Zhang Fan didn't want to go, but the nurses were very enthusiastic, and if he didn't go, he would lose face to others, which was too embarrassing! Zhang Fan went in hard. The nurse's duty room is a little cleaner than the doctor's duty room, and there is a faint fragrance! As a result, I couldn't sleep, and the pillows were covered with a faint fragrance. Zhang Fan really can't bear it!~

In the morning meeting, Liu Zhaoyun really couldn't stay up, sitting there listlessly, Zhang Fan and Xia Huadong were relatively better, after all, they were young. After explaining the work of the department, several bosses were guarding the outside of the department before the ward rounds. Liu Zhaoyun had to greet them, and the face of the money was sometimes very large.

After all, Zhang Fan has been in Chasu City for a short time, and many people are not familiar with it. At the end of the ward round, Zhang Fan went to the ICU again, although there were special doctors and nurses to take care of him 24 hours a day, but Zhang Fan was still not at ease, and went up to take a look again, which was not bad, the vital signs were OK, there was no fever, and the most fortunate thing was that there was no epilepsy. Brain injury is associated with a high risk of epilepsy.

When he returned to the dormitory, after saying a word to Shao Hua, he didn't dare to turn off the phone, Dai Wengang was not out of danger, and he might call at any time. Sleep! Nervous all night, lying on your own bed, really comfortable! What is happiness, this is happiness, after staying up all night, close the curtains, and lie comfortably on your own bed, so comfortable!

Li Liang completely broke away from the county hospital. There is no way, there is no hope! And the family also supports it, anyway, the family does not need Li Liang to subsidize the family, as long as he likes it. Ma Wentao has been interested in surgery since he made money on surgery. What can make people crazy and profiteering!

Why does it seem that many surgeries in hospitals do not make money? Because hospitals have depreciation expenses for all kinds of examination equipment, supplies, houses, and infrastructure, and these things are funded by the state, and a little expense must be deducted every month! Moreover, many drugs and equipment in hospitals cannot be said, because the cost is very expensive anyway, so doctors are not willing to do them if they do not make money.

For example, the operation of amputated limb replantation, a finger is seven or eight thousand yuan, and the doctor will get a twenty yuan for an operation, and then there is a bonus, about a hundred yuan for such an operation, because this operation almost does not use consumables, and it also takes time, there is no three or four hours, don't want to do it, the most important thing is that 90% of this trauma is an emergency, and I have to worry about it for a long time after doing it, and I am afraid that I will not survive, so this department, doctors are not willing to do it.

This market is left to private hospitals, and Ma Wentao's operation is very angry, but the effect is particularly obvious. Lao Chen took Li Liang to find Ma Wentao, Ma Wentao bid 5,000, and Li Liang turned around and left. let Ma Wentao stop it, because he knew that the skills of these people with Zhang Fan were okay. In the end, the salary was 5,000, but 3 of the operation fee was given to Li Liang and 5 to Lao Chen. arranged a house for Li Liang too!

Then there is the market occupancy, although the mines and other places will give Ma Wentao face, but the county and township hospitals and doctors will not give face, not to mention that he is just a second generation, even if it is a generation, it may not be useful, because there are too many cats in it. What to do where power can't be involved?

Salesmen, starting from the county hospital below to the township hospital and then to the private clinic, as long as it is a place with a medical nature, they all come over, and they don't want any other disease numbers, as long as this kind of limb needs to be replanted.

The salesman told the county and township doctors that the cost of each operation is 30 percent, and the patient will be discharged from the hospital and will not be in arrears!

The surgeons in the surrounding counties of Chasu City are crazy, and regular hospitals are unwilling to do this kind of surgery.

A young man in his twenties was cutting grass for his family's livestock in the afternoon, and one of the three fingers of his left hand was accidentally cut off. He was sent to the county hospital, and the surgeon from the county hospital sent him directly to Ma Wentao's hospital.

Two hours had passed by the time we arrived in the city. This kind of surgery is difficult to say, it is also difficult, it is time-consuming and the technique is not good, the probability of survival of the finger is not high, and even if it is alive, it has no function.

A man's finger is not a leek, and it will not grow longer if it is cut. If you want to perform microsurgery, you must have tools and equipment, first of all, a microscope with a magnification between 6 and 30 times that can automatically change and maintain a clear field of view without adjusting the focal length. It is also necessary to have two sets of mirrors for the surgeon and the assistant, and also for a cold light source.

Zhang Fan slept for a while, and after eating at Shao Hua's house, he was about to go for a walk with Shao Hua, and the old man stopped pulling Zhang Fan to play chess recently. Zhang Fan is relieved, and there have been more relatives who have come to the house recently, and all aunts and aunts are picking Zhang Fan to visit when he is at home.

Zhang Fan and Shao Hua were just about to go out when they received a call from Zhu Wentao, "Doctor Zhang, where are you, hurry up! There is a major operation, you must get started." ”

"I'm at my girlfriend's house, what surgery?"

"Three fingers have been cut off! You say the address, I'll pick you up. After Zhang Fan reported the address, he smiled apologetically at Shao Hua.

"Then I'll send you to the gate of the community! You should also pay attention to yourself, the labor intensity is too great, you stayed up late yesterday, and you have to have surgery today, there is no need to work too hard, you and my salary is enough for us to live!" Shao Hua tidied up Zhang Fan's collar and said to Zhang Fan with some distress.

"It's okay, I'm still young! And I like this too, don't worry, I'll definitely rest when I'm tired, but I'm a little sorry for you, you see, I've been too busy lately, and I haven't been with you for a few days!"

"It's still a long time to come! Don't worry! Let's go, I'll send you out. ”

Chasu City is not big, the two stood at the gate of the community for a few minutes, Ma Wentao personally drove the car to pick up Zhang Fan, a Mercedes-Benz, boxy like a matchbox-like Mercedes-Benz!

"How about it, I'll be your driver personally, are you satisfied?" After getting acquainted with Zhang Fan, Ma Wentao also began to joke with Zhang Fan!

"Is it a cut injury or a crushing injury?" Zhang Fan ignored him and asked him what he was concerned about.

"The cut wound, Director Chen said, I didn't dare to look at the patient! It has already been treated at the county hospital. Zhang Fan was so boring, Ma Wentao held his mouth.

There are not too many people who want to be friends with Ma Wentao in the frontier, but as a result, Zhang Fan didn't give him any face, which made Young Master Ma a little frustrated, "Isn't Lao Tzu's official big enough?"

Zhang Fan entered the operating room, Lao Chen and Li Liang had already started to do the cleaning work, Zhang Fan saw that it was okay! It was a cutting injury, the broken edge was neat, and the broken finger was well preserved.

This severed finger is carefully preserved, and a dry and refrigerated environment is the best. Don't let the severed finger come into direct contact with the ice, it will frostbite the severed finger. Also don't soak your severed finger in any liquid, it's not making kimchi!

In the operating room, the three severed fingers have been marked and stored in the refrigerator at 4 degrees Celsius. The longer the time, the lower the chance of survival, and if the time is too long, the degeneration of muscle tissue releases a large amount of potassium, myoglobin and peptides and other toxic substances into the blood, which will cause systemic poisoning symptoms.

Zhang Fan washed his hands and disinfected, put on surgical clothes and went to the operating table, and without saying much, he started the operation directly. "Debridement!" Zhang Fan said simply. Lao Chen and Li Liang are very adaptable to Zhang Fan's surgical habits, they can try not to speak as much as possible, and they are also very concise when they speak.

At the beginning of debridement, Zhang Fan has found the blood vessels, nerves, and tendons to be repaired. When the amputated limb is replanted, the broken bone should be fixed first, and the bone should be repaired according to the condition of the injury, which is very important, if the trimming is not suitable, it will affect the repair of other tissues in the later stage. And this surgery has to be fast, because instead of one finger, it's three!

One is an operation, and when choosing to repair, you must first choose the one with the least injury, and the principle of this kind of surgery is to save and repair first if it can be saved. The bones are fixed, and finger plates are usually used in public hospitals. In private hospitals, K-wires or wires are generally used, and private hospitals have taken the lead in this regard! Zhang Fan is very fast, and for this kind of cutting injury, the two crossed K-wire needles are directly connected with an electric drill. The finger bones are flat bones, and if the power of the drill is too strong, it will break the finger bones!

Tendon suture, tendon suture needs to be selected with important function tendon suture, the rest can be done without suturing, this kind of surgery is to put it bluntly in a race with the cell, whoever runs fast will win.

Suture the blood vessels. Blood vessels and tendons are different again, they are too delicate! Bones and tendons can be clamped at will! But blood vessels are not good, as long as the internal injury is indicated, this thing will make trouble for you, even if you suture it, it will become a dead blood vessel, why, the vascular endothelium is damaged, and it will block its own damaged place! Therefore, suturing blood vessels is more time-consuming! Fixing orthopedics and suturing tendons can be operated with the naked eye, but blood vessels must be operated under a microscope.

Finally, there is the nerve suture, the system is too powerful. This nerve does not have five years of experience in microsurgery, so don't expect to be able to suture it successfully. Under systematic training and relying on the attitude of the liver, Zhang Fan has done it countless times! The number of surgeries accumulated is estimated to be the deputy high school of the top three in the region! This number can be imagined by everyone to understand the degree of Zhang Fan's efforts.

One is done, and that's the first step, and there are two more. Lao Chen was a little dazzled when he assisted with one finger, microsurgery was too eye-consuming, he was old! Is it cruel? Surgery is so cruel, you can't do it when you're old!

Lao Chen, whose heart is like a knife, gave up the position of one assistant to Li Liang~! Zhang Fan can't take care of Lao Chen, and there are two more. I don't have time to explain it to them right now. Let's see it first! Explain it to them when you're familiar with it!

More than three hours later, the operation was over. This surgery is done while sitting on a stool. kept his head down, Zhang Fan didn't raise his head a few times for three hours, and after the operation, he shook his sore neck.

"Be sure to change your dressing on time and don't get infected. Be careful not to burn the skin with the side light. It must be too high for the affected limb to be higher than the heart. It is strictly forbidden to smoke, and no one is allowed to smoke in the ward, all the repairs are small blood vessels, and once the spasm is in trouble!" Zhang Fan carefully explained a few words to Li Liang.

took off his surgical clothes, and he was not in a hurry to find Ma Wentao. Pull Lao Chen to sit on the floor of the operating room! Lao Chen is very depressed! Zhang Fan wants to enlighten Lao Chen, but he doesn't know how to speak!

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