Chapter 385

It rained heavily. After getting up in the morning, Zhang Fan found that it was raining outside. Looking out of the window, the rain on the street began to bubble“ It began to rain so heavily before summer came! " Zhang Fan said to himself wondering.

"Zhang Fan, come and wash your face. Send me after dinner. It's raining heavily. I'm going to work early today. One of my clients has an appointment with me and will give him a loan today. "

When Zhang Fan looked out of the window in a daze, Shaohua shouted in the bathroom“ Good! " After Zhang Fan entered the bathroom, he saw Shaohua blow his hair again.

"Go early and wash your hair. Let me blow it for you. It's raining outside. It's easy to catch a cold if it doesn't dry." After Zhang Fan found the hair dryer in Shaohua's hand, he began to help Shaohua blow his hair.

"I forgot. When I heard the rain, I remembered that one of my customers was engaged in civil engineering. Once it rained, he had to rest, so I remembered.

One of my customers has a bitter look and seems to have a good relationship with our president. If he is neglected, he will complain. Last time, he sued Xiao Liu of our department because he didn't take the initiative to pour water for him. " Shaohua was enjoying Zhang Fan's service while talking.

Black hair, like satin, Zhang Fan gently shakes the hair dryer, looking for hair that hasn't dried yet.

"Are you ready? Come on. Come and eat. " Shaohua's mother shouted at the dinner table.

"Coming, coming, coming soon." Shaohua promised.

Milk tea, Nang, side dishes and some sausages are complete with protein, fat and vitamins“ The heavy rain began last night. Such a heavy rain is rare. There must be trouble. " The old man looked out of the window with milk tea. After Zhang Fan sat down, he said to Zhang Fan.

Before Zhang Fan could answer, she was rejected by Shaohua's mother: "eat quickly, less God's day. After dinner, accompany me to the vegetable market to buy some vegetables. There is no food at home. "

"Hum, what do you know!" The old man was wronged and drank milk tea in one gulp.

"Come on, let's go. I'm too late. " Shaohua casually took some Nang cakes and shouted. After Zhang Fan finished eating three bites and two bites, he also ate, put on his shoes and went out.

"I know I have something to do today, so I don't get up early. Not eating well day by day affects Zhang Fan. Then I won't cook. " The old lady was angry when she saw that more than half of the food was left.

"Hey, hey, I see. My dear mother, let's go. Be careful. It's raining and slippery. If you can't, just wait until we get off work to buy vegetables. " Shao Hua comforted his mother with a smile.

"I can't count on it! Let's go. Wear hot clothes, "the old lady calmed down. The old man listened to his old woman's constant nagging, frowned, and muttered in his heart, "it's not a child!"

Zhang Fan drove Shaohua to the unit. It's raining, the speed is very slow, and there's a bit of pressure on the road. "There's an accident ahead." Zhang Fan poked his head and saw the road ahead.

"Is it serious?"

"It shouldn't be serious, and the speed is not serious. It's probably a scratch."

After a while, Zhang Fan sent Shaohua to the unit, "I'm leaving. Be careful on your way. I put an umbrella in your car, right in the back. "

"OK, pay attention, too."

In the frontier, rain is better than snow. You don't have to arrive at the unit in advance. If it snows, it won't work. Snow is blowing the charge, and you must arrive at the unit half an hour in advance.

When Zhang Fan arrived at the unit, there was a little ponding at the gate of the hospital“ It's been raining all night and hasn't stopped yet. " In the surgery building, Zhang Fan saw the director outside the chest.

"Yes, there are probably a lot of traffic accidents today." They chatted casually and went to their respective floors.

The work of the hospital went on as usual when it rained. The patient with hallux valgus was pulled to the operating room early. Routine disinfection, Zhang Fan began the operation with Wang Yanan.

Hallux valgus, a small hallux valgus, has almost more than 200 surgical methods. Many surgical methods are not a good thing, because this means that everyone is not sure which surgical method is the best and is constantly exploring.

Of course, Zhang Fan has an advantage later. Because of the system, he knows what kind of operation is the trend in the future, but he can only do it by himself and tell others, but others don't believe it.

This kind of thing requires data. Only data can convince others, but now the forensic medicine in China still doesn't care about this kind of minor surgery. Do it yourself. It is estimated that there may be some convincing data when you retire.

"Zhang Fan, let's use that kind of operation. I read the operation data all night last night. There are too many operation methods. I have advantages in what I think." Wang Yanan works very hard. She hasn't done this kind of surgery. When she meets it, she does her homework in private.

Zhang Fan looked at the girl with a little pouch and said, "yes, if there is no advantage, it is estimated that they will be eliminated. Let's use a combination of lysis and cartilage correction. "

"Well, I haven't seen such an operation." Wang Yanan slightly lowered his head and thought, then raised his head and said definitely.

"Have you read more than 200 ways?" Zhang Fan was a little surprised. He didn't expect the girl to be so liver.

"Well, I'm finished." Wang Yanan said with a little pride.

"Don't be so liver, you will grow old quickly." Zhang Fan also said casually. It's nonsense. Being a doctor doesn't mean being a doctor.

"Hey, there are more and more graduate students. I'm a girl again. Xue Fei is unreliable. You may leave one day. After I don't know the liver, I may suddenly have no place one day. " The girl said with emotion.

"Well! Your uncle ~ ~ "Zhang Fan felt inappropriate, immediately changed and said," if you don't understand, ask me directly. Don't worry. The operation is gradual. " Zhang Fan ignored himself.

"My uncle will retire sooner or later, and I can't help but worry. I have to learn from you. Although I can't reach the level of your efforts, I should at least do half of it, or I'll become a Xue salted fish."

"OK, just have confidence. Let's start." As soon as Zhang Fan heard this, he felt that the girl thought very clearly, so he didn't say much. They were all adults. They chose their own way and went their own way. It's hard to persuade.

In fact, this operation is not difficult. The difficulty is the angle control, the angle formed by the toe joint. If the control is not good, it is very easy to relapse.

From this perspective, it is not required to die, but to consider all aspects, such as the patient's weight and whether to engage in heavy physical labor. Incomplete consideration is a curse. So sometimes when you go to see a doctor, don't hide your career.

"Start!" Zhang Fan said and started the operation.

First, make a 5cm longitudinal incision on the dorsal side of the great toe between the first and second toes, extending near to the metatarsal head, "here we should pay attention to that this is the dorsal peroneal cutaneous nerve and vein of the great toe. Don't damage it."

With this, Zhang Fan pulled the dorsal fibular cutaneous nerve and vein of the great toe to the tibial side.

Then continue to separate deeply along the fibular side of the joint capsule of the thumb, metatarsal and toe, cut off the transverse metatarsal ligament, and cut off the transverse head and oblique head of the adductor pollicis from the base of the proximal phalanx and the lateral sesamoid bone.

Then blunt separation to the proximal side, suture the end with thick silk thread, and leave a long thread for standby. Cut the hypertrophic lateral joint capsule along the joint line from the dorsal midline to the metatarsal side, so that the thumb can move inward, and then tie a knot for fixation.

Zhang Fan explained to Wang Yanan while doing it. It's too difficult to explore the operation by yourself. A teacher must take care of it. A good teacher can avoid many detours.

The operation was quick and ended in more than half an hour“ Can I have such an operation next time? " Wang Yanan said to Zhang Fan in plaster.

"Do you understand?" Zhang Fan asked.

"I see. You taught me in detail. I think I should be able to. "

"That's OK." Zhang Fan nodded his head. In fact, the operation was simple. It was to open the skin and muscle, open the tendon, untie the thumb joint, then adjust the position to be restored, then sew and cast it.

Just then, Lao Gao came in, "I guess your operation is finished. Hurry up and prepare for the Kwai two car accident. All are open fractures. They must be operated as soon as possible.

"That place is broken?" Zhang Fan asked.

"One ulna and radius, one femur." Lao Gao spoke and went out of the operating room to the operating room of another group.

"You send the patient back to the ward, give the doctor's order, and then come up. I'll grab the femur. Remember to make it clear to the patient's family that the toe must be fixed in the correction position with a plaster bandage, and the plaster can be removed after 3 weeks to practice activities and walk in shoes. " Zhang Fan made a special explanation after he put the plaster on.

"OK, don't worry. I'll go down and sneak Xue Fei up. I know you can definitely get the sick back. I have confidence in you. Come on! " The girl made a gesture of squeezing her fist and cheering.

“OK！ Rest assured. " Zhang Fan smiled.

There are many accidents when it rains and the road is slippery. The wounded were a three jump driver and a three jump passenger. San Tiao Zi is actually a motorcycle with an iron box. It was raining hard and I couldn't see the road clearly. I bumped into a car.

The car driver and passengers didn't break their skin. As a result, it was too tragic here.

Zhang Fan went out and went to the meeting room in the operating room. Inside, Lao Gao, deputy director and Xu Xian are watching the film.

"Director, where's the patient?" It'll be delivered right away. This is a film. Look at it first. As he spoke, Lao Gao gave way to the computer because it was a local area network. After the radiology department took the film, it was displayed on the computer here.

"The radius and ulna are not very broken. The femur is quite heavy. "

"Yes, which one do you do?" Lao Gao asked.

"Let's do the femur. Dr. Xu's team is tired recently. We'll share some labor with them."

"It's okay, we can do it!"

"It's better if it's all right. We've been resting for a long time. We're a new force. Let's do femurs. Director, deputy director, what do you say? "

"Hehe, OK. You make femurs. "

"Look, hehe, this is Doctor Zhang. It's overbearing enough." The deputy director smiled and said a pun to Xu Xian.

"Well!" Xu Xian has no choice. When Zhang Fan opens his mouth in orthopedics, Lao Gao will agree. Even if Lao Gao is absent and Zhang Fan opens his mouth, the deputy director has to weigh it. The technology is here. He had to think about it.