Chapter 839

From a technician to a comprehensive technical manager, the transformation of mentality is not made in a day.

Not only my mentality has an adaptation process, but also the mentality of colleagues, friends and family.

When Zhang Fan first became the assistant director of orthopedics, Lao Gao once said to Zhang Fan.

The mentality of managers in the medical industry is different from that in other industries, which is very changeable and complex.

Zhang Fan didn't understand at the beginning, but now he finally has a little understanding. That is, the technicians are out of control.

This is not the personality of a two person doctor, but the commonness of the whole industry.

Just as some little doctors and nurses secretly call Zhang Fan to buy Jiang for the black.

Among the names of famous ethnic groups in the frontier, buying and buying rivers is not necessarily the most, but for the Han people, buying and buying rivers is the most catchy.

So, I don't care how you come, I only go all the way. When he called Maijiang, he became Xiao Ming of the Han nationality in the frontier.

The little nurse called Zhang Fan to buy a river for the black, which is rich in a trace of worship, strange but also hope to be familiar with.

The little doctors called Zhang Fan black buy river. Most of them were jealous and unwilling to admit it.

The same young man, the same undergraduate, why is he so powerful?

It's probably because he's black!

Zhang Fan doesn't mind a thing at all. Now he is like a king, constantly patrolling his chassis and constantly exploring the materials that can be made.

It is too difficult to find talents in the medical industry. We must not only work hard, but also have talent.

But also have the mentality of being able to bear great pressure. Not only can you bear pressure, but also your mind is very important.

In this industry, if you have a bad mind and don't have a problem, it's a big problem. If you want to pull up a team and establish a good team, it's not much easier than the improvement of surgical technology.

The patients transferred from the traditional Chinese medicine hospital were scheduled for operation. The day before operation, Zhang Fan held a morning meeting for preoperative discussion in general surgery.

At present, the general foreigners in the municipal hospital have long separated their liver and gallbladder, and although the anorectal department is separated, it is not self-supporting. There are often many operations, and they still need their own general foreigners to send someone to help.

As for vascular surgery, few people go to special research. Firstly, this discipline develops relatively late and has high requirements for hardware equipment.

In the past, the municipal hospital had this heart but not that strength. With Zhang Fan's trip to the magic city, he brought a lot of equipment.

In fact, Zhang Fan also slowly considers the necessity of establishing vascular surgery, so now, Zhang Fan should slowly observe.

Vascular surgery, the real essence of vascular surgery is to dig the west wall to fill the east wall.

Therefore, the macro of vascular surgeon must have a certain height, which is different from other general surgery and specific to a certain organ.

For example, if the appendix is cut, for example, the gallbladder, it is also a truth. Even if the pancreas is the most difficult to provoke, it is still cut.

But blood vessels can't. this thing is a closed ring. If you antagonize the disease in a closed ring, you need the doctor to have a strong overall view.

Therefore, Zhang Fan also began to investigate slowly. If there is no candidate in the municipal hospital, he should cultivate himself.

The morning meeting was very successful, but Zhang Fan's goal was not achieved. The doctors in general surgery were very rude and rarely mentioned conservative treatment.

Although the patient's condition is very serious and the possibility of conservative treatment is very low, everyone's views on conservative treatment are still a little shallow.

For vascular and lymphatic diseases, surgical treatment is a last resort, and conservative treatment is the king.

For example, the treatment of lymphatic diseases started relatively late in China, but with the baking and binding therapy founded by academician Zhang Disheng, the first plastic surgeon in China, the Ninth Hospital of magic capital suddenly became a leader in the cosmetic industry.

In terms of lymphatic treatment, Chinese treatment is still unique.

It is estimated that the old man is also a greedy man. His baking and binding method is similar to that of roast duck.

For example, patients with lower limb lymphedema, first use elastic bandages or tight silk stockings to wrap and pressurize.

Then put it into a special oven and bake it at a minimum temperature of 60 ° and a maximum temperature of 130 ° according to the patient's tolerance.

Even heating can significantly improve the edema of patients, but what is the principle of this thing? At present, we have no final conclusion, but it is effective!

It is estimated that when the old man watched the roast duck rotate and heat, his body contracted, but there was little loss of body fluid, so he was inspired!

Otherwise, there is no way to explain this thing with medical theory.

The old man is also a god! The nine magic hospitals are famous all over the world. The students brought out by the old gentleman almost monopolize the nine magic hospitals.

Foreign treatment methods focus on rehabilitation, that is, manual massage.

What do you mean? Human tissues are actually isolated, such as calf muscles.

These muscles are wrapped together by wear-resistant external molds, just like the frozen meat in the refrigerator. They look frozen together, but they are actually separated by plastic one by one.

Edema is between these muscles. The conservative idea abroad is to open the gap between up and down by massage.

Let the lymph in other places absorb the blocked lymph.

The advantages and disadvantages are obvious. First of all, this physiotherapist must be professionally trained.

This physiotherapy technique is not to step on your back, push oil, and pull down the rolling gate to make you feel comfortable.

This technique is a kind of violent massage. To open the barrier of upper and lower tissues, it is almost impossible to massage the swelling of the legs to the reproductive (a) organs, which will cause natural disaster and directly turn into a cow's head.

Therefore, this treatment is extremely expensive and time-consuming. If the main labor force of a family has this problem, it is a disease that will kill the whole family.

After the morning meeting, Zhang Fan reluctantly smiled and asked the doctors of ordinary foreigners to have a barbecue and massage. It is estimated that these people will never want to.

It seems that we can only choose another talent.

After the patient was sent to the operating room, the little nurse in the operating room looked at the meat jar on the patient's leg and dared to laugh.

The anesthesiologist looked carefully, "Zhang Yuan, spinal anesthesia is estimated not to work. The blood vessel fluctuations in this place are not very obvious, so we need general anesthesia."

"OK! Have you talked to your family yet? "

Zhang Fan answered.

The doctors of ordinary foreigners are more and more thieves. In the morning, Zhang Fan asks questions one by one. Everyone estimates that Zhang Fan may want to find someone to specialize in blood vessels.

Therefore, a group of people entered the operating room, one by one quiet, for fear of being ordered by Zhang Fan to engage in blood vessels.

Forced twist is not sweet. Zhang Fan didn't want them to engage in blood vessels, but it's OK to scare them.

"Blood vessels are still promising. They don't work overtime, have no emergencies and are clean!"

As soon as he said this, one by one, he rushed to work.

Zhao Quanping, director of general foreign studies, smiled and quietly gave Zhang Fan a thumbs up.

"Zhang Yuan, the disinfection is finished. The patient has been numb!" The chief doctor of general foreign affairs flattered Zhang Fan.

"The operation begins!"

As soon as Zhang Fan entered the operation state, he had no other redundant ideas.

The operation of lymphatic vessels is similar to that of arteriovenous vessels.

Although not as dangerous as arteriovenous vessels, the difficulty is not small.

The arteries and veins are one-to-one, but they are different in thickness. If the blood flow can be controlled, there is little difference between suturing blood vessels and suturing rubber tubes.

But lymph is different. When it comes out of the muscle, it is like a mouthpiece. It opens its bell mouth and absorbs it with the movement of the muscle.

Therefore, there are three surgical methods for this disease, and these three surgical methods have not been significantly improved on a large scale since their invention.

In addition to changes in medication, what to do decades ago is still what to do now.

The first, and the cruelest, is direct resection, including direct resection of muscles and lymph nodes.

For example, if the * * rubber swelling is removed directly, men can be scared to death after hearing it.

The second is to promote absorption. In other words, it is to change the way. The third and most difficult one is the reconstruction of lymphatic reflux.

The lymphatic reflux of the lower leg is actually a bit like the posture of Huashan. There is no good way to divert this thing, and the resection is too damaged.

Although most doctors will choose resection, it is hard to say whether the patient's lower leg will contracture after operation, but there will never be edema again.

However, Zhang Fan chose reconstruction, and the reconstruction operation took a long time, so in the morning, Zhang Fan greeted the doctors on the stage in advance.

Eat and drink less. Zhang Fan only ate some steamed bread and a little pickle. He didn't even drink water.

If you don't want to be hungry like this, you have to bring diapers. To be honest, it doesn't matter how advanced diapers are.

The warm feeling on the paper after urination is really uncomfortable. It's like someone spitting on the skin. It can't be wiped yet!

At the beginning of the operation, the meat jar was cut. The tissue inside felt like cotton wool or foamed Tremella.

The skin feels like leather in the hand. There is no flexibility of human skin. It is directly stiff. It is like four pig skins that have been blistered for a long time. It is a pity to bite and spit in the mouth, but it can be chewed for a long time. People don't move and can't leave their teeth.

When the operation is performed on this kind of skin, it's like a person on the snow. Puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, puff.

But for Zhang Fan, no matter how it changes, with a scalpel in hand, thousands of changes do not matter.

"Tooth tweezers!" After cutting the skin, Zhang Fan asked his assistant to pull the skin with tooth tweezers to expose all the tissues inside the lower leg.

It can't be seen inside the calf tissue. Even for normal people, even if they are fat, muscles are muscles and fat is fat in the calf.

After the patient's meat jar was cut, it was like a pile of water and fat pork, with spilled white liquid everywhere.

The muscles don't have the feeling of tendon flesh. It's like being chewed by a toothless old lady for half an hour, and then spitting out the meat with spitting.

As soon as the gauze is dipped, it will bring up a lump of sticky liquid. As soon as it is dipped, it is really like that after the boy became master Lu, he didn't get the paper towel, and all of them feel subcutaneous to his lower leg.

The tissue on the meat jar is white and greasy. It feels like your hand is stuck on it with gloves.

Zhang Fan cut the tissue and looked for lymphatic vessels.

"Zhang Yuan, if you can't, cut it off. I feel that the edema is too severe. When you pinch it gently, it's all protein."

The director of general surgery frowned.

"There's still help. Listen to me. Come on, help me find the right vein."

Zhang Fan didn't talk much or explain much. He directly gave Zhao Quanping a task.

On the operating table, as long as the chief surgeon hesitates a little, there are more and more suggestions from other doctors.

One said left, and the other said right. Therefore, on the operating table, a chief surgeon should also be domineering.

Zhang Fan said that several assistants wanted to talk, but they stopped talking. Keep your head down and carefully look for the right vein.

Lymphatic blockage is a road in Huashan. What should we do? Rebuild, shrink the lymphatic inlet first, and then find a suitable vein to connect it together.

Therefore, a vascular surgeon can handle this operation at this time. The most difficult thing is the connection of blood vessels and lymph nodes.