The medical industry, how to say, is actually similar to writing articles. They all feel that their own writing is full of flowers and other people's shit.
You can scold me for being ugly, or you can say I'm black hearted, but if you say I'm poor in surgery, it's estimated that I'll never stop hating.
In general, only those in the industry can understand and know who is doing well. Although evidence-based medicine in China is not very reliable, we are not blind.
For example, in meatball country, the five-year follow-up of intestinal cancer is called a cow. Whether the surgeon does well or not depends on who has a bright voice and who has great power. Come on, let's talk about the data.
In the early years of Chinese medicine, they studied laomaozi, and later Laomei and marukuo. In fact, most of them studied marukuo.
I don't know why. I haven't learned a bit.
Doctors in Marubeni can only open private clinics if they have the ability. It can be said that other experts have a wide road and can't have a career. If they can't do well in research, they can open clinics to make money.
In China, on the contrary, most private hospitals are of average level, but the treatment of colds is the most powerful. When dexamethasone is injected, God doesn't know what symptoms are gone, which makes people think it's a miracle doctor.
The path of Chinese experts is relatively narrow. In the end, almost all of them are intriguing in their official career. This thing can't be argued, otherwise they have no right to speak.
For example, the capital circle, the magic circle and the later developed largest village level city in China despise one.
When the road is narrow, the competition is fierce. Okay, look at the results!
On the operating table here, Zhang Fan opened the skin of his lower limbs. The blood vessels were like an oil pen core that had not been used for several years. It was full of emboli.
The man's two legs were hopeless and had to be amputated as soon as possible. A woman's one leg and one arm are hopeless. She should also have an amputation as soon as possible.
The price is too high and the price is too tragic.
Destruction is always easier than construction.
The family also died and signed the operation signature.
Amputation, in fact, is not a major operation.
Once an electric saw is put on, just like a wood furniture factory, bones are not worth mentioning in front of steel.
Many people will say that the bones are good and the muscles are good, so we can't save them again?
To tell the truth, if the bone is broken, the doctor can't fix it internally, but can fix it externally. If it can't fix it externally, there will always be a way to graft it.
The muscle is broken. It's a big deal to cut it. In the future, it's only a pit at most. After the patient can drink two liang, he bragged in front of his friends, "see, this is the mark of Laozi's bloody street in those years! At that time, which machete was called a sharp...... "in fact, only he knew what was going on.
But once the skin of the body is damaged and cannot be transplanted, it can be said that how much skin is damaged, how many bodies must be cut off.
For many injuries, such as scalds and crush injuries, the doctors worked hard to protect not the inner muscles and nerves, but the outer skin.
If this layer of skin is gone, there is nothing in it. I can't keep it.
And if there is a problem with blood vessels, it is also very serious.
Nerve damage is amazing. In the future, this place will shrink. For example, some people have a stroke. Slowly, one side of their face seems to have been given a weight loss needle. There is less and less meat, which has become an awl face.
In fact, this is used for advance, waste and return.
But if blood vessels are damaged in a large area and cannot be transplanted, how many blood vessels are broken, how many bodies must be cut off.
Because this thing, without blood vessels, there will be no oxygen nutrition. Without oxygen, cell tissue will die. Over time, it will become rotten meat, and then endless infections will rush forward.
So when the skin should be protected, it must be protected! The ultraviolet light is strong. It's time to apply sunscreen. Apply a little.
When you want to pay attention to blood vessels, you must pay attention. When you can eat less sugar, don't eat with your mouth closed. You can't die of greed.
Amputation is simple, like a willow with skin. Where the skin is bad, the bones should be cut off a little more, otherwise the skin can't wrap the bones and tissues. This thing is not like chopping meat. It cuts off the belt and bones.
Just like the clothes in the early days of China, the cuffs should be longer, otherwise the family will be poor.
The part of the skin that grew out was originally cylindrical, but turned into two pieces of skin.
At this time, it is necessary to sew, just like pinching dumpling skin. The distance between stitches must be the same.
Otherwise, the stitched muscles will bulge out and throw out, just as the meat stuffing of dumplings is exposed.
The dumplings show the meat filling. It's nothing.
But if a little meat is exposed at the amputation place, it will be a big trouble in the future.
First, the infection is controlled. After the scar tissue is covered, this place is like a switch.
If you touch it gently, it will hurt. If you rub your clothes, it will also hurt.
Therefore, Zhang Fan is holding a curette, Xu Xian is holding scissors, and Lao Gao is holding a brush.
Pig's trotters are as like as two peas and they can't see a little bit of residual meat and blood vessels and nerves.
After cleaning up the wound, we must pay attention to a round and round suture without edges and corners.
Just like the furniture in kindergarten, the edges and corners should be sewn into ellipses.
The suture effect is the best. After the scar on the stump is healed, it must be round like the head of a turtle. Otherwise, it will hurt like a barb. Rubbing will hurt. It is also an obstacle to the installation of prosthetic limbs in the future.
Although it's not a major operation, it's quite time-consuming.
The hungry doctors had to fill their stomachs with glucose solution to slow down.
After the operation, looking at the parents who were crying and fainting with empty trouser legs, everyone felt bad. The original contempt was also diluted by the sadness of their family.
"Ouyuan, what's the matter?" Zhang Fan dragged his lead filled leg out of the operating room.
Too tired, this day is too full.
"Hey, I don't know what to say! Go to the office first. Dean Gao, you too. "
After entering the office, Ouyang said so. Zhang Fan looked at Lao Gao. "What's the government's opinion?"
"No problem, follow the superior's arrangement!"
"Hehe, we all know it's a piece of fat!" Lao Gao smiled.
"Is the other party sure we need surgery?" Zhang Fan's focus is different.
"Didn't say, that is, if you are willing to go, give feedback to others."
"The European Court, my opinion is that we must ensure that there must be five places, including me and Secretary Ren. When we went to the rescue, we didn't complain or shrink back for fear of an accident.
Therefore, those who should go must let others go. I'll leave one of the remaining three places for my foreign-related master brother to participate. As for the last two places, we don't worry about who we love. "
When I first went to the rescue, the director and deputy director of general surgery also went to Saudi Arabia. This time, I didn't say whether to have surgery or not. As long as I had surgery, Zhang Fan was the main knife. There was no problem for the two directors to be assistants. I arranged the master brother just in case.
As for pulling your master or martial uncle, it's probably impossible. And there's no need.
"OK, I think so too. Since you agree, I'll report the list. Don't attach your signature. Dean Gao and I can write our names on it.
What do you say, high court! "
Lao Gao was silly. It turned out that the woman was waiting for him here. She thought that the old lady had relaxed her hands pinching his neck. As a result, people didn't think so at all.
"I......" Zhang Fan looked and hurried to speak.
"Cough! Cough! I am also the president of the hospital! " As soon as the triangular eye stared, Zhang Fan had no choice.
Lao Gao nodded helplessly.
"Protecting young people is what our old friends should do, right, the high court."
"Yes!" His teeth are broken. Isn't Lao Gao willing to protect Zhang Fan and them? To tell you the truth, Lao Gao is absolutely willing to.
But the feeling of being forced is really like being X by a dog. It's not good! What a bully!
Ouyang has figured out everything! Annoying, come on, my old lady is waiting here, but I can't make Lao Gao comfortable. Recently, Zhang Fan released Lao Gao, which made Ouyang uncomfortable.
Although the mouth does not say, but seize the opportunity, a hammer still has to knock.
It is estimated that this is the so-called politics.
"Director, it is..." out of Ouyang's office, Zhang Fan said to Lao Gao embarrassed.
"Hey, nothing. Don't mind. After fighting for half my life, if there is a sudden change, I still feel uncomfortable.
When you go out this time, don't have too much pressure. It's yours. It's yours. It's not your demand, but it's unsatisfactory. "
Lao Gao clapped Zhang Fan on the shoulder with a faint sense of interest.
Zhang Fan doesn't care about the two of them. To tell the truth, Lao Gao and Zhang Fan bring another Ren Li, which is not enough to give Ouyang shoes.
Dragging the steps that are estimated to be a little edema, Zhang Fan returns home.
It's really good to have a wife. Zhang Fan was so tired before. When he was single, he went back to the dormitory and fell into bed. If he didn't eat, he had to sleep first.
Now, Shaohua looks at Zhang Fan's tired face and feels distressed like an old hen protecting her chicks.
"Have a mouthful of soup first!"
"I want to sleep. And I want to tell you good news. "
"Let's not talk about the good news. You look tired and your mouth is peeling. Why are the socks wet. I'll pour you some hot water, you bubble your feet! "
Shaohua doesn't care about good news or bad news at all. She only has tired Zhang Fan in her eyes.
really To bear, Zhang Fan has to bear, to love, Zhang Fan's love for her is not vigorous, but like the spring breeze, a SIP is sweet. Zhang Fan doesn't worry about anything at home, but Shaohua doesn't feel difficult at all.
Even Shaohua's father's relatives and mother's relatives now surround Shaohua's family as the center.
Although he didn't hope to have such treatment, looking at the happy appearance of his parents, Shaohua couldn't express his pride. This is my man, the man who sheltered me from the wind and rain.
Holding a little swollen foot, like coaxing a child, Shaohua coaxed Zhang Fan to sleep early.
It is estimated that Shao Hua is already reading childcare books and is becoming more and more skilled.
"In a few days, I'm going to the UAE for consultation!"
After Zhang Fan finished, he fell asleep gently.
I'm so tired.
"Hey!" Shaohua gently covered Zhang Fan's stall, stared at his slightly dark face, and then sighed.
I don't know whether I want him to be more and more skilled or ordinary.
Contradiction!