From a technician to a comprehensive technical manager, the mentality change is not a day.

Not only my own mentality has an adaptation process, but even the mentality of colleagues, friends and family members is also slowly adapting.

When Zhang Fan first became the assistant director of the Department of Orthopedics, Lao Gao once said to Zhang Fan.

The mindset of managers in the healthcare industry is different from that of other industries, and it is very variable and complex.

Zhang Fan didn't understand it at first, but now he finally has a little understanding. That is, the technician is not obedient.

It's not the personality of a two-person doctor, it's a common trait of the entire profession.

Just like some little doctors and little nurses now, they secretly call Zhang Fan to buy Jiang for black.

Among the names of the frontier ethnic groups, Maimaijiang is not necessarily the most, but for the Han people, Maimaijiang is the most catchy.

So, I don't care how many ways you come, I just go all the way. Called Maimaijiang, he became the Xiao Ming of the Han people in the frontier.

The little nurse called Zhang Fan to buy the river for Heimai, which was full of a hint of admiration, strangeness but also a feeling of familiarity.

And the little doctors shouted Zhang Fanhei to buy Jiang, most of them were jealous and unwilling to admit it in their hearts.

is also a young man, the same undergraduate graduate, why is he so powerful?

I guess it's because he's black!

Zhang Fan doesn't mind a matter at all, he is now like a king, constantly inspecting his chassis and constantly discovering materials that can be made.

It is too difficult to find talents in the medical industry, not only to work hard and hard, but also to have talent.

And you also have to have a mentality that can withstand a lot of pressure, not only can you withstand pressure, but also your heart is very important.

In this industry, if the heart is not good, if there is no problem, the problem is a big problem, and if you want to pull up the team and build a good team, it is not much simpler than the improvement of surgical technology.

The day before the operation, Zhang Fan held a morning meeting for preoperative discussion in the general hospital.

At present, the city hospital has long been separated from the general hospital, and the anorectal department has long been separated, but it is not self-reliant.

As for vascular surgery, few people go to specialized research, first of all, the development of this discipline is relatively late, and the requirements for hardware equipment are also very high.

In the past, the city hospital had this heart but not that strength, but after Zhang Fan brought a lot of equipment on his trip to the magic capital.

In fact, Zhang Fan is slowly considering the necessity of establishing vascular surgery, so now, Zhang Fan has to observe slowly.

Vascular surgery, the real essence of vascular surgery is to dig the west wall to make up the east wall.

Therefore, the macroscopic level of the vascular surgeon must have a certain height, which is different from other general surgery and is specific to a certain organ.

For example, the appendix, such as the gallbladder, is also a truth, even the most difficult pancreas can be done, the great still cut.

But the blood vessels can't do it, this thing is a closed ring, and if the disease is antagonized in a closed ring, this requires the doctor to have a strong overall view.

Therefore, Zhang Fan also began to investigate slowly, and if there was no candidate in the city hospital, he would train himself.

The morning meeting was very successful, but Zhang Fan's goal was not achieved, and the doctors outside the general public were very rude, and there was little mention of conservative treatment.

Although the patient's condition is very serious and the possibility of conservative treatment is already low, everyone's view of conservative treatment is still a bit shallow.

For vascular lymphatic diseases, surgical treatment is the last resort, and conservative treatment is the king.

For example, in the treatment of lymphatic diseases, although Huaguo started relatively late, relying on the baking and binding therapy founded by Academician Zhang Disheng, the first person in Huaguo plastic surgery, the Ninth Hospital of Modu suddenly became a leader in the plastic surgery industry.

In terms of lymphatic treatment, Huaguo's treatment method is still unique.

It is estimated that this old gentleman is also a glutton, and the baking method he invented is similar to that of roast duck.

For example, if the patient has lymphedema of the lower limbs, the first thing to do is to use an elastic bandage or tight stockings to wrap and compress.

It is then placed in a special oven and baked at a temperature of as low as 60°C and as high as 130°C according to the patient's tolerance.

When evenly heated, the patient's edema is significantly improved, but what the principle of this thing is, for now, everyone is inconclusive, but it works!

It is estimated that the old gentleman watched the roast duck rotate and be heated, and his body contracted, but there was rarely a large amount of body fluid lost, so he was inspired!

Otherwise, there is no way to explain this thing with medical theory.

The old gentleman is also a man of God! The Nine Courtyards of the Demon Capital are famous all over the world, and the students brought out by the old gentleman almost monopolize the Nine Courtyards of the Demon Capital.

The treatment methods abroad focus on rehabilitation and recovery, that is, focus on manual massage.

What does it mean, the tissues of the human body are actually isolated from each other, such as the calf muscle groups.

These muscles are wrapped together piece by piece by a wear-resistant outer mold, just like frozen meat in the refrigerator, which looks frozen together, but in fact it is separated by plastic piece by piece.

Edema is between this piece of muscle. The conservative concept abroad is to use massage to open the gap between the top and bottom.

Allow lymph elsewhere to absorb clogged lymph.

The advantages are obvious, but there are also obvious disadvantages, first of all, this kind of physiotherapist must be professionally trained.

This physiotherapy technique is not to step on the back, push the oil, pull down the roller shutter to make you feel comfortable.

This technique is a kind of violent massage, to open the barrier of the upper and lower tissues, the technique almost can't get the swelling of the legs to massage the reproductive (a) organs, then it will cause natural disasters, and it can directly become a bull's head.

Therefore, not to mention the high cost of this treatment, it takes a long time, and if the main labor force of a family has this problem, it will be a disease that will kill the whole family.

After the morning meeting, Zhang Fan smiled helplessly, and asked the doctors outside the general world to play barbecue and get massages, it is estimated that these people will definitely not be willing.

It seems that there is only another talent.

After the patient was sent to the operating room, the little nurse in the operating room looked at the meat jar on the patient's lap and dared not laugh.

The anesthesiologist took a closer look, "Zhang Yuan, spinal anesthesia is not good, the fluctuations in blood vessels in this place are not very obvious, and you have to have general anesthesia." ”

"Okay, have you talked to the family? ”

Zhang Fan responded.

The doctors outside the general world are more thieves than thieves, and in the morning Zhang Fan asked them one by one, and everyone estimated that Zhang Fan might have to find someone to specialize in blood vessels.

Therefore, a group of people entered the operating room, one by one quieter than the other, for fear that Zhang Fan would order the blood vessels.

The twisted melon is not sweet, and Zhang Fan didn't think about asking them to do blood vessels, but it's still okay to scare and scare them.

"The blood vessels are still promising, no overtime, no emergency, and clean!"

As soon as he said this, one rushed to work more than the other.

Zhao Quanping, the director of the general foreign department, smiled and quietly gave Zhang Fan a thumbs up.

"Zhang Yuan, the disinfection is done, the patient has been numb!" The chief of the general wai flattered Zhang Fan.

"The operation begins!"

As soon as Zhang Fan entered the state of surgery, he had no other superfluous thoughts.

Lymphatic vessels are operated on similarly to arteriovenous vessels.

Although it is not as dangerous as arteriovenous vessels, it is not easy.

The arteries and veins are one-to-one, and the great thing is that the thickness is different. If blood flow can be controlled, there is not much difference between suturing blood vessels and suturing rubber tubing.

But lymphatic is different, after this thing comes out of the muscle, it is like a mouthpart, with a bell mouth open, and it is absorbed with the movement of the muscle.

Therefore, there are three surgical methods for this disease, and these three surgical methods have not been significantly improved on a large scale since their invention.

In addition to the changes in medication, what was done decades ago is actually still how it is done now.

The first, and most brutal, is direct resection, with direct resection of the muscles and lymph.

For example, if the rubber is swollen and removed directly, men can be scared to death after hearing it.

The second is to promote absorption, which is to put it bluntly, diversion. The third, and most difficult, is the reconstruction of lymphatic reflux.

The lymphatic reflux of the calf is actually a bit like the posture of a road in Huashan, there is no good way to divert this thing, and the removal is too damaging.

Although most doctors will choose excision, because in this way, it is difficult to say whether the patient's lower leg will contracture after surgery, but there will definitely be no more edema.

However, Zhang Fan chose to reconstruct, and the reconstruction operation took a long time, so in the morning, Zhang Fan greeted the doctors who came to the stage in advance.

Eat less and drink less, Zhang Fan only ate a little steamed bun and a little pickle, and didn't even drink water.

If you don't want to be hungry like this, you have to bring diapers, to be honest, no matter how advanced diapers are.

The feeling of warmth on the paper after urinating is really uncomfortable, and it sticks to the skin as if someone has spit on it, and you can't wipe it yet!

At the beginning of the operation, the meat jar is cut open, and the tissue inside gives the impression of cotton wool or foamed white fungus.

The skin is like leather in the hand, there is no flexibility of human skin at all, it is directly stiff like four pigskins that have been blistered for a long time, biting it in the mouth and spitting it is a pity, but after chewing for a long time, people do not move at all, and the shadow of the teeth cannot be left.

The operation is on this kind of skin, as if a person is on the snow, poof, poof, poof, with a little less force, you can't walk, and if you use a little more force, the knife will be inserted if you don't get it right.

But for Zhang Fan, no matter how it changes, with a scalpel in hand, it doesn't matter if there are thousands of changes.

"Tooth tweezers!" After Zhang Fan cut the skin, he asked his assistant to pull the skin apart with tooth tweezers, revealing all the tissues inside the calf.

The inside of the calf tissue can't be seen, and normal people, even if they are obese, are all muscles in the calves, and fat is fat.

After the patient's meat jar was cut, it was like a pile of water-filled pork, with white liquid overflowing everywhere.

The muscles don't have the feeling of tendon meat, as if they have been chewed by a toothless old lady for half an hour, and then spit out like a spit on the meat.

As soon as the gauze was dipped in, it brought up a lump of slimy liquid, and when it was dipped in a lump of liquid, it really seemed that after the boy became Master Lu, he didn't get the paper towel, but all got the feeling under the skin of his calf.

The tissues on the meat jar are white and greasy, and it feels like your hands are stuck to it with gloves.

Zhang Fan cut open the tissue and looked for lymphatic vessels.

"Zhang Yuan, if it doesn't work, just remove it, I feel that this edema is too bad, and if I pinch it gently, it's all protein. ”

The director of the general department frowned.

"And help, you listen to me, come, help me find the right vein. ”

Zhang Fan didn't say much, didn't explain much, and directly gave Zhao Quanping a task.

On the operating table, as long as the surgeon hesitates a little, the advice of other doctors increases.

One says left, the other says right, so, on the operating table, a surgeon actually has to have a certain domineering.

Zhang Fan said to look for it, and several assistants originally wanted to speak, but they didn't say anything. Keep your head down and carefully look for the right vein.

Lymphatic blockage, which is a road in Huashan, what to do, reconstruction, first shrink and make the lymphatic entrance smaller, and then find a suitable vein and connect it together.

Therefore, this operation can actually be done by a vascular surgeon at this time, and the most difficult thing is after the vascular lymphatic connection.