It's not easy to be a doctor, not to mention anything else, whether a patient's disease can be seen by oneself, this is all about the basic skills of a doctor, and you can't prescribe intravenous injections for any cold. Of course, it doesn't count.

It's not easy to be a doctor, and it's even harder to be a good doctor. If you want to be a good doctor in a small hospital, as long as you work hard, you will always have a good time.

When you go to work, you see a doctor, when you get off work, you find a variety of materials and periodicals to study, and seize the opportunity to study, you will always be recognized by the hospital or by the patient.

But when it comes to big hospitals, especially the top ministerial tertiary hospitals, there are only two kinds of doctors in this kind of hospital, those with good talent and those with average talent.

Hard work is an essential survival skill for doctors in these hospitals. Almost all of the doctors who can enter this kind of hospital have boiled their livers to the point of master's and doctor's degrees.

That's it, if you don't work hard, you won't necessarily be able to keep up with other people's footsteps. Hospitals are also trying to make doctors work harder.

In the earliest days, the inpatient doctor was actually a learning process of listening to and implementing the instructions of the senior doctor and closely observing the patients in the inpatient department.

But the hospital doesn't explain it that way, the resident doctor, the resident doctor, is the doctor who lives in the hospital!

When I arrived at the main treatment, the hospital felt that it still couldn't let go, and got another hospitalization to come out, and the resident doctors were all admitted to the hospital, and the hospitalization was always allowed to eat, drink, and Lazar was in the hospital?

With such hard work and dedication, in fact, most doctors are in top hospitals just to keep up with others and not fall too far behind.

When it comes to the pinnacle of top-level medical care, the importance of talent is vividly reflected.

Suturing, the simplest skill for doctors, can be mastered by ordinary hospitals and doctors for a few weeks of practice.

But when you get to a top hospital, you can't. People can suture the inner lining of eggs without a microscope. And some people have sewed thousands of eggs, and they still can't get it down.

With this technique, it will be easy to suture the nerve sheath. This is the basic skill of a surgeon in a top hospital.

In order to practice this technique, some doctors eat eggs in their whole family and have excessive cholesterol, but they just can't get it.

What it is, that's talent.

Dr. Ye is a very talented doctor in Shanhua Hospital, how many people are there in China, how many hospitals are there? It is not easy to make a name for himself in these hospitals, and I don't even think about it if I don't have any talent.

This kind of hospital is like Tsinghua University and Peking University when I was a student. Of course, the top department of this kind of hospital cannot rely on extra points to rely on your own father to come in.

Because he can't get in, he will be despised when he comes in, and he will be looked down upon, and if he has the ability to enter this kind of hospital, he won't enter the Ministry of Health as a ......?

When Dr. Ye saw Zhang Fan operating on his abdomen, he knew that this young man was not simple.

It's like a good thing, it's very comfortable to look at.

Zhang Fan's operation is too smooth. The knife passes over the hand pad, layer by layer, knife by knife, hands do not stop, feet do not mess.

The place where the bleeding should have been prepared in advance, and the place where the line should be hung will never be remembered until you are in front of you.

One move, one style, the knife is not redundant, and there is not even a trace of superfluous action.

What is fast, this is fast, coupled with the precise coordination that can be reached by the eye.

Dr. Ye's heart was also relaxed and relaxed. If Zhang Fan's technique is almost today, it is estimated that Dr. Ye will be furious.

"Old Wu, this doctor was stuffed in by which of your students, yes, he is a good seedling!"

Not in a hurry, he said to Wu Lao with a smile.

"Hehe, this is my nephew, a disciple of the Blue Bird Lu Academy!"

"Oh, oh, Academician Lu's disciple? so young! No wonder, no wonder!"

After muttering a few words, Doctor Ye said to Zhang Fan: "Young man, my name is Ye Yun, Ye of Leaves, Yun of White Clouds, what is your name!"

This can be regarded as a recognition of Zhang Fan, otherwise this kind of talented doctor not only has talent, but also emotional intelligence, and can become a director, and he is also the director of the magic capital Shanhua, obediently, don't be too arrogant.

"Hehe, hello Mr. Ye, my name is Zhang Fan, Zhang, bow chief ......"

Zhang Fan was doing surgery while learning that the other party was preparing to introduce himself, and he reported his name last time, but the other party hadn't heard of it, and his old face was blushing, this time Zhang Fan learned to be obedient!

But before he finished speaking, Dr. Ye directly interrupted Zhang Fan's words.

"Zhang Fan, which Zhang Fan has been in several departments related to foreign affairs?" Dr. Ye's mouth opened.

"Uh!" What weirdness in Zhang Fan's heart is like a mouthful of white steamed buns, he can't go down or up.

In the same magic capital, although many top hospitals don't look at foreign-related products very much, the foreign-related technology is actually just a little bit worse.

It can't fight other hospitals in the magic capital, but it still has a bit of a card in Huaguo.

Moreover, many of the foreign-related doctors are also Dr. Ye's classmates and friends. A few days ago, Zhang Fan suddenly got the doctor from the foreign-related hospital unable to get off the stage, and the doctor outside the god was ready to call Dr. Ye to save face.

At the beginning, the foreign-related doctor was not embarrassed to tell Dr. Ye that the other party was a hairy boy. At this moment, Dr. Ye was surprised, he was too young.

"Hehe, his senior brother's dean who is involved in foreign affairs, haha!" Wu Lao smiled, as if he had eaten a pistachio.

"Oh, are you engaged in ordinary people? There are also dabbles in gods?" After listening to Wu Lao's explanation, Doctor Ye directly stared at the back of Zhang Fan's head as if he didn't believe it.

For the preparation before entering the abdomen, blowing a calf, even if Zhang Fan closed his eyes, he could do it, so Zhang Fan smiled and said softly: "Well! ”

"Don't do much! Obediently, if you do too much, you will pay it back! Wu Lao, the director of my classmate's foreign affairs.

He told me that a patient with cerebral hemorrhage, Dr. Zhang Fan, was pulled into the operating room without CT scanning.

Said that after the operation, the patient woke up directly. At the time, I thought he was an expert outside the gods, but I didn't expect it, I didn't expect it to be an ordinary person!"

"Hehe......" Wu Lao was about to speak, but Zhang Fan said: "It's in the abdomen, duodenal bleeding, stop the bleeding!"

The elderly love stomach ulcers, and the young people love duodenal ulcers, but no one can guarantee where the bleeding is due to stress.

"Hemostat, disconnected. "Once it enters a critical moment, no matter how big or small the operation is, Zhang Fan will go all out, this is not to repair the machine, there are still replacement parts if it is broken.

When Zhang Fan entered the state, all he had in his eyes was surgery, what greetings, and what politeness were all forgotten in the back of his mind.

"Turn on the lights, the light is not good!" The cold voice in his tone kept mobilizing the operating staff.

......

"I heard that you are going to the branch this time?"

"Well, I'm going to be a deputy high school soon, and I can't be promoted if I don't support it. Are you going too?"

"Where are you going?"

"I'm going to go to Chasu. ”

"Me too!~"

Fang Dong's two doctors chatted.

The souvenirs from Cha Su La, as if they did not need money, were scattered in the hospital.

"Director Lu, look at it, how good this raisin, don't spit it out, you must chew it and swallow it, it's good for the prostate."

Let me tell you, this kind of raisin, you can't buy it with money in the magic capital, it's all specially for going abroad to Europe and the United States to exchange dollars for euros!

Which scenery of Chasu is absolutely unpolluted by man, where the mountains, where the water, to be honest, it is called a ......

When you go, it's a paid vacation, and it's like going to Northern Europe. ”

The director of the Chasu Medical Office took the top raisins in southern Xinjiang to fool the people of Modu.

He is Zhang Fan's pioneer, scattering flowers with small favors to collect the doctors who want to go to the side, and some doctors with higher qualifications, he can't do it.

"Well, this deputy high of the liver and gallbladder doesn't really want to go to the tea element, he wants to go to the snow mountain, hey, don't we have the snow mountain? Xiao Chen went to inquire about what hobbies this director has. When the time comes, let Zhang Yuan have a preparation. ”

"Well, okay director. ”

......

The director of the Chasu Medical Department is begging for people all over the world, and the medical device manufacturers all over the world are begging him.

"Leader, you try it, this is the ice cream I just bought from outside, and it is still very comfortable to eat two bites in this weather.

Tell Zhang Yuan, although this equipment outside is not well-known, it is cost-effective. ”

......

As Zhang Fan was about to leave the magic capital, some equipment dealers with ideas were also messing up like big-headed flies.

"The jade that the little junior brother bought for you, I specifically asked, it is a very good Tian Heyu, and they have helped so much, you said that we should send something. "Brother Master's daughter-in-law chatted with Brother Master.

"Send a better set of surgical instruments?" said the elder brother to his daughter-in-law in a puzzled tone.

"Hehe, haven't you seen that famous equipment dealers are revolving around people these days? Can you give us some constructive suggestions? ”

"Uh, what do you say!" Brother Master was not happy.

"That's what I thought, buy a better watch for my little brother, and I didn't find him wearing a watch when we met twice. ”

"Well, yes!" Zhang Fan's master brother nodded in a big way.

"Isn't he about to get married, and I brought a set of cosmetics for his fiancée from the last time I went to Europe. That's about ......."

"Okay, you can't count it like this with the little junior brother. ”

"Look at you, you can't let the little junior brother suffer. I'll tell you......"

Brother Zhang Fan's ears began to buzz.

......

In the operating room, Zhang Fan began to stop the bleeding, there is a saying in the medical world, in the face of a crappy doctor, the only weapon for the patient to resist under anesthesia is bleeding.

For bleeding, surgeons have a variety of different levels of surgical hemostasis. For example, the doctor who is flexible chases every blood vessel, chases every red blood cell.

With an electric knife, I can't wait to bake all the fat into charred lamb skewers, and I can't wait to burn every piece of exposed tissue and organ with a soldering iron to rest assured.

This is one extreme, and the other is the butcher surgeon, whose credo is that the bleeding will always stop.

Therefore, in the surgical field of blood flow, they move forward bravely to stop the bleeding? No, the patient himself can rely on the coagulation mechanism to stop the bleeding automatically!

In fact, the best clotting factor is the surgeon, diffuse bleeding, the entire surgical field is slowly oozing as if surrounded by blood, this must be a problem with the veins.

And when the bright red blood rushes to the ceiling, it must be an artery damage.

The more severe the bleeding, the calmer the doctor must be, once faced with the bleeding, the doctor is confused, don't think about it, the patient has to hang.

At this time, the doctor must first determine whether it is arterial bleeding or venous bleeding, and also predict which part of the bleeding occurs.

This is the prerequisite for resuscitating a hemorrhagic patient, and if these two prerequisites are ignored, like a big-headed fly, the stomach is full of tumbling, and the patient can directly slide into the triad of death (acidosis, hypothermia, coagulopathy). ）

Once in this field, it's too late for anything.

As soon as Zhang Fan entered the abdominal cavity, he judged the bleeding method and location.

The judgment of this method is based on a lot of surgical experience, as well as human dissection and human physiology, and it is definitely not a chicken shaking the dice to guess the size.

One step is fast, step by step, and the accuracy of guessing can pull the patient who slides into the abyss on the line of life and death in advance. A doctor who can hold a patient before the line of life and death is the most handsome doctor.

"Electric knife!" Zhang Fan's hand was like a divine palm, and a fist went down directly against the bleeding part.

After 30 seconds of holding his fist against him, the anesthesiologist looked up and said, "Blood pressure is up!"

Just this sentence, everyone no longer needs to doubt or question, Zhang Fan's judgment is quite accurate.

"Doctor Zhang, no more electric knives, we have energy transmitters!" Dr. Ye hurriedly reminded.

This is where the big hospital is awesome, general bleeding, to stop bleeding, must be ligated and sutured with sutures, just like an old lady sewing the crotch of her pants, which must be both beautiful and practical.

Or use gelatin sponges, collagen hemostatic nets and other things, just like sandbags to block a dam, the amount is superior.

And people, there is something more advanced, ultrasonic knife! What is this thing?

When this thing was first invented, it was meant to stop the bleeding.

As a result, I don't know why, this did not develop in hemostasis, but was regarded as an artifact in beauty, and it is said that it was taken by beauty salons to smooth wrinkles, just like Viagra, which surprised the inventors.

In fact, it is to use high-energy sound waves deep into the subcutaneous for repair, at a depth of about 1.5.6-4.5mm under the skin, through the radiofrequency electric field to form a focused surface, strong impact on the dermal tissue, on the dermal tissue to produce an electric field aggregation effect, so that the subcutaneous temperature is raised to about 60-75 °C, to ensure that the heat is in the dermis, and then let the blood vessels let the muscles contract and close.

In layman's terms, this thing is a microwave oven that can be oriented, just like the microwave oven used to defrost cold meat at home, this thing is used to stop bleeding, and the effect is also very good.

"Oh!" Zhang Fan looked at the probe like a curious baby, he couldn't use this thing!

Many people have a sense of rejection of new technologies, especially the higher the status, the more they reject themselves and do not understand, in fact, this is timidity, which is a manifestation of aging.

And Zhang Fan won't, he can't wait to move Shanhua's operating room, so when the other party said that there was new equipment, he immediately handed over the position of the chief knife to the uncle.

Then, staring at Uncle Shi's operation with shining eyes, he watched Uncle Shi's operation without blinking from beginning to end.

When the hemostasis was completed, Zhang Fan had not opened his mouth, and Shi Bo spoke first: "This is the United States! I can help you get in touch." ”

Mrs. Wu knows Zhang Fan, the sooner she is about to leave the magic capital, the more Zhang Fan behaves like a landlord and old wealth, walking on the road with a round stone, thinking about getting back the tea!

Suturing, Zhang Fan remembered Dr. Ye's suturing technique, and after thinking about it in his mind, he began to sew it up.

"Hey, this kid actually stole the teacher!"