Chapter 438

Name:Medical road Author:臧福生
"Come, sit down, don't stand, let's have a good chat. What's your last name? " The expert kindly asked Zhang Fan.

"His name is Zhang Fan. He is the mainstay of surgery in our city hospital. Old Lu, who is a student of Bluebird surgery, has also come to the city hospital these days.

Moreover, Professor Li Housen, an expert in the capital burn department, also came to our hospital to carry out the laboratory of skin transplantation.

Professor Zhao Jingjin's portal system experiment has also been carried out in our hospital. These works are led by Dr. Zhang. "

Before Zhang Fan introduced himself, Ouyang chopped it! Chop! Chop! Zhang Fan was promoted several grades from an ordinary young doctor in an instant.

Although it is true, it is exaggerated. Zhang Fan takes the technical road in these experiments, not good at research.

But Ouyang's meaning is also obvious. Don't think about digging people. Experts in the capital, Bluebird and bird market have failed. Don't think about it.

"Hehe, really? Academician disciple, or ancestral disciple. It's great. It's a pity!" Anyway, he and the local hospital are not a system, and he doesn't worry about what is annoying or not. He doesn't care. After seeing Ouyang's face red, he then said, "come on, Dr. Zhang, talk about war wound surgery."

"Where to start?" This subject is not a small subject. Zhang Fan really doesn't know where to start.

"From what you know, we have more time. Let's have a good chat. Now the superior is discussing the establishment of military hospitals in border areas.

It's better to give this fund to local hospitals and let them develop. Therefore, as a member of the expert group, I also have the right to know the level of doctors in local hospitals first. "

As soon as he said this, hey, Ouyang, who had been smashing the field and withdrawing the stall with his eyes up, quietly took back his momentum.

"Go, pour some tea for the experts, turn on the air conditioner and talk slowly. Don't worry. Send someone to take notes. It's not easy for experts to come down once. We should form a summary of the meeting. "

Speaking of Ouyang's snobbery seems to say, but speaking of no snobbery is clearly a manifestation of snobbery. If there were not chairs in the conference room, it is estimated that there would not be even a place for these experts in front.

At this time, Ouyang poked directly to the end to form the meeting minutes, as long as the superior had this intention.

The city hospital is in front of other hospitals! You see, we even need the meeting minutes of the expert group. Do you mean not to give the project to our hospital!

That's what the old lady thought and was going to do.

Before that, drink tea? Think too much. Don't tea count as office expenses?

Zhang Fan almost covered his face. He also saw that the old lady was too philistine. He is still young and thin faced.

"Speak quickly, have a good chat with experts and ask for more advice!" Ouyang patted Zhang Fan on the shoulder and added some strength, which means: do well.

After thinking about it, Zhang Fan said:

"When it comes to war wound surgery, we have to say the origin. The earliest medical books on war wound treatment appeared in the 11th century BC. Zhou Li in China appeared, among which" choosing medicine "came out. This is the earliest known and systematic surgical classics in the world.

The classic books on the treatment of war wounds in the cold weapon war are the Jin Chuang monograph written by Liu Juan Zi during the northern and Southern Dynasties of China, which was also a must read book for surgeons in the early years.

After the emergence of firearms, war wounds have undergone qualitative changes. In the 18th century, Dr. deasult, a French surgeon, first proposed that firearm wounds should be cut and expanded to remove necrotic tissue and foreign bodies in the wound without initial suture. So far, this theory is still the classic standard of war injury.

His student Larry established the first battlefield rescue team in the Napoleonic era and adopted the principle of rapid rescue. They are both teachers and students. They are regarded as the ancestors of war wound medical treatment.

What really changed the treatment of war wounds was Professor Pasteur, a French microbiologist. He adopted the heating sterilization method, which is now called pasteurization. This theory constitutes the theoretical basis of surgical disinfection.

According to Professor Pasteur's theory, British professors continuously sprayed carbolic acid on the operating table to significantly reduce wound suppuration. Then Professor Pasteur's theory was carried forward.

The two World Wars made great progress in war wound medicine, and the modern war wound surgery compiled by Academician Li Ao of China has also become the symbol of the establishment of war wound surgery in China. " Zhang Fan began to speak with a little memory.

"You can know this. I guess you've seen a lot of surgical classics?" Experts from the general hospital were really surprised. Let alone the level of surgery, it is estimated that this amount of reading can teach the history of medical development in medical colleges.

Zhang Fan was embarrassed to scratch his head. "He didn't read all of it. He didn't read classical Chinese and some foreign languages. Classical Chinese can also guess and bring Mongolia. He has seen some translated versions of war wounded foreign language classics. It's too hard to read the original version."

Zhang Fan has many medical books in the system. Most of the classics that can be recognized by the system have no translation as long as they are foreign. So, Zhang Fan looks very hard.

"There should be no tea element in these classics. You read it in Qingniao. After all, it's still a big city! What about you? Are you involved in war wound ballistics? " Zhang Fan really aroused the interest of experts from the general hospital.

When it comes to this problem, Zhang Fan also began to correct himself. He built a car behind closed doors in the system. There are many classics in the system. There will be no explanation in the system where there are disputes.

There are some controversies. Zhang fan can also see clues from the systematic surgery course, because the results of some controversies are not reflected in the surgery at all.

Other controversial conclusions will appear in the surgery course. Although the frequency is different, human life is crucial, so Zhang fan does not dare to determine that it is right in general or blindly.

Now there are more professional experts in this field, which is just an opportunity. Naturally, Zhang fan can't let go.

"Trauma ballistics should not only explore the injury mechanism of projectiles such as warheads and fragments, but also consider the special effects of special environment, such as the characteristics of firearm injury at high altitude.

For example, landmine injury can not only produce local injury, but also form systemic contusion concussion syndrome. Antibiotics and surgery should be given within 1 hour after injury, so as to limit the continued necrosis. The injury mechanism of firearms can be divided into five categories.

The first is direct cutting and crush injury.

The second is to form a homeopathic cavity. Equivalent to tearing and collapse of tissue.

The third is shock wave. This injury is very controversial. Some experts believe that this injury has little effect, while others believe that this injury is fatal.

Fourth, secondary missile injury. If the damaged bone stubble becomes scattered, secondary injury will be formed.

The fifth is blood flow interference. The huge energy generated by firearms in the body immediately leads to the collapse of peripheral blood vessels and the formation of blood flow interference waves, such as lower limb injury and punctate hemorrhage of heart, brain and lung.

... "Zhang Fan said that the expert listened and explained with a voice from time to time. They were happy to talk. The hands of the medical department officer were almost broken," MMP, what are you talking about, so many words! "

"I can't explain and can't explain some of your problems. There are thousands of injuries, and there is no best treatment, only the most appropriate one. This requires you to summarize in your work, how to be the most appropriate and how to be the most effective.

This is the so-called medical experience. It's not a short time. I think it's very effective for your abdominal surgery. You get the maximum curative effect with the least damage. It's good. You are a little qualified to sum up experience.

How about whether you are interested in joining the army? The army is a melting pot for training talents, and this kind of war injury can only be seen by the army. You can take the special talent channel as long as you like. How's it going? "

"There is no war now. In fact, there are many such injuries in places. There must be more fights than wars! Besides, he has to preside over tens of millions of scientific research projects, and he can sum up experience in local work. " Ouyang didn't like it. Why did he dig a corner with his words.

Zhang Fan doesn't really want to. The rules are too restrictive.

"Hehe! I still like surgery. I like all kinds of surgery. It's too single and boring. " Zhang Fan said with a smile.

Ouyang was not in a hurry. He picked up the boss's cup and took a sip of Astragalus water with great momentum. The bitter old lady bared her teeth, but her smile remained unchanged.

"Oh! In fact... "The expert paused for a moment. The general hospital also wants face. Even if he doesn't come, he is no less than one of the best talents in the army.

"However, we can find a time for you to give a lecture in the general hospital and talk about your understanding of ballistics. Although you are taking a wild road, you are almost out of a Roman road. Giving a lecture can also broaden your thinking."

"Me? Lecture? Well, I haven't talked about it. I don't know... "Zhang Fan is a little timid. He has to be a long-term scholar to give lectures in large hospitals!

"Why didn't you give a lecture? Didn't you give a lecture for the medical practitioner examination in our hospital. And the last huge liver tumor operation, doctors from all over the region came to listen to you. They didn't speak very well. They can't be too modest. " Ouyang put down his cup and began to correct it immediately.

"Grandma, which one can compare with this!" Zhang Fan is almost crying.

"Hehe, they are all the same. That's it. Recently, let's make an appointment and you will come to the general hospital to report. It can also be regarded as a side drum for local hospitals. "

The expert is a firm supporter of local hospitals. He believes that re construction is a waste and rational application is the best method.

"No problem, please ask the experts of the superior hospital to set the time, and our subordinate hospitals will fully cooperate." Ouyang directly began to finalize the time with the experts, and incidentally, the municipal hospital has become a subordinate Hospital of the general hospital!

"Next Wednesday, I'll give you a few days to prepare. I hope you can conquer me like today and give a wonderful report next Wednesday to conquer more experts. Young man, work hard! "

Ouyang took Zhang Fan and a group of people from the medical office and personally sent the expert group away.

"Hehe, I knew it. I knew it. Good job. I'll give you a few days off. As long as you do the surgery in the laboratory, the rest of the time is at your disposal. If there are no special circumstances, the hospital won't call you anymore.

I'm going to prepare the submitted materials and apply for the position of assistant dean! "

"Dean, no, i..." Zhang Fan didn't want to be an assistant to the dean. The assistant to the director of orthopedics was enough!

"Well, you're too young to be the dean. You don't have much power to be the assistant dean. Doctor, how can we do well without a holistic view. This position is the best platform to exercise your overall view. Hurry to steal fun! "

Without waiting for Zhang Fan to reply, Ouyang took a group of people away. The director of the medical department looked at Zhang Fan with complex eyes, "assistant dean! One day, the youngest president of the municipal hospital came out. You can't shout Xiao Zhang anymore! "

The others left, leaving Zhang Fan standing on the side of the road“ Why is this the dean's assistant? "

There is still a little freedom in the government's jurisdiction over the medical system. It is estimated that it is not a big problem to casually discuss Ouyang's proposal at the meeting.

Zhang Fan, who came home, hasn't reacted yet. The assistant director of orthopedics is actually the team leader, that is, the hospital leader.

The assistant dean is a serious job. As an old saying goes, this is tantamount to becoming a cadre.

"What's the matter? I'm eating in my nose." Shaohua smiled at Zhang Fan, then wiped his mouth with a paper towel, "I'll do it myself, I'll do it myself." Zhang Fan looked at the old couple and was a little embarrassed.

"Well! Cough, cough, have you finished eating? The news broadcast has started. Go and watch TV. " The old lady sent the old man away directly. It seems that the young couple have something to say. What's the matter with his ears!

"You, hum!" The old man tilted his mouth, put down his chopsticks and left.

"Zhang Fan, here, I got you some water radishes. You can eat them as cold dishes. I'll wash the pot in the kitchen." With that, the old lady pulled the kitchen door back.

"What's the matter? Absent-minded. Are you tired? " Shaohua looked at Zhang Fan with concern.

"I'm going to report to the bird city general hospital next Wednesday!"

"Really, ha ha, little stone, you're great. Now you're going to report to the general hospital? God, hurry up. Don't eat. I'll take you to buy a suit. You can't wear t-jeans to report! "

Shao Hua is happier than Zhang Fan. The bird market holiday is also a second tier city. How awesome it is to report in the best hospitals in the second tier cities! How can Shaohua, who was born as a civilian, be unhappy.

"Well, no!"

"Don't use anything. Listen to me. I'll clean you up. It looks like an expert Professor!" Shaohua began to look forward to the way Zhang Fan was dressed by her.

"Let's go!" Shao Hua began to urge!

"One more thing!" Zhang Fan is a little uncertain, because he doesn't know if it's Ouyang, that's all.

"What's the matter? Say it quickly. Vientiane exchange is closing!"

"The dean said he nominated me to be the dean's assistant!" Zhang Fanyi said this.

Shao Hua is also stupid“ Assistant dean? "