Chapter 1083

In the operating room, not only the directors came, but even the hospital newspaper of Jinhe affiliated hospital came. They negotiated with Zhang Fan and wanted to make this operation the first independent operation in the hospital. Zhang Fan agreed without thinking about it. Therefore, the hospital reported that director Yang and director Liang were going to be the main knives of the operation.

Good face. People say that men have good face. In fact, not only men have good face, but also women and even units. Especially in the cities near the capital, it's hard to justify bad face.

This kind of thing exists in many hospitals. For example, what level should a hospital evaluate, but it will have shortcomings for a while and a half. Shortcomings are important operations. They will contact doctor Feidao to come over, complete the operation and hang their names.

In fact, this is a good thing, because once it is reported that they will do this operation, the doctor will definitely work hard to learn this operation in the shortest time, otherwise there is no way to explain.

For this kind of thing, Zhang fan understands very well. Who wants them to be in the capital circle? A pool can press all orthopedics around 500 kilometers. Often, many orthopedic hospitals around the capital can't develop anything, so a trauma orthopedic department has emerged.

Because of a slightly more serious disease, the patient's family took the patient to the capital. Who hasn't had three relatives and six relatives in the capital.

In the operating room, when Zhang Fan entered the operating room, he always looked at the patient's MRI and CT results. It's not a moment to sharpen the gun. It's to build the most perfect surgical path in the system. Surgery, medical treatment, it seems that the regulations are very dead.

From the incision to the resection length, experts can accurately determine the treatment scheme of many diseases to mm, but this is just a direction for doctors who are new to the industry. To Zhang Fan's degree, the operation changes a lot in his hands.

Because people are changing and diseases are changing, after all, textbooks are the most classic medical records.

For example, Zhang fan can't operate on this patient according to the textbook.

Because the old man is old, the lumbar degenerative disease is serious. Many people may know the term, degenerative lesions.

In fact, this word is most used in orthopedics. The knee joint is a little uncomfortable. Go to the doctor. The doctor looked at it. Oh, there's nothing serious. It's degenerative disease. His wife began to dislike him. Go to see a doctor. Oh, you are not kidney deficiency, but lumbar degenerative disease.

Many people wonder what is degenerative disease. Generally speaking, the joints are aging. Many people wonder, I'm only in my thirties, and the parts are aging?

Human activities are actually joint activities. Even if you swear, it is the activity of temporomandibular joint that drives the vocal tract pronunciation.

Joints, however, are often made up of two unconnected bones that move around each other to produce torque. The interaction between bone and bone must be strong, which will lead to wear and tear. In order to make people move longer, the body often secretes lubricating fluid in the joints, and various soft tissues are supported between two hard bones like gaskets. In order to avoid wear, the hard bones have a coat, which is the so-called cartilage.

It's complicated to say. In fact, in popular terms, it's easy to understand the cow nest bone that many people like to eat.

Holding a braised cow's nest bone in both hands, it is sticky and powerful like a cow's hoof tendon. This is the ligament around the cow's knee joint, which is used to fix the upper and lower bones and prevent the bones from running around. Just like many women use the practice belt to bind the sagging lower abdomen, the one with the practice belt may not be a Xiake, perhaps a blessed woman.

After biting the ligament and entering the joint, the best thing to eat is a circle of fat meat, but it is not fat meat. It tastes waxy but not greasy. This is actually the inner capsule of the joint, that is, the gasket between bones. Finally, pick up the rest of the bones to suck. People with good teeth have to bite the white and blue cartilage.

These three tissues constitute the wear-resistant layer of bone and joint. Degenerative lesions, in the early years, were often diseases that would have come early to heavy manual workers. When people were middle-aged men, they obviously had no disease, but they felt sore all over and stiff limbs when lying in bed.

Nowadays, most of the degenerative lesions are fat. Whether it's the lumbar spine or the knee, most patients are overweight patients. The long-term overload weight makes the joints start to mutate.

First, the ligaments begin to relax, and then the internal capsule between the bones is directly crushed to death, resulting in failure to secrete lubricating fluid. If there is no intervention at this time, that is, the so-called weight loss, and then the wear between the bones.

In cartilage, there are not only bone, blood vessels, but also nerves. Wear at this time will lead to pain. Many people boil and boil with painkillers. I don't listen to the doctor. I always say that according to the doctor's words, it's boring to live. I don't want to eat meat and smoke.

Soft bone, soft bone. It sounds like a curse. In fact, this soft bone is very important in the human body. Moreover, this thing is a disposable product. After wear, it can't be regenerated.

When the cartilage is polished, after a few years, suddenly the joint doesn't hurt. The patient was also happy that the doctor was a mallet. As a result, before long, the legs began to deform. At this time, the cartilage was gone, that is, the friction between hard bones. The lighter one is like Lao pan holding up his hands, circling his legs and walking like a duck.

The heavier direct is like a car with a crooked girder. It looks like everyone has changed.

Now is not the age of fat as beauty, not to say that fat is not good-looking. Overweight body will bring many unpredictable diseases.

Therefore, when the name appears on your body, please eat some glucosamine capsules on the premise of weight loss. Of course, don't eat tens of thousands of health products from Polai. Just eat some OTC. Although this drug can not be treated, it can delay the time of cartilage wear.

On imaging, degenerative disc lesions occurred at the age of 30. Therefore, when you enter the age of 30, don't show off, don't bend down in front of girls from time to time, and don't feel like you're swinging.

As an old Chinese saying goes, don't look at your joy now, be careful to pull the list later.

The old man Zhang Fan is now facing is very troublesome. Because the old man's spinal joints are particularly disordered. If the spine of a normal person or a young person is like a neat line made by a particularly excellent wiring engineer, the old man's spine is a line made by a drunken two knife wiring engineer. In addition, it has been kicked by a few passing children, which has become more chaotic.

Therefore, the difficulty of this operation is not to repair the injury, but to find a point. Look for a focus that can not only repair the old man's nerves, but also find an old man who has adapted to continue his normal life.

Just like the plain life, when you have it, you don't feel precious at all. You think about how to be vigorous and gallop every day, but once you lose it, you know the plain precious.

Some people boast that they can lie in bed until they die. If they eat, drink and Lazar are served, they feel that this life is particularly beautiful, but once they can't get up in bed, they can't shed tears of regret. If you see your wife dancing with other old men, it's really hard to die.

"Zhang Yuan, after repairing the nerve, do you put a steel rod to fix it, or allogeneic bone?" Director Yang saw Zhang Fan staring at the patient's examination results, so he came over and asked Zhang Fan.

For this degree of operation, the preoperative discussion is a general direction, and several instruments will be prepared before the operation to prevent unprepared after incision.

"No, the waist is three or four fused and cannot be fixed. His torque has changed. After inserting allogeneic fixtures, he may not be able to support his whole upper body. Only by modifying the original bone to adjust the torque."

"Well, that's what I think!" Lao Yang looked at Zhang Fan, looked at the inspection results put on the film viewing lamp, and said to Zhang Fan quite definitely.

"Ha ha!" Zhang Fan smiled and nodded.

In fact, where does Lao Yang think so? He thinks Zhang Fan wants to put a steel rod. I'm going to ask how Zhang Fanfang is.

This is the difference between Throwing Knife experts and non Throwing Knife experts. One is more flexible in the application of technology, while the other is still trapped in routine surgery.

Director Liang and director Yang have little difference in their level. Therefore, in this kind of injury surgery for elderly patients, it is very uncertain.

This is also one of the reasons why Zhang Fan was quite respected when he flew his knife to Jinhe.

The operation began.

After Zhang Fan picked up the scalpel, he became different. No flattery, no humility, say one is one.

"There's bleeding here. Give me the electric knife!" Lao Yang is a helper. A small artery appears on his side, showing blood flowers. He reaches out to the instrument nurse.

As a result, before the nurse spoke, Zhang Fan spoke first: "no electric knife, silk thread ligation!"

Lao Yang was about to pick up the silk thread. As a result, Zhang Fan had begun ligation.

It can be said that Zhang Fan will never let several assistants start with the slightly key steps from the beginning of the operation.

Not to worry about them, this is a general rule of doctor Throwing Knife.

This is also the reason why general flying knife doctors can't do several operations a day, while flying knife doctors can do more than a dozen operations a day in their own hospital.

In his own hospital, although he signed all the operations, he may not have done them. Even if he encounters more complex operations, he often starts at the most critical steps. After completing the key steps, he gives the operation to others.

Many people rush to big hospitals to find big experts. Surgery may not be done by big experts themselves. This is an unspoken rule in the industry.

The throwing knife is different.

Just like Zhang Fan, the moment he picked up the scalpel began. He was absorbed, more focused than in the tea vegetable hospital. Almost several other directors were the existence of the spreader.