205 Aura
I don't know who said that if you want to play a certain thing, you must have seen at least 100,000 things before you can be considered an expert.
It's definitely not absolutely hard to say, but medically, this magnitude change will definitely lead to a difference in the level of doctors.
The simplest is that in the early years, Li Jiapo and Huaguo had a relatively mild and friendly period.
There was such a team of medical teams that came to the frontier, and at that time, all the academic qualifications of the medical team were doctors, and all of them were young and handsome men under the age of thirty-five.
Most of the doctors in the frontier at that time were specialists, and their undergraduates were very powerful.
At that time, in order to support the scene, the leaders even pulled out the gray-haired old professors in the medical school.
In the discussion stage of the meeting, it can be imagined that the frontier doctors are all defeated, and they are more advanced than the other in research, from tissue embryos to future molecular biology.
The frontier doctors are like students. Really, in Ouyang's words, they were like students back then, worshipping others with a desperate gaze.
After the discussion phase is over, it is time to observe the operation. At that time, the frontier doctor felt that he was such a high-end doctor, such a high-level doctor.
How can you let people not underestimate the frontier too much, and they can't underestimate Huaguo too much.
The doctors who went on the operation are all masters of medical competition, and really, the whole frontier has pulled a group of masters regardless of north and south, east and west.
Several surgeries were scheduled, starting with a simple appendix, then gallbladder, hernia, and finally a large gastric resection.
Dr. Hua Guo went to the operating table first, and the observation surgery was done first, crackling, and after the gallbladder was removed, the subsequent operation was stopped.
Why?
Because, these doctors on the table are too slippery, and under the old shadowless lamp, they don't even have an advanced surgical gown.
Relying on the exquisite surgical skills honed over the years, Li Jiapo's doctors were directly embarrassed, and they didn't even dare to observe the operation.
With the spirit they have worked out in the most difficult moment, Huaguo Medical has the possibility to catch up.
Therefore, in the medical industry, especially in basic hospitals, doctors must rely on time and hard work to polish.
Often patients need a perfect surgery, not a perfect theory.
When Zhang Fan picked up the knife, Zhou Desen looked at Zhang Fan intently.
Conventional thinking, a doctor who graduated from a bachelor's degree, two years after graduation, what can he do?
Give a simple appendix and be able to cut it off neatly, which is already considered a very hard work.
I have survived this profession, and the most difficult time for doctors is when to post, which is just a few years after graduation.
Pull the hook every day, pull the hook every day, if you want to get started, first take the qualification certificate, and then get your hands, and then look at the face of the teacher, don't let go, you pull the hook first.
Therefore, he thinks that Zhang Fan has talent, but it is estimated that he is already a child who has been spoiled by teachers and superiors.
I feel like a genius, I can do anything, and I have no problem with any surgery.
I didn't see the operation of the chief's child at that time, and I didn't do anything, but the teacher of the family pulled a group of people to help with the fist.
Hulala pulled almost half of the ordinary masters of North China from the other side of Huaguo to Bird City.
What are you here for, are you here to have surgery? It's scary.
Even if the boss of the bird market is not good, he doesn't have the energy to gather so many experts at one time.
What kind of treatment is this, this is like a hateful bear child swaggering around causing trouble.
And then there is a group of people who hold stinky feet, such as Lao Xu, such as Zhao Jingjin from the Central Hospital.
Because, the bear child got into trouble, he can magnify his moves, he can shake people, his master is Lu Lao, his uncle is Wu Lao, and his master's master is Qiu Lao.
I can't scare you!
Seeing Zhang Fan holding the knife, Lao Zhou kept sighing in his heart, "Is it true that medical treatment is also starting to pay attention to the door valve now?"
You have such a lot of resources, don't go to be an equipment dealer, thanks to it, why bother to do this!"
However, superiors can specify who will perform the surgery and who will be the assistant.
However, he Zhou Desen is not muddy, as long as Zhang Fan has a sense of rustiness during today's operation, he must have a good chat with Lao Xu, you can't be so stupid when you are the dean.
"Be serious, turn on the lights!" Seeing Zhang Fan start to take the knife, Zhou Desen said a word to the itinerant nurse.
Regardless of whether Zhang Fan is a bear child or not, he must first fulfill the responsibility of a doctor, and it is also to avoid Zhang Fan having excuses.
Zhang Fan, who was on the operating table, didn't know why, his face was not angular, but it was so serious under the shadowless lamp.
With a slightly wrinkled forehead and focused eyes, you can't help but let others slowly enter a focused attitude, maybe this is the aura.
The knife slashed through the skin, stained with yellow iodophor and gently separated.
Like a child's mouth, it cracked open in an instant.
The superficial vein capillaries are like a mother worm hiding in a hole and spitting out.
And the superficial arterial capillaries, like a grumpy male bug, stand at the mouth of the hole and snort red urine at the doctor.
The electric knife passed through the hand, and all of these insects were burned and blocked the urethra.
In the originally quiet operating room, in addition to the dripping sound of the instrument, there was only the sound of Luo Tie scalding meat.
Zhang Fan's technique is very ingenious. But this is all the foundation of the doctor, and there is nothing surprising about doing a good job.
Zhou Desen nodded lightly in his heart, "It's a bit of a foundation, and the ancestral disciples still have something." ”
Then he looked up at Zhang Fan, "It's just that I have a bad heart and am a little arrogant, it's a pity!"
People are like this, if you don't have strength, you don't have ability, no matter how handsome you are, no matter how beautiful you are, you will be despised in your heart.
I don't know, what is the reason for this.
Scratching the skin, the superficial capillaries cannot be avoided, but the blood vessels under the skin, Zhang Fan perfectly avoids them.
Under the cracked skin, under the yellow skin, is a white dermis, and under the dermis is a whiter white mucosal tissue like an eggshell membrane.
There is very little fat layer in the neck, and in the case of the abdomen, the yellow fat layer is followed by a cut of the skin.
Zhang Fan put down the scalpel, turned his fingers into a knife, and gently slid along the gap between the muscles.
Like a killer whale, the flesh-colored muscles are separated, one layer, two layers.
There is no need to pull the hook, and there is no need for others to help, Zhang Fan's left thumb and index finger are separated, the tiger's mouth is open, and the right hand index finger is like a hook.
Just as the old tailor cut the whole fabric, the muscles were separated like flowing water.
Then, fatty tumors appear. There is a clear difference in appearance between benign and malignant tumors.
The benign one is like a simple fat man, harmless to humans and animals, and it seems that he will be shy, that is, the big fat boy next door, always secretly looking at the beautiful sister on the street.
And the malignant tumor is completely a bandit bully, and the first thing that grows is to open his teeth and claws, and his mouth and teeth are broken.
And it is extremely aggressive, it can be said that many malignant tumors are like some clotted blood clots and coagulated thick phlegm and rotten flesh.
Benign tumors generally do not have obvious new vasculators on the surface, while malignant tumors not only eat nutrients from other tissues, but also produce blood vessels to directly extract nutrients from the body.
Really, an advanced malignant tumor is directly like a bag of rotten meat, with fresh blood vessels on the surface, and when the rotten meat is cut open, it is full of rotten meat and putrefining liquid.
After Zhang Fanyou left the tissue, a benign tumor appeared, like a half-cooked egg that had been peeled and boiled.
There is a little yellowish fat hanging on the surface of the tumor, and when you touch it slightly, it seems to be missing support, flickering as if you are about to fall.
It's like an egg white has just solidified and the yolk has just turned sugar, and it definitely makes people want to take a sip and not let it flow out.
"Gauze!" Zhang Fan didn't speak much from beginning to end, all quietly during the operation.
Zhou Desen kept staring at Zhang Fan, while several other doctors were invariably comparing Zhang Fan and Zhou Desen in their hearts.
"Well, he seems to be a little faster than the director, and a little softer than the director, maybe because of his slender fingers. ”
And Zhou Desen looked at it a little more advanced, "I didn't hesitate at all when I was hiding from the artery, it seems that I have some skills."
Well, when he dodged the throat and reverted to the nerve, it seems that this kid has done no less than a thousand neck surgeries. ”
Zhang Fan didn't have the slightest idea in his heart.
His heart is the tissues and organs in front of him, just like a child playing with building blocks, focused!
How to describe the peeling of a benign tumor, it is like a child swallowing an egg in one bite, and parents are afraid that the child will be choked.
I have to take it out, pinch my mouth and stuff it in, and then take it out little by little.
The stripping of benign tumors is similar.
However, everything has roots, and this thing also has roots, and its fat and enlarged body is not adhered to the rest of the body, but it does not mean that people do not have heels.
Often many tumors have a pedicle at the bottom, and the better the tumor, the more deeply rooted the pedicle is.
Sometimes, it will be connected to blood vessels, sometimes it will be connected to nerves, especially if it is connected but not connected, the instrument will not be able to detect it at all.
If you rashly peel off, it is not a heavy bleeding, or it leads to nerve damage, just like when you take off your clothes, people are obviously suspenders, you desperately can't find the belt, and tear the pants with recklessness, this is inappropriate, and it is definitely a slap to greet you.
Therefore, when the tumor is peeled off, it is actually peeled three times with the left finger, and then the right side is peeled three times, and little by little until the end.
Then shake it gently, and judge by experience whether this thing has a connection to blood vessels or nerves.
Is it possible to peel it off under direct gaze? Yes, for example, where the operation space is large, the abdominal cavity, you can, no matter how big the stomach is, even if the stomach is turned off, there is no problem at all.
But the neck can't be opened, if you want to look directly, do you have to open the neck completely? Impossible, even when you eat the neck of a sheep, you can't open it all.
In the neck, the incision is only a little bit, and for the sake of aesthetics, it can be as small as it can be, and the operation completed by stuffing the index finger cannot be opened to the size of the thumb.
This is the bottom line of medical care.
After Zhang Fan disconnected the surrounding connections, he closed his eyes, and then gently shook the isolated tumors around him.
The force of the tumor's movement is fed back from the hand to the brain, and Zhang Fan directly creates a three-dimensional anatomical diagram in his mind.
"There is no adhesion!" Zhang Fan really opened his eyes, he was already sure.
When Zhang Fan's hand left the tumor, Zhou Desen also put it on the tumor.
"Knives!"
Zhang Fan said to the instrument nurse.
When Zhou Desen heard this, his hair stood up.
From the surgery to the most important step of the surgery, all the steps are quite good.
Why do you have to come to the last step?
Shouldn't you use your fingers to separate, it's not an artery or a nerve underneath, why use a knife.
Zhou Desen spread his five fingers to cover the wound, "Doctor Zhang, why do you use a knife? Don't you know what kind of tissue is underneath here?"
Zhang Fan looked at him, he stared at Zhang Fan without retreating, although the tone was questioning.
But, from now on, he has put Zhang Fan in the same position as him.
"Have you ever seen the Qiu style knife method?
Zhang Fan asked softly.
"Eh!" Zhou Desen Khan has come down, aren't you bullying people.
"No matter how accurate the knife technique is, there will be accidents!" Zhou Desen said to Zhang Fan reluctantly.
The situation is stronger than people, this kid has seen the world.
"Hehe, use the hand to separate, the damage caused by blunt separation will be a little more serious, and this is not a muscle, so the sharp weapon is separated, the effect is better.
Here, help me pull the hook and make it a little clearer. ”
After saying to Zhou Desen, Zhang Fan turned his head to the second assistant next to him and continued: "Wrap the tumor with gauze." ”
Zhou Desen looked at Zhang Fan, he hoped to see the panic in Zhang Fan's eyes, but no!
"Are you sure?"
"I'm sure, I can!"
That's the aura!