Chapter 47: The Mouth Is Too Small
When the strength is not enough, not to mention people, even the country is the same, very sensitive.
For example, in the early years, Huaguo's current Shanbaitou is very similar to the group of doctors in the operating room, and they can only listen to the good, not the bad.
And now Huaguo is much better, I like to talk about it or not, it's a big deal I will also send a few articulate people to scold you, what should I do after scolding, anyway, there is no less than a piece of meat.
Therefore, everything, whether it is a person or a country, when the strength is not enough, we must think about how to fight for it.
When the director of the pancreas department asked about the staffing, the doctors' eyes lit up.
Chen Hao was worried, although he had done a lot of dedication and preparation, but, in front of the big guy, he knew that he was nothing, and he was now counting on the paper he stayed up late to make a difference.
He didn't think about taunting his opponent, nor did he think about teasing his opponent, his philosophy was that the meat was in it and not on the surface.
And Chen Hao's opponent is a little worse than Chen Hao in terms of technology, and he is usually very nervous, but today, he feels that he is nine out of ten and just waits, so when the director of the pancreas department asked, he straightened his waist and looked at Chen Hao with slanted eyes.
"Uncle Shi's surgical team yesterday was very good, after all, it is a big hospital, and it is very tacit to cooperate.
Today, you have to stand on the platform for me again, and I think I will trouble Director Li and Dr. Chen again!"
When the old man heard this, he thought for a while, and then said to the director of the pancreas department with a smile: "You are the director, you look at it!"
"Hehe, then listen to Zhang Yuan, I'll go with Chen Hao today. Prepare for the others!"
After saying a few words, Chen Hao pinched his thighs hard, "You can't laugh, you must not laugh!"
And Chen Hao's opponent directly seemed to be on the podium, and his head was stretched out, and as a result, the person who presented the award hung the card on someone else's neck.
"How can this be, how can this be, it's okay for me to go up, I can cooperate, I can also insist, why don't you trouble me!
You, you will definitely give ......" He looked at Chen Hao, angry, but the reason of his brain still made him not say it.
He didn't dare to question Zhang Fan, he didn't dare to question the director, and he didn't dare to question Wu Lao, but he really gritted his teeth at Chen Hao.
"Chen Hao, wash your hands and get ready for surgery!" said the director of the pancreas department to Chen Hao, and then went to wash his hands with Zhang Fan.
Chen Hao's opponent had a lawsuit, he felt that Chen Hao gave a gift, but he didn't expect Chen Hao's private efforts.
......
Wash hands and wear surgical gowns, Zhang Fan's surgical gown was originally the last lace-up by the nurse, but the old man stood behind Zhang Fan, "I'll take it!"
Then, gently tied Zhang Fan's tie around his waist, not loose or tight, and then gently pushed Zhang Fan's lower back, "Go!"
This is definitely not what the elderly parents say with worry after tidying up the collar of their children who are working far away: "If you can't go outside, come back, home will always be your backer." ”
The old man's meaning is obvious, "Go ahead, everything has me!" is so bullish, just so domineering, because the old man has this qualification.
Zhang Fan, who struggled in low-level life in his early years, was trained by society to have a strong heart, not fragile, not proud, and responsible.
After having the system, he has no pride, and this makes his road smoother.
is not arrogant and highly skilled, to be honest, the sky is protecting him, when Quark closed the road in heavy snow, and Batu's nephew was about to die in the hospital, Zhang Fan stood up.
When I entered the city hospital, I didn't despise everything with technology, I respected the respect that should be respected, and I complied with the observance that should be observed, and this switch came to all aspects of maintenance.
After meeting the master with the master, he treated it with his heart, heart for heart, which Zhang Fan got by his own efforts.
The old man personally dressed Zhang Fan in a surgical gown, and the people in the operating room were not surprised, obediently, Wu Lao personally dressed Zhang Fan, oh my God! Who can believe it, who dares to think about it.
The directors of the pancreas department are jealous to death, which also represents a kind of recognition and a kind of inheritance.
"Uncle Shi, here we go. Zhang Fan, who was standing on the operating table, said softly,
"Okay, let's get started!"
At the beginning of the operation, the patient who was suffering from the disease was thin and thin, and there was not even a little excess fat under the belly.
Almost with a knife, it is the fascia, and it is directly the sandwich biscuits sold by profiteers, and the yellow cream is directly visible.
The director of the pancreas department, Chen Hao, the second assistant, for this operation, Chen Hao poured a belly of Red Bull before the operation, if you shake his body, you can definitely hear the sound of the long bang, he is also fighting.
Cancer surgery can be roughly divided into two types, one is palliative surgery and the other is radical surgery.
In medical terms, it is very awkward, and in layman's terms, palliative surgery is to prolong the survival time of patients.
For example, if you die in two years, it may take two and a half years, or three and a half years, or half a year, after the operation.
This type of surgery is often an option when it is no longer possible to completely remove the cancer cells.
Radical surgery is a surgical method that can completely remove cancer cells, and it is difficult to say whether it will recur!
Although the patient has pancreatic cancer in the early stage, the effect after resection is directly related to the skill of the surgeon who performed the operation.
Therefore, this kind of surgery must be performed in a surgical center with a large number of pancreatectomy experience, and do not look at the small advertisements posted on telephone poles or bathrooms.
"The fat layer of the abdominal cavity and mesentery is very clear!" After opening the abdominal cavity, Zhang Fan spoke, and his heart was also happy, happy for the patient.
The fat layer of the abdominal cavity and mesentery is clear, which suggests that the cancer cells are only in the pancreas and have not spread, so the chances of survival after removal are increased countless times.
Most of the human organs are open, which is the so-called access and exit, such as the liver portal of the liver, the gastric spray portal and the pylorus.
Moreover, the more important the organs, the thicker the clothes to wear, such as the big waist that greasy middle-aged men love to eat, and the fat around it.
This kind of fat is not just fat, but also has a slightly tough omentum in it, so it tastes both fat and ligament.
The thickest part of the clothes is the brain, not to mention the hard skull, and there is a large bag of phospholipids in it. The brain is actually a fat high in phospholipids.
The organs in the abdominal cavity not only have body fat, but also a large omentum like a veil is spread on it.
The omentum has many functions, such as the appendix is inflamed and swollen, and the omentum gathers near the appendix like a fishing net to wrap this thing and prevent the infection from spreading.
When infected, this function is very powerful, but when it is cancerous, this pooling function is fatal, and the cancer cells spread to all parts of the body in minutes through the spider-like lines of the large mesh.
Therefore, a lot of cancer surgeries, open the stomach and see, metastasized to the omentum and the surrounding fat, the doctor has no way at all, how to open the abdominal cavity obediently, how to suture it for others, dare not move.
The abdominal cavity was cut open, and there was no metastasis, and none of the doctors who went to the operation were not happy, this thing was sometimes similar to rolling the dice.
"Knife!" changed to an electric knife and went directly to a steel knife made in Germany. Pancreatic cancer surgery is not shoddy, once it is not cut well and metastasized, it will not be done.
When the knife was served, Wu Lao, who was originally sitting, also stood up and began to pay attention behind Zhang Fan.
Zhang Fan's knowledge of the pancreas has been fully comprehended, and the old man has nothing to point out, but he is not at ease when the old man sits on the side, after all, it is a difficult point in general surgery.
Incision of the omentum, traction of the transverse colon, and pull the posterior wall of the stomach. The pancreas is like a big maggot, hidden behind the organs of the human body.
In order to remove pancreatic cancer cells, it is necessary to reveal the whole picture.
The human body does not seem to be very thick, but once the abdominal cavity is opened, it is very difficult to pull the intestines in the abdominal cavity to find a pancreas.
First of all, although the incision of the operation looks large, once it enters the abdominal cavity, it is a small hole, how to describe it?
In the past, during the Chinese New Year, many families had to cook meat, and some families also loved to eat fat sausages.
Then you lie on the edge of the pot with a pair of chopsticks and turn over and over to find a smaller piece of meat.
Pancreatic surgery is actually similar to this, the red and white stomach is covered with bloodshot fat circles, and the long and greasy intestines are sliding in Zhang Fan's hands.
You can vaguely see the undischarged digestive matter from the membrane of the intestine, which is faintly yellow and blue.
None of the general surgeries are high-level, either nausea to death, or troublesome to death.
With such a difficult operation, only Zhang Fan and his Yisuke can see the organs inside, and the two of them can be said to be head to head looking for cancer cells from the fat nest.
Separated little by little, people are very different, almost all of them are the most common in textbooks, and as for the rare ones, they will hardly be said, because they are afraid of affecting the doctors who go out and exit because they say too much.
Zhang Fan was doing the operation, and the director of the pancreas department was assisting while making comparisons in his heart. "He's doing a little better here than I am. Well, it's a little better here too. ”
When the pancreas was revealed, he was stunned that he didn't find anything better than Zhang Fan, so he just pointed to the operation, and Wu Lao may not be better than Zhang Fan.
"Zhang Yuan, how many pancreas have you done? That's the level, tsk!
The director of the pancreas department can't admire it, how can he have hundreds of pancreas surgeries in more than ten years, but he is stunned that he has not done as well as the other party.
"Hehe, this is the second one! I have done a lot of orthopedic surgeries!"
"Ahh
Chen Hao was stupid, he thought that Zhang Fan was mainly attacking the pancreas. "Uh, you're an orthopedic surgeon?"
Before Zhang Fan could speak, Wu Lao stood behind Zhang Fan and spoke: "He is in a grassroots hospital, and the surgery is very miscellaneous, not to mention the pancreas, he can do surgery outside the brain." ”
"Oh, oh, oh!" The director of the pancreas department looked at Zhang Fan incredulously, he saw that the corners of his eyes were full of collagen, without a trace of wrinkles, "It's too TN to bully! Not only is he an all-round player, but he is also young and jealous!".
And Chen Hao's face was confused, "Mother, it's white, is it too late for me to change it now?"
At this time, Wu Lao said again, "There are advantages and disadvantages to this, but I only see the whole thing in him, and his efforts are estimated to be unimaginable." ”
Zhang Fan was embarrassed to squeak when he was praised by the old man, there is no system, it is estimated that he is still touching the nail steel plate.
The pancreas is exposed, lying on the bottom of the stomach and moaning like a blistered tongue scalded by boiling water.
And in the stomach of the pancreas, you can clearly see a swollen bubble, showing teeth and claws, showing such arrogance.
Zhang Fan pulled the pancreas over and looked at it, "Fortunately, there is only a tumor in the tail of the pancreas." ”
"Prepare to cut!" Zhang Fan issued an order for a general attack.
"Yes!"
After the knife was clamped and the pancreas was cut, Zhang Fan's nimble fingers were inserted into the pancreas.
"The smallest catheter!"
The instrument nurse immediately took out the smallest catheter from the tray soaked in the disinfectant solution and handed it to Zhang Fan.
"No, this is too big!" Without even trying, Zhang Fan could see at a glance that the catheter was too thick to fit into the channel of the pancreas.
"This is the smallest!" the nurse was in a hurry, and even the head nurse who was guarding the side came over. "Are you not fully prepared?"
"No, no, head nurse, I've counted it six times, and it's all ready!" The middle-aged nurse was about to cry, if she was really not prepared, it would be an accident, a medical accident, and her job would be smashed on the spot.
The battle was about to start, but the shells were not suitable! Zhang Fan was about to go crazy, to be honest, he didn't have much temper on weekdays, and he was directly angry in his heart.
Still Wu Lao is experienced, he looked at the patient, and then stretched his neck behind Zhang Fan to look at the patient.
"His pancreas is abnormally developed and is one size smaller than the average patient. Pancreatic devices are all made according to Europeans and Americans, so instruments that are one size smaller than normal people cannot be used. ”
Zhang Fan pinched the pancreas with one hand, and the cancer cells that were about to be cut off with the other, "Quick, go and find it!" He didn't care about it, and gave the order directly.
"We can't find anything smaller in our hospital. The director of the pancreas department looked at the instruments and thought about the inventory before saying.
"What should I do, what do you say?" Zhang Fan was furious, if there were no suitable instruments, the operation would have failed, and the original perfect operation would definitely have to be transferred.
There are really tigers in front and wolves in the back. "Quick, contact all the equipment manufacturers in the magic capital, ask them to bring equipment smaller than this model, and come to the hospital immediately. Wu Lao spoke.
This kind of thing is to suffer the loss of no patents in their own country, no patents and no one researches, and everything is made according to the body shape of Europeans and Americans.
The simplest one, orthopedic steel plates, is used on the bodies of Europeans and Americans, which is very tight, and used on the bodies of Asians, especially some thin people.
The doctor is like a fitter, trying to find a way to use (a) milk to correct the body, to find a way to make the steel plate fit.
Zhang Fan didn't expect that he finally encountered a joke in the medical world today, and the result was too rough.
Sweat, brushing and pulling began to flow, the operation is difficult, Zhang Fan is not afraid, if he can't do it, then go to the system to get the liver, and sooner or later one day he will take it down.
But the equipment can't match, no matter how high the technology is, you can't make one on the spot.
Sweat flowed down Zhang Fan's neck, nervous, almost scared to death, this is human life, not pig intestines.
The old man's order was like a military order, and it swept up a monstrous wave in the medical circle of the magic capital.
Johnson & Johnson, Aetna, Pfizer, and Meibo are counted as one, and the world's top medical companies are starting to race, joking, as long as they win the supply of instruments for this operation, the road ahead will be smooth.
Fangdong, the magic capital, is the hospital they have dreamed of monopolizing the supply, and there is no one who is not desperate.