From small clinic to medical empire

Chapter 284 This wave is a two-level reversal

While inviting Director Zhang to come for consultation, Lao Dao also asked the subordinate doctors to prepare the relevant matters for signing the surgery.

Once it is determined that the laparoscopic surgery has no possibility of success, the family members need to sign and open the chest for exploration as soon as possible.

Although I think this is a waste of time, Yan Yejun also wants to see if his little brother in the laboratory is so amazing.

Academically, Yan Yejun has nothing to say to Brother Zhang.

While he was still complacent about the provincial natural science fund, the other party was already chatting and laughing with academician-level bosses.

But clinically, Yan Yejun still has the confidence of a deputy chief physician in a top tertiary hospital more or less in his heart.

You may be strong, but I'm not bad either.

We can split fifty-fifty.

Yan Yejun doesn't think that under the current harsh conditions, who else can use the laparoscope to play tricks.

Even if that person is Dean Zhang with all kinds of halos.

……

Not long after waiting, Zhang Zifan entered the operating room with two oil bottles.

To say that Liu Xiaoliang and Zhang Chao are fools does not wrong them at all.

Pure rookies like them might be able to serve tea and water and help out a little bit when they go out to the clinic.

But in the operating room, let alone delivering instruments to help, it is very difficult not to cause trouble.

For any medical student entering the operating room for the first time, the roar of the roving nurse is sure to experience it.

Even though they already knew the concept of asepsis in the introductory class, in the eyes of the itinerant nurses, these two guys still looked like devils who had entered the village, ready to harm the sterile countertops that had been laid with great difficulty at any time.

……

Liu Xiaoliang and Zhang Chao should thank Principal Zhang for at least showing up with Principal Zhang. The doctor has no time to choke them.

All the doctors' attention was focused on Zhang Zifan.

"Zifan... Dean Zhang, you came just in time. This is the video of the esophagus inspection just now."

Yan Yejun pointed to the screen of the instrument and said.

In order to facilitate the review of the surgical process, as well as to preserve medical images and prevent disputes, many laparoscopic surgeries will be videotaped.

In the first half of this year, Haoran Medical received more than 15 billion funds from Schumacher and Li Jiaxian alone.

Most of it has been converted into medical equipment and research and development funds.

This esophagoscope is one of a series of new equipment recently tendered for purchase.

The image pixels captured by its transmission are quite clear.

However, due to the limited field of view and the limitation of the light source, the picture is still not easy to distinguish.

Zhang Zifan nodded to Yan Bo with a smile, and then concentrated on watching the video.

Whether [Eye of Preset] can be applied to the video is Zhang Zifan's first attempt.

As it turns out, this is also possible.

However, the [Eye of Preset], which has always been invincible, is somewhat powerless in the design of assisting fishbone removal.

Because [Eye of Preset] can only see the completion of the final surgical effect of a certain operation.

For example, Bao Tingwei and Zhu Jiannan tried to use the esophagoscope to directly grab the fishbone. If you use the [preset eye] to judge, the degree of completion must be quite high.

But the problem is that it is too difficult to do so.

Zhang Zifan is not a superman.

Now the fishbone is like a nail on a wooden board, being pressed into the wood by Bao Tingwei and the others.

If you want to remove it through esophagoscope, the probability of success only exists in theory.

Therefore, Zhang Zifan had to consider other methods.

Just when he was repeatedly thinking about various surgical options, but still could not get a good surgical expectation, a middle-aged female doctor asked in a low voice:

"Dean Zhang, do you want to try the fiberoptic bronchoscope in our respiratory department?"

Zhang Zifan turned his head, it turned out to be Cui Xiaoliang, the director of the Respiratory Department.

This Dr. Cui was a senior talent recruited by Haoran Hospital last year when it strived to create a tertiary hospital. He has 20 years of medical experience and the title of chief physician.

But when it comes to specific abilities, Cui Xiaoliang has worked in township hospitals all year round, and his level can only barely meet the requirements of tertiary hospitals.

Coupled with age and self-motivation, even with [Famous Teacher Halo] and a series of building bonuses, Dr. Cui's ability can only rise from C+ to B- in one year, which can be said to be quite slow.

This is why Zhang Zifan prefers to recruit young people, and even invested a lot of resources to establish Haoran Medical College.

……

In short, the director of the respiratory department, who seems to be more than conservative and less aggressive, proposed a very good idea at this time.

That is, since the fishbone cannot be clamped with an esophagoscope on the side of the esophagus.

Then it is better to use a fiberoptic bronchoscope to push back the pierced fishbone from the side of the bronchus.

Once out and in, the root of the fishbone on the side of the esophagus will be completely exposed, making it easy to take out.

In daily life, this is a very simple truth.

And medical operations are often accomplished by such inconspicuous little principles.

As a respiratory doctor, Cui Xiaoliang proposed a solution from another angle.

The reason for discussing with Zhang Zifan in a low voice is also very simple.

That is, she will not use this advanced fiberoptic bronchoscope at all, and she is not sure whether Dean Zhang will use it.

……

Zhang Zifan would naturally use it.

With the help of the system, with the wide variety of departments in Haoran Hospital, Zhang Zifan has a trend of developing like a medical kaleidoscope.

Of course, except for a few subjects, Zhang Zifan's other categories can only be said to be general but not refined.

But things like laparoscopic surgery are all interlinked after all.

When Zhang Zifan was in charge of the major surgery, he performed a lot of gastrointestinal endoscopic operations, and even got a blue equipment [multifunctional endoscope].

However, in the plan proposed by the respiratory department, this [multifunctional endoscope] is basically not used.

Because it is too thick.

[Multi-functional mirror] does not have the ability to become larger or smaller like [Self-aiming bur].

With such a thick tube, there is no problem with the feeding tube and the rectum. If it is forced into the small bronchus, it will definitely be a disaster that cannot be driven on the road.

Fortunately, Zhang Zifan would not be able to perform laparoscopic surgery without auxiliary equipment.

In maxillofacial surgery, there is a class of diseases with domineering abbreviations called temporomandibular joint disorders (TMD).

Surgery to treat this type of disease often involves a laparoscope, and it is a very thin fiber optic laparoscope.

Zhang Zifan, who is proficient in this technique, can naturally handle similar bronchoscopy.

……

After deciding on the surgical method, it should not be too late, Cui Xiaoliang immediately called someone to send a fiberoptic bronchoscope.

Zhang Zifan took a brief look at the instruction manual and confirmed that its use method was indeed similar to that of an arthroscope, so he immediately started aligning with the fishbone.

However, after the working head of the bronchoscope reached the fishbone area, another unexpected situation occurred.

It turned out that when the fishbone entered the bronchi, the tip of the fishbone and the bronchial wall were squeezed and deformed.

The operation of Bao Tingwei and others may have increased this part of the degeneration.

Eventually, an undercut forms at the tip of the fishbone.

……

Now, things got trickier.

The fishbone gets stuck between the walls of the esophagus, mediastinum, and bronchus, and cannot go in and out, and cannot go back and out.

The bleeding from the damaged soft tissue is also getting worse, and the risk of major infection is also rising.

Faced with such a dangerous situation, even Lao Dao, who was observing secretly, couldn't help but persuade Dean Zhang to give up at this time.

Zhang Zifan shook his head, thinking about other possibilities.

If we say that the success of today, the help of the system plays an important role in doing my part.

So the unrestrained imagination may be the best proof that Zhang Zifan ensures his own uniqueness instead of becoming a tool of the system.

Whether it is using CGF membrane to enhance peritoneal dialysis technology, or using cloning technology to induce meiosis of somatic cells to form germ cells, or using the larvae of the scorpion fly to eat paraquat-contaminated lung tissue...

These miraculous treatments, besides the magic of the system, also contain Zhang Zifan's own wisdom behind them.

Therefore, facing the current predicament, Zhang Zifan put aside the help of the system, and began to think about whether there was any other way to break the situation.

At this time, Su Feixiang, an anesthesiologist who was fishing on the side, came into Zhang Zifan's field of vision.

This guy had a background in surgery.

Zhang Zifan was transferred to the Department of Anesthesiology because of his poor surgical skills but strong emergency response capabilities.

It was this step that made him grow up like a wild horse that had run wild.

But when he saw Su Feixiang, what Zhang Zifan thought of was not the experienced anesthetist today, but the shivering guy holding his penis back then.

Correct!
It's the kart incident!

Zhang Zifan had a flash of inspiration and thought that it was Nurse Wang Lina (now the head nurse of the division) who first proposed to use a dental turbine to cut the iron ring on the penis!
It is easier to take out the penis after cutting the iron ring than to pull out the penis directly from the iron ring.

In the same way, the swelling at the root of the fishbone and the undercut at the tip make it extremely difficult to remove the fishbone from any direction.

It will be much easier to solve if the fishbone can be divided into two parts.

But, how to cut off fish bones?

Just when everyone had given up on the laparoscopic surgery plan and was preparing for thoracotomy, Zhang Zifan suddenly raised his head and said: "Go find Director Yang Fan quickly!"

……

Yang Fan?

Isn't he a doctor who treats kidney disease?

What does it have to do with thoracotomy?
Even as a military doctor, his way is relatively "wild", taking care of nephrology treatment and urology surgery at the same time, but he can't be allowed to open the chest, right?

(ps: "wild" here does not mean derogatory, but an objective description of the military doctors in the early years. Since they did not need to worry about medical disputes, they were wide-ranging, courageous, and high-level in surgery. The author heard that the Fourth Army University When Daniel cut the mandible angle under local anesthesia on the dental chair, the whole person was stunned...)
Seeing everyone's puzzled expressions, Zhang Zifan glanced at Su Feixiang meaningfully, and then said with a smile:
"Since the bur to drill the teeth can save the penis, why can't the lithotripsy equipment to save the urinary system save the upper respiratory tract and digestive tract..."

This wave, this wave is a two-level reversal!

Zhang Zifan showed a smile full of wisdom.

…………

Thank you book friend 121110122554766 for rewarding 100 starting coins

Thanks to Linda Xiaozhou for rewarding 100 starting coins

(End of this chapter)