MTL - Path of Medicine With a System-v2 Chapter 1935 I'm not afraid of you failing, I'm afraid of you not changing

  Chapter 1935 I'm not afraid of your failure, I'm afraid of you not changing

   Entering the operating room, Ma Yichen was already doing chest compressions.

   "What's going on?" Zhang Fan asked in a rage. On the operating table, a director, a deputy director, and two very talented doctors in general surgery unexpectedly performed chest compressions for removing a spleen. This shit, is it true that the professional title is so-called, is the talent blocked by the grease eaten during the Chinese New Year!

  Can Zhang Fan not be angry!

   "After admission, the patient was not found to have a closed pneumothorax. After general anesthesia intubation and positive pressure ventilation, the closed pneumothorax turned into a tension pneumothorax." The anesthesiologist quickly explained the situation.

  Zhang Fan bit his back teeth.

  The patient's condition is very special, and he was already in shock when he entered the hospital, but this is not an excuse for the doctor not to find other injuries.

This is the particularity of emergency surgery. A foreign doctor who has made great achievements in trauma once said: The goal of trauma surgery intervention is to cut off the natural course of anatomical tissue destruction and physiological deterioration, and reduce the risk of trauma surgery complications. The key is to minimize delays in the processing of interventions.

  It can be said that every emergency operation is actually an encounter, and it is often the most accident-prone operation. Moreover, this kind of surgery often has very few doctors to choose. The most important point is that as the division of doctors becomes more and more detailed, there are more and more such surgical accidents.

Crossing the line is like crossing the mountain. Modern medicine has made itself like this. Don’t cross the line like crossing the mountain after surgery. Often, there is no academic cooperation between surgery and surgery, and between doctors with different research directions in a department. discuss.

  This is the problem of medical education and the medical system. Just like in the past, when there was a shortage of doctors, eyebrows and beards were used together, but now it feels that there is a lack of cutting-edge technology. All doctors must do papers and scientific research.

  The hospital is a hospital rather than a research institute, why not leave a way for comprehensive doctors?

   After Zhang Fan put on the surgical gown as quickly as possible, he immediately accepted the position of the chief surgeon of the operation.

   "Big Syringe, Quick!"

  The instrument nurse quickly put the syringe as thick as a child's arm into Zhang Fan's hand.

   At this time, even if the patient's blood oxygen is low, it is too late to open the chest.

  There is no time to think about it now, so I can only see the trick.

  Zhang Fan took the syringe and quickly inserted it along the gap between the ribs, only to hear: "Puff, puff, puff, puff, puff, puff, puff, puff, puff, puff, spout, spray out like fireworks in the New Year."

  When the skin of the patient's chest is pinched in the hand, crepitus can be clearly felt, which is a manifestation of obvious pneumothorax.

   "Continue to inject, quick."

  The itinerant nurse and the instrument nurse, like tearing off the outer packaging of the condom, delivered syringes from Caracalla to Zhang Fan one after another.

  Zhang Fan clicked it, and when he heard the sound of the drum, he inserted a syringe.

   Originally, one insertion would be enough for this kind of drainage, but now it is too late.

   It is necessary to open the lungs as quickly as possible. Of course, the sequelae of this operation are not small, and it is extremely easy to cause secondary pneumothorax after the operation.

   This thing is like a balloon, a patch is fine, but if the patch is full of balloons, it is easy to cause accidents.

   "Heart rate is up, heart rate is up!"

  Didi’s alarms in the operating room came one after another, and the anesthesiologist finally reported a good news with trembling.

  The patient is really going to die. The chief surgeon on the operating table is the first person responsible, and the anesthesiologist is the second person responsible.

  When the patient's blood oxygen, blood pressure, and heart rate slowly rose, several doctors in the operating room had a feeling of narrow escape on their faces, which was not an exaggeration at all. "Continue with the operation!" Now that Zhang Fan was on the stage, he directly took over as the chief surgeon and started the splenectomy.

  Many people can know the general direction of the big policy from the top, and can know from the bottom that the neighbors and mothers fought several times yesterday, but they are not very clear about their own bodies. For example, a person with long-term constipation can come up with the idea of ​​stuffing rice field eels into it to defecate, but if he knows a little bit of intestinal knowledge, he will not do such a tragic thing.

  Among human organs, the abdominal organs that are most likely to rupture in the event of trauma are solid organs. Solid organs include liver, kidney, pancreas, spleen, ovary, brain, lung, testis, and thyroid.

   Among these abdominal organs, the spleen is the most likely to rupture. Because the others are either protected or so small that they are wrapped in fat.

  For example, the brain and liver. The brain is protected by the hardest helmet and skull in the body. Many people have heard of concussions.

The diagnostic criteria for a concussion is that the patient has transient amnesia. Anyone who understands this sentence will understand it. Covertly forget.

  In this case, when the academician comes, he can only choose a concussion diagnosis for you.

   As for the liver, although there is no hard helmet, most of it is under the ribs. It can be said that people have chain mail. Kidney, don't look at the two big kidneys hanging in the distance. But people have cotton clothes.

  Men like to eat a big kidney when they eat barbecue. There is a thick ring of fat around the big kidney. This kind of protection, if you don’t meet a sharp weapon, just rely on falling, and the bone will be broken into glass slag. People’s kidneys may not be in trouble.

  The spleen is different.

  Like all organs, this thing is fragile, and an adult spleen is a bag of blood.

  Although the spleen is in the abdominal cavity, it is officially classified as the lymphatic system. It is the largest lymphatic organ in the human body. For example, after red blood cells age, they are finally swallowed by the spleen.

In childhood, this thing is hematopoietic, and when it is an adult, its main thing is immune response. For example, when the body enters parasites and viruses and bacteria, this guy will try to swallow these foreign objects, and even some parasites can be stuffed into it. Jelly beans in his mouth.

  In principle of treatment, after the spleen is damaged, it is stipulated that it needs to be repaired, but most hospitals or most doctors will choose to remove it!

  Patients on the operating table, the spleen is lying in the abdominal cavity like a congested tongue. The difficulty of this operation is actually not high. The gastric sac is pulled open, the gastrosplenic ligament is cut open, the blood vessels between the stomach and spleen are ligated, and then the tissue scissors are picked up and clicked. It is like cutting off the tongue, and the spleen is completely removed.

   Sometimes surgery can be brutal.

For example, mastectomy, such as kidney removal, when the scissors go down, it can really make the surgeon feel like something is about to fall out of the body, so many urologists, especially doctors who deal with kidneys, hardly Eat kidneys.

   Zhang Fan, who came out of the general surgery operating room, was a little bit exhausted. This kind of surgery, in one word, is exciting. Life and death are just a matter of minutes. In the corridor, I heard the orthopedic operating room, Wang Yanan, like a blacksmith, clanging. In the past, Zhang Fan would feel upset, but now he feels joyful.

   "Zhang Yuan, the leader hasn't left yet." Standing in front of Zhang Fan, he didn't know whether he felt that he was short or for some reason, but he puffed out his chest.

  Ba Yin, who is wearing a green surgical gown, has the feeling of three heads, which is not exaggerated at all.

  Zhang Fan rushed, changed his clothes, and left the operating room. It would also be beneficial to keep leaders in fear for a longer period of time, perhaps with more caution and a sense of awe later on. "Although today's operation has twists and turns, the patient has passed the dangerous period. Seven or eight operations have been performed, and none of them have failed."

  Cha Su's second child shook Zhang Fan's hand and nodded his thanks.

Yes, Chasu’s current development momentum is so strong. If at this time, his excellent resume is added, and a major stampede occurs during his tenure, perhaps the superiors will not say anything, but his competitors can take it. This matter tossed him half to death.

  The Spring Festival is over, and when I go to work on July 1 of the Lunar New Year, the various departments of the surgery are notified to hold a meeting.

   Then in the conference room, a director, a deputy director, and two young doctors of general surgery sat on the podium with serious faces.

   "What's the situation? Now all the general surgeons are leaders? They've all sat on the rostrum. Why aren't our urological surgeons being valued so much?"

   A group of young people muttering in private.

   "Okay, it's time. Today, I would like to invite the comrades in the general surgery group to tell us about the operation experience during the Chinese New Year." Lao Chen presided over the meeting, and all the hospital leaders in charge of surgery participated.

  Many hospitals, especially large hospitals, only discuss after the death. In the past, this kind of discussion was to find problems, find problems, and solve problems. But now for some reason, the larger the hospital, the more it feels like it is partisan when discussing death.

   Today, several doctors in the general surgery group discussed why there was such a major neglect in the surgical approach.

   Even the elective surgeries in the operating room this morning were all stopped, and the meeting was held here.

  Holding meetings to criticize people is not Zhang Fan's style. Today's meeting is not to criticize the conference, but to talk about the experience, the situation at that time, and the summary after the operation. Zhang Fan is not afraid that they will make mistakes, but that they will not correct them.

  This style, as long as you can stick to it, for young doctors, you can even avoid many years of detours.

  …

   "Yuan Zhang, the diplomatic side just notified the general office that the golden retriever expert team will be coming next Monday." The liaison officer from Nanhai passed the information to Zhang Fan immediately.

   It is estimated that the leaders of Bird City do not know yet.

  Because after the negotiation with Golden Retriever was blocked by the national team and frightened each other, Golden Retriever sent an expert group to evaluate the drug for the last time.

   "Good thing, do you know what kind of experts are there?"

   "It's mainly about pharmacy. There don't seem to be many clinical experts, and they are all elderly experts. It is estimated that they are experts like the chairman of their physician association for the sake of prudence."

  After Zhang Fan listened, he kept cursing in his heart.

  Nima, why are all the old guys here? Who is this guarding against!

  Zhang Fan seemed to have lost a large sum of money, and the news that he was in such a good mood disappeared at all.

  Going home from get off work, Zhang Fan didn’t want to go home for the past two days. He ate leftovers every day, and the meat buns slipped away four or five times, and he still hasn’t finished eating. Just like this, Zhang Fan and Shao Hua have to prepare ingredients to entertain people every day.

  Zhang Fan clearly stipulated in the hospital that New Year greetings are not allowed.

   Okay, it’s true that no one is coming for individual New Year’s greetings now, but Nima has become a group New Year’s greeting.

   Dozens of people from a department rushed into Zhang Fan's villa, so they can't say with a dark face that you go back. With the first one, other departments followed.

  For example, a group of people from the orthopedics department were the first to come, so Zhang Fan didn't prepare for it at all, and directly stewed a sheep. A group of goods, rummaging through boxes and cabinets, don't drink bad wine, don't drink tea that doesn't taste good, I feel that this group of goods just pooled up a hundred yuan each, and then came to eat at the buffet at home.

   But Lao Chen came here a long time ago. Before the Chinese New Year, Lao Chen came here with a bag full of worthless fruits in his hand. After eating and drinking, he also took away two bottles of good wine from Zhang Fan. Just like this, Zhang Fan and Shao Hua still have to treat them well.

  An old Zhang Fan’s family seemed to be in a military disaster. But this wave of New Year's greetings, Zhang Zhibo is not afraid of strangers, the more people there are, the happier he is, and he even insists on touching everyone with a baby bottle, making it seem like Zhang Fan, an old father, has given up the position of parent to the baby boy Same.

   "Is no one coming tonight?"

   "There should be no one coming, the ones who should have come have come, why don't you go on a trip next year!"

  Zhang Fan is really not talking nonsense, a group of people came in a mighty way, not to mention eating, when the orthopedics department came for the first time, there were not enough bowls and chopsticks at home.

   Before the voice finished, Jia Su Yue came!

  (end of this chapter)