The preparation for surgery is very fast, and China is one of the few countries where the financial can pay for medical expenses in advance, no matter what, the country is really advancing, developing, and improving. Nowadays, there are relatively few cases of fee evasion in hospitals.

In the early years, when township hospitals could still perform cesarean sections, and when county hospitals were still very effective, many people who had no money threw their sick family members or children in the hospital and left! This was the cunning of the small citizens, the cunning of helplessness, because they had no money.

Then, the township hospital or county hospital will directly treat the patient, and take care of the food! Then, after the cure, the patient's family will come. Carrying wheat or flour to pay for it! This kind of thing is not an isolated case, it is very common.

Now once this phenomenon occurs, the first thing the doctor considers is not the treatment, but whether someone will come to find the account, and it doesn't matter if it is cured, but whether it can be cured or not? Who dares to stretch out his hand!

Then, as people flocked to the cities in recent years, the farms shrank, and the township hospitals were like abandoned temples, and there were few people in the lonely buildings! Medical accidents were greatly reduced, but the unit had also become an inflamed appendix, and it was time to cut it off!

Lao Yang, a lonely old man who is not even a temporary sanitation worker, entered the operating room with several steel bars on his stomach, which was too weird, as the operation cart moved, this steel bar was like a chicken wing that had been removed, swaying with the fat in Lao Yang's abdomen.

Once he entered the operating room, Zhang Fan's expression immediately changed from the same, he usually smiled, and when he saw anyone, he laughed first and then spoke, which was a bit of a humble smile, and the habit from childhood to adulthood could not be changed until now.

However, this is also beneficial, Zhang Fan's smile makes the patients he receives very satisfied with Zhang Fan, "Dr. Zhang is not only good in medical skills, but also polite!" It's heartwarming!"

But as soon as he entered the operating room, the smile on his face was gone, although he was wearing a blue disposable mask, his sharp eyes were no longer the one who laughed at everyone, Zhang Fan at this time was a general who wanted to kill, holding a knife with light, and returning only when he saw blood!

"Speed up blood transfusion! Give cardiac drugs, correct acidosis, open three channels, relax blood vessels, and see urine potassium supplementation!"

Lao Gao of the orthopedic department and Lao Li outside his chest stood quietly opposite Zhang Fan with their hands on standby! The anesthesiologist and nurse quickly carried out Zhang Fan's medical orders.

Anesthesiologist, a special doctor within the hospital. In the early years, anesthesiologists were all from clinical backgrounds, and later there was a department of anesthesiology and a professional anesthesiologist. In the chain of hospital contempt, the physician looks down on the surgeon, and the internist thinks that the surgeon is too rough and does not understand anything, so he will cut!

Surgeons look down on anesthesiologists, "they don't understand anything, they just play with a painkiller!"

On the operating table, the anesthesiologist and the surgeon are collaborative, not subordinate, so the general surgeon cannot command the anesthesiologist.

But in the city hospital, Zhang Fan is a special case, the technology is too powerful, there is already a tendency to crush, and in the operating room, Zhang Fan is too difficult to deal with, with frost on his face and a bad breath!

He gave the doctor's order, but the anesthesiologist didn't have the courage to refute it. The battle record, Zhang Fan's record is too eye-catching, not to mention the average anesthesiologist, even the director of the anesthesiology department is respectful to Zhang Fan on the operating table. He respects Zhang Fan's technology and Zhang Fan's level! This is the technical unit!

"Dr. Zhang, the operation can begin, the patient's vital signs can support the operation at present!" the anesthesiologist reported to Zhang Fan. The anesthesiologist has to be cautious when the patient is critical, and the general operation, after the anesthesiologist is anesthetized, it is generally one sentence, two words, do it!

"Disinfection!" Zhang Fan didn't talk nonsense, a word of disinfection, and the main treatment outside the chest began to be disinfected!

Lao Yang is too thin, the fat layer of the abdominal wall is very thin, and the skin is gently pulled apart with a round knife, the fat layer, the yellow fat layer is very thin, and it is almost not a layer!

Fat people, especially female obese patients, have abdominal surgery, which is a direct nightmare for doctors. The surgical incision is exquisite, and it is not a direct opening of the abdominal cavity.

The surgical incision is layer by layer, looking for gradual, cutting the skin, stopping the bleeding satisfactorily, and then peeling off the fat layer, there are blood vessels in the fat layer, which also needs to stop bleeding, and then reach the muscle layer, if the muscle layer does not need to be severed, it is blunt separation, in layman's terms, it is to use the handle of the knife or use the fingers to open a hole in the muscle along the texture!

Just like peeling an onion, peeling layer by layer, if it is a two-knife knife, one knife goes straight to the abdomen, not to mention the danger, and it is also a very serious sequelae after surgery.

And for patients with a thick layer of abdominal fat, doctors really have a headache. When a female obese patient cuts the skin, the plump yellow fat directly breaks the incision, and the fat flows out like yellow peach-flavored jelly!

This is nothing, the most difficult thing is the thickness of this fat, five centimeters thick is nothing, the small hook can not be used directly, you must have an upper abdominal hook.

At that time, a gynecological transfer doctor did a caesarean section, and when he did the final suture, he took the initiative to ask for sutures, but because the patient's fat layer was thick and slippery, the fat was oil, and it was a good melting lubricating oil.

Then, in just a few seconds, with the slight tremor of the muscles, the suture needles swam in the fat layer and could not be found! The instructor's face turned white with fright!

The three of them are all masters, and the operation entered quickly, and when the abdomen was opened, Rao is well-informed Lao Li almost vomited. After the steel bar is inserted into the stomach, it is inserted directly into the intestines. The small intestine and large intestine are punctured.

The evolution of the human body is very scientific, from the top to the bottom of the digestive tract, every node is with a door, how to say, the connection between the esophagus and the stomach is a spray door, this door is to prevent stomach acid from entering the esophagus, the stomach to the small intestine has a pylorus, the small intestine to the large intestine also has a door. So it's impossible to spray feces all over your mouth!

The contents of the small intestine are chylous foods to be digested, while the large intestine is filled with feces. After the steel stick pierces the intestinal wall, the contents of the large and small intestines are leaked out.

The green leek leaves, which are not easy to digest, and the leek leaves after chewing, are covered with stars all over the abdominal cavity, and then dyed yellow by the feces in the large intestine, like egg yolks on leeks, covering the abdominal cavity!

"It seems that this scrambled egg with leeks that I ate at night!" Lao Li said after suppressing the surging nausea.

"This is not an egg, the egg is not so mushy, it should be a on the leeks!" Lao Gao is also uncomfortable!

Talking, can reduce this disgusting feeling, although there is no scientific basis, but when you see a very disgusting thing, come on to speak, to describe the disgusting thing in front of you, you will never spit it out, ordinary doctors master this skill perfectly!

The sour, fermented smell is like old rancid tofu covered with hair, and it smells so bad. The itinerant nurse was directly persuaded to quit, "Uh! uh!" Like a pregnant woman, hiccups continued, and within three minutes of running out, the head nurse came!

"Hey, you're so disgusting, you stink to death, and then leeks, fried leeks, fried leeks with eggs. Our Xiao Chen vomited directly!"No way, the head nurse has come to replace the touring Xiao Chen."

"Hehe, I'm still young, the head nurse is the head nurse, and I didn't react at all. Lao Li was a little embarrassed.

"I have rhinitis, I can't smell it~! I can't smell it!~ Haha!" "For the first time, the head nurse felt that this rhinitis was still beneficial.

Rinse! Keep flushing! This operation is too troublesome, and the intestinal gaps have to be repaired one by one. Lao Gao and Lao Li are uncomfortable and nauseous, but in fact, Zhang Fan is not comfortable either! This smell is too sour. The smell of disinfectant water in the operating room can't be suppressed at all.

The two of them desperately said disgusting things, and Zhang Fan had no choice, he couldn't join anymore, if even the anesthesia and instrument nurses said vomit, it would be troublesome, when the abdominal cavity was opened, when the sour smell was overwhelming, Zhang Fan pinched the back of his right hand with his left hand, pinching it desperately, his left hand definitely pinched his right hand!

Nausea is only a matter of a few tens of seconds, people's tolerance is still very strong, and it will be okay to endure the first wave, even if this leek with yellow soup is sprayed on their faces, it is estimated that it will not be disgusting!

"Head nurse, add metronidrate file to normal saline and wash it! Zhang Fan said to the head nurse.

Washing, non-stop! The yellow-green feces are finally cleaned. "Change gloves!"

After changing his gloves, Zhang Fan poured salt water into his abdomen, flooded his intestines, and said to the head nurse: "Head nurse, hit the nitrogen handle." ”

"You're going to bully your sister!" said the head nurse deliberately coquettishly to Zhang Fan.

"It's not Dr. Zhang who gave you nitrogen! It's not a bully!" Lao Li started driving.

"Dead ghost!" the head nurse glanced at Lao Li, and the director joked with the head nurse, because they were all about the same age, and these directors had to keep a little face against the little nurses.

There are too many places where the intestines are punctured, and you have to look at the air leakage in that place like a balloon! How to fight it, it's simple! It's a plastic nozzle like tyres for a car, inserted into a chrysanthemum, and begins to slowly pump air into the intestines.

There are no major sequelae of this treatment, that is, there are many farts after surgery, and the more serious ones are like a cannon continuously. And sometimes, you may have a hiccup within a few days after surgery, or a full burp with the smell of stool!

"Close!" Zhang Fan saw a bubbling place. Then the stitching begins.

"Open!"

"Off!"

Over and over again, the bubbles finally disappeared.

"Alright, head nurse, remove it. After Zhang Fan confirmed again, he said to the head nurse.

"Hey, it's miserable, full of holes in the intestines!" Lao Li said sympathetically.

"This is okay, the steel skewer is not thick, I guess the old Wang next door will be in trouble. Branches aren't steel skewers!" said the head nurse.

As soon as he said this, he was cold. No one paid attention to her, and she felt as if something was wrong, so she hurriedly took gauze to wipe the sweat of the doctors.

Once the abdomen is cleared, begin to close the abdomen. "Doctor Wang, help close the abdomen. Zhang Fan said to the attending doctor outside the chest.

"Good. ”

Under normal circumstances, Zhang Fan would not hand over the operation to others, but not today, he must speed up the operation, because he still wants to see which operation next door.

It doesn't matter what the family is, no matter how the patient is, it doesn't matter, the doctor, when you put on the white coat, you have to shut down your emotions and speak with professionalism. No matter who the other party is, no matter how high or low, no matter how big or small, you must go all out.

It is a great trust that patients can put their lives in your hands, please cherish this trust, in this era of money first, this trust is precious!

Chest, if it is not serious, Zhang Fan is going to go to the next door for surgery in advance.

The main treatment outside the chest is sutured with an abdominal incision. Zhang Fan, Lao Gao, and Lao Li are ready to open their chests.

And the old Wang next door, this will really be numb. The scalp tingles for a while. After opening the abdomen, the inside of the little girl's stomach was not as disgusting as Lao Yang next door. The little girl didn't eat at night, so she drank beer, and in order to diet and lose weight, she didn't eat much on weekdays, so her intestines were quite clean.

What made Lao Wang numb was that the little girl's intestines were rotten. The branches are not steel bars, the steel bars are thin and straight, even if they penetrate the body, they are just the right eyes.

And this branch is troublesome, too troublesome, several intestines have been inserted and eroded, and bleeding is not the most troublesome thing.

Now the most troublesome thing is the necrosis of the intestines! This is the case in several places, vaguely, the intestines are a little blue, which is the inability of blood to return and cause the intestinal color to become heavier.

"Xiao Li, go and see where Zhang Fan and the others have come. "Lao Wang, don't dare to do it, he said to the itinerant nurse. Because if the little girl's surgery were to follow conventional means, there would hardly be much intestine left. If you do the surgery according to the conventional technique, it becomes a typical surgical perfection, and the person dies!

At this time, it is not the time to talk about face or medical status! Lao Wang is ready to ask for help!

"Head nurse, Director Wang asked me to ask Dr. Zhang how far their surgery has been. ”

"What's going on next door?" Before the head nurse could speak, Zhang Fan immediately raised his head and asked.

"The intestinal damage is severe, Director Wang asked me to come here to ask. ”

Zhang Fan, who was already a little anxious, was even more anxious. First of all, this is a matter related to human life, and if you can make as much effort as you can, you must do how much you can, and if you don't say it, this is a doctor! A doctor with many qualifications will do this, and it is the same whether there is a system or not.

Open the chest, Lao Yang's life is big, but the ribs are broken, and the lungs and heart have nothing to do!

"Director, I'm down!" Zhang Fan stopped and said to Lao Gao and Lao Li.

"Let's go! I guess Lao Wang is in big trouble!" said Lao Gao.

Zhang Fan didn't talk nonsense, and got off the stage directly. Take off the surgical gown while underneath, this is a contamination operation, and you must wash your hands again. Just when Zhang Fan took off his gloves with both hands and grabbed the straps of the surgical gown, the system that had not spoken for ten thousand years made a sound!

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