People, in fact, can only work hard for a few years. The years when you don't get married or have children are the best time to lay the foundation, and with the foundation, you may be able to sublimate over time. Once it has passed, it will be difficult to struggle again.

Zhang Fan has a system, he has eaten and drunk enough, and when he sleeps, the power is full again! And in the hospital, especially in the surgical system, because of the overwork, the doctors who are a little older are really gritting their teeth and persevering, and even the life of husband and wife has become a luxury.

In the early morning of the general surgery, a group of attending doctors looked sluggish. The hospitalization hanging high is always like the carrot hanging in front of the donkey's eyes, and if you don't fight, it will belong to someone else.

After arranging tomorrow's surgery and explaining the work of some departments, Zhao Pingquan, the director of general surgery, said to the doctor: "Now, let Zhang Yuan say a few words." ”

"Today's surgery is the removal of gastric stones for patients with gastrolithiasis. Are all the preoperative preparations ready?" After a period of confusion, Zhang Fan is now accustomed to this position.

"Zhang Yuan, get ready. Gastrointestinal decompression has been prepared since the day before yesterday. I've been fasting since yesterday, and all the nutrition is parenteral. The attending doctor of the tube bed reported.

"Director, are you going to have this operation?" For Lao Zhao, Zhang Fan still respects him very much.

"Okay, I'll give you a hand. "Lao Zhao likes to have surgery with Zhang Fan, except that he can't talk casually on the hand table, and Zhang Fan's surgery really seems to be an artistic enjoyment.

"Okay, call the operating room to pick up the patient number. ”

Zhang Fan and Director Zhao walked to the operating room together. The two chatted as they walked, "Recently, the doctors in the department are all screaming, rushing to receive the patient number. ”

"It's all your support, Director, unlike other surgeries, the maturity cycle of doctors is too long. ”

The two chatted and entered the operating room from the special elevator. The elevator of the hospital, when the building was built, Lao Huang was stingy and made four, and I felt that these four elevators were a bit wasteful.

As a result, now the elevator in the surgical building is simply not enough, and someone has to organize a queue in the morning. Otherwise, there are people arguing about taking the elevator every day.

Ouyang is more atmospheric than Lao Huang in this regard, the emergency center, a total of eight elevators, one for the emergency number of the operating room, one for doctors and nurses, and the remaining six for patients and their families.

Entering the operating room, Uncle Goldtooth saw Zhang Fan, smiled at Zhang Fan flatteringly, and wanted to speak, but the attitude of the little nurse who followed was not as good as Zhang Fan, and he didn't dare to come over and talk to Zhang Fan.

The gold tooth has long been placed in the family. Disinfect, brush hands, spread towels, and perform surgery. The stomach, the stomach of the human body, is too boring to describe in professional terms.

When Zhang Fan was in the classroom, he didn't like to learn the courses of abdominal organs and nerves, and he was still simple in orthopedics. There are too many anatomies of abdominal organs, and they are too complicated. There are different forms, and if you don't work hard, you will get confused.

The neuroanatomy, which is directly similar to listening to the book of heaven, is too abstract, one will be electrical conduction, one will be the conduction of body fluids, and from time to time there will be jump conduction. If you don't understand in class, if you don't review after class, the exam will be a piece of mush.

That is, later there was a system, and Zhang Fan had countless times to understand the anatomy of these two systems.

The esophagus, stomach, in layman's language, can be described as cables. As it travels from the esophagus to the stomach, the cable grows larger, thicker and thicker.

The outer skin is a wear-resistant protective layer, and the inner layer walks the vascular nerves.

The structure of the stomach can be divided into four layers, which are divided into the mucosal layer, the submucosal layer, the muscular layer, and the serous layer from the inside to the outside. The muscle layer can be divided into three parts.

It's complicated, just the shape of this muscle layer is not the same, the innermost muscle is oblique, starting from the contact between the esophagus and the stomach to the duodenum.

This pattern makes sense, the oblique shape of the muscles is good for the food to go down, and if you make a ring muscle, maybe the food will become embedded in the stomach.

The middle layer is the annular muscle, which wraps the stomach one by one and increases the firmness of the stomach. The outermost layer is longitudinal, which is to reduce friction with other organs. Because the stomach is always active.

Circle by circle, it's really like a ball of yarn.

The stomach can secrete a lot of things, no less than a dozen. In the early years, the medical community only thought that the stomach only had the function of digestion and grinding, but later it was discovered that the stomach also had the function of secretion.

The main secretion is HCL and some special enzymes, its PH is about 0.5~1, this concentration of hydrochloric acid, throw in an iron tablet, maybe it can be melted for you.

But the stomach, won't it be corroded by HCL? Yes, it will be corroded, but it is because there is a weak alkaline protective layer on the inner surface of the stomach, about 0.5mm thick bicarbonate barrier, which is the most important protective layer of the stomach.

Without this protective layer, even if the muscles of the stomach are ten meters long, stomach acid can penetrate them. Eating chili peppers, drinking wine, eating chocolate, and then having stomach pain, it means that there is an ulcer in the stomach.

Anger, especially in young women, because the body secretes vigorously, and the various hormones produced after getting angry will also cause this mucosa to decrease, so this is also the cause of stomach pain after anger. It is not for nothing that people with a big temper have perforated their stomachs.

Ulcers are caused by the protective layer of bicarbonate being penetrated by stomach acid. I have been angry, I have been corroded by stomach acid, corroded and corroded, and my stomach is cleared, which is perforation. The treatment method of perforation is very simple, if the area is small, it will be sewn, and if the area is large, the stomach will be cut.

And the ulcer, once the area is too large and appears to a certain depth, well, even if it is not perforated, it will become cancerous after a long time, and it will not be able to run away at all.

Therefore, three meals on time, less alcohol, less spicy and stimulating food, and less anger are the best protection for the stomach.

After anesthesia, the surgery begins. "This is a classic example of a small lesion and a big disease. With such a large stone, the incision in the stomach will not be small, and the patient may have long-term chronic pain in the future. ”

While preparing for the operation, Zhang Fan said a word to the others. In fact, Zhang Fan said this to see if other people had any other ideas.

People just said, "That's it, open the big incision!"

Zhang Fan smiled and didn't speak. "Alcohol cotton ball!" Zhang Fan took the cotton ball and began to disinfect the skin for the last time, and then opened a particularly small opening in the center.

It's about the same size as a normal appendix incision. "Zhang Yuan, the opening is a little small, how can you take out the stone from this opening. The director of the bed wondered. "What is this for!" he was confused and couldn't understand!

Lao Zhao understood. However, he didn't speak, Zhang Fan turned his head to look at a few doctors, and said, "The operation is amorphous!"

"MMP! I haven't even finished the fixed surgery, and your resident doctor has started to operate amorphously, what kind of world!" Several doctors who listened to Zhang Fan's pretending to force collapsed.

The doctor is not to blame for this. Not to mention the others, there are no less than six surgical methods for a gastric ulcer in textbooks, and there are some that are not in textbooks. Only a lot of learning a lot of surgery can be sublimated, or having a super talent.

There are more and more diseases, and doctors are becoming more and more detailed, which is a helpless thing, but people are a whole, so it is a very contradictory thing, and this is also a problem for the future development of medicine.

Open the abdominal cavity, stop the bleeding, pull open the omentum, and finally see the stomach. Because of the stones, although he had not eaten for two days, the patient's stomach was full.

It's really like a pregnant woman expecting to give birth. "Sharp knife!" After Zhang Fan took the scalpel, he opened a small opening on the stomach, a very small opening.

At this time, the talent is at a distance, some doctors understand, and some doctors are still confused.

The doctor who understood suddenly realized, "Damn! I can't imagine that this is too simple, and the damage has become much smaller." ”

The doctor, who couldn't understand it, was still confused, "What is this for! What can you do by opening the opening that can only be put into one finger!"

"Pliers, bless both sides of the incision. "Muscle is different from skin and fat. A small incision in the skin and fat will not be made if the incision is not made without great effort.

But the muscles are not good, as long as they are cracked, they will automatically become larger with the incision, and Zhang Fan blesses the incision with forceps to prevent the incision from getting bigger.

Surgical forceps, in the hands of the doctors, click, click, click, click, "Gauze! Alice pliers blessed the end of the gauze. Zhang Fan explained to the nurse.

This kind of surgery has never been encountered by the nurse, and Zhang Fan has to explain it to the nurse. Otherwise, the nurse does not know the procedure of the operation.

Surgery is too much about the hard work and talent of doctors. The confused doctor continues to be confused, and the doctor who understands has begun to actively cooperate.

Long Alice pliers blessed the gauze and entered the stomach along the small hole in the stomach.

"Gently push the stone towards the spray door. Zhang Fan said to the third assistant. The third assistant is a resident doctor, although he has not worked for a long time, but he has good talent, and he has already understood the meaning of Zhang Fan's operation.

With Zhang Fan's Alice pliers, Zhang Fan's Alice pliers to the left, he gently pushed the stone to the right, and Zhang Fan to the right, he pushed to the left.

If you understand surgery, it is good to assist in doing it, Zhang Fan is very easy to do, Lao Zhao looked at this young resident doctor in surprise. "Ma Yichen, yes. Have you had this kind of surgery before?" said Lao Zhao.

The second assistant is the attending officer, and he is not confused yet, but he didn't expect this kid to have opened his mind to understand the operation. One has been on the job for less than half a year, and the other has been on the job for ten years, this is the gap in talent.

"Director, I haven't had this kind of surgery. Ma Yichen said to Director Zhao Quanping with a smile.

Ma Yichen, a graduate student of Sanchuan North Medical College, because he Lao Tzu is doing business in the frontier, he is a graduate student of Sichuan North General Gastrointestinal Medicine. If you want to stay in Xihua, graduate students are not enough.

After graduating, he simply came to Frontier Tea. Originally, I was going to work for a few years, and then Kaobo continued my studies, but I didn't expect that the small hospital in this small place would be so powerful.

Zhang Fan also glanced up at this young man. Although wearing a mask, it can be seen that the young man should be very delicate and in good health.

Zhang Fan blessed the gauze with Alice pliers and slowly changed directions. The previous surgery was carried out very quickly, and this time it slowed down, this is a work that depends on patience, you can't be in a hurry, and if you are in a hurry, you have to start all over again.

Ma Yichen cooperated very well, and Lao Zhao was tempted. Zhang Fan is the best example of the hospital, Zhang Fan's beginning, even with Lao Gao, suppressed several orthopedic directors, this is the apprentice cow, and the master has also started to cow.

"Which direction do you want to do in the future?" Before Lao Zhao could speak, Zhang Fan spoke first.

"Keep doing the gastrointestinal treatment, I like the gastrointestinal system. Ma Yichen said with a smile.

"You ......" Lao Zhao just spoke, and Zhang Fan immediately said: "Don't limit yourself to the stomach and intestines." Although you are a master of gastroenterology, it is better to broaden your horizons, and I have several liver tumor surgeries at the Bird City Affiliated Hospital on the weekend, you and I will go and have a look. ”

"Okay, Zhang Yuan. Ma Yichen probably smiled and opened his mouth.

This is not an interrogative sentence, but an affirmative sentence. Zhang Fan is also tempted, he has good talent and is young, this is the seedling. For surgery, if Zhang Fan is with Xue Fei, he can make Zhang Fan angry half to death.

It's not that Xue Fei's skills are not good, but his talent is not good, there are many things, he didn't think through them, and this young man can figure out Zhang Fan's intentions in such a short time, this is talent.

"Zhang Yuan, it's not suitable!" Lao Zhao was not happy. "MMP, don't say anything about the overbearing surgery. Now they're all starting to hit my apprentice's attention. "In the past, Lao Zhao hadn't discovered that Ma Yichen's talent was so good.

"Seeing more is good for him, after all, there are still few sick people in our place. The director pulled the hook, quickly used the suction device, sucked the blood, and the blood came out. "The official level crushed people to death, Lao Zhao's mouth was crooked, what might he do?

Little by little, Zhang Fan finally wrapped the stone with gauze. "Oh. I understand!" "The doctor in charge of the bed only now understands Zhang Fan's intentions.

He is Lao Zhao's apprentice, "You understand!" Old Zhao's liver hurt.

"Hehe!" the doctor in charge of the bed smiled a little embarrassedly. I already scolded my mother in my heart, "I don't make it clear, who wants to know what you are going to do!"

"Electric drill! wide hook!" The four sides of the gauze have been pulled out, and at this time, it is equivalent to Zhang Fan using gauze to pull up the stone in Uncle Gold's stomach and suspend it.

The drill is used to break down the stones in the stomach, and the wide retractor is used to protect the incision from being damaged by the drill.

Picking up the electric drill, Zhang Fan began to drill along the small incision towards the stone in his stomach. Protein is mixed with calcium and hair, and it is very strong.

After the drill bit is drilled down, it is like the powder of gypsum, and it splashes out, because there is hair, and the high temperature of the drill bit directly produces a smell of burning hair. Drill up, down, left, right. Several assistants tugged at the gauze hard.

You have to use a lot of force to remove the gauze, and once you slip your hand, maybe the drill bit will enter the body. Finally, with a click, the stone cracked.

"Cow! It's so good. The damage is small and simple, which is equivalent to a minimally invasive surgery. The attending doctor said enviously. He also had an mMP in his heart, "How could I not think of it." In doing so, the surgery is too simple. ”

Then drill, take the larger stone, and continue to drill the smaller one. It's not very good to drill at this time, "Mention it a little more!" Zhang Fan said.

Several other doctors were struggling with gauze.