Heavy rain, after getting up in the morning, Zhang Fan found that it was raining outside, and looking out the window, the rain on the street began to bubble. "Summer hasn't even arrived, and it's starting to rain so heavily!" Zhang Fan said to himself in wonder.

"Zhang Fan, come and wash your face, send me off after eating, it's raining heavily, I have to go to the unit early today." One of my clients made an appointment with me to lend him money today. ”

When Zhang Fan looked out the window in a daze, Shao Hua shouted loudly in the bathroom. "Okay!" After Zhang Fan entered the bathroom, he saw Shao Hua blow his hair again.

"You have to go early, you still wash your hair, come and I'll blow it for you, it's raining outside, and it's easy to catch a cold if you don't dry it." After Zhang Fan finished the hair dryer in Shao Hua's hand, he began to help Shao Hua blow his hair.

"Didn't you forget. I remembered when I heard that it was raining, and one of my clients was engaged in civil construction, and he could only rest when it rained, so I remembered.

Which of my customers has a bitter and hateful look, and our president seems to have a good relationship, if he is sluggish, he will go to sue, last time we sued Xiao Liu of our department, just because he didn't take the initiative to pour water. Shao Hua was enjoying Zhang Fan's service while talking.

The jet-black hair, like satin, Zhang Fan gently shook the hair dryer, looking for the hair that had not yet dried.

"Are you all right, the meal is ready. Come and eat. Shao Hua's mother shouted at the dinner table.

"It's coming, it's coming, it's coming soon. Shao Hua agreed.

Milk tea, naan, side dishes, and some sausages, protein, fat, and vitamins are complete. "This heavy rain started to fall last night, and it is rare to see such heavy rain. I guess there's going to be trouble. The old man looked out the window with milk tea, and after Zhang Fan sat down, he said to Zhang Fan.

Before Zhang Fan could reply, he was scolded back by Shao Hua's mother: "Hurry up and eat, a day of less god Shinto." After eating, I accompanied me to the vegetable market to buy some vegetables, but the food at home was gone. ”

"Hmph, you know what!" the old man was stunned and drank the milk tea in one gulp.

"Quick, go. I'm too late. Shao Hua casually took a little naan and said with a shout. After Zhang Fan finished eating in three bites, he also went out with his shoes on.

"I knew that there was something going on today, so I didn't get up early. Eating badly every day affects Zhang Fan to eat badly. I don't cook anymore. The old lady looked at the remaining half of the meal, and suddenly became angry.

"Hehe, knowing my dear old lady, let's go. Be careful, it's raining and the road is slippery, so if it doesn't work, just wait for us to get off work and buy groceries. Shao Hua smiled and comforted his wife.

"I can't count on it! Wear hot spots," the old lady deflated. The old man frowned when he listened to his old woman's constant chatter, and muttered to himself: "It's not a child!"

Zhang Fan drove Shao Hua to the unit. The speed of the car is very slow in the rain, and there is still a bit of pressure on the road, "There was a car accident ahead." Zhang Fan poked his head out and saw the road ahead.

"Seriously?"

"It shouldn't be serious, and this speed can't be serious, so it's probably a scratch. ”

After a while, Zhang Fan sent Shao Hua to the unit, "I'm leaving, be careful on the road." I put an umbrella in your car, right in the back. ”

"Okay, you should pay attention too. ”

It is a little better to rain than to snow in the frontier, you don't have to go to the unit in advance when it rains, if it snows, it won't work, the snow is to blow the trumpet, you must arrive at the unit half an hour in advance.

When Zhang Fan arrived at the unit, there was a little water at the gate of the hospital. "It's been going down all night, and it hasn't stopped. In the surgical building, Zhang Fan saw the director outside the chest.

"Yes, I guess there were a lot of car accidents today. The two chatted casually and then went to their respective floors.

It was raining and the work of the hospital was going on as usual. Patients with hallux valgus are pulled to the operating room early. Routine disinfection, Zhang Fan took Wang Yanan to start the operation.

There are almost more than 200 surgical methods for hallux valgus, a small hallux valgus. Having more than one surgery is not a good thing, because it means that everyone is not sure which one is the best, and they are constantly exploring.

Of course, Zhang Fan has an advantage, because of the system, he knows what kind of technique is the trend of the future, but this kind of thing can only be done by himself, and when he tells others, others don't believe it.

This kind of thing, there must be data, and only by using data can we convince others, but now Huaguo's evidence-based medicine does not take care of this kind of minor surgery. Do it yourself, and it is estimated that it may be a little convincing when you retire.

"Zhang Fan, let's use that kind of surgery, I looked at the operation data last night, there are too many of this surgery, no matter how I look at it, I feel that there are advantages. "Wang Yanan is very employed, she has never done this kind of surgery, and when she does, she will do her homework in private.

Zhang Fan looked at the girl who had a little bag under her eyes and said, "Yes, if you don't have any advantages, you will probably be eliminated." Let's use a combination of release and cartilage correction. ”

"Well, I've never seen this kind of surgery. Wang Yanan lowered his head slightly in thought, then raised his head and said affirmatively.

"Have you read more than two hundred ways?" Zhang Fan was a little surprised, he didn't expect this girl to be so capable.

"Well, I'm done. Wang Yanan said a little proudly.

"Don't be so liver-like, you'll get old quickly. Zhang Fan just said casually, it's nonsense, being a doctor is not liver, how can you be a doctor.

"Hey, there are more and more graduate students, I'm a girl, and Xue Fei is unreliable, you may leave one day. I don't know if I don't have a place in the future. The girl said with emotion.

"Eh, your uncle~~" Zhang Fan felt that it was inappropriate, so he immediately changed it and said: "If you don't understand something, ask me directly, don't be in a hurry, the operation is gradual." Zhang Fan ignored himself.

"My uncle will retire sooner or later, and I can't help but be in a hurry, I have to want you to study, although it can't reach the level of your effort, but at least half of it, otherwise it will become a Xue salted fish." ”

"Okay, just have faith, let's get started. When Zhang Fan heard this, he felt that this girl was thinking very clearly, so he didn't say much, they were all adults, and they chose their own paths and walked by themselves. I don't need to find to persuade.

This surgery is actually not difficult, the difficulty is the angle control, the angle formed by the toe joint, if the control is not good, it is very easy to recur.

This perspective is not prescribed to die, but to consider all aspects, such as the patient's weight, whether he is engaged in heavy physical labor, etc., and if he does not consider it comprehensively, it is a curse. So sometimes when you go to the doctor, don't hide your profession.

"Let's go!" Zhang Fan said and began the operation.

First, a 5cm longitudinal inversion was made between the dorsal hallux between the first and second toes, extending proximally to the metatarsal head. ”

Saying this, Zhang Fan pulled the dorsal fibular cutaneous nerve and vein of the hallux to the tibia.

It is then continued to be dissected deep along the lateral side of the hallometatarsophalangeal capsule, the transverse plantar ligament is severed, and the transverse and oblique head of the adductor pollicis muscle are cut from the base of the proximal phalangeal bone and the lateral sesamum.

Then blunt separation proximally, suture the ends with thick silk threads, and leave long threads for later use. The hypertrophic lateral capsule is incised along the joint line from the dorsal midline to the plantar side so that the hallux can be moved medially, and then knotted and fixed.

Zhang Fan explained to Wang Yanan while doing it. If you have to do the surgery yourself, it will be too difficult, and you must have a teacher to take it. With a good teacher, you can avoid many detours.

The operation was very fast, it was over in more than half an hour. "Next time there is such an operation, is it okay for me to do it?" Wang Yanan said to Zhang Fan with a plaster.

"Do you understand?" asked Zhang Fan.

"Understood. You've taught me a lot of detail, and I think I'll be able to. ”

"That's fine. Zhang Fan nodded, in fact, this operation is also simple, that is, cut the skin muscles, open the tendons, loosen the thumb joint, and then adjust to the position to be restored, and then suture and then apply a plaster.

At this moment, Lao Gao came in, "I guess your operation is done." Hurry up to prepare, two car accident casualties came, both of them were open fractures, and they had to be operated on as soon as possible. ”

"Is there a fracture in that place?" Zhang Fan asked.

"One ulnar and radius, one femur. Lao Gao spoke, and went out of the operating room to the operating room of another group.

"You send the sick number back to the ward, give a good doctor's order, and then come up, I'll grab the femur. Remember to make it clear to the patient's family that the hallux must be fixed in the corrected position with a plaster cast, and the plaster cast can be removed after 3 weeks to practice activities before walking with shoes. After Zhang Fan put on the plaster, he deliberately explained.

"Okay, don't worry. I'll go down and sneak Xue Feiti up, I know that you can definitely snatch the sick number back. I have confidence in you, come on!" the girl made a gesture of clenching her fists and cheering.

"OK! Zhang Fan smiled.

When it rains, the road is slippery, and there are many car accidents. The casualty who came was a three-jumper driver and a passenger who was sitting in a three-jumper. The three jumpers are actually motorcycles with a tin box. Yuda couldn't see the road clearly, and a car collided with each other.

The car driver and passenger skins were not broken, and it turned out to be too miserable here.

When Zhang Fan went out, he went to the conference room of the operating room. Inside, Lao Gao, deputy director, and Xu Xian are watching the film.

"Director, where's the patient?" it was sent immediately, this is the film, you can watch it first. As he spoke, Lao Gao let go of the computer, because it was a local area network, and after the radiology department finished filming, it was displayed on the computer here.

"The ulnar radius bone is not very broken. The femur is quite heavy. ”

"yes, which one do you do. Lao Gao asked.

"Let's do the femur, Dr. Xu and their group have been tired lately, so let's share some labor for them. ”

"It's okay, we can still do it!"

"It's better if it's okay, we've all been resting for a long time, we're a new force, we do the femur. Director, Deputy Director, what do you say? ”

"Hehe, okay. You guys make the femur. ”

"Look, hehe, this is Dr. Zhang, it's domineering enough. The deputy director said with a smile, and said a pun to Xu Xian.

"Huh!" Xu Xian couldn't help it. In the orthopedic department, Zhang Fan spoke, Lao Gao will definitely agree, even if Lao Gao is not there, Zhang Fan has spoken, and the deputy director has to weigh it, and the technology is here. He had to think about it.