Chapter 99

A middle-aged woman groaned in the dermatology department of the municipal hospital. The pain was sweating all over her head. It could be seen that she was struggling with the pain. A man silently holding her hand should be a husband and wife. In terms of dress, the economic conditions are not very good. The legs of men's pants are hairy. Their feelings should be very good. The expression of women's pain in the body and men's pain in the heart can be seen at a glance.

After Zhang Fan arrived at the Department, gulinaza was contacting the operating room by telephone, and his MIG introduced the situation to Zhang Fan. The patient and his wife, outsiders, opened a small restaurant in the tea market. They got up at 4 a.m. and went to bed at 11 p.m. as a result, they were too tired. The woman accidentally knocked over the boiled water on her feet.

At that time, in a hurry, they took off their shoes and socks directly, and their skin was peeled off, not counting. They put soy sauce on it again, and the wound was badly damaged. The most sad thing is that medical insurance cannot be used here. They are from other places. It is unknown whether they can be reimbursed locally in the future. The current situation is that skin grafting is necessary, and the operation cost is not small. The patient himself asked for conservative treatment, and the family members insisted on surgery. One loves money and one loves people.

Zhang Fan went to check the condition of the injury. His right foot was scalded for 13. The depth was OK. At that time, he took off his socks too quickly. There were several dot wounds, which were deep and were torn off.

Speaking of scald, I'll say a few words. After a general scald, please don't take off the clothes at the scalded part immediately. The skin has adhered to the clothes, which will cause secondary injury. Half an hour later, the patient's husband ran in sweating and took the payment form, "doctor, I've collected 10000, I can have an operation, I can have an operation!" Anxious with excitement.

More than 10000? Not much. Some people don't eat enough, but it's not a small number for families struggling on the poverty line. Many people can't feel this embarrassment. They can't help but watch their relatives or themselves struggling in pain.

"Give the doctor's advice. Use penicillin for antibiotics. Give some glucose, saline and vitamin 6. Don't use other drugs!" Gulinaza said to Zhang Fan. Basically, this is the cheapest drug. Many top three hospitals won't use penicillin. For various reasons, 60 cents of antibiotics were injected into the body of the scalded patient.

Operating room, disinfection after anesthesia, soy sauce applied after scald, without skin protection, has penetrated into the muscle layer, "Hey! Dr. Zhang must be careful and disinfect thoroughly, otherwise once infected in the later stage, the skin grafting will fail. "

"OK!" Zhang Fan replied.

After dinner, Shaohua walked alone in the street. In the past, she didn't know much about the profession of doctor. After Zhang Fan intervened in her life, she began to have a little understanding. Zhang Fan's vomiting and disgusting medical records can talk about vomiting. She went to the county for surgery in the middle of the night and ran away without saying anything. It's really not easy to throw down her chopsticks.

When the operation begins, choose the skin first. The inner thigh skin of the opposite normal leg has rich blood supply, sufficient skin thickness and good ductility. It is especially suitable for skin grafting.

Many people have never seen the skin grafting knife. With a card at both ends and a gentle push, the skin was completely removed. This area of scald is best to use the whole skin grafting method, and the survival rate of point skin grafting is not high. What is dot skin grafting is to cut the skin into small pieces and put them on the wound.

Zhang Fan's hands are very sharp, and his MIG, as the old chief of Dermatology, is not Zhang Fan's opponent. Zhang Fan, who was originally the second assistant, slowly became the first assistant. His cooperation made the master knife more comfortable than Qi MIG.

"Dr. Zhang, when will the department be appointed?" Gulinaza asked half way after the operation. This is her first operation with Zhang Fan. She is very satisfied with Zhang Fan's Kung Fu. Skilled and standard operation, it is estimated that this kind of skin grafting has not been done less.

"I don't know, eh! There are many departments to transfer. "

"Why don't I talk to the dean? You just stay in our department. Our department is an old man. We haven't entered young people in recent years. After you come, we will retire in a few years. You will be the director."

"Hehe. In the future, director Zhang will have to treat later. " Qimig said heartlessly. His tone was not jealousy, but ridicule. The atmosphere in this department was really good.

Zhang Fan clenched his teeth to have a physical examination that day, and maintained a kind heart to the patient, which made gulina Za particularly satisfied with Zhang Fan. Attitude and mentality are final. Technology can be cultivated the day after tomorrow, but attitude and mentality are really difficult to change.

"Ha ha." Zhang Fan giggled and didn't say anything. The dermatology department was too small to meet his requirements. The director spoke and couldn't refuse directly. It's not good to cheat. He can only pretend to be stupid.

The operation was very successful, but this operation is only the first step of treatment. Dressing change and nursing in the later stage are very important. If one doesn't pay attention to skin graft infection, it may fail. And diet is also very important, and the protein loss after scald is also very serious.

The sick husband outside the operating room has been nailed to the door of the operation and didn't sit for a while. After a few hours of operation, he has been standing there. The couple came here thousands of miles away and suffered. Seeing that the conditions are slowly getting better, life has expectations. As a result, her own woman suffered such a great crime.

Distressed, he wants to replace it. The more he thinks about it, the more he is annoyed. Can he work more than ten hours a day without being tired? It's no use regretting now. I hope the doctors inside can operate on her carefully. He is praying, praying to the gods and Buddhas all over the sky. How helpless he is. Now he can only pray.

After the operation, his MIG specially explained some precautions to his family. When the patient's husband took out a red envelope with trembling hands, Zhang Fan burst into tears. How similar. When his father was hospitalized, his mother might be like this.

Fragile? no I hope Zhang fan can keep this fragile forever!