Path of Medicine With a System

Wang Qian bought another set from head to toe for Zhang Fan, Zhang Fan is not willing, she is not happy. Her child has gone abroad to study, the old man is busy with his career, he is better at work, but he is very boring after work, and her status as an old man makes it inconvenient for her to make friends with others casually. Zhang Fan has a simple personality and love and righteousness for Batu, she can see it, so she especially appreciates Zhang Fan, not only has high medical skills but also has a good character. Li Xiao and Dong Hua also spoke quite well of Zhang Fan.

Some of Wang Qian's shopping cards were sent by her work unit, but some of them don't know who sent them. After visiting the mall, after Zhang Fan sent Wang Qian home, he asked Wang Qian to stay for dinner before leaving. Before leaving, he was offered cigarettes and tea. Zhang Fan was like this every time he came, and he was embarrassed to come to Wang Qian's house.

After Dong Hua got to know Li Xiao through that double button, Wang Qian helped to speak again, and finally got a chance to meet the big leader. The result was very good, D county magistrate. These are very far away from Zhang Fan, no matter whether they are acting as agents or formally, Zhang Fan doesn't feel much. This is also the sorrow of technical men, who only have technology in their eyes and think that technology is king.

It's the Chinese New Year, and the hospital has various benefits. Rice noodle oil, even vermicelli, Ouyang wanted everyone to celebrate with her in her first year in office. Zhao Jun was not on the night shift, and Zhang Fan couldn't work the night shift either. This month is Zhang Fan's happiest time in the past year.

In the early morning, hepatobiliary surgery has an operation today, which is a particularly common disease in Northwest China: hepatic echinococcosis, also known as hepatic echinococcosis. It is mainly popular in provinces and regions with developed animal husbandry. Etiology: Canine tapeworm parasitizes in the small intestine of dogs, and the eggs excreted with feces often adhere to the hair of dogs and sheep. Humans become infected after swallowing food contaminated by eggs. The worm eggs pass through the action of the digestive juice in the intestine, and the larvae come out of their shells, pass through the intestinal mucosa, enter the portal vein system, and most of them are blocked in the liver. After 3 weeks in the body, the larvae develop into hydatid cysts. Hydatid cysts gradually grow up in the liver, causing compression symptoms of adjacent organs depending on the location, and complications such as infection, rupture and dissemination, and obstruction of hollow organs.

In layman's terms, in pastoral areas, you must be careful when you come into contact with dogs or water sources and food contaminated by dog ​​feces, otherwise you will get liver echinococcosis. These bugs will parasitize and reproduce in the liver of the human body. As time goes on, there will be more and more bugs and bigger and bigger. The liver will be suppressed and squeezed, and nausea, vomiting, and jaundice will appear.

There are a lot of surgeries in the department today, and a few transferees are rushing to have gallbladder surgery, but they are not willing to have liver hydatid surgery. It is too disgusting. Opening a large bag of white bugs, patients with intensive phobia can directly faint up. If the treatment is not clean after the operation, it is particularly easy to relapse, and the eggs are easy to remain. Zhao Jun was the chief surgeon, and this was the first time Zhang Fan cooperated with him on stage.

Opening the abdomen, stopping the bleeding, and sucking blood, Zhang Fan's cooperation made Zhao Jun very comfortable and had a good vision. Zhang Fan had already prepared for him what he was going to do next. After removal of the internal capsule, wash the lesion directly with alcohol. The operation was basically completed, and only sutures remained. Zhao Jun consciously wanted to see Zhang Fan's skills, so he said to Zhang Fan: "General surgery is not the same as orthopedic surgery. Are you familiar with abdominal sutures? How about you do the sutures? "

Although I heard that Zhang Fan is very good in the orthopedics department, but I haven't seen it with my own eyes, and I don't feel at ease, so I want to make sure first. Zhang Fan looked up at Zhao Jun and said: "Okay, Director Zhao, it should be fine." Said The sutures started after finishing. Zhang Fan sutured the peritoneum, fascia, and muscles so fast that even the equipment nurses couldn't keep up with the threading. Extremely proficient, very agile. Zhang Fan didn't mean to show off, the speed was already like this.

Zhao Jun looked at Zhang Fan's stitches, pondered for a while, and said, "Zhang Fan, I have been in the liver and gallbladder for a month. How is the operation? Are you familiar with the operation of the liver and gallbladder?" He regarded Zhang Fan as a resident doctor with quick hands and feet. , It's a normal inquiry and I appreciate it a little bit, the basics are really solid. Zhang Fan had been depressed for a month, and he didn't consider Zhao Jun's feelings, so he said directly, "The liver and gallbladder surgery is not difficult."

"Uh!" Zhao Jun choked out a breath, "Okay then,

Arrange a gallbladder tomorrow, can you do it? "

"Okay." Having said it all, there is no reason to beg for mercy and speak soft words, it is unnecessary.

Zhao Jun was really angry. You can say that he is not skilled enough, but you can't say that hepatobiliary surgery is not difficult. It is simply that he has denied his hard work and honor in this half of his life. It is impossible not to be angry. Due to factors in pastoral areas in the border areas, hepatobiliary surgery can be ranked first in China, and there are seats. Even though he was angry, he would not argue with Zhang Fan, it was too childish.

At the morning meeting the next day, after discussing today's operation, Zhao Jun said: "The hospital organized the transfer of admitted doctors to different departments. The purpose is to make young doctors familiar with the basic diseases of each department and be able to complete simple basic operations. We can't go through the motions. The doctor who will be transferred is about to leave the department, and our department will organize an examination, and the results will be written in the transfer report. Today, the five-bed gallbladder operation will be performed by Dr. Zhang Fan, as his exit examination."

After saying this, the faces of the other transferees turned pale. It was only a month since they had surgery every day. Did the director wake up and talk nonsense for the gallbladder removal operation? It has to be written in the transfer report, isn't it killing people!

Zhao Jun also had an element of anger. In the general surgery department of the hospital, the liver and gallbladder were the first to be separated. But so far, except for the liver hydatid surgery, it is still good. The rest is the removal of the gallbladder. The other operations are not ideal. Now Even pancreatic cysts are not done much. The old general foreign director often said that they should not be assigned. So after hearing Zhang Fan's words yesterday, I was going to let him do it today, and let Zhang Fan see if it was difficult or not.

Although he was angry, he chose a patient who was young, had no severe gallbladder adhesions, and had very little difficulty in surgery. He just wanted everyone to understand that hepatobiliary surgery is not easy, and he was Zhang Fan's first aid.

In the operating room, in the general laparoscopic surgery, the transfer department will not allow the perforation to be done, fearing accidents, if the force is not well controlled, it will be troublesome to pierce the internal organs. After brushing and disinfecting his hands, Zhang Fan started the operation. Originally, Zhao Jun was going to let him try it, but the technique was unfamiliar, so he refused to do it. Then criticize a few words, keep your feet on the ground, and don't be too ambitious. As a result, starting from punching holes, Zhang Fan had no problems at all.

The cystic duct was exposed, the cystic artery was separated and ligated, the gallbladder was removed, and the bleeding was stopped. It's amazing to be proficient in one set. Originally, he planned to stop Zhang Fan if he didn't even know how to hold a mirror. As a result, Zhao Jun didn't say a word during the whole process from worry, reassurance, and shock. After the operation was over, the air hole was deflated and the stoma was closed. Zhao Jun got off the operating table and left the operating room directly.

The second assistant is an attending doctor, and he was surprised, "Dr. Zhang, ah, you lost all the boss's words. This operation is so clean that I can't even reach this level. Why are you transferring to another department?" , Let the boss tell the dean to directly assign him to our department."

Zhao Jun came out of the operating room and returned to the director's office. He sat on the chair in a daze for a long time. After quitting smoking for a long time, he lit a cigarette, "Shouldn't primary hospitals really separate the liver and gallbladder? Is it really that simple!" His worldview almost collapsed.

The next day, the transferred doctor continued to perform the operation. An accident almost happened when the hole was punched, and Zhao Jun was kicked off the operating table directly, and the little doctor who transferred to another department cried. It took a total of one month to pass the exam without being allowed to punch holes! Although Zhao Jun chased him away, he was not angry, but quite happy. A special case, Zhang Fan is a special case, it is still difficult for the liver and gallbladder. Thinking about it this way also made me feel a lot more balanced.

In the director's office, Zhang Fan was sitting across from Zhao Jun. Old Zhao handed out a cigarette to Zhang Fan, and after Zhang Fan quickly lit it for Zhao Jun, Zhao Jun said, "That's right, I've worked hard this month. He is bold and promising. Liver transplantation and pancreatic tumors are world-class difficult operations. How about it? Are you interested? If you are interested, after transferring to the department, I will go to the dean to ask for someone." Zhang Fan is excellent, he feels it , then you can't let it go.

At present, the system of liver transplantation has not been opened, but there are really many liver and gallbladder surgeries. Due to the factors of eating habits in Northwest China, there are especially many stones, and in pastoral areas, the number of liver hydatids is the largest in the whole country. His purpose is to collect data, it doesn't matter which department, "Director, you think highly of me, and give me face, as long as other departments don't want me, I will come." Not less.

"Uh!" Zhao Jun was confused. This kid is not very willing to come.