Chapter 647

Medical treatment is divided into internal and external. When doctors first chose the road of the second half of their life, in fact, most of them were reluctant to do internal medicine.

After almost five or six years or more of medical education, every student has a longing for surgery.

It is because surgical treatment is closer to the psychological needs of modern people: immediate results.

It doesn't take much time to verify whether the operation is OK, whether it can be done, and whether it is alive or not, while internal medicine is different.

Open the book of internal medicine, you can hardly find a disease without sequelae. Even lobar pneumonia needs time to heal.

Therefore, physicians are very particular about medication. Large and small quantities must be weighed scientifically. Drugs are not beef noodles. You eat two bowls at a meal and then don't eat a day.

It will be poisoned! In addition, some private communities and private clinics make a lot of money every winter.

Moreover, the old men and women around the community also very much recognize each other's medical skills. One thing is: Doctor XX in our yard is too powerful. I'll be fine as soon as I lose three bottles of potions!

Is the cold cured with medicine? Cold medicine is just to relieve symptoms, such as nasal congestion, fever and cough. Even if you don't take medicine, you'll get better with a common cold in a week.

If you really recover from a cold in two days, don't go to see a doctor there in the future.

Not for anything else, because he definitely used hormones in the drugs he gave you! A bottle of antibiotics and then quietly into the pot, an ANN of dexamethasone and other hormones, no one knows, but the curative effect is good.

But dexamethasone doesn't say anything else. How big are the side effects of this thing, and this is used to save lives at a critical moment.

At the time of SARS, the medical leaders of the north and the South almost beat out the dog's brain about whether to use this hormone or not.

But some unscrupulous doctors, a little cold, in order to get in and out quickly and make more money, directly put hormones into the pot.

Once there is a history of repeated use of hormones, there may be no medicine available when you have bad luck in the future.

To earn this dirty money, really, you might as well do something else. It's too bad conscience.

Therefore, surgery can not only achieve immediate results, but also make a doctor famous or fail very quickly.

When old man Shan's stomach was cut off, the big guys sitting in the front row were like frying a pot in the audio-visual education room.

It's too accurate. It's so accurate that they can't even think of it. One or two, carefully look at Zhang Fan in the display screen. At this time, they really put Zhang Fan in the position of chief surgeon instead of looking at Lu's face.

The big guys in the front row fried the pot, and then some young doctors in the back row stayed cute.

"What's the matter? What's up? What happened to the big guys in front. There's nothing wrong with the operation! It's very clean. If my Shifu let me start, I think I can do it... "

In fact, the young doctor thought about it in his heart. He didn't dare to say it. He was joking. No matter how bold he was, he was scared to death when he gave a big gastrectomy.

……

After cutting off his stomach, Zhang Fan said to Lu, "master, take a biopsy!"

"Good! Go on, you don't have to worry about this little thing. " Old Lu looked at the remnant stomach cut off by Zhang Fan.

The mouth didn't say, but the eyes were full of shock, even if it was accurate. Zhang Fan still cut blindly, even if he cut blindly, he didn't even hesitate.

What does this mean? This shows that Zhang Fan has a good idea of this operation.

While taking a biopsy, old Lu looked at the little disciple opposite, looking at his serious expression and focused expression.

The old man had a happy feeling in his heart, "it's really lucky. I'm old. God threw me a genius from mid air.

Talent, character, no one can jump stab. It is this bastard who is a little stubborn and has his own attention! "

After taking the biopsy, the old man changed his gloves and continued to be Zhang Fan's assistant.

Before cutting the stomach, although there was a camera on the shadowless lamp, the people in the electric classroom could not see Zhang Fan's operation clearly.

Because a lot of this operation is operated under the stomach, the shielding of the stomach, the shielding of the operator's hand, and the operator's head, you can see really little.

But after gastrectomy, people in the electric classroom can really see the operator's operation.

Hang the line on the esophagus, separate the intestinal tract, and then elongate the intestinal tract originally below and continue on the remnant stomach.

With ease and ease, Zhang Fan's intestines and steaming intestines are just like the fat boss who has sold stewed meat for many years. He is so skilled that he can't put them on the electronic scale. If you want one kilogram, he will never exceed one kilogram or two.

Suture, reconstruction, Zhang Fan's reconstruction operation is particularly clear. It's not sloppy at all. Moreover, Zhang Fan's fixed technique is very classic.

From the later atrophy of the patient's wound to the later expansion of the intestine, Zhang Fan took it into account.

A fixed will make the experts, including Lu Lao, speechless. What can you say?

praise? When seeing Zhang Fan's such means, the experts in the electric classroom couldn't even praise. Because they think that even if they do it, the operation will be nothing more than that.

After the reconstruction, Zhang Fan immediately began lymph node dissection. The second difficulty of cancer surgery has come.

Many cancer surgeries are done very well before surgery. Doctors can cut them very clean, but at this stage.

To tell you the truth, the difference between a national hand and an expert comes.

Lymph, what is this thing like? To be honest, most medical students are vague about this part in their early study.

Because the textbook is too general about lymph. This also shows that human research on lymph is not very thorough.

The shape of lymph nodes, normal lymph nodes are about the size of beige sesame seeds.

Roughly speaking, this thing is actually an intravenous assistant. It flows some blood components and special hormone factors.

Each segment of lymph is like an ischemic vein. It is soft and prone near the veins and arteries. After a certain distance, this thing has a concentration point, the so-called lymph node.

Whenever the human body has a disease, it will swell here, because it also has a function of participating in immunity, especially children. When they catch a cold, a small pimple will appear behind their ears. This is because the lymph nodes become larger and secrete immune factors.

Moreover, the location of this thing, even in textbooks, can only say an approximate location, because its assembly place is very scattered.

Therefore, many times, once the surgery, especially cancer surgery, is not cleaned up, it can be said that this operation is a failure.

Why not clean it carefully and completely?

First, the position is not fixed. Second, there are too many things, just like sesame on sesame cake. Third, its assembly position is generally a very dangerous place, so doctors are frightened when they start cleaning.

Moreover, cancer surgery is very time-consuming, and it is particularly difficult to completely clean lymph nodes in a short time.

When Zhang Fan began to clean his lymph nodes, the experts in the electric classroom sat up one by one.

More than two hours have passed, and the end will begin soon.

"Scraper!"

Zhang Fan directly reached out and asked the nurse for a curette.

"Er!" This time, no one dared to speak out the question. Say it once, you can still say you don't understand. Say it twice, don't we have a card.

Although the experts were surprised, no one said that they had put Zhang Fan in the same position and at the same level.

A pot of face!

"Zhang Fan, don't you separate?"

Lu asked.

"No! And it took too long. Old man Shan probably can't stand it. "

After Zhang Fan said a word gently, he didn't say much more!

Pop! The curette was firmly placed in Zhang Fan's hand, and the bloody gloves firmly grasped the curette.

"Er!" When he saw Zhang Fan's action, Lu's eyes were frightened and his heart shrank into a ball of wool.

……