645 Black Heart and Divine Doctor
When doctors chose the path of the second half of their lives, most of them were actually reluctant to do internal medicine.
After almost five or six years of medical education, every student has a yearning for surgery in their hearts.
It is because the surgical treatment method is closer to the psychological needs of modern people: immediate results.
Whether the surgery works or not, whether it can be done or not, whether it is alive or not, does not take too much time to verify, but internal medicine is different.
When you open the internal medicine book, you can hardly find a disease without sequelae, and even lobar pneumonia takes time to heal.
Therefore, physicians are very particular about the use of medicine, the amount is large and the amount is small, and the amount must go through a scientific trade-off, the drug is not beef noodles, you eat two bowls at a meal, and then do not eat for a day.
It's going to be poisoned! Also, some private communities and private clinics make a fortune every winter when they catch a cold.
Moreover, the old men and old ladies around the community also recognized each other's medical skills very much, and they said: Doctor xx in our yard is too powerful, as soon as the three bottles of potion are lost, I will be fine!
Is a cold cured with medication? Cold medicine is just a way to relieve symptoms, such as nasal congestion, fever, and cough. Even if you don't use medicine, you can get better for a general cold in a week.
If you meet someone who really cures the cold in two days, don't go to him to see a doctor in the future.
Not for anything else, because he definitely gave you hormones in the medicine! A bottle of antibiotics and then quietly put into the pot a pot of dexamethasone and other hormones for three cents, no one knows, but the effect is good.
Don't talk about the rest of dexamethasone, how big are the side effects of this thing, and this is a life-saving use at a critical moment.
At the time of the first time, the internal medicine bosses of the north and south factions almost beat out the dog's brain on whether to use this hormone or not.
But some black-hearted doctors, a little cold, in order to get in and out quickly, in order to make more money, directly into the pot of hormones.
Once there is a history of repeated use of hormones, then when you are unlucky in the future, you may encounter a point where there is no drug available.
To make this black money, really, you might as well do something else, it's too bad for your conscience.
Therefore, surgery can produce relatively immediate results, and it can also make a doctor famous or defeated very quickly.
When the old man's stomach was cut off, in the video classroom, the bigwigs sitting in the front row were like frying the pan.
Too accurate, so accurate that they couldn't think of it, one by two, carefully looking at Zhang Fan in the display screen, at this time, they really put Zhang Fan in the position of a chief surgeon, instead of looking at Lu Lao's face.
The bigwigs in the front row blew up, while some young doctors in the back row were in a daze.
"What's wrong? What's wrong? What's wrong with the big guys up front. The operation is clean, and if my master lets me do it, I guess I can do it......"
In fact, the young doctor thought about it in his heart, and he didn't dare to say it, just kidding, no matter how bold he was, he really gave a large gastric surgery, and he was scared to death.
......
After Zhang Fan cut off his stomach, he said to Lu Lao: "Master, you can take a biopsy!"
"Go on, you don't have to worry about this little thing. Lu Lao looked at the remnant stomach that Zhang Fan had cut off.
didn't say anything in his mouth, but what was in his eyes was full of shock, even if he was accurate, Zhang Fan was still blind cutting, even if he was blind cutting, he didn't even show a little hesitation.
What does this mean? This shows that Zhang Fan knows it in his heart, and he is very confident about this kind of operation.
While taking the biopsy, Lu Lao looked at the little disciple opposite, looking at his serious expression and focused expression.
The old man actually had a feeling of joy in his heart, "It's really lucky, I'm old, I'm old, God threw a genius down to me from mid-air."
Talent, character, no one can make people jump thorns. It's just that this bunny cub is a bit stubborn and has his own attention!"
After the old man took the biopsy, he changed his gloves and continued to come over to Zhang Fan as an assistant.
Before cutting the stomach, although there was a camera on the shadowless lamp, the people in the electric classroom could not see Zhang Fan's operation clearly.
Because many of these operations are operated under the stomach, the occlusion of the stomach, and then the occlusion of the operator's hand, plus the operator's head, there is really not much to see.
But when the stomach is removed, this is the time when the people in the electric classroom can really see the operator's operation.
The esophagus hangs to separate the intestines, and then lengthens the intestines that were originally underneath and continues on the residual stomach.
Gentle and easy, Zhang Fan's intestines in his hands, steaming intestines, just like the fat boss who has sold braised meat for many years, are so skilled that they can no longer be skillfully put on the electronic scale, and you want a pound He definitely does not exceed one pound or two taels.
Suturing, reconstruction, Zhang Fan's reconstruction surgery is very clear. is not muddy at all, and Zhang Fan's fixing technique is very classic.
From the atrophy of the patient's wound in the future to the expansion of the intestine in the later stage, Zhang Fan took it into account.
A fix made the experts, including Lu Lao, speechless. What can be said?
When they saw Zhang Fan's methods, the experts in the electric classroom couldn't even say praise. Because they think that even if they do, the operation will be nothing more than that.
After the reconstruction, Zhang Fan immediately began lymphatic dissection. The second difficulty in cancer surgery has arrived.
A lot of cancer surgeries are done very well in the first few parts, and the doctor can cut very cleanly, but at this point.
To be honest, the difference between a national player and a master is here.
Lymph, what the hell is this thing, to be honest, most of the medical students in the early stage of their studies are actually vague about this part.
Because in textbooks, lymph is too general. This also shows that the study of lymph is not very thorough.
The shape of the lymph nodes, normal lymph nodes are about the size of beige sesame seeds.
Roughly speaking, this thing is actually a vein assistant, and all that flows in it are some similar blood components and some special hormone factors.
The lymph of each segment is like an ischemic vein, lying on its stomach near the veins and arteries, and after a certain distance, this thing has a concentration point, which is the so-called lymph node.
Whenever there is a disease in the human body, it will be swollen here, because it also has a function that participates in immunity, especially in children, a cold comes down, and a small pimple appears behind the ear. This is when the lymph nodes become enlarged and secrete immune factors.
Moreover, the location of this thing, even in the textbooks, can only be said to be an approximate location, because the place where it is assembled is very scattered.
So, many times, if the surgery, especially for cancer, is not cleaned, then it can be said that the operation is a failure.
Why can't it be cleaned carefully and completely?
The first position is not fixed, and the second is that there are too many of them, just like the sesame seeds on a sesame cake. Third, the location where it is assembled is generally very dangerous, so when the doctor starts to clean it, he is terrified.
In addition, cancer surgery is very time-consuming, and it is particularly difficult to completely clean the lymph in a short period of time.
When Zhang Fan began to clean the lymph, the experts in the electric classroom sat up straight one by one.
More than two hours have passed, and the finale is about to begin.
"Curette!"
Zhang Fan directly reached out to the nurse to ask for a curette.
"Uh!" this time, no one dared to say anything skeptical. Say it once, you can still say that you don't understand, say it twice, don't we have a hand.
Although the experts were surprised, no one said it, they had already put Zhang Fan in the same position and at the same level.
The pot of face!
"Zhang Fan, don't you separate it?"
Lu Lao asked.
And it's taken too long, and the old man is probably running out of it. ”
After Zhang Fan said softly, he didn't say much!
The curette was placed firmly in Zhang Fan's hand, and the bloody gloves grasped the curette steadily.
"Uh!" When he saw Zhang Fan's movements, Lu Lao's eyelids were frightened, and his heart directly shrank into a ball of yarn.
......