In the early years, there was a joke in the medical industry, saying that gold ophthalmology, silver orthopedics, and obstetrics and gynecology that ate and drank. Although not very accurate, in general it is about the same.

However, with the development of science and technology and the rapid improvement of national drug and device manufacturers, this statement of the medical community has become a thing of the past. Let's talk about ophthalmology first, and the state subsidy for this area is very large. Every year, Operation Bright costs a lot of money.

Orthopedics is even worse, how many instruments are domestically produced, and medical insurance for orthopedics is directly strictly guarded and stuck. Therefore, the life of orthopedics is not easy, and you must be careful in your calculations, otherwise a drug ratio exceeds the standard, and the fine is super fierce.

Not to mention the obstetrics and gynecology department, it is fortunate not to be beaten, and it is tired to death. Of course, this is all for ordinary doctors, just like ordinary people who talk about gossip.

With the changes in recent years, in fact, it is not these departments that make real money for ordinary doctors. On the contrary, some emerging departments are the best.

For example, reproductive centers, male and female specialties, dentistry, and cosmetology, and the bonuses are high and leisurely. Pulling a few thousand skins, enlarging tens of thousands of breasts, there is really no way to say.

In the hospital, there is currently only one interventional department with the highest income, but even if it is the highest, no one rushes to do it. The city hospital is like this, for example, Zhang Fan in the heart was transferred to teach Ye Jing at that time, even if she was given 100,000 yuan a month, she would not get this intervention.

Because this thing has too much radiation, it is protected, and the radiation is also very strong, and the interventional surgery is almost always working under X-ray, so almost all the doctors who engage in interventional surgery are fighting for their lives.

And orthopedics is actually similar, although it is not so exaggerated as the intervention, but it is similar. After many internal fixation surgeries are done, it is necessary to see whether the bone is reduced and whether the bone is aligned and aligned, which must be seen on X-ray.

In general, in this case, it is necessary to hold on to the patient's fixed place, who will help? Of course, whoever is sick will help him, and he will also take a lot of rays at the end of the day.

Protective clothing is all ripped off, and if you wear a surgical gown, do you wear protective clothing again? Who does it?

Xu Xian was very unhappy, he didn't blame him, when he was a graduate student in the bird market, there was a teacher who ate too much rays, and then his white blood cells dropped sharply. In the end, I hung up without retiring. So he was very resistant.

"Come on, it's all here, just be happy, it's okay, it's good to eat once or twice!" Zhang Fan said with a smile. Zhang Fan is not a teacher, so he is not afraid, people are like this, they don't see it with their own eyes, they don't believe in their ears at all, whether they are professional or not.

"Believe you, you're a ghost!" Xu Xian said helplessly. Although Xu Xian said this, he also admired Zhang Fan. Active C-arm reducing, really not much.

The Galeazzi fracture is actually a fracture of the bone on the side of the big finger at the upper end of the wrist. It's that simple, the most convenient and fastest is to cut the steel plate, remove the stitches in ten days, remove the plaster in half a month, and remove the steel plate in one or two years. It's as simple and crude as that.

The damage, of course, is also big. Manual reduction is also possible, but if it is not in direct view, this is too difficult. Because this forearm of the human body is this place under the elbow joint, and it has two bones in it, the ulna and the radius, the radius on the thumb side, and the ulna on the other side. The radius is slightly thicker and the ulna is slightly thinner.

Not to mention the rest, you take two chopsticks, break one and wrap it in a towel, outside the towel, it is not easy to pinch it with your hands, not to mention the thicker muscles than the towel.

"My Director Zhang, what are you going to do, this position is really difficult to fix. "Xu Xian is not wrong at all. This bone is like chopsticks, pinched together, and the muscles may deviate again when they are pulled, so he is also worried.

"Look at me. I'll teach you a trick. Zhang Fan squeezed his eyes at Xu Xian. Xu Xian can follow him to do this reset, and he has already recognized Xu Xian.

"Sister Xia, brachial plexus anesthesia. We're going to reset him today. Zhang Fan said to Xia Yonghong, the oldest anesthesiologist in the anesthesia room.

"Okay, you guys take it easy, if you can't do it, you can operate. "There were a lot of techniques for resetting in Sister Xia's time, so she knew it very well.

"Okay. Xu Xian, put on the protective clothing for you. Zhang Fan said.

"Does it work? Our broken three points are all broken like this, and the straps are gone, so let me hold them between my legs." Xu Xianyi said that this protective clothing was also sick.

The protective clothing of the hospital, TM is to fool the dead. This is a C-arm gift, and it has long been tattered. And it's the oldest-fashioned kind.

One piece protects the thyroid gland, then a large piece on the chest, and another piece is used to protect the male testicles (a), but this one in the hospital is too broken. It can't be used directly.

"Wherever you go. Zhang Fan can't help it, the hospital pursues large equipment and high technology, but for this kind of small thing, he really doesn't care. I don't know what Ouyang and the director of the equipment department think. Zhang Fan complained a few words in his heart.

Reduction, forearm reduction is very demanding for the doctor. Therefore, now the hospital does not directly reduce the forearm, and directly operates. Because this one is so hard.

The dexterous hands of humans rely on the rotational function of the forearms. If the reduction is not appropriate, then there is a problem with the rotation of the arm, and then the function of the hand is affected. Not to mention writing and working, I can't even unbutton my sister's buttons.

It's like two pieces of wood together, one round and the other orbital, and then the two bones spin around, pulling the muscle and making the hand move accordingly.

If the stick is of different lengths, or at an angle to block the rotation. Give you a Coke and you won't even be able to unscrew the lid. Complications such as open reduction are relatively rare, so doctors are almost reluctant to reduce the position manually.

Although Sister Xia is old, her eyes are still quite good, "Young man, your body is really strong!" Sister Xia said with a smile while looking at the fat man's fat flesh while taking anesthesia.

"Hehe!" At this time, the fat man laughed more ugly than cried. Lying on the operating table, he panicked.

"Alright, you guys get started. After Sister Xia was anesthetized, she packed up the tray and said to Zhang Fan.

"Turn on the power, Xiao Li, you can go out too, radiation is too sensitive to women. Zhang Fan said to the nurse who operated on the operation. Xiao Li is the nurse who was a little interesting to Zhang Fan at the beginning, this girl holds a grudge and doesn't talk to Zhang Fan much now.

Hearing Zhang Fan say this, the girl subconsciously touched her twin peaks, quickly ran out, and then closed the electric door of the operating room.

"It's useless for you to see me, if you have as much subcutaneous fat and glands in your chest as she does, I'll let you out. Xu Xian looked at Zhang Fan innocently, and Zhang Fan said angrily.

"But I'll ...... it"

"Okay, hurry up, how do you look a little like the guy with your name"

"Your sister!" Xu Xian hated to compare him to the person who married the big snake.

"Does it hurt!"

"It hurts!"

Zhang Fan took his hand and gently twisted the fat man's arm. "It's too fat, wait a minute, the anesthetic hasn't worked yet. ”

After a few minutes, "Does it hurt?"

"It hurts!"

"Stop, I haven't touched you yet. Does it hurt in the end? Zhang Fan asked after deliberately touching it. At special moments, patients are like this, lying on the operating table, everyone is the same.

Zhang Fan looked at the fat man's expression, and secretly twisted it hard, but the fat man's face did not react.

"At first, he was a little scared. After speaking, he said to the fat man: "How can such a big person and such a strong body be so timid." Don't worry, it's okay. ”

"Thank you, doctor. ”

"Come, let's get started. Zhang Fan greeted Xu Xian.

To reduce the technique, the first thing to do is to stretch, that is, to pull the bones that are incarcerated together. Zhang Fan turned the patient's wrist, and Xu Xian grabbed the patient's elbow.

"Slow down, push slowly, use slow strength. Zhang Fan said to Xu Xian, and the two of them were like tug-of-war, their buttocks falling, their waists bent, and their hands straightened.

"No, use some strength!" The fat man was so fat that his forearm Xu Xian couldn't get both hands full.

"Oh my God, it's too much work. Xu Xian gritted his teeth and said, and then said, "Why are your muscles so strong, what are you doing." ”

"Spoon-turning! I started spoon-flipping as a teenager. When the fat man saw that he really didn't operate on him, he was relieved, in fact, he was worried in vain, and the patient did not agree to the operation, and the doctor was bold enough to directly force the operation.

"Alright, alright, hold on, hold on, this is the position. Zhang Fan gently pressed the broken forearm with his thumb and said to Xu Xian.

This is really not an easy job, you have to work hard in front, from small strength to big strength, when the pull has a tendency to separate, you must always maintain a constant strength.

The muscles are not rubber plugs, and they cannot be pulled violently, but must be slowly opened with a force just greater than the pulling force of the muscles. Zhang Fan is a little better, after all, he is a systematic person, and he has been exercising for a long time and has good strength.

Xu Xian is not good, when he was in school, in order to talk about the object, he was frugal, he made himself like a wooden stick, he bought a house after working, and he was preparing to get married, and he was reluctant to eat or drink, so he didn't get fat.

At this time, Xu Xian was sweating, gritting his teeth and insisting. In just ten minutes, a man can sweat profusely, and you can imagine how laborious this job is.

"Xiao Li, open the C-arm. Zhang Fanmeng shouted loudly. Orthopedic surgery has an extra observation room than any other surgery, a small room isolated with lead plates. The door is more than ten centimeters thick. It's better not to make a sound, Xiao Li can't hear it.

This sound almost scared Xu Xian out of his hand.

"Buzz, buzz, buzz!" the C-arm activated, like thousands of mosquitoes taking off. Then the monitor next to the C-arm, the image appeared.

It's like an X-ray, but in real time. "Pull it up, don't let go. After Zhang Fan said a word, he began to reset.

Relying on the two big fingers, Zhang Fan used his strength to let the angular bones begin to reset little by little. The thumb should be forced, and the body should cooperate with the slow movement left and right to allow the fracture to form a moment.

This action is too strenuous, the hands have to be stable and stretched, the body has to move, and the two thumbs have to cooperate with the reset. Zhang Fan also gritted his teeth and insisted.

It's too fat, thick fat, and the muscles that have been practiced for many years have directly made Zhang Fan and Xu Xian almost collapse.

After more than forty minutes, Zhang Fan's hands began to tremble a little, "Okay, don't move, Xu Xian let it go slowly." Slow down. Through the monitor, Xu Xian also breathed a sigh of relief, and the fracture was finally reduced.

It's still a very dangerous time, because this fracture is like a broken chopstick, and the slightest movement may cause deviation again.

"Bandages!"

Xu Xian, who let go of his hands, brought the bandage. "Bandage. Spiral hit!"

Finally, the plaster cast was also applied, and the fat man left with great gratitude, the cost: 80 manual reduction, 203 anesthesia, and 12 material costs. The doctor's technique is the least valuable.

"No, I'm too tired, I'm going to sleep for a while. Xu Xian lowered his head and said. Although Zhang Fan was also a little dizzy, it hadn't reached that point yet, "You won't, where can you sleep." ”

Zhang Fan didn't take it seriously. As a result, the next morning, Zhang Fan was so tired that he couldn't get out of bed, tired, very tired. More than forty minutes of working under the ray, not threatening to think it was hellokitty.