Chapter 721

It's not easy to be a doctor. Apart from others, whether a patient can see his own disease or not is very exquisite. A doctor's basic skills can't open intravenous injection for all colds. Of course, it doesn't count.

It's not easy to be a doctor, and it's even harder to be a good doctor. If you want to be a good doctor in a small hospital, as long as you work hard, you will always come out.

When you see a doctor at work, when you get off work, find all kinds of information journals to study, and seize the opportunity to study, you will always be recognized by the hospital or patients.

But when you go to a large hospital, especially the top ministerial level third-class hospital, there are only two kinds of doctors in this hospital, those with good talent and those with general talent.

Effort is the basic survival skill of doctors in these hospitals. Doctors who can enter such hospitals almost boil their liver to the point of master's degree and doctor's degree.

That's it. If you don't work hard, you won't be able to keep up with others. Hospitals are also trying to make doctors work harder.

In fact, the first time a resident doctor was in the inpatient department, he listened to and implemented the doctor's orders of his superior doctors, closely observed the patients and learned.

But the hospital doesn't explain that. A resident, a resident, is a doctor who lives in the hospital!

When we arrived at the main treatment, the hospital still felt that we could not let go, and another inpatient general manager came out. All the inpatients lived in the hospital. They were not allowed to eat and drink. Were Lazar in the hospital?

With such hard work and dedication, in fact, most doctors work in top hospitals in order to keep up with others and not fall too far behind.

When we really reach the top medical peak, the importance of talent is reflected incisively and vividly.

Suturing, the simplest skill of a doctor, can be almost mastered after a few weeks of practice in general hospitals and doctors.

But not at the top hospitals. People can sew the inner membrane of eggs without a microscope. Some people have sewn thousands of eggs, but they still can't get them down.

With this technique, the suture of nerve sheath will be handy. This is the basic skill of the doctors of the top hospitals.

Is this because the doctor doesn't work hard? Some doctors in order to practice this technology, the whole family eat eggs into cholesterol exceeding the standard, but they just can't take it down.

What is this? This is talent.

Dr. Ye is a very talented doctor in Shanhua hospital. How many people and hospitals are there in China? It's not easy to make neurosurgery famous in these hospitals. Don't even think about it if you don't have any talent.

This kind of hospital is like Tsinghua University and Peking University in the student era. Of course, the top departments of this kind of hospital can't rely on extra points and their own fathers.

Because it's not worth it, he will be despised when he comes in and will be looked down upon by others. If he has the ability to enter such a hospital, he won't enter the Ministry of health as?

When Dr. ye saw Zhang Fan's main knife into his abdomen, he knew that this young man was not simple.

Just like a good thing, it looks very comfortable.

Zhang Fan's operation is too fast. The knife passes through the hand pad, layer by layer, knife by knife, hands do not stop, feet do not mess.

The bleeding place has long been prepared in advance, and the place where the line should be hung will never be remembered in front of us.

One move one by one. The knife is not redundant. There is not even a trace of redundant action.

What is fast, this is fast, coupled with the accurate cooperation from eye to hand.

Doctor Ye's heart was also put down. If Zhang Fan's technique is poor today, it is estimated that Dr. ye will be angry.

"Old Wu, which student of yours stuffed this doctor into it. It's good. It's a good seedling!"

Not in a hurry, he said to Wu with a smile.

"Hehe, this is my martial nephew, disciple of Qingniao Lu courtyard!"

"Oh, oh, academician Lu's disciple? So young! No wonder, no wonder! "

After a few words, doctor ye said to Zhang Fan, "young man, my name is Ye Yun, the leaves of leaves, the clouds of white clouds, what's your name!"

This is a recognition of Zhang Fan. Otherwise, this talented doctor not only has talent, but also emotional intelligence. He can also become a director, but also the divine director of magic capital Shanhua. Be good, don't be too arrogant.

"Oh, Hello, Mr. Ye. My name is Zhang Fan, Zhang gongchang..."

Zhang Fan learned from the other party to introduce himself while doing the operation. He reported his name last time, but the other party hadn't heard of it. His old face was blushing. This time Zhang Fan learned well!

But before he finished, Dr. Ye directly interrupted Zhang Fan.

"Zhang Fan? Which Zhang Fan has gone to several departments in foreign affairs? " Dr. Ye's mouth opened.

"Er!" Which strange thing in Zhang Fan's heart is like a mouthful of white steamed bread.

In Mordor, although many top hospitals don't pay much attention to foreign affairs, the technology of foreign affairs is actually a little poor.

It can't compete with other hospitals in Mordor, but it still has some cards in China.

And many foreign doctors are Dr. Ye's classmates and friends. A few days ago, Zhang Fan suddenly made the doctors in the foreign-related hospital unable to get down. At that time, the doctors outside God were ready to call Dr. ye to face up.

At the beginning, the foreign-related doctor didn't mean well to tell Dr. ye that the other party was a hairy boy. This time, Dr. Ye was surprised. He was too young.

"Ha ha, the dean of his elder martial brother, ha ha!" Old Wu smiled as if he had eaten a pistachio.

"Oh, are you a general foreigner? There is also dabbling outside God? " After hearing Wu's explanation, Dr. Ye stared at Zhang Fan's back skull as if he didn't believe it.

For the preparation before entering the abdomen, blowing a calf, even if Zhang fan can do it with his eyes closed, so Zhang Fan smiled and said gently, "Hmm! God's surgery is not done much. "

"Not much! Darling, if you do more, you'll pay back! Mr. Wu, the director of my classmate's foreign affairs department.

He told me that a patient with intracerebral hemorrhage, Dr. Zhang Fan, was pulled into the operating room after physical examination without CT.

Said that after the operation, the patient woke up directly. At that time, I thought I was an expert outside God. Unexpectedly, I didn't expect it to be a general foreigner! "

"Ha ha..." old Wu wanted to speak. As a result, Zhang Fan said, "I've entered the abdomen, duodenal bleeding, hemostasis!"

Old people love gastric ulcer, young people love duodenal ulcer, but stress bleeding, no one can guarantee where to bleed.

"Hemostatic forceps, drop the line." Once entering the critical moment, regardless of the size of the operation, Zhang Fan will go all out. This is not to repair the machine. There are replacement parts after repair.

When Zhang Fan entered the state, there was only surgery in his eyes. What greetings and politeness were all forgotten behind his head.

"Adjust the light, the light is not good!" The cold voice in the tone kept mobilizing the operating personnel.

……

"I hear you're going to Zhibian this time?"

"Well, I'm going to the vice high school right away. I can't be promoted without supporting the edge. Are you going too? "

"Where are you going?"

"I'm going to tea."

"Me too! ~"

Fang Dong's two doctors chatted.

The local specialties pulled from tea vegetables were scattered in the hospital like those without money.

"Director Lu, look at this raisin. It's good. Don't spit. You must chew it and swallow it. It's good for the prostate.

I'll tell you, you can't buy this kind of Raisin in magic. It's specially for going abroad to Europe and America to exchange US dollars and euros!

The scenery of tea is definitely the style that no one has ever polluted. Where is the mountain and where is the water? To tell the truth, it's called

When you go, it's a paid vacation, just like going to northern Europe. "

The director of the tea element medical office fooled the magic people with the top raisins in southern Xinjiang.

He is Zhang Fan's pioneer. He sprinkles flowers and gathers up doctors who want to go to support with small favors, but he can't do with some highly qualified doctors.

"Well, the vice High School of liver and gallbladder doesn't want to go to the snow mountain. Hey, don't we have a snow mountain? Xiao Chen went to inquire about the director's hobbies. So that Zhang Yuan can be prepared. "

"Well, good director."

……

The director of the tea element medical office begged all over the world, and the medical device manufacturers all over the world begged him.

"Leader, try it. This is the ice cream I just bought from outside. It's very comfortable to eat in this weather.

Tell Zhang Yuan about it. Although the equipment outside is not well-known, it is valuable in its high cost performance. "

……

As Zhang Fan is about to leave the magic city, some equipment manufacturers with ideas are as confused as big headed flies.

"The jade I bought for you, younger martial brother, I asked specially. It's very good Tian Heyu. People have helped so much. What do you think we can give you?" Master brother's daughter-in-law chatted with master brother.

"Send a better set of surgical instruments?" Master brother spoke to his daughter-in-law in a puzzled tone.

"Hehe, don't you see that famous equipment manufacturers are around people these days. Can you give me some constructive suggestions? "

"Well, what do you say!" Master, I don't like it anymore.

"I think so. I bought a better watch for my younger martial brother. I didn't find him wearing a watch when I met him twice."

"Well, yes!" Zhang Fan's master brother nodded grandly.

"Isn't he getting married soon? I bought a set of cosmetics for his fiancee last time I went to Europe. This is almost a little better than... "

"OK, you can't count like that with younger martial brother."

"Look at you, you can't let junior brother suffer. Let me tell you... "

Master Zhang Fan's ear began to hum.

……

In the operating room, Zhang Fan began to stop bleeding. There is a saying in the medical community that in the face of a poor doctor, the only weapon for patients under anesthesia to resist is bleeding.

Bleeding, surgeons have a variety of different levels of surgical hemostasis. For example, doctors with poor flexibility chase every blood vessel and every red blood cell.

With an electric knife, I want to roast all the fat into charred mutton kebabs, and I want to burn every exposed tissue and organ with a soldering iron.

This is one extreme, and the other extreme is butcher surgeons. Their creed is that bleeding will always stop.

Therefore, in the bloody surgical field of vision, they move forward bravely to stop bleeding? No, the patient can automatically stop bleeding by relying on the coagulation mechanism!

In fact, the best coagulation factor is the surgeon. There is diffuse bleeding. The full surgical field of vision is like being surrounded by blood. There must be something wrong with the vein.

When the bright red blood soared to the ceiling, it must be an artery injury.

The more severe the bleeding, the more calm the doctor must be. Once the doctor is confused in the face of bleeding, he doesn't have to think about it. The patient has to hang up.

At this time, doctors should first judge whether it is arterial bleeding or venous bleeding, and predict which part of the blood is bleeding.

This is the prerequisite for rescuing bleeding patients. If these two preconditions are ignored, like big headed flies, the patient can directly slide into the triple sign of death (acidosis, hypothermia and coagulation disorder)

Once you enter this field, it's too late.

As soon as Zhang Fan entered the abdominal cavity, he judged the bleeding mode and location.

This way of judgment depends on a lot of surgical experience, human body planing and human physiology. It is definitely not a chicken shaking the dice to guess the size.

Step by step, step by step, and the accuracy of guessing can hold the patient sliding to the abyss on the line of life and death in advance. The doctor who can hold the patient before the line of life and death is the most handsome doctor.

"Electric knife!" Zhang Fan's hand, like the palm of the Tathagata God, went down with a fist and directly pressed on the bleeding part.

After holding his fist for 30 seconds, the anesthesiologist looked up and said, "blood pressure is rising!"

In this sentence, we don't have to doubt or question. Zhang Fan's judgment is quite accurate.

"Doctor Zhang, don't use an electric knife. We have an energy transmitter!" Dr. Ye quickly reminded me.

This is where the cattle force in large hospitals lies. In order to stop bleeding, suture must be used to ligate and suture, just like the old lady sewing crotch. It should be both beautiful and practical.

Or use gelatin sponge, collagen hemostatic net and other things, just like sandbags to block dams, with a large amount of advantages.

And others directly have more advanced things, ultrasonic knife! What is this thing.

When this thing was invented, it was to stop bleeding.

As a result, I don't know why it didn't carry forward in hemostasis. Instead, it was regarded as an artifact in beauty. It is said that it was taken to wrinkle by the beauty salon, just like Viagra, which surprised the inventors.

In fact, it uses high-energy sound waves to go deep into the skin for repair. At the depth of about 1.5.6-4.5mm under the skin, it forms a focusing surface through RF electric field, strongly impacts the dermal tissue, and produces an electric field aggregation effect on the dermal tissue, so as to raise the subcutaneous temperature to about 60-75 ℃, ensure that the heat is in the dermis, and then let the blood vessels contract and close the muscles.

Generally speaking, this thing is a directional microwave oven, just like the microwave oven used to thaw cold meat at home. This thing is used to stop bleeding, and the effect is also very good.

"Oh!" Zhang Fan looked at it with a probe like a curious baby. He can't use it!

Many people have a sense of rejection of new technologies, especially the higher their status, the more they reject themselves and don't understand. In fact, this is timidity, which is a manifestation of aging.

Zhang Fan couldn't. He wanted to move Shanhua's operating room, so when the other party said that he had new equipment, he immediately handed over the position of the main knife to his martial uncle.

Then, he stared at the master's operation with bright eyes and watched the master's operation without blinking from beginning to end.

When the hemostasis was completed, before Zhang Fan opened his mouth, Shi Bo spoke first: "this is American! I can contact you. "

Mrs. Wu knows Zhang Fan, and the more she is about to leave the magic city, the more Zhang Fan behaves like a landlord rich man. Walking on the road, she wants to get back tea!

Suturing, Zhang Fan thought of Dr. Ye's suturing technique. After thinking about it in his mind, he began to sew like a cat.

"Hi! The boy stole the teacher! "