Path of Medicine With a System

 Among the surgeries, reconstructive surgeries are the most difficult. For example, spinal correction, anastomotic reconstruction of various gastrointestinal tracts, and cancer resection.

 But if we want to explain it, cancer surgery is the best explanation.

Just like some seemingly thrifty people peeling an apple, cancer surgery is actually a bit like peeling an apple.

 The purpose of cutting is to cut off the damaged area. But you can't just cut off the damaged area, but also cut off part of the area close to the damage, otherwise it will be painful.

Don’t ask why, Zhang Fan also has a very frugal woman in his family. Especially when Zhang Fan said it, people never listened.

 It was after Zhang Fan got married and had Shao Hua that he slowly got rid of this bad habit.

 In the operating room, several groups of Zhang Fan and others gathered together to perform operations. Many groups of people overlap.

If each team brings three assistants, there will only be a stack of Arhats on the operating table.

For example, Huo Xinwen, Zhang Fan's number one assistant at the General Surgery Department, not only helps Zhang Fan, but sometimes also helps Lu Shuyan when she can spare a hand.

 Many young students or young doctors feel that Huo Xinwen's life is very pleasant.

 The master is awesome, and the disciples are even better. He is an associate professor at the Tea Su International Medical University and the deputy director of the Pancreatic Cancer Laboratory.

 Actually, Huo Xinwen has a much harder time than ordinary doctors.

 Many times, she had to adjust her time with her master.

For example, she had decided to go to the laboratory in the morning, but Zhang Fan felt that there was an operation suitable for Huo Xinwen, and then all Huo Xinwen's plans for the day had to change accordingly.

Even during these surgeries, she would have to catch up after work.

Just then, Zhang Fan often said to Huo Xinwen in private: Don't just stay in the operating room and laboratory all day. It would be better to find a partner at such a young age to go outside and bask in the sun.

 It’s extremely easy to say!

 But now at such a young age, reaching this height, it is impossible not to curl up. Even if Zhang Fan is systematic, in order to increase the number of surgeries, there is no hospital in the health system in Cha Su, and he has never been to it.

Dig a hole!

 Today's surgery, if I want to describe it, would be to dig out a hole.

 If you stand on a shadowless lamp and look down.

 They were all digging holes.

Zhao Zipeng of the chrysanthemum care brigade, like the second brother of the grassland, squatted directly opposite the female patient's spread legs. The assistant carried an old-fashioned washbasin, and then lumps of tissue, mixed with various liquids, were sent to the In this basin.

Looking from Zhao Zipeng’s position, there is a big hole near the perineum of the female patient that could fit Zhao Zipeng’s head into!

 Almost half of the large intestine was cut off.

 The large intestine is actually very short in the human body, only about 1.5 meters.

 The small intestine starts at six meters.

 This is one of the reasons why pig large intestine is more expensive than pig small intestine.

He Xinyi from the Department of Urology and Lu Shuyan from the Department of Obstetrics and Gynecology collaborated to download copies of the tissue. The two women have already removed not much of it.

The uterus and ovaries were all removed, as was the bladder.

 The departments of the hospital are arranged according to the father-son bureau.

Urology is usually the father of obstetrics and gynecology. For example, Lu Shuyan often fawns over He Xinyi, because many things in obstetrics and gynecology are closely related to urology.

During the uterine resection, if the bladder is accidentally raised, the obstetrics and gynecology department will have to call in the urology department to help with the treatment.

 The father who is a urologist is a general surgeon.

  However, general surgery is the least expensive department among surgical departments.

 Zhang Fan and Huo Xinwen mainly removed the tumors on the liver and omentum.

 These resection areas are considered to be at the level of major surgery in any surgery.

  But we met together today.

There is nothing that can be done. This is the only chance for this kind of patient to survive.

 The operation started from before the sun rose to when the sun went down.

 The anesthesiologist’s head was pounding, and the patient’s state was like a roller coaster. He kept staring at the life monitor from beginning to end.

 General surgery, if it takes a long time, the anesthesiologist can take turns with other anesthesiologists for meals.

 But today, he didn't even take a sip of water. If he wasn't careful, the patient's condition would deteriorate.

 The operation was over, and it took a full day.

 The patient was wrapped and sent to the ICU like a prairie animal with its internal organs eviscerated.

 Six months later, the patient still did not escape the recurrence of cancer. Eventually, due to multiple organ failure, the light of life stopped in his early twenties.

The hospital couldn't even determine which system her cancer came from.

 …

 In the winter in the hospital, especially after the heavy snow begins to fall, local surgeries begin to increase.

 On weekdays, surgeries are mainly performed on patients from out of town.

After the heavy snowfall, the number of patients from other places decreased and the number of local patients increased. Herders in pastoral areas also went down the mountain when they should.

Farmers on the farm collecting grain and putting it into warehouses have also entered the cat winter season.

 Compared with surgeries performed in other places, local surgeries are relatively simple.

 Gallbladder stones, appendicitis, anyway, they are all minor surgeries.

On the contrary, due to some minor surgeries, Zhang Fan has used them more often.

“Zhang Yuan, Zhang Yuan, there is an adhesion in the appendix today. You can’t get in. If you can get in, I will report your name to the canteen.”

 A junior doctor who was transferred to the general surgery department saw Zhang Fan strolling in the distance, so he stood at the operating door and shouted loudly.

When Bayin passed by, he took a dissatisfied look. It means, next time I shout like this, you will get out.

 Because these are minor surgeries, the teachers in charge of the group let their doctors do it.

 Some little doctors feel like they can’t handle it themselves.

 Go and call your teacher, there may be no chance to get started again in the future.

 Let yourself sit down, I feel uneasy.

At this time, Zhang Fan, who was just like a street runner, became a favorite.

And in their opinion, Zhang Fan is easier to talk to than his teacher. Not only does he not curse, he is always smiling.

 Be polite to everyone you meet.

 When you are happy, you can still joke with the little doctors.

“Keep your voice down, keep your voice down, I am a dean after all, but your voice makes people think I came to the surgery just to have free lunch.”

 Chasu Hospital’s cafeteria delivers meals. At noon, if there is an operation, the hospital is responsible for the meal, and you don’t have to pay for it for five yuan.

If there is no surgery, the canteen will also deliver meals to the operating room, but those who do not have surgery at noon have to pay five yuan themselves.

 The junior doctors have no reputation, and most surgeries are scheduled at noon.

Seeing Zhang Fan running over, the young doctor stood aside and whispered: "Today's surgery is more difficult. I have been practicing in the dormitory for almost a month. Please don't take over my role as the surgeon. If I can't do it, you…"

"No problem, I'm just here to pull the hook. Even if you can't do it today, I'll do it for you, and I won't tell others that I'm the one who did the surgery. However, the instrument nurse, the circulating nurse, the anesthesiologist..."

“Don’t worry, I’ve bought all the Cokes and paid all the hush money.”

 “You boy, you have a future!”

 Zhang Fan happily went to the operating table to pull the hook.

“Zhang Yuan is the best. I would say that among the leaders of our hospital, Zhang Yuan is the most kind!”

 A director who was passing by the door of the operating room almost cried when he heard this. Zhang Fan has also survived this stage. He understands this group of boys. If we say who has the most aggressiveness and the most compassion in the hospital, it is actually this group of people.

If we can give them a little more tolerance and respect, maybe China will have a few more good doctors with a balanced mentality in the future.

but…

“When there are adhesions, you cannot separate them like this. It may seem like you are separating quickly, but if you are not careful, the ligated artery may slip due to traction.”

Hand-by-step instruction, after the surgery, I couldn’t even be an assistant, let alone the surgeon.

 Although the internal medicine department is ready for winter, the surgery department is relatively relaxed.

 But there are also many weird ones.

Zhang Fan had the operation and met Lu Shuyan when passing by the obstetrics and gynecology department.

Lv Shuyan saw Zhang Fan snort, as if he had eaten a bomb, and she was filled with anger.

 “What’s wrong?” Zhang Fan felt a little regretful after asking.

"Bad mood!"

 “Then you should rest for a few days!”

Zhang Fan said nonchalantly that Lu Shuyan would not rest. She would probably keep her eyes open when sleeping until her agent hat was taken off.

It turns out that Lu Shuyan really met a strange patient today.

Female, 28 years old. She registered in the morning and waited until it was almost time to get off work. Then they blocked Lu Shuyan in the office and closed the door.

“Doctor, I’m trying to get pregnant recently and I’m pregnant.”

Lu Shuyan didn’t say anything at that time, but continued to let the woman speak.

As a result, the woman groaned for a long time, and Lu Shuyan asked curiously: "Didn't you take folic acid?"

 Folic acid should be taken before preparing for pregnancy, you must take it! Otherwise, the fetus will be malformed due to lack of folic acid.

"no!"

 In the end, Lu Shuyan could hardly bear it anymore.

People just told her that she had a relapse with her ex-boyfriend on Monday, and then had **** with her husband on Friday.

 It turns out I’m pregnant!

 The purpose of her coming to the hospital was to ask Lu Shuyan whose child this was!

Most people don’t know, thinking that the seeds planted on the same day will bloom on the same day.

 In fact, no, eggs can survive for one to two days after they mature in the body, and tadpoles can survive for about a week after entering the uterus.

 In medical terms, when estimating pregnancy period, an error of one week is due to the survival time of tadpoles.

 And this great immortal, two groups of tadpoles before and after, happened to be within this week.

Lu Shuyan was not very angry, but just felt uncomfortable. Then she met Zhang Fan, and she became angry for no reason.

After listening to Lu Shuyan's words, Zhang Fan didn't react at all. Then he glanced at Lu Shuyan and walked away as if he was minding his own business. He was too lazy to say anything to Lu Shuyan.

 In the office, Lao Chen was chatting with Zhang Fan while making tea.

 Actually, it’s not just chatting.

　　It may seem like small talk, but everything Lao Chen says is centered around recent events in the hospital.

 He is good at this. He can report to Zhang Fan seemingly objectively on all matters big and small in the hospital.

 Even if there is something small in my heart, I can cover it up tightly.

“Old Xu from the party office is retiring. I have received a lot of phone calls recently. Many people want to come to the hospital to fill in his hole.”

 Chasu Hospital's establishment is now very popular in the entire frontier, let alone in the local area.

 Let’s not talk about the clinic, almost no one handed me a note and made a phone call.

 But the administrative side has finally found a hole, and people haven’t even left yet, and the game has already begun.

Zhang Fan thought for a moment, "When you're done, tell Ren Shu that you won't accept external transfers. Set the selection threshold. You must be a fresh graduate who graduated in the same year or a past graduate within two years."

While the two were chatting, Huo Xinwen burst in in a hurry.

 “Master, the old man is calling you.”

 “What’s wrong?” Zhang Fan stood up.

"I don't know either. After the old man answered the phone, he asked me to put down the experiment in my hands and asked me to call you."

"Why don't you call?" Zhang Fan motioned to Lao Chen while walking out with Huo Xinwen.

 As long as it’s not a physical problem with the master, he has nothing to worry about.

The old man shouted to himself that he was asking for money, or he said that he was not doing his job properly.

 It is a very happy thing to be in this position and have a master who can speak for myself.

 “The old man asked me to come out and get some fresh air.”

 Entering the director's office of the laboratory, the old man wore reading glasses and looked at the computer screen seriously.

“My senior brother just called me. South African scientists published a paper on the complete cure of hepatitis B.”

"oh?"

Chasu Hospital’s hepatitis B vaccine is mainly for prevention and can also be used for clinical treatment, but it is not a curative drug.

 Only anti-drugs can be used to relieve the symptoms of patients who have already suffered from hepatitis B.

 The prevention aspect is very powerful, much more powerful than the previously popular vaccines.

 Zhang Fan became curious after hearing what the teacher said.

 Get close to the old man.

The old man looked at Zhang Fan with dissatisfaction while watching: "Look, look, I asked you to continue studying hepatitis B, but you turned around and got bone cancer.

It's better now. I got half a bucket of water from bone cancer and made it anti-osteoporosis. They have been working hard for several years and have achieved results.

 What do you want me to say? In fact, we have an advantage with hepatitis B! "

 The old man said nonchalantly.

 He was really helpless with this closed disciple.

 You have to be gifted and talented, and you have to work hard, and you have to be rebellious.

They were stunned to make their Chinese colleagues laugh at them, but their ancestral lineage had trained a leader in orthopedics!

 After reading the entire paper, Zhang Fan fell silent.

“Are you convinced? From now on, if you still want to be like a monkey carrying corn, I will tell you one last thing…”

 “This is wrong!”

 The paper by this colleague from South Africa is not about drug treatment.

 Start directly with nuclease to change the genome of hepatitis B virus.

To briefly describe it, his method is to modify the genome of the virus, which is equivalent to turning the virus in the body into a eunuch.

 In fact, this research was carried forward by a Chinese scientist. Zhang Feng, who graduated from Stanford, focused on research on modifying gene fragments, but it was short-lived.

However, after reading this paper, Zhang Fan had some thoughts about this flawed paper.

Hepatitis B, that dark cloud surrounding China, maybe we can give it a try.

Looking at Zhang Fan's shining eyes, Huo Xinwen tugged on Zhang Fan's sleeve, meaning, master, take this matter with me!