603 Unconventional Pain (Thanks to Alliance Leader: If You Agree)
What is success? People are different, and the definition is different. For the profession of doctors, it is really hard to say whether success is success, or whether it is success to help the world.
However, what I know now is that you are not famous, you have no status, you have no rights, and it is not easy to take another step forward.
Dissociation, constant dissociation, hemostasis, and finally, after entering the brain tissue, began to appear in large quantities.
Zhang Fan is too awesome, in the cortical layer of brain tissue, there is almost no bleeding, he is too familiar with the structure of anatomy.
"It's hemostatic gelatin!" It seems that when everyone saw Zhang Fan put on hemostatic gelatin, everyone breathed much easier.
Usually, after a craniotomy, the average doctor almost has to use three or four packs of this thing. But after Zhang Fan entered the skull, this was the first time he used it.
If you don't save, the hospital is a big waste, and when it comes to this level, the doctor is definitely not thinking about how to save, but how to make the operation more refined.
Hemostatic gelatin, the general ingredient at the low end is polyethylene, which must not be used in the brain. Because this thing doesn't break down and absorb.
And the high-end is collagen, special collagen. Exactly like Green Arrow gum, a small white strip melts instantly when placed in the blood, and then adheres to the surface of the bleeding blood vessels.
Bleeding in the human body is different in different organs and different ways of bleeding. Large blood vessels, heart hemorrhage, is the most terrible. It's like a whale spitting out water, and there is no problem at all with spewing out a height of three or four meters.
Cerebral hemorrhage, on the other hand, is an oozing. It's like digging a pit on the beach, although you can't see obvious flowing water, but after a while, the sand pit is full of water.
It's the same with the brain. This thing is really a big piece of fat wrapped in a big bag of blood.
"Boost!" Zhang Fan said to the anesthesiologist.
"Okay!" The assistant brought by Lu Lao was a young doctor, but the anesthesiologist directly brought the highest-end personnel of Jade Bird.
This kind of anesthesiologist does not need to consult with any cardiology doctor at all, for him, he is an anesthesiologist in the anesthesiology department, and in the internal medicine department, he is an internal medicine expert.
"This guy is so fierce. It's too bold! It's already broken, and he actually let it boost up!"
In the venue, when they heard Zhang Fan's order to increase the pressure, it was really like igniting a restlessness, and everyone turned their heads and ears.
Is the boost good, good or not, not good or bad. It's like punching, if the opponent comes with a fist, you close your eyes and dodge, you may be hit, but you will never hit the eyes and other important organs.
But if you open your eyes wide and face your fists to dodge, you have high skills, and you can directly dodge the opponent's fists by relying on the feedback of your eyes.
Now Zhang Fan is facing his fist with his eyes open.
The blood pressure rose little by little, and the anesthesiologist took the medicine little by little, staring at Zhang Fan's expression with his eyes while looking at the dosage of the drug with his eyes.
Zhang Fan is definitely not a type of poor technique, when the pressure rises, the bleeding accelerates, and I saw Zhang Fan's three ophthalmic tweezers, holding hemostatic gelatin, strangely entering from the side.
Two tweezers in the left hand, one tweezers in the right hand, and two tweezers on the left side are like two-finger Zen.
Gently press on the brain tissue, and then the ophthalmic forceps in the right hand are inserted into the middle of this two-finger Zen very precisely and quickly.
"Hiss!" The sound of an operating room assistant inhaling comes from the stereo.
And the sound of inhalation in the venue seemed to cooperate, and it also appeared one after another.
"Too bold, too bold. He didn't look at who was lying on the operating table, it was too big, too big, really too big. ”
An old man in his fifties outside the capital's brain spoke directly. This technique is only used as a last resort, and in general, not to mention using it, ordinary doctors have never seen it.
"Is there a problem, is the patient's vital signs in crisis?" Lu Lao turned his head unhappily and asked.
"But ......" the half-old expert was speechless, uncomfortable, really uncomfortable, just like swallowing a bite of boiled eggs, he couldn't go up or down, he was caught in the esophagus and trachea and throat, and his chest was so tight that he died!
"Three pieces of gelatin set the world!" This kind of operation, without dozens of pieces of gelatin, is sorry for the forced nature of this operation, but Zhang Fan only used three pieces and directly got the bleeding done.
"Buck!"
"Roger!"
Surgery, this kind of teamwork. Once the chief surgeon can't suppress the assistant.
The ripple effect is very troublesome.
Many people think that on the operating table, the doctor should be attentive and meticulous.
This situation accounts for the majority, but when the skills of the chief surgeon and the assistant are similar, and when the status of the department is similar, trouble will come.
"Why don't you do this? Why do you want to do that? No, it's too damaging!" The chief surgeon and assistant pushed the cow, and the anesthesiologist and nurse began to be at a loss.
This is also why there is a three-level system in the hospital, the main high with the deputy high, the deputy high with the main treatment, and the main treatment with hospitalization. It was never said that the deputy high with the deputy high.
Separation is solved, and hemostasis is perfected. Zhang Fan entered the lesion. Secondary lesions are in the brainstem.
The organs of the human body, how to say, are divided into autonomous organs and non-autonomous organs.
For example, the tongue is involuntary, you can go deep into the other person's mouth, or you can hide it in your own mouth and not let the other person find it.
This autonomy is not involuntary, it is not about people's own will, but about the brain, which seems to be very contradictory!
In fact, in layman's terms, it means not listening to you. Those who are obedient are involuntary, and those who are disobedient are autonomous.
For example, in the anus, there is a line in the anus, and the outside of the line is obedient, and the inside of the line is disobedient. This function is exactly the same as the mouth, you can command the lips to take the ice cream in, and you can also command the anus to clip the stool.
But you can't command the esophagus to clamp the meatballs, and you can't command the inside of the anus to contract and suck the stool in.
The brainstem of the brain is the real big guy, and the human body gives all the most important heartbeat and breathing to the brainstem.
Moreover, the most terrible thing about autonomous organs is not the problem of constant clamping, but the unreasonableness of this thing.
Involuntary organs, a shot of anesthetic, do whatever you want, don't resist at all, wake up with your head covered and your brain, and look cute.
Autonomic organs are not available. This thing, for example, is sick, and tumors sometimes destroy almost all of its organs to the point of not being left, and it continues to work like a lone hero.
Sometimes, however, something from outside, such as a doctor's hand, a doctor's instrument, gently touches its body.
It's over, and it's like a torii hero who has lost his chastity, and he begins to look for death and life.
In an instant, it can give you a collective freeze, motionless, and work?
And the brain stem is the general leader who manages these strange things, so it's even more weird. When Zhang Fan entered the brainstem, the secondary lesions were very obvious lying on the brainstem.
A good team has one of the most prominent C-position leaders, but people in other positions are also very good people.
This time, Lu Lao equipped Zhang Fan's assistants, and one of them is counted as one, which is absolutely powerful. Dehydration, the anesthesiologist's medication is very precise.
The brain stem, which was originally edematous, was like a girl in the gym early on, with water beads all over her body, but it was not greasy.
If the brainstem dehydration does not meet Zhang Fan's requirements, Zhang Fan will not be able to take off the outer membrane of the brainstem, that is, the outer coat of the girl.
Like the plastic wrap of a box, the swollen brainstem is tightly wrapped around the outer membrane.
As soon as you touch someone, this thing will definitely not be happy, and then directly give you a strike, which will not scare you to death.
A dehydrated brain stem, like a little kid wearing her mother's mink coat, can be taken off by a doctor without touching your body.
Of course, this metaphor is saying that a doctor with a technical level like Zhang Fan, without this technical level, even if people wear fat clothes, if they are not careful, the clothes are not taken off, and the result is that the person is gone.
Many people don't understand what this outer membrane is, in fact, it is very simple, eat hot pot, you need a complete brain flower, do not cut it.
Then it is cooked, but people with heavy flavors can also be uncooked, and if they are not cooked, the feeling is more obvious.
When you bite into it gently, the pig brain will have a little bit of a breakthrough feeling, and this is the outer membrane of the brain that causes the breakthrough feeling.
Of course, he doesn't understand it, he will only say that it is too cooked and there is no blood!
After Zhang Fan saw the brain stem full of water beads, he raised his head slightly and nodded to the anesthesiologist.
Anesthesiologist, the boss of the Blue Bird Anesthesiology Department. At this time, when he saw Zhang Fan's nod, he was a little proud.
Although I didn't speak, the recognition between the technologies, sometimes, is really more fulfilling than the so-called pleasure of life.
Give you 5,000 and you might be happy for 10 minutes, and then start thinking why not 50,000.
And the recognition of technology is different, which feeling, just like a drunkard who has been gluttonous for ten years, drinking a glass of pure wine for a hundred years, is too beautiful, and the description of language is pale in front of this feeling.
Comfortable, really handy, Zhang Fan used tweezers in one hand and pliers in the other, and directly began to peel off the coat of the brain stem.
"Dim the light!" With Zhang Fan's voice, the 30X itinerant nurse stood behind Zhang Fan with a footstool, leaning her head on Zhang Fan's head, and very accurately probed the light on the lesion.
"Director Zhang, how is it?"
"Yes!"
Between doctors, when you don't know what to call him, you call him director, absolutely right.
Small hospitals, even the nurses in provincial hospitals, to be honest, most of them are girls from ordinary families, there will be white, and there will be almost no rich.
But the top hospitals are different, most of the doctors in this kind of hospitals, especially young doctors, rely on step-by-step examinations and assessments.
The nurse is different, maybe a little girl can pull out a leader uncle of any department, which is not an exaggeration at all.
Undressing, Zhang Fan is good at it. Especially when it comes to taking off his organs, Zhang Fan is too particular. Just his hands that have been trained in the system.
In terms of the level of surgery, Zhang Fan may not be famous in the world. But in terms of the accuracy of his hands, Zhang Fan said that he was second, and absolutely no one dared to brazenly say first.
It was too accurate, too gentle, and before he knew it, Zhang Fan pulled off his coat in the brain stem.
"There is no change in the physical signs at all, it's too stable!" Just when Zhang Fan took off his brainstem clothes, many doctors in the venue were staring at the monitor.
Breathing, blood pressure, pulse, no change!
"Yes, it's too stable, which hospital is this guy from?" At this time, everyone really began to pay attention to Zhang Fan.
"I think it's really a little less homework for him, you look at his hands, it's really steady, it's time to make it a little more difficult for him. ”
Wu Lao looked at Zhang Fan's hands, he didn't know whether he was envious of Zhang Fan's youth, or Zhang Fan's steady and perverted hands, and made a direct request to Lu Lao.
"Well, I also think that I underestimated him, I already thought very highly of him, but I didn't expect that I still underestimated him. ”
Lu Lao also felt that Zhang Fan's talent could not be wasted, doing general surgery, orthopedic surgery, and steady and precise hands, sometimes it was not very obvious.
However, cranial surgery, these hands are too advantageous, these hands comparable to robots, at this time, it is really amazing.
When the adventitia of the brainstem was peeled off, the lesion appeared naked in front of Zhang Fan's eyes.
"Cryosurgical forceps! put on double gloves!" Zhang Fan said to the instrument nurse.
The lesion of this surgery is like a small sarcoma on the arm, but fortunately it is superficial, if you go a little deeper, the patient will probably have a disordered breathing and heartbeat.
The best is a laser, but the laser will generate heat, and no one can guarantee whether it will cause the patient to have a life crisis.
Therefore, the conventional way is to kill with drugs, and as for whether it will recur, it is not a matter of this operation.
Because Zhang Fan has a pair of super stable hands, he did not choose the conventional way, but used cryosurgical forceps to pick it up.
The special refrigerator in the hospital is super expensive, and many people think that they are taking bribes! In fact, the refrigerator in the general home is at most ten degrees cold.
But the special refrigerator in the hospital has no problem at minus 40 degrees, and there are even refrigerators with minus 80 degrees.
At this temperature, not to mention ordinary instruments, conventional bacteria can freeze into slag.
"What is he going to do?" When they heard that Zhang Fan asked the nurse to prepare the freezing equipment, the doctors were really not calm.
That's kind of crushing them on a technical level. You are a doctor who was invited to do the buttocks, even if you are a child of the Qiu faction, you can still do cranial surgery, even if you can do cranial surgery, you can even use unconventional surgery to crush us.
"Damn, is he a member of the Department of Brain Surgery?" "When this is done here, everyone will not doubt whether Zhang Fan can have surgery, and now everyone doubts whether this guy will come to the capital!"
There was so much to eat, and there came a man who was so young, so strong, and with such a strong background, who was not timid.
In fact, it is Zhang Fan's hard work that really makes everyone's eggs cold. On the contrary, Zhang Fan's other shortcomings were covered up.
For example, the diagnosis of diseases, Zhang Fan is not so powerful. Although he is not a donkey of Qian, Zhang Fan really needs to improve.
Lu Lao and Wu Lao, who knew this, looked at the young man in the monitor with a smile.