From small clinic to medical empire

Chapter 99
"Boss, I'm a little nervous..."

Yuan Qiang was a little nervous looking at the black aunt on the operating table with an uneasy expression after anesthesia.

If it wasn't for the sterile gloves, Zhang Zifan would have liked to give him a chestnut, "Black people are also human, with similar anatomical structures, so why be nervous? As for the anatomy of the parotid gland, you have performed so many operations with me, don't tell me you still have to worry about it." Not mastered!"

"No... Director, this operation costs hundreds of thousands, I'm afraid of messing it up..."

"Fart, start now, I'll be watching from the sidelines!"

Under Zhang Zifan's urging, Yuan Qiang finally started to use the knife.

Although he said he was a little nervous at first, when the surgery actually started, Yuan Qiang gradually got into the mood.

……

Mixed tumor of the parotid gland, also known as pleomorphic adenoma, is a tumor of the parotid gland containing parotid tissue, mucin, and cartilage-like tissue.

A characteristic of this tumor is that a capsule is formed around the tumor.

It is because of this layer of envelope that the tumor cells are less likely to metastasize, and the prognosis of the patient is good.

Of course, sometimes this layer of envelope is not necessarily complete, and there will still be local infiltration and diffusion.

Zhang Zifan found that although Yuan Qiang could not accurately judge where the tumor cell infiltrated tissue was and where it was normal tissue like himself.

But he can keenly detect abnormalities. Although the trauma is a bit larger, the removal of tumor cells is very comprehensive.

This is probably the effect of Yuan Qiang's passive skill [Surgical Smell].

[Surgical sense of smell] It can't improve Yuan Qiang's surgical skills, but it can make him keenly discover the risks in surgery.

For tumor surgery, any uncertain risk of invasion and metastasis should be resected.

To put it simply, Zhang Zifan’s ability to eliminate tumor cells is 100, and his tissue preservation ability is 90, given the same level of surgery.

Yuan Qiang's ability to destroy tumor cells is 75, and his ability to preserve tissues is 45.

For ordinary doctors, their tumor cell elimination ability is 65% and their tissue preservation ability is 50%.

It seems that Yuan Qiang is different from ordinary doctors, but in fact, his operation effect is much better.

But you must know that for cancer patients, the most critical thing is the ability to destroy cancer cells.

If the cancer cells cannot be completely eliminated, it is meaningless to preserve more tissue.

Let a doctor like Yuan Qiang perform the operation, although the damage is a little bit bigger, but the probability of tumor recurrence will be greatly reduced.

It is clear at a glance which of the two abilities is more important.

……

Since the parotid gland is not an important organ compared to the thyroid gland, the overall resection does not have much consequence.

The only consequence of losing one side of the parotid gland is probably a [-]-[-]% reduction in oral saliva secretion, which is completely acceptable.

Therefore, during the operation, Zhang Zifan did not stop Yuan Qiang frequently, and tried his best to ensure the independence of his operation.

Only when dissecting the facial nerve, Zhang Zifan gave some suggestions to prevent patients from developing symptoms such as facial paralysis and facial nerve paralysis.

In addition, in the middle of the operation, Zhang Zifan stopped Yuan Qiang and changed the electric knife for him.

The fat layer of this black aunt is too thick, and it is too oily to use an ordinary electric knife. The blue equipment [smokeless electric knife] is unexpectedly easy to use at this time.

……

About an hour later, the tumor was finally completely removed.

Zhang Zifan checked carefully. After Yuan Qiang removed the tumor and its surrounding parotid gland tissue, he left about half of the patient's gland function, and the damage was acceptable.

A few more sentinel lymph nodes were explored to identify the patient's tumor cells and transfer them through the capsule, saving a lot of trouble.

Leaving Yuan Qiang to continue suturing, Zhang Zifan stretched his waist and walked out of the operating room to take a shower and change clothes.

……

After taking a hot bath, Zhang Zifan felt refreshed.

Sure enough, instructing others to perform surgery is much easier than doing it yourself.

Lying on the bench in the dressing room, enjoying the warmth of the event, one can't help but want to take a nap.

Zhang Zifan had to admit that the working environment here was indeed much more comfortable than at home.

In China, large hospitals are generally built in the center of cities for the convenience of the masses to seek medical treatment.

In the center of the city, public transportation is convenient and the flow of people is dense. Even patients from out of town who come for medical treatment will not easily get lost.

But such distribution of hospitals also creates many problems.

First of all, parking is difficult.

Parking is difficult not only for patients, but also for staff in the hospital.

Another point is that the medical area of ​​large hospitals is quite scarce.

For many doctors, having a private office is a luxury.

Even many departments don't even have a public conference room.

Take the Dental Center of the First Attached Hospital as an example. They originally had a demonstration classroom.

Until one day, the deputy dean in charge of medical affairs accidentally found this treasure land while walking, and immediately his eyes lit up.

As a result, the oral cavity lost its demonstration classroom, and an outpatient operating room was added to the medical beauty center.

As a resource, medical space is so scarce.

Relatively speaking, the large hospitals in the United States are basically located in the suburbs, and the land is much more abundant.

In addition, the flow of patients is small, so the hospital does not need to build such a tall building, and the space will be much more spacious.

As for the Haoran Outpatient Department, the location is not considered the city center, but it is not considered a suburb either. This makes Zhang Zifan a little worried about whether the future land reserves will be sufficient.

Yuanhang Group's small square is more than sufficient for a community hospital, but it is a drop in the bucket to develop a medical empire.

The old factory area of ​​Yuanhang Group is not bad, except that it was originally a chemical plant, and the soil may be polluted, everything else is ideal.

In addition, Fish Market New Village is quite a shantytown. If the government can be persuaded to demolish it...

Zhang Zifan shook his head.

dare not think, dare not think...

It's just too inflated.

……

Turning on the phone, Zhang Zifan found that there was a missed call and two WeChat messages.

The number of the missed call was from the United States. Zhang Zifan had activated the roaming service, but it was too expensive to make calls, so he ignored the missed call.

Both WeChat messages were sent by Ye Shiyi.

Zhang Zifan posted the news of coming to the United States on his personal homepage, but Ye Shiyi seemed to have seen it only today.

Zhang Zifan casually sent her two teeth-baring emoticons and ignored it.

……

At 3:30 in the afternoon, Zhang Zifan took Yuan Qiang and Shi Xiaoya to the ward.

Postoperative ward rounds are very important, especially the first ward round within 12 hours, which will help the surgeon confirm many problems found during the operation.

Robert's daughter was taken care of by his father, Zhang Zifan just looked at it briefly and didn't say much.

When I came to another ward, the atmosphere was a little weird.

Guo Yun has already woken up. It has been more than four hours since the operation, which is the time when the throat hurts the most.

He was lying on the bed in pain, while his wife took care of him.

Seeing Zhang Zifan push the door in, Guo's wife stood up, and said with some embarrassment: "Thank you, Dr. Zhang, Dr. Robert said that Guo Yun's operation was very successful..."

Guo Yun and his wife no longer suspected Zhang Zifan, because they already knew that Robert's daughter was also Zhang Zifan's patient.

Being able to operate on a surgeon's close relative speaks louder than any rhetoric.

Zhang Zifan nodded. He had nothing to be polite about, and he deserved to be thanked.

Not only did I help him keep half of his thyroid gland, but he also saved 5000 yuan, which is really a kind person.

"Mr. Guo, please give me a call."

Zhang Zifan crossed his arms and said condescendingly.

(End of this chapter)