Chapter 414

In the early years of the medical industry, there was a joke about gold Ophthalmology, silver orthopedics, eating and drinking obstetrics and gynecology. Although it's not very accurate, it's almost the same on the whole.

However, with the development of science and technology and the rapid improvement of national pharmaceutical equipment manufacturers, this speech in the medical industry has become a thing of the past. Let's start with ophthalmology. The state provides a very large subsidy in this regard. Operation bright costs a lot every year.

Orthopedics is even worse. How many instruments are made in China, and medical insurance is directly to prevent orthopedics from sticking to the card. Therefore, the life of orthopedics is not easy. We must be careful. Otherwise, a drug ratio exceeds the standard, and the fine is super fierce.

Not to mention obstetrics and Gynecology, it's lucky not to be beaten, and you're still tired to death. Of course, this is for ordinary doctors, just like ordinary people who talk about gossip.

With the changes in recent years, it is not these departments that ordinary doctors really make money. Instead, some emerging departments are the best.

For example, reproductive centers, male and female specialties, Stomatology, beauty, leisure and high bonuses. Pull a skin thousands, breast augmentation tens of thousands, really can't say.

In the hospital, there is only one intervention department with the highest income, but even if it is the highest, no one will rush to do it. The city hospital is like this. For example, Zhang Fan, who was transferred to another department in the heart, taught Ye Jing. Even if she was given 100000 a month, she wouldn't get this intervention.

Because this thing has too much radiation, protection and strong radiation. Almost the whole process of interventional surgery is under X-ray. Therefore, almost all doctors engaged in intervention are fighting their lives.

Orthopedics is also similar. Although it is not so exaggerated, it is also similar. After many internal fixation operations are completed, we should see whether they are reset and whether the bones are aligned. We must see them under X-ray.

Generally, in this case, it is necessary to hold the patient's fixed place. Who holds it? Of course, the patient who helped him also ate a lot of rays at the end of the day.

Protective clothing? It's all bullshit. Don't you wear protective clothes when you wear surgical clothes? Whoever does it knows.

Xu Xian was very unhappy. I don't blame him. When he was a graduate student in the bird market, a teacher taught him because he ate too much radiation, and then his white blood cells decreased sharply. Finally, I hung up before I retired. So he was very resistant.

"Come on, come on, just be happy. It's okay. It's good to eat once or twice!" Zhang Fan said with a smile. Zhang Fan didn't hang up with the teacher, so he was not afraid. People are like this. They don't see it with their own eyes and don't believe in their ears, whether they are professional or not.

"Believe you, ghost!" Xu Xian said helplessly. Although Xu Xian said so, he also admired Zhang Fan. Active C-arm lower reset, really not much.

Galeazzi's fracture is actually a bone fracture on the side of the big finger at the upper end of the wrist. It's so simple. The most convenient and fastest way is to cut and open the steel plate, remove the suture in ten days, remove the gypsum in half a month, and remove the steel plate in a year or two. It's that simple and rough.

The damage is, of course, great. General manual reduction is also OK, but it's too difficult if you don't look directly at it. Because the forearm of the human body is the place under the elbow joint. It has two bones, ulna and radius. The radius on the thumb and the ulna on the other side. The radius is slightly thicker and the ulna is slightly thinner.

Not to mention the others, you take two chopsticks, break one, and then wrap it with a towel. It's hard to squeeze it with your hands outside the towel, not to mention the thicker muscles than the towel.

"My director Zhang, how are you going to do it? This position is really difficult to fix." Xu Xian is absolutely right. This bone is like chopsticks. When it is pinched together, the muscle may deflect again, so he is also worried.

"Look at me. I'll teach you a trick. " Zhang Fan squeezed his eyes at Xu Xian. Xu Xian can follow him to do this reset, and he has recognized Xu Xian.

"Sister Xia, brachial plexus anesthesia. We reset him today. " Zhang Fan said to Xia Yonghong, the oldest anesthesiologist in the anesthesia room.

"OK, take it easy. If you can't, you'll have an operation." There were many manipulations in sister Xia's time, so she knew very well.

"OK. Xu Xian, put on your protective clothing. " Zhang Fan said.

"Is it useful? Our three broken points are all broken like this. The belts are gone. Can I hold them with my legs? " Xu Xianyi said that the protective clothing was also sick.

Hospital protective clothing, TM is to fool the dead. This is from the C-arm. It's already in tatters. And it's the oldest one.

A piece of protective thyroid, then a large piece in front of the chest, and another piece is used to protect male testis (a) pills, but this one in the hospital is too broken. You can't use it directly.

"Come on." Zhang fan can't help it. The hospital pursues large equipment and high technology, but he really doesn't care about such small things. I don't know what Ouyang and the director of the equipment department think. Zhang Fan complained in his heart.

Reduction, forearm reduction is very demanding for doctors. Therefore, now the hospital does not reset the forearm directly and operates directly. Because this is too difficult.

Human dexterous hands depend on the rotation function of the forearm. If the reset is not appropriate, there will be a problem with the rotation of the arm, followed by affecting the function of the hand. Not to mention writing and working, I can't even untie my sister's buttons.

It's like two pieces of wood together. One end is round and the other is track. Then the two bones turn around and pull the muscle to make the hand move accordingly.

If the stick is of different lengths, or it is angled to block the rotation. I'll give you a coke. You can't unscrew the lid. Open reduction is a relatively rare complication, so doctors are almost reluctant to manual reduction.

Although elder sister Xia is old, her eyes are still quite good, "young man, your body is really strong!" Sister Xia looked at the fat man's fat meat and said with a smile.

"Ha ha!" At this time, fat people laugh more ugly than cry. Lying on the operating table, he was very flustered.

"Well, you start." After the anesthesia, sister Xia packed the tray and said a word to Zhang Fan.

"Turn on the power and go out, Xiao Li. Radiation is too sensitive to women." Zhang Fan said to the nurse of the operation. Xiao Li is the nurse who was a little interested in Zhang Fan at the beginning. The girl has a grudge against Zhang Fan. Up to now, she doesn't talk to Zhang Fan much.

Listening to Zhang Fan, the girl subconsciously touched her twin peaks, hurried out, and then closed the electric door of the operating room.

"You see, I'm useless. If you have as much subcutaneous fat and glands in your chest as her, I'll let you out." Xu Xian looked at Zhang Fan innocently. Zhang Fan said angrily.

"But I will..."

"Well, come on, why are you a little like the man with your name?"

"Your sister!" Xu Xian hates people comparing him with the man who married the big snake.

"Does it hurt?"

"It hurts!"

Zhang Fan took his hand and gently twisted the fat man's arm“ It's too fat. Wait a minute. The anesthetic hasn't worked yet. "

After a few minutes, "does it hurt?"

"It hurts!"

"Come on, I haven't touched you yet. Does it hurt? " Zhang Fan asked after deliberately touching it. At a special moment, the patient is like this, lying on the operating table, everyone is the same.

Zhang Fan looked at the fat man's expression and twisted it secretly. The fat man's face didn't respond.

"At first, he was a little afraid." Then he said to the fat man, "how can such a big man and such a strong body be so timid. Don't worry, it's okay. "

"Thank you, doctor."

"Come on, let's go." Zhang Fan greets Xu Xian.

For manual reduction, the first thing to pull is to pull open the embedded bones first. Zhang Fan turned the patient's wrist and Xu Xian grabbed the patient's elbow.

"Slow down, slow down, slow down." Zhang Fan spoke to Xu Xian. They were like a tug of war, with their hips falling, their waist bent and their hands straight.

"No, use some strength!" The fat man is so fat that his forearms and hands are incomplete.

"My God, it's too hard." Xu Xian said with his teeth clenched, and then said, "Why are your muscles so strong? What are you doing?"

"Yes! I began to shake my spoon when I was a teenager. " As soon as the fat man saw that he wasn't operating on him, he was relieved. In fact, he was worried for nothing. The patient didn't agree with the operation. The doctor was bold enough to force the operation directly.

"All right, all right, hold on, hold on, that's it." Zhang Fan gently pressed the broken part of his forearm with his thumb and said to Xu Xian.

This is really not an easy job. You should work hard in front, from small strength to great strength. When there is a trend of separation, you should always maintain a constant strength.

Muscles are not rubber stoppers and cannot be pulled violently. The bone gap must be slowly opened with a force just greater than the muscle tension. Zhang Fan is a little better. After all, he is a systematic person and has good strength after long-term exercise.

Xu Xian can't do it. When he was at school, in order to talk about the object, he lived frugally and made himself like a stick. When he worked, he bought a house and was ready to get married. He was reluctant to eat and drink, so he didn't get fat.

At this time, Xu Xian was sweating and holding on with her teeth. Just ten minutes can make a man sweat directly. You can imagine how much trouble this job is.

"Xiao Li, open the C-arm." Zhang fanmeng shouted. Orthopaedic surgery has an observation room more than other operations, a small house isolated by lead plate. The door is more than ten centimeters thick. Not loud. Xiao Li can't hear you.

This almost scared Xu Xian out of his hand.

"Buzz! Buzz! Hum! " The C-arm was activated, just as thousands of mosquitoes took off. Then the image appears on the display next to the C-arm.

An image like an X-ray is just real-time“ Hold on, don't let go. " After Zhang Fan said a word, he began to reset.

Relying on two big fingers, Zhang Fan made the angled bones reset little by little. The thumb should work hard, and the body should also cooperate with the left and right slow movement to make the fracture form torque.

This action is too hard. The hands should be pulled stably, the body should move, and the two thumbs should be reset. Zhang Fan also insisted on biting his teeth.

It's too fat. The thick fat and the muscles that have been practiced for many years have directly crushed Zhang Fan and Xu Xian.

After more than 40 minutes, Zhang Fan's hand began to shake a little, "OK, don't move, Xu Xian put it slowly. Slow down. " Through the monitor, Xu Xian also breathed a sigh, and the fracture was finally reset.

It's still very dangerous now, because this fracture is like a broken chopstick. If you move a little, it may deviate again.

"Bandage!"

Xu xianlisuo, who let go of his hands, brought the bandage“ Bandage. Screw! "

Finally, the plaster was put on, and the fat man left with great thanks. The cost: 80 manual reduction, 230 anesthesia and 120 materials. Doctors' skills are the least valuable.

"No, I'm tired. I'm going to sleep." Xu Xian said with his head down. Although Zhang Fan is a little dizzy, he hasn't reached that point yet. "You won't, where can you sleep?"

Zhang Fan didn't take it seriously. As a result, the next morning, Zhang Fan was too tired to get out of bed, tired, very tired. Working under the radiation for more than 40 minutes, I thought it was Hello Kitty.