462 is so hard
The stone in the stomach was lifted by the sabra, and after the drill destroyed most of the stone, it became smaller but could not be taken out of the small incision.
The incision is very small, almost only a middle finger can be put in, and the thumb can't be put in, it is so small, the damage is so little, if you don't use your brain, take this kind of stone, it will almost become a stomach incision.
"Alice pliers. Zhang Fan put down the electric drill and began to ask for pliers.
"Dean Zhang, can you use a larger needle-nose pliers, last time you broke the instrument, the leaders said that I was it. The nurse held the Alice pliers in her hand and just didn't give it to Zhang Fan, and she was crying when she spoke.
The head nurse, don't look gentle and polite to high-level doctors, in fact, she is a very fierce woman. Also, the nurse in charge of the operating room is not fierce, first of all, an aseptic operation must always remind the surrounding doctors and nurses. This is the last line of defense for surgery.
To put it well, the effect is not good, only shouting and scolding, so the nurses are also very afraid of the head nurse getting angry.
"It's okay, give it to me, I'll have surgery later, I'll go and tell the head nurse, I won't trouble you." Needle-nose pliers can't get in. Zhang Fan smiled and said to the little nurse, the orthopedic surgeon wastes instruments, this is a well-known thing.
"Don't say it's what I said, otherwise the head nurse will ......" The little nurse gave the Alice pliers to Zhang Fan.
"Don't worry, I won't say it. We're in a group, aren't we!" Zhang Fanyi said, the little nurse was happy, and happily wiped the surgical instruments.
When the surgery is handed over to the doctor, it will be bloody and mushy, so the nurse must wipe it clean before the blood clots. So the nurses on the operating table are also very busy.
"I like to set up a stage with Zhang Yuan. The little nurse said with a smile.
"Doctor Li, how many sick numbers do you have in your hand?" After Zhang Fan took the Alice pliers, he asked the attending officer on the stage while holding the stones hard.
"Zhang Yuan, I still have fifteen patient numbers, and only five patient numbers have come out today, otherwise there are twenty patient numbers. "The attending doctor showed his patient number.
Zhao Quanping, the director of the general foreign department, had a deformed face, "It doesn't matter if you don't have talent in surgery, why don't you even have high emotional intelligence." Isn't this a blatant attempt to get your sick number away, stupid!"
"Oh, you have to pay attention to your body, I think Dr. Li is still very good at treating people in the general environment. But if you are powerful, you have to bring up the doctors under you to call it powerful. This patient is handed over to Ma Yichen, after you go down, you must take care of it, I will ask you if something happens. ”
"Okay, okay, Zhang Yuan, don't worry, I will definitely worry about letting Xiaoma take care of this patient number and improve the medical level as soon as possible. ”
Dr. Li was happy, Zhang Fan's tone of voice didn't treat him as an outsider!
"Hey, the level of surgery is high, and he can speak, he shouldn't be the leader of whom. Zhao Pingquan sighed in his heart, and when he looked at his apprentice again, he was angry, "This second fool!"
Zhang Fan can do this, first of all, thanks to the credit of selling instant noodles back then, with this bowl of wine at the bottom, compared with other technical dogs, Zhang Fan's emotional intelligence can be regarded as practiced.
In addition, the promotion of the position, the improvement of the vision, and because of Ouyang's beating, Batu's teaching, Lao Gao's example, Zhang Fan's overall view, and dealing with people and other aspects have been improved to a certain extent.
How to deal with people is actually a very important skill, relying on please, oppression is not the right way.
"Ma Yichen, can you take care of this sick number?" Zhang Fan looked at Ma Yichen and asked.
"Zhang Yuan, don't worry, I will take care of it. The leader gave him the opportunity, and Ma Yichen was also very happy.
"Okay, I'll leave this patient number to you. Zhang Fan nodded, and Lao Zhao coughed at this time, and the meaning was obvious: "Lao Tzu is the director of the general department!"
"If you don't understand, ask Director Zhao, in terms of tea and general medicine, our Director Zhao is the first knife. ”
"Alright, don't fool me. You've practiced it, have you taken down the hepatobiliary department of the affiliated hospital now?" Lao Zhao admired Zhang Fan very much, so he didn't pursue it. Otherwise, Zhang Fan directly interfered in the work of the department, and in front of him, it was strange not to quarrel.
"Sort of, I've made an appointment for several surgeries, I'll go this weekend, why don't you go too?" At this time, the operation is simple, just like a walnut, just clip it. So Zhang Fan was also happy to say two words.
"You've lifted me! But let's talk about it first, don't take it to the hepatobiliary surgery department, I don't agree. Lao Zhao said with a glare.
"Okay, don't worry, it won't. Zhang Fan smiled. As for whether it will be or not, it depends on Ma Yichen's talent.
"Girl, come and give me the needle holder, Alice can't do it, she can't hold it. Zhang Fan handed Alice to the nurse, and the little nurse was about to cry with Alice pliers.
Zhang Fan went to the operating table, and the head nurse generally arranged the latest and best surgical instruments.
As a result, the new Alice pliers are already a little bent! Can this still be used! The little nurse took the pliers and looked at them over and over in distress.
"Hehe, it's okay girl, don't worry, I'll go and tell your head nurse later. She won't criticize you. ”
"Well, you must tell the head nurse that the Alice pliers are crooked. Now you're going to use the needle holder again!"
"It's okay, don't worry. Zhang Fanle said hehehe. Medical treatment, especially Western medicine, is actually a big waster, and if you want Zhang Fan like this, this equipment of dozens of yuan will not be used. In the past, the state conditions were not good, and everything was used many times.
Now that the conditions are good, there are not many things that can be reused, almost all of them are disposable. Although the cost has increased, the security has been greatly improved.
"You orthopedic surgeons are just rough! A good needle holder can be used crookedly, and let us ordinary doctors use it when they retire, and they can't use it. In the future, you will separate your orthopedic equipment from the general equipment. Lao Zhao said unevenly.
"Well, next time I'll use my own equipment, there's an imported set of equipment. Zhang Fan said proudly, his own special equipment, Zhang Fan did not like to use it before, but his status was not reached, he used a set of equipment, not to mention others, the nurses in the equipment department will not disinfect you, and you can not be a small resident doctor.
But that's no longer the case. This is also the benefit of being a leader.
"Which country?"
"German!"
"If you have a chance, get me a set too. Lao Zhao knew what was going on as soon as he heard it, but compared with orthopedics, the general surgery did not pay much attention to the instrument.
"Okay!" Zhang Fan held the needle holder while pinching the stone vigorously.
The hardness of this stone is too hard. Gallstones, are crispy. Not to mention using instruments, you can knead the dough with your hands, and the kidney stones are a little harder, but you don't have to work so hard.
This bezoar is too hard, and it can survive strong acid corrosion, which is really not given for nothing. "Come, Dr. Li, pinch for a while, my hands are sore!" The handle of the needle holder is relatively thin, and Zhang Fan pinched it for a while, and his hands began to hurt.
Zhang Fan really couldn't pinch it, and it was really troublesome to pinch a stone with a child's head and pinch it again and again. Dr. Li took the needle holder and began to pinch it, pinched it more than ten times, and embarrassedly gave the needle holder to Ma Yichen, but he couldn't pinch it anymore.
The little horse also pinched it a dozen times. Looking at Zhang Yuan's easy pinching, I thought it was very simple, but it turned out that this stone was so hard, like an iron block. ”
"You know, Zhang Yuan usually exercises very well, and when you sleep lazily in the morning, Zhang Yuan starts running. "The head nurse doesn't know when she came in.
Lao Zhao is getting older, and Zhang Fan didn't let him do this purely physical work. Hearing that the head nurse came in, Zhang Fan took the needle holder and spoke. The little nurse stared at Zhang Fan with wide eyes, she was afraid that Zhang Fan would also involve her.
"Head nurse, I'm causing trouble for you again. Zhang Fan said with a smile.
"Look at what you say, I'm happy to do whatever you do. The head nurse helped Zhang Fan wipe his forehead, which was not sweaty, and sorted out Zhang Fan's surgical gown from behind.
Then he said to the itinerant nurse: "In the future, I will wear the surgical gown a little looser, it will be too tight, the operation will take a long time, and it will be uncomfortable." ”
"Okay, head nurse. The itinerant nurse smiled.
"Pretty good, head nurse, I've broken a few more instruments. Nurse Xiao Wang has said that I have been several times, but there is no way to do this operation, this stone is too hard. ”
"Oh! I'll see. Then lying on Zhang Fan's back, standing on a small stool and looking at the instrument through Zhang Fan's shoulder, Zhang Fan seemed to feel something.
"Oh my God, Zhang Yuan, you have so much strength. It's so hard, it can be bent, and the next time I make a report, you have to sign it early. The former vice president always said that we were eating equipment, you know, right!" said the head nurse with a smile.
"No problem, no problem at all, rest assured. Zhang Fan smiled, and then moved a little ahead slightly. Although it was already pasted on the operating table, Zhang Fan still walked a little ahead.
"Zhang Yuan is just a good talker! I like this kind of leader. After saying that, the head nurse went out with a slightly thick willow waist.
Three people directly destroyed the three needle holders. "It's really strong, it's about the same as a lower grade of cement. Zhang Fan rubbed his sour tiger mouth and said.
Pinched into small pieces of stones, Zhang Fan began to clamp, one by one, and the small curved plate was directly filled with a plate. Finally, the gauze was slowly raised, and the stone was finally taken.
"This sick number, after going back, you must think about gastrointestinal decompression, don't worry about letting him eat. Drugs to protect the gastric mucosa and suppress acids are used.
When necessary, give him a few more enema, this thing can't be digested in the stomach, don't let the remaining residue enter the intestine and form an obstruction. Zhang Fan explained to Ma Yichen.
"Okay, Zhang Yuan. The leader can appreciate it, and Ma Yichen is also very happy.
After Zhang Fan finished explaining the matter, he began to stitch up. "Zhang Yuan, is the ulcer treated?" the attending doctor asked.
"No, this ulcer is caused by the friction of this stone. As long as the stone is gone, use some drugs to suppress acid and protect the gastric mucosa, and you will recover by yourself. But the patient's wife is a troublesome thing. After Zhang Fan finished speaking to the main director, he said to Lao Zhao.
"Yes, her liver hydatid surgery has already been done once at the local hospital, and now it has relapsed, and the operation is more troublesome. ”
"Director Zhao, tomorrow I will invite my senior brother, Professor Zhao Jingjin from Bird City, and we will have a consultation together. Let's see if there's a good way. ”
"Okay, regular surgery doesn't work. Gotta think of a better way. ”
Zhang Fan sutured the stomach layer by layer. The small hole that was opened, the damage was not great, and it should be no problem to recover.
"Zhang Yuan, Director Zhao, I also often have stomach pains, show me one day. "The operation is almost over, and the head nurse is not difficult to be a little nurse, a little instrument nurse, this will also be lively.
"If you don't eat on time, do you still lose weight?" Lao Zhao didn't speak, and Zhang Fan continued to speak.
"Well, if you don't lose weight, you don't have a partner. "The little girl is also a man!
"How old are you, don't break your stomach to lose weight, you can go to the gym!" Lao Zhao said with a smile.
"Lazy! My legs are about to break after work, I don't want to walk, where can I have the strength to exercise. And I've been sick to my stomach when I have eaten some chocolate recently!Zhang Yuan, tell me about it!" The little girl said deliberately, this guy has the potential to be the head nurse.
"This stomach, it has two mouths, the entrance is called the ben gate, like the fuel injection port of a car, and the exit is called the pylorus, which is connected to the duodenum.
There is a sphincter at the cardia that acts like a valve, and this switch is closed when food enters the stomach, so there is usually no regurgitation.
However, once a large amount of fat and alcohol is used, reflux will occur, and many people will not say that they eat and drink more, but eat and drink a little, and reflux symptoms will occur, so if this happens, you should avoid eating chocolate, high-fat, alcohol-containing foods.
If there is long-term reflux, the esophagus will be corroded, corroded and corroded, the esophageal mucosa will be broken and begin to recover, and after recovery, it will begin to corrode again. ”
Zhang Fan also knew that the little girl did it on purpose, but since she started to say it, she had to make it clear.
"Oh my God, it's horrible, I love chocolate the most. I also love white chocolate. ”
"Your mouth is so gluttonous, you probably won't be able to lose weight. Director Zhao said with a smile.
"Director Zhao, you hate it. I've decided that I won't eat chocolate anymore!"
"I've quit eating!"
"Haha, for the sake of Director Zhao's body, I'd better eat a little!"
The operation went smoothly, and several people talked and laughed about the end of the operation.
"You have to worry about it, and you have to pay attention to the recovery after surgery. Zhang Fan deliberately gave Ma Yichen another explanation.
"Zhang Yuan, you can rest assured that you will definitely complete the task. Discharge the patient healthily. Ma Yichen patted his chest and agreed.
"That's good. ”
Uncle Gold Tooth, who had his teeth removed and a plastic gastrointestinal decompression tube inserted in his nose, and a faint bloody fluid could be seen in the tube, was pushed out of the operating room by nurses and anesthesiologists.
The old man has no teeth, his upper and lower lips are constricted together, and then because of the customs of life, there is a long beard around the lips, how to look at it, how weird. It seems to be a strange flower, Zhang Fan looked at it and decided to be resolute in the future.