgery alone.

"Good! It's quite good. It's better than my first operation. I just don't have enough confidence. Go back and read more books and firmly depict the anatomical relationship in my mind, so you won't hesitate like today. "

"I remember! I'll try. " Zhang Fan's praise and recognition made her very happy. More than half a year's efforts were not in vain. Although very excited, I still want ninja. The operation is not over yet.

"Xiao Yin, take a cell phone and take a picture of this clavicle. This is Wang Yanan's debut, which is of commemorative significance."

Fortunately, he was wearing a mask and hat. Wang Yanan didn't know what to think. His face turned red“ OK, you teachers and disciples can hurry up. There is another operation for tibiofibular fracture. Xue Fei has seen it several times. He thought it was a clavicle, so he arranged it in front. Unexpectedly, he made a femoral fracture. "

Since Zhang Fan refused Xiao Yin, she was a little angry with Zhang Fan. He always likes to stimulate Zhang Fan with words. Generally, he can't find Zhang Fan's problems in surgery, but Wang Yanan he brought is a novice, so he began to complain.

"Hurry up and take a picture. Xue Fei is worried and asks him to come to me." Zhang Fan didn't want her to regret the first operation of her apprentice, and now Zhang Fan has a practice certificate. It's not the little transferred doctor who everyone could pinch at that time. When it's time to speak, you must speak, otherwise some people will be in charge.