Zhang Fan is young, energetic, and there is no so-called shelf, how was it before, what kind of attitude, and what kind of attitude is it now.

To do surgery, to see the patient number first, this is his habit, a very good habit. "It's okay, your tumor is not big, and you will definitely recover well after the operation, don't drink this wine anymore!"

On weekend mornings, Zhang Fan took Ma Yichen and the doctors of the Hepatobiliary Surgery Department of the Affiliated Hospital to conduct preoperative rounds.

Zhang Fan came to do the operation, and the directors and deputy senior executives were very active, because they could learn skills, and the hospitalized dog and transfer to the department Wang felt the same uncomfortable as his dead father.

"It's a big weekend, and I'm going to have surgery again, it's been a few weeks, can't you take a week off!, can't you change places!" A group of people hugged Zhang Fan to round the ward, and the young doctors who walked behind were helpless!

"Okay, okay, I must listen to you, please be sure to use snacks!" There was a very young patient in today's operation, the child was just three years old, and the family members held Zhang Fan's hand, and they all wanted to kneel.

Although Zhang Fan is young, he is surrounded by a group of doctors in the provincial hospital, and naturally he also has a momentum, the momentum of an expert.

The liver is most afraid of three things, the first is afraid of various viruses, especially hepatitis B virus, which is directly the liver killer.

Second, I am afraid of long-term heavy drinking and a lot of dietary fat, which can be prevented and cured.

Third, if you are afraid of aflatoxin, if you eat bitter melon seeds and moldy peanuts, you must not drink saliva and go down, you must vomit. This thing is aflatoxin, and the liver is afraid of it.

In the operating room, Zhang Fan sat on the side and watched the patient's examination, although he had imprinted the patient's examination in his mind, Zhang Fan still took the trouble to look at the examination.

The two directors of the liver and gallbladder also accompanied Zhang Fan to see the examination, and Zhang Fan's habits also made the two directors slowly begin to adapt.

Although Ma Yichen was brought by Zhang Fan, including the director of the hepatobiliary department, he was very polite to him, but the young man was a person who understood and knew his position.

Zhang Fan and the director were resting on the side, and he actively helped the anesthesiologist position and the nurse tied up the patient. If you don't let you do it, you can't do it, and you take the initiative to start with a smile.

Zhang Fan occasionally glanced at Ma Yichen, who was busy, and felt a little proud in his heart, "My vision is also good!"

"Zhang Yuan, prepare to wash your hands!" said the director of the anesthesiology department softly. The director of the affiliated hospital specially explained that as long as Zhang Fan came to the operation, the anesthesiologist must be the director of the anesthesiology department to come to the stage.

"Okay! ”

At the beginning of the operation, Ma Yichen was also pulled onto the stage by Zhang Fan, "The little horse rests one by one, there are not many such patients in our hospital, let's take advantage of the light of the affiliated hospital to see more." ”

Although Zhang Fan can designate the person to go to the operation, he still has to say it if necessary, and he can't eat alone. A deputy high-ranking officer, whose face was already not good-looking, instantly improved when he heard Zhang Fan say this.

Those who work hard always deserve respect.

The medical industry is too special, it is a more special existence in a special industry. Not only does it need a good platform, but also the personal efforts of the doctor are very important.

A simple abdominal color ultrasound, the machine is the same degree of advancement, but the reports of good doctors and poor doctors are different, so although doctors are not ranked in the world, hospitals are ranked.

Doctors work hard to improve, and then work hard to go to a bigger and better platform, and the big platform also strives to improve various welfare benefits, and refuels to absorb excellent doctors.

The particularity of the industry has also created the particularity of this profession, and the high-end will always be concentrated in a few places, and medicine may develop rapidly. Perhaps a lot of high-end medical technology will be created, and then slowly popularized, slowly benefiting the general public.

However, this also forms a threshold, forming a relative imbalance or inequality, and right and wrong are really a very contradictory question.

Mr. Wang almost went to the magic capital with his father, for his level, money is not a problem, but for most people, money is the biggest problem, which is also the reason why it is common to exercise in European and American countries.

In the early years of Huaguo, there were many people who scolded, but those who had no money to see a doctor directly threw the patient in the hospital, turned around and left.

It is not an exaggeration that the hospital should not only take care of the food, but also do its best to treat the people. This is also one of the main reasons why private hospitals have not developed in China.

"How big is the liver? What are its characteristics. Zhang Fan took alcohol to disinfect the skin, and then asked thoughtlessly.

The two directors knew that this was Zhang Fan's question to his little assistant again, and the two looked at Ma Yichen with a smile.

"The liver weighs about 1200~1500g and is about 25cm long, and in the fourth week of the embryo, the liver protrudes from the foregut and evolves into the liver.

The liver is the body's largest chemical field, and almost all hormones are inactivated in the liver.

Most vitamins are stored in the liver,...... "Ma Yichen did not disappoint Zhang Fan, and explained the liver from physiology to pathology, from anatomy to biochemistry in an orderly manner.

"The foundation of the pony is good!" When Ma Yichen finished speaking, Director Li of the Second Department of Hepatobiliary praised him.

Zhang Fan didn't say anything, just nodded, if he didn't even have some skills, Zhang Fan wouldn't expect anything from him.

At the beginning of the operation, Zhang Fan had already penetrated the operation on the liver, and the speed of entering the liver area was very fast. There was nothing to say before entering the liver, and when he was choosing the incision, Zhang Fan deliberately said a word, and then there were no words.

In the first operation, the patient was a man in his fifties, and when he entered the liver area, the tumor was very obvious.

The liver, as long as it is normal and not sick, can actually produce a pleasing feeling for the eye.

The normal liver covered by the membrane reflects a soft luster under the shadowless lamp, slightly rosy red, which can be regarded as oily and smooth. It really gives people a sense of intimacy.

But when you have a tumor, it's not the same right away. Cancer cells are too domineering. If the normal growth rate of liver cells is walking, the growth rate of liver cancer cells is that of an airplane.

When a cell becomes cancerous, a cell that cannot be detected under a light microscope becomes cancerous, it begins to grow, one becomes two, and two becomes four.

With rapid growth, almost all the nutrients in the area are absorbed by it, the growth becomes larger, the circle becomes larger, the outer cancer cells continue to proliferate, and the internal cancer cells continue to die.

When the number of deaths increases, the cancer cells break down. Something like pus will come out.

And the morphology is different, the most typical is the giant tumor, just like the abscess on the body of the leprosy dog protruding from the liver, indicating that the white greasy because of the presence of the liver capsule.

The cancer cells are tightly wrapped in an envelope, like a plastic film tightening brain flowers, and the visible blood vessels in them decay and die as they grow.

The coexistence of freshness and corruption can not only make people feel disgusting, but also make people feel afraid, yes, just afraid, this thing is like the black (a) society, lying on the liver with teeth and claws.

The scalpel opens the way, peels off little by little along the liver and gallbladder, and the electric knife coagulates. The electrocoagulation of muscle fat tastes like roasted meat, with a meaty aroma.

The liver is rich in a lot of chemicals, and after electrocoagulation, the smoke produced is slightly whiny, a bit of overnight urine.

"When separating a tumor, if you are not sure, use the handle of the knife. Zhang Fan explained while doing it.

The two directors have already started, and Zhang Fan is now choosing a technique with many steps, but relatively less difficult.

The two directors kept nodding their heads, engrossed in learning Zhang Fan's steps.

Cleaned, the disgusting tumor, like a broken brain flower, was completely removed by Zhang Fan.

The liver tumor was removed, and although there was a big pit on the liver, the liver at this time seemed to know that the danger had been touched, and even the blood that flowed out was lovely.

"How is it, do you feel it?" After removing the tumor, Zhang Fan also breathed a sigh of relief, the tumor surgery was not fracture fixation.

Even if the fracture fixation technique is a little rough and the steel plate is a little ugly, it is not a problem, but the tumor is different.

Ulceration and unclean cleaning can make the operation fail, so every time he has a liver tumor surgery, Zhang Fan is not easy.

Only after the excision was completed, Zhang Fan breathed easily with relief, which is not an exaggeration at all.

"It's a little bit of a feeling, but it still seems to be a little bit lacking. The director of the five departments of hepatobiliary thought about it and said.

"yes, it seems like it's almost all of a sudden. The director of the second hepatobiliary department also said.

"Well, then continue to do it, make a dozen more units, and I guess you can get started and try it. Zhang Fan said as he looked at the beginning and end of the operation.

Ma Yichen still didn't understand the difficulty of the operation, after all, he was not a master of hepatobiliary majors, but he admired Zhang Fan's accuracy very much.

There are almost few cases of blood squeezing when a knife goes down, which shows that Zhang Fan is quite familiar with anatomy, and each knife can avoid a larger artery.

"It's so fierce, even such a complex place as the liver can clearly understand the shape of the vasculature! It's terrible!" Ma Yichen unconsciously compared with Zhang Fan and found that the gap was too big.

In the morning, the nurse was replaced, but the doctor anesthesiologist could not be replaced, and after a hurried lunch, he moved on to the next operation.

In terms of the physical exertion of surgery, it is estimated that orthopedic surgery can definitely rank in the top three of all surgeries, but orthopedic surgery is relatively less energy-consuming for doctors.

Tumor surgery is different, it is quite energy-consuming, and the doctor does not force himself to concentrate on the operation, especially when it comes to cleaning, and he must not be distracted.

Sometimes, perhaps a small omission can cause endless pain for the patient.

After a few bites of food, Zhang Fan sat in the hall of the operating room and began to close his eyes and rest for a few minutes.

There is no intermission in this kind of continuous operation, and after one operation, the patient of the other operation has already hung up antibiotics and sent them to the operating room.

The chief surgeon can rest for about ten minutes, and if there is no other replacement doctor, the assistant is busy setting up the position and helping with anesthesia.

The position is quite particular during the operation. It's not just about throwing people on the operating table and cutting knives.

The patient's position should first ensure the convenience of the surgeon, and because the patient is motionless for a long time, some pads should be placed in the weaker part of the patient's subcutaneous fat to prevent the skin from being crushed.

This is no joke, as long as two hours of compression, where there is less subcutaneous fat, necrotic ulceration will occur, and it is ischemic necrotic ulceration, which is particularly troublesome to recover from.

And it will spread. When a patient from one department is transferred to another department, the nurse will do a comprehensive examination of the patient's skin.

When you develop a pressure sore in the hospital due to improper care, this is medical malpractice.

Why is the cost of ICU nursing high and scary, not to mention anything else, first of all, the nurse turns over and pats the patient's back, and does it very frequently, once every fifteen minutes.

In the ICU of a large hospital, there are definitely no less than 30 patients, and no more than 6 nurses on the night shift, so you can imagine how much work you have to do.

I want to sleep after eating, Zhang Fan usually doesn't drink much coffee, but in this kind of continuous surgery, Zhang Fan has to drink some instant coffee, and sometimes he has to go to Red Bull, otherwise his energy can't keep up.

In the afternoon operation, Ma Yichen was under the operating table as a melon eater, and the young man was very eye-catching, helping the nurse wipe the doctor's sweat for a while, adjusting the air conditioner, and he was not idle anyway.

That's an attitude of learning.

Zhang Fan did not have as much energy to explain the operation in the afternoon as in the morning, after all, people's energy is also limited.

Zhang Fan did it quickly and carefully. The two directors also knew that Zhang Fan was a little tired, and they didn't talk much. The only sound in the operating room was the ticking of the monitor.

Mr. Wang's father's surgery was scheduled for the next morning. On the night he separated from Zhang Fan, he began to inquire about Zhang Fan through various relationships.

Although according to the director of the affiliated hospital, Zhang Fan is very powerful, but after all, he is his father, and he is still a little uneasy.

"Lao Zhao, Zhang Fan of Chasu ......" This is calling Zhao Jingjin.

"Dean Ouyang, I'm ......" This is specifically to learn from Zhang Fan's leader.

"Often, ask personally. After asking a few people, they all said that Zhang Fan was very powerful.

He was relieved, but they were all doctors from the frontier, and he decided to ask the doctor who left the frontier, after all, he was not in the same area, and he shouldn't cover up for him or anything.

Lao Chang, who was far away in the mainland, felt that the dark clouds were covering the sky, so he changed his number, but for this kind of rich man, he still sent his new number very dogged.

However, when he heard the other party say that he was asking a person, he began to become bad, he didn't dare to hang up the phone, and he didn't dare to tell lies, so he could only grit his teeth and say that he was not familiar.

Zhang Fan, isn't he familiar with it? He is too familiar!

After Mr. Wang understood, he began to instruct his secretary, "Are you still satisfied with where Zhang Yuan lives?"

"Satisfied, the best suite in the Frontier Hotel, when I got up in the morning, Dean Zhang was in good spirits. The female secretary held her hands lightly and placed them slightly below her lower abdomen.

"Prepare 200,000 cash and send it directly to his room at night, and I won't show up. To be polite, tell Zhang Yuan that the labor fee is the labor fee, which is a little bit of my heart. ”

"Okay!"