Wang Qian bought another set for Zhang Fan from head to toe, Zhang Fan didn't want to, she was not happy. Her children have studied abroad, the old man is busy with his career, he is a little better at work, and he is very bored after work, and her identity as an old man makes it inconvenient for her to make friends with others casually. Zhang Fan has a simple temperament and has affection for Batu, she sees it in her eyes, so she especially admires Zhang Fan, not only has a high level of medical skills but also has a good character. Li Xiao and Dong Hua also have a very good evaluation of Zhang Fan.

Wang Qian's shopping cards, the unit issued some, and some of them didn't know who sent them. After turning around the mall, after Zhang Fan sent Wang Qian home, he asked her to stay and eat before leaving. Before leaving, I gave cigarettes and tea. Zhang Fan is like this every time he comes, and he is embarrassed to come to Wang Qian's house.

After Dong Hua met Li Xiao through that double buckle, Wang Qian helped to speak again, and finally got a chance to meet the big leader, and the result was very good, County Magistrate D. These are far, far away from Zhang Fan, whether it is an agent or a formal one, Zhang Fan doesn't feel anything. This is also the sadness of the technical man, who only has technology in his eyes and thinks that technology is king.

It's going to be the New Year, and the hospital has all kinds of benefits. Rice and flour oil, even vermicelli, Ouyang's first year in office, let everyone celebrate with her. Zhao Jun is not on the night shift, and Zhang Fan can't work the night shift. This month is Zhang Fan's most leisurely time in more than a year.

Early in the morning, the hepatobiliary surgery department had an operation today, and it is a particularly common disease in the northwest: hepatic echinococcosis, also known as hepatic echinococcosis. It is mainly prevalent in provinces and regions with developed animal husbandry. CausesTapeworm canine parasitizes in the small intestine of dogs, and the eggs excreted with the feces often adhere to the hair of dogs and sheep, and people are infected after swallowing food contaminated by the eggs. The eggs are discharged from the intestinal digestive juices, pass through the intestinal mucosa, enter the portal venous system, and are mostly trapped in the liver. After 3 weeks in the body, the larvae develop into hydatid cysts. Echinocid cysts gradually grow in the liver, causing compression symptoms of adjacent organs depending on the location, and complications such as infection, rupture and spread, and obstruction of hollow organs can occur.

In layman's terms, in pastoral areas, you must be careful with water sources and food that have been in contact with dogs or contaminated by dog feces, because if you don't get it right, you will get liver hydatids. These bugs multiply in the liver, and over time, there are more and more bugs and they get bigger and bigger. The liver will be suppressed and squeezed, and nausea, vomiting, and jaundice will occur.

Today, there are many surgeries in the department, and several transfers rush to go to gallbladder surgery, but they are reluctant to go to the operation of liver hydatids, which is too disgusting, and a large bag of worms is opened, and patients with dense phobia can directly see dizzy. After this operation, the treatment is not clean, and it is particularly prone to recurrence, and the eggs are easy to remain. Zhao Jun is the main knife, and Zhang Fan is the first time to cooperate with him on stage.

Open abdomen, stop bleeding, and suck blood, Zhang Fan's cooperation made Zhao Jun very comfortable, with a good vision, what he was going to do next, Zhang Fan prepared for him early. After the internal capsule is removed, the lesion is cleaned directly with alcohol. The operation was basically completed, and there was only suturing left, Zhao Jun consciously wanted to see Zhang Fan's skills, so he said to Zhang Fan: "The surgery outside the general surgery is not the same as the orthopedic one, are you familiar with the abdominal sutures, why don't you suture?"

Although I have heard that Zhang Fan is very good in orthopedics, I haven't seen it with my own eyes, and I don't feel at ease, so I will make sure first, Zhang Fan looked up at Zhao Jun and said, "Okay, Director Zhao, it should be fine." After speaking, I started to suture, and the peritoneum, fascia, and muscles were sutured very quickly, and the instrument nurse couldn't keep up with the threading. Extremely skilled, very neat under the hands. Zhang Fan didn't mean to show off, the speed was already like that.

Zhao Jun looked at Zhang Fan's sutures, and said after a little groaning: "Zhang Fan, I have been in the liver and gallbladder for a month, how did you look at the operation, and the liver and gallbladder surgery is now familiar." He regarded Zhang Fan as a resident doctor with sharp hands and feet, and he asked normally and appreciated it a little, which was basically solid. Zhang Fan was depressed for a month, and he didn't consider Zhao Jun's feelings, and said directly: "The operation of the liver and gallbladder is not difficult. ”

"Uh!" Zhao Jun choked up directly, "Okay, arrange a gallbladder tomorrow, can you do it?"

"Yes. "It's all said, there's no reason to beg for mercy and say soft words, there's no need.

Zhao Jun is really angry, you can say that his own skills are not good, but you can't say that this hepatobiliary surgery is not difficult, that is directly, denying the hard work and honor of half his life, it is impossible not to be angry. In the frontier, due to the pastoral factors, hepatobiliary surgery is the number one in China and there are seats. Although he is angry, he will not argue with Zhang Fan on the quarrel, which is too naïve.

The next morning meeting, after discussing today's surgery, Zhao Jun said: "The hospital organized the transfer of admitted doctors, the purpose is to let young doctors be familiar with the basic diseases of each department, and be able to complete simple basic surgery, we can't go through the motions, the doctors who are transferred to the department are about to leave the department, our department organizes an examination, and the results of the examination are written in the transfer report." Today's five-bed gallbladder surgery was performed by Dr. Zhang Fan as his exit exam. ”

As soon as he said this, the faces of several other transferred departments turned white, even if they had surgery every day, it was only a month, and the gallbladder removal operation, did the director not wake up and talk nonsense!

Zhao Jun also has the element of anger, the hospital is the first to separate the liver and gallbladder, but so far in addition to the liver hydatid surgery is quite good, the rest is gallbladder removal, other surgeries are not ideal, and now even pancreatic cysts are not much. The old general foreign director often said that they should not be separated. So as soon as I heard Zhang Fan's words yesterday, I was going to let him do it today, and let Zhang Fan see if it was difficult.

Although he was angry, he chose a patient number that was not very old, had not severe gallbladder adhesions, and was very difficult to operate. He just wanted everyone to understand that hepatobiliary surgery was not simple, and he personally helped Zhang Fan.

In the operating room, general laparoscopic surgery, punching will not allow the transfer to do it, for fear of accidents, the strength is not well controlled, and it will be troublesome to penetrate the internal organs. Brushing his hands and disinfecting, Zhang Fan started the operation, and Zhao Jun was going to let him try it, but the technique was unfamiliar, so he didn't let him do it. Then criticize a few words, be down-to-earth, don't be ambitious. As a result, starting from the punching, Zhang Fan did not have any problems at all.

The cystic duct is exposed, the gallbladder artery is separated, the gallbladder is removed, and the bleeding is stopped. A set down is amazing. Originally, he planned to stop Zhang Fan if he was not even skilled in holding the mirror, but from the initial worry, to reassurance, to shock, Zhao Jun did not say a word throughout the whole process. At the end of the operation, the air was deflated and the air hole was sutured, and Zhao Jun got off the operating table and left the operating room directly.

The second assistant is an attending officer, and he was also surprised, "Doctor Zhang, Niu, I didn't have a word about the boss, this operation was done cleanly, I can't reach this level, what department are you going to transfer, let the boss tell the dean to go directly to our department." ”

Zhao Jun got out of the operating room, returned to the director's office, sat on the chair and was stunned for a long time, he lit a cigarette after quitting smoking for a long time, "Shouldn't the grassroots hospital really separate the liver and gallbladder from the liver?

The next day, continue to have the doctor who transferred the department perform the operation. The punching almost had an accident, and Zhao Jun was directly driven off the operating table, and the little doctors who transferred to the department cried. For a total of a month, I didn't let me do the exam without being allowed to punch holes, can I pass it! Although Zhao Jun drove people away, he was not angry, and he was quite happy. Special case, Zhang Fan is a special case, liver and gallbladder are still difficult. When I think about it this way, my heart is much more balanced.

In the director's office, Zhang Fan sat opposite Zhao Jun, Lao Zhao sent a cigarette to Zhang Fan, Zhang Fan lit it to Zhao Jun, Zhao Jun said: "Yes, I have worked hard this month, in fact, the liver and gallbladder are promising, liver transplantation and pancreatic tumors are world-class difficult surgeries, how about it, are you interested, if you are interested, after transferring to the department, I will go to the dean where to ask for someone." "Zhang Fan is excellent, he feels it, so he can't let it go.

At present, the system of liver transplantation has not been opened, but there are really many surgeries on the liver and gallbladder, the factors of dietary habits in the northwest, there are many stones, and in pastoral areas, the number of liver echinococcas is the largest in the country. His purpose is to brush up, it doesn't matter which department, "Director, you can afford me, and give face, as long as other departments don't want me, I'll come." Zhang Fan didn't nail his words to death, because there are also many surgeries on general surgery, urology, and chest.

"Uhhh This kid isn't quite willing to come yet.