Path of Medicine With a System

Chapter 54

Wang Qian also bought a set for Zhang Fan from head to toe. Zhang Fan is not willing, she is not happy yet. The children of her family have studied abroad. The old man is busy with his career. He is better at work. It is boring after work. The identity of her old man makes her inconvenient to associate with others. Zhang Fan has a simple temperament and is kind and righteous to Batu. She sees it in the eyes, so she especially appreciates Zhang Fan. Li Xiao and Dong Hua also evaluated Zhang Fan very well.

Some of Wang Qian's shopping cards were issued by the unit, and some did not know who sent them. After turning around the mall, Zhang Fan sent Wang Qian home, and then let him stay for dinner before leaving. Before leaving, they gave cigarettes and tea. Every time Zhang Fan came this way, he was embarrassed to come to Wang Qian's house.

After Dong Hua met Li Xiao through the double buckle, Wang Qian helped speak again, and finally got a chance to meet the big leader. The result was good, County D. These are far away from Zhang Fan, no matter if the agent is formal or not, Zhang Fan doesn't feel anything. This is also the sadness of the technical man. Only technology is in his eyes, and technology is king.

It's Chinese New Year, and the hospital's various benefits continue. Even the noodles are made with rice noodles. Ouyang's first year in office, let everyone rejoice with her. Zhao Jun wasn't on the night shift, and Zhang Fan couldn't work the night shift. This month is Zhang Fan's most leisure time in more than a year.

In the early morning, hepatobiliary surgery has a surgery today, which is a particularly many disease in the northwest: hepatic hydatid disease, also known as hepatic echinococcus disease. Mainly prevalent in provinces and regions with developed animal husbandry. The cause of canine tapeworm is parasitic in the dog's small intestine. Eggs discharged with feces often adhere to the hair of dogs and sheep. Humans become infected after eating food contaminated with eggs. The eggs pass through the intestinal digestive fluid, and the pupa comes out of the shell, passes through the intestinal mucosa, enters the portal vein system, and is mostly blocked in the liver. After 3 weeks in the body, tadpoles develop into hydatid cysts. Hydatid cysts gradually grow in the liver, causing compression symptoms of adjacent organs depending on the location, and complications such as infection, rupture and spread, and blockage of cavity organs can occur.

Popularly speaking, even in pastoral areas, care must be taken with water sources, food, etc. that come into contact with dogs or have been contaminated with dog feces. These bugs multiply in the liver of the human body. As time goes by, more and more bugs will grow. The liver is suppressed and squeezed, causing nausea, vomiting, and jaundice.

Today, there are many operations in the department. Several transfer departments are rushing to perform gallbladder surgery. They are unwilling to undergo liver hydatid surgery. It is too disgusting to open a large package of white worms, and patients with dense phobia can directly see dizziness. Already. After this operation is done, the treatment is not clean and it is particularly easy to relapse, and the eggs are easy to remain. Zhao Jun's main knife, Zhang Fan was the first time to cooperate with him on the stage.

Open abdomen, stop bleeding, **** blood, Zhang Fan's cooperation makes Zhao Jun very comfortable, good vision, what he is going to do next, Zhang Fan prepared for him early. After the inner capsule was removed, the lesion was directly washed with alcohol. The surgery was basically completed, and sutures were left. Zhao Jun consciously wanted to see Zhang Fan's skills and said to Zhang Fan: "General surgery is not the same as orthopedics. Is abdominal suture familiar, or should you come? "

Although I have heard that Zhang Fan is very cattle in the orthopedics department, but I haven't seen it myself, and I'm not quite assured. I first made sure. Zhang Fan looked up at Zhao Jun and said, "Okay, Director Zhao, it should be fine." After the suture was started, the peritoneum, fascia, and muscle Zhang Fan were sutured very quickly, and the equipment nurses could not keep up with the threading. Extremely proficient. Zhang Fan didn't mean anything, speed was already like this.

Zhao Jun looked at Zhang Fan's suture and said after a moment's groan, "Zhang Fan, he has been in the liver and gallbladder for a month. What does the surgery look like, and the operation of liver and gallbladder is now familiar." , Very normal inquiry and a little appreciation, basically solid. Zhang Fan has been depressed for this month, without considering Zhao Jun's feelings, he said directly: "The operation of liver and gallbladder is not difficult."

"Eh!" Zhao Jun breathed a sigh of relief. "Well, arrange a gallbladder tomorrow. Can you do it?"

"Yes." They all said, there was no reason to beg for mercy again, it was not necessary.

Zhao Jun is really angry. You can say that his technique is not good, but he can't say that this hepatobiliary surgery is not difficult. That is to say, it is impossible to deny the hardship and honor of his life. In the border areas, because of pastoral factors, hepatobiliary surgery is the number one in China and has seats. Although angry, he would not argue with Zhang Fan on the quarrel, too naive.

The next morning morning, after discussing today ’s surgery, Zhao Jun said: "The hospital organized a transfer of admissions doctors, the purpose of which is to familiarize young doctors with the basic diseases of each department and to complete simple basic surgery. Immediately after the transfer, the doctor will be discharged. Our department will organize an examination, and the test results will be written in the transfer report. Today, the five-bed gallbladder surgery was performed by Dr. Zhang Fan as his discharge examination. "

In this remark, the faces of several other transfer departments are all white, and it is only one month that the operation is performed every day. Is the director not awake and talking nonsense after gallbladder removal? It must be written in the transfer report, isn't it human life?

Zhao Jun also has a sense of anger. The general source of the liver and gallbladder in the hospital is the earliest. So far, in addition to the liver hydatid surgery, the color is still calculated, and the rest is the gallbladder removal. Other operations are not ideal. Now Not even pancreatic cysts. The old foreign director often said that they should not be separated. So as soon as I heard Zhang Fan's words yesterday, I am going to let him do it today, and let Zhang Fan see if it is difficult or not.

Although he was jealous, the patient number that could be selected was a patient who was not old, the gallbladder was not strongly adhered, and the surgery was very difficult. He just wanted everyone to understand that hepatobiliary surgery was not easy, and he personally helped Zhang Fan.

In the operating room, ordinary laparoscopic surgery will not allow the department to do the hole punching, fear of accidents, poor strength control, and it will be difficult to penetrate internal organs. Brushing his hands and disinfecting, Zhang Fan started the operation. Originally, Zhao Jun was going to give him a try. The method was unfamiliar and he was not allowed to do it directly. Then criticize a few words, be down-to-earth, don't be so far-reaching. As a result, starting from punching, Zhang Fan did nothing at all.

The gallbladder tube was exposed, the gallbladder artery was ligated, the gallbladder was removed, and the hemostasis was stopped. One set is very skilled. Originally, he planned to stop Zhang Fan if he was not even proficient in holding a mirror. As a result, from the beginning to worrying, to reassuring, to shocking, Zhao Jun didn't say a word. At the end of the operation, the air vent was sutured, and Zhao Jun left the operating table and left the operating room.

The second assistant was an attendant, and I was surprised. "Dr. Zhang, Niu, I lost all the words of the boss. The operation was done cleanly and I couldn't reach this level. What department do you transfer to? Let the boss talk to the dean directly to our department. "

Zhao Jun came out of the operating room, returned to the director's office, and sat in a chair for a long time. He quit smoking for a long time and he lit a cigarette. "Isn't it really important for a basic hospital to separate liver and gallbladder! Is it really simple?" His worldview almost broke.

The next day, continue to have the doctor in the department perform surgery. The hole punch almost happened, and Zhao Jun was kicked off the operating table directly, and the little doctor in the transfer department cried. For a whole month, I can take the exam without punching. Can you pass it? Although Zhao Jun rushed out, he was not angry and was quite happy. Special case, Zhang Fan is a special case, hepatobiliary is still difficult. Thinking about it this way also balances a lot.

In the director's office, Zhang Fan sat opposite Zhao Jun. Old Zhao issued a cigarette to Zhang Fan, and Zhang Fan Lisuo gave Zhao Jun a point. Zhao Jun said, "Yes, I have worked hard this month. Actually, Hepatobiliary is very promising. Liver transplantation and pancreatic tumors are all world-class difficult operations. How about it, if you are interested, if you are interested, after I transfer to the department, I will go to the director. "Zhang Fan excellent, he felt , Then don't let go.

At present, systems such as liver transplantation have not been opened, but liver and gallbladder surgery is really many. The factors of dietary habits in the Northwest are particularly numerous. In pastoral areas, the number of liver hydatids is the largest in the country. His purpose is to measure the amount. It doesn't matter that department. "Director, you can look down on me and give face. As long as other departments don't want me, I will come." Zhang Fan didn't crucify because of general surgery, urology, chest surgery Not a lot.

"Eh!" Zhao Jun was messed up. This kid is not very willing to come.

There is a small recommendation at 14 o'clock for everyone

(End of this chapter)