Chapter Eighty-Nine: The Debut
After entering the department, Wang Yanan was not courteous to Zhang Fan, serving tea and pouring water to ask for warmth. Zhang Fan, who was concerned, was terrified, "Say it, what's the matter, I will definitely agree if I can agree, and if I can't agree, it's useless for you to burn incense for me." Zhang Fan couldn't bear it anymore and asked.
"What should I do to you? You look for a girlfriend, I'll help you say good things, Shao Hua was about to leave yesterday, but I forcibly stopped him. Let's see if you have a conscience today!"
"What the hell is going on, I'm scared, if it really can't be borrowed a car, I am responsible for you and your family, not that I am reluctant. Zhang Fan thought she was going to borrow a car, her skills were too rough, and Zhang Fan was really afraid that something would happen.
"It's useless to talk less, I won't look for you with a car, I received a broken collarbone yesterday, and today you let me do the surgery. "I'm impatient, Wang Yanan really turned his face and didn't recognize anyone.
"This is the attitude of begging for people?" Zhang Fan quipped.
"I'll call Shao Hua right now and say that you and the nurse in the operating room~~~" Wang Yanan made Zhang Fan angry, she had been ready for a long time, and this kind of nervous mood really couldn't stand teasing.
"Comrade Wang Yanan, after consideration by the superiors, I agree that you will operate today, but first let me see the film, if it is broken, then the next one. Where did this sick number come from, it wasn't our turn to receive the sick number yesterday. ”
"Yes, it's very simple, it's not as fast as a broken bone, it's an oblique fracture. I can!" Wang Yanan looked at Zhang Fan with blank eyes.
"Well, the fracture isn't very serious. I'll tell you. Below this is the tip of the lung, and if you are not careful, you will hurt your lungs, so you must be careful. Zhang Fan told again.
"I know, I've done this with you many times. Wang Yanan's tone was much better, although she was impatient, but when it came to professionalism, she had to listen. This is the upper and lower levels of surgery. If you don't dare to listen, if it's against you, you will be stopped from the operation.
The head nurse of the operating room walked over and stared at the various operating rooms, this was her territory, patrolling her territory like a lioness. If anyone's movements do not conform to aseptic operation, she can pull you up to review the aseptic operation rules.
Zhang Fan stood next to the operating table, hung his hands on his chest, watched Wang Yanan operate, disinfect and lay towels, step by step is very standard, no problem can be found, the patient number is a non-invasive fracture, along the end of the fracture to cut the skin, Zhang Fan took the gauze and gently pulled the skin, one is to clear the bleeding at any time, and the other is to help the surgeon to cut the skin better.
The skin at the clavicle is very thin, and it soon entered the fracture end, although in the film, the break is not very bad, but when the wound is opened, it is different, very small fragments, bleeding, bruising, Wang Yanan is a little in a hurry.
Zhang Fan didn't say anything, at this time, she had to rely on herself to adjust, to see her understanding of the operation and the anatomical structure of the tissue. Sucking blood, stopping bleeding, cleaning up broken bones, and grafting, although not very skilled, is already very good.
This is the difference between the assistant and the surgeon, the assistant follows the surgeon's train of thought, does a good job of the surgeon's vision, assists the surgeon, is equivalent to the third and fourth hand of the surgeon, you don't need to think, you must follow the main knife's thinking.
The surgeon has to consider the steps of the operation. The books are all routine treatments, there are thousands of injuries and diseases, there can only be roughly one classification, it is impossible for each one to be the same, it depends on the level of your surge and the accumulation of time. In a bloody pile of rotten flesh, the search for the blood vessels to find relies on a deep understanding of the normal tissue structure.
Whether the fracture end is fixed distal or proximal first, to turn over the surgical book, there is no fixed statement, this is a problem of experience, novices rely on the masters to slowly teach experience, accumulate steadily, and wait until a certain extent, they can also start to sum up experience, which is the improvement of clinical medical technology.
After all, she is a novice, and she can't be compared with the old doctor, one is careful, the other is not confident, and sometimes she has to look at Zhang Fan, and she wants Zhang Fan to affirm it, because there is no mistake, Zhang Fan is silent. If Wang Yanan can cross this hurdle, the road will be easier in the future, this is an improvement in mood, the first operation, if she can do it by herself, it will help her a lot in the future.
Finally began to fix, here is what Zhang Fan is most worried about, if he accidentally pierces the tip of the lung, which hole Wang Yanan fixes, Zhang Fan will put the bone stripping knife under the collarbone, just to prevent Wang Yanan from being unable to control the force, and there is a bone knife pad when the electric drill is pierced.
After the fixation was completed, Zhang Fan reached out and touched the end of the fracture, which was still in line with the alignment. With a long sigh of relief, I stood on the platform for the novice, sometimes I was more tired than doing surgery by myself, and I was always scared.
A few days ago, there was a medical accident in the obstetrics and gynecology department, the doctor sutured the incision to the woman who had a caesarean section, and the fat layer was too thick, and the force was not applied well.
Quickly contact the orthopedic operating room, push the C-shaped arm for a long time, only to find out, and then the teacher took more than half an hour of rays, before the stitches were taken out, the transfer doctor has no responsibility, the teacher was split by the director of gynecology and covered his face, in front of the general practitioner nurse, a good meal was cleaned up, the teacher was wronged can not speak, this is the responsibility of teaching!
"Zhang Fan, is it okay?" Zhang Fan didn't speak, and Wang Yanan was extremely worried. She really likes surgery, and she really wants others to recognize her in surgery, and she doesn't just rely on relationships to gain a foothold in surgery.
"Not bad, it's better than my first surgery, but it's a little bit lacking in confidence, go back and read more books, and firmly carve the anatomical relationship in your mind, you won't hesitate like today." ”
"I remember! I'll try. Zhang Fan's praise and recognition made her very happy, and her efforts for more than half a year were not in vain. It's exciting, but it's still a ninja, and the operation isn't over yet.
"Xiao Yin, take a mobile phone and take a photo of this collarbone, this is Wang Yanan's debut, which is commemorative. ”
Fortunately, he was wearing a mask and hat, Wang Yanan didn't know what to think, and his face turned red!, "Okay, you master and apprentice can hurry up, there is also an operation for a tibia and fibula fracture below." Xue Fei came to see it several times, thinking that it was a collarbone, so he arranged it to the front, but he didn't expect that it would be a femur fracture. ”
Since Zhang Fan rejected Xiao Yin, she has been a little angry with Zhang Fan. Always likes to stimulate Zhang Fan with words, and in surgery, Zhang Fan's problem is generally not found, but Wang Yanan he brought is a novice, so he began to mumble and complain.
"You hurry up and take pictures, Xue Fei is in a hurry, let him come to me." "Zhang Fan didn't want her to leave regrets for his apprentice's first operation, and now that Zhang Fan has a practicing certificate, he is no longer the little transfer doctor who can pinch anyone back then.