Chapter 467: 467
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The gauze pulled up the stones in the stomach. After the electric drill destroyed most of the stones, it became smaller, but it could not be taken out from the small incision.
The incision is very small. It can only be put in one middle finger, but it can't be put in the thumb. It's so small and the damage is so little. If you don't use your brain and take this stone, it will almost become a big cut of the stomach.
"Alice pliers." Zhang Fan put down the electric drill and began to ask for pliers.
"President Zhang, can you use a bigger pointed nose pliers? Last time you broke the instrument, the leaders said I was wrong." The nurse held Alice's forceps in her hand, but she didn't give them to Zhang Fan. There was a cry in her voice.
Head nurse, although she is gentle and polite to high-level doctors, she is actually a fierce woman. Also, the nurse in charge of the operating room is not fierce. First of all, a sterile operation should always pick up the doctors and nurses around. This is the last line of defense for the operation.
Well, the effect is not good, only shouting and scolding, so the nurses are also afraid of the head nurse getting angry.
"It's all right. Give it to me. I'll have an operation later. I'll tell the head nurse that I won't trouble you. Pointed nose pliers can't get in. " Zhang Fan said to the little nurse with a smile that it is well known that orthopedic doctors waste instruments.
"Well, don't say I said it, or the head nurse..." the little nurse gave Alice's pliers to Zhang Fan.
"Don't worry, I won't say. We're a team, aren't we? " Zhang Fanyi said that the little nurse was happy and wiped the surgical instruments happily.
When the operation is handed over to the doctor, it will be bloody. At this time, the nurse must wipe it clean before the blood coagulates. So the nurses on the operating table are also very busy.
"I just like to build a platform with Zhang Yuan." The little nurse said with a smile.
"Dr. Li, how many patients do you have?" After taking Alice's pliers, Zhang Fan forcefully clamped the stone and asked the attending doctor on the stage.
"Zhang Yuan, I still have 15 patients. Only five patients came out today, otherwise there would be 20 patients." The attending doctor showed off his number of patients.
Zhao Quanping, the director of general surgery, was angry. "Even if there is no talent in surgery, how can we not even have high EQ. Isn't it obvious that you want to leave your patient, silly! "
"Oh, you have to pay attention to your health. I think Dr. Li is very good at attending general surgery. But if you are powerful, you have to bring your doctors up. This patient should be handed over to Ma Yichen. After going down, you must check it. If something happens, I'll ask you. "
"OK, OK, Zhang Yuan, don't worry. I must worry about letting the pony take care of the patient and improve the medical level as soon as possible."
Doctor Li was happy. Zhang Fan didn't treat him as an outsider!
"Ah! He has a high level of operation and can speak. Who should be the leader if he is not the leader? " Zhao Pingquan sighed in his heart. Looking at his apprentice again, he was angry and said, "this two fools!"
Zhang fan can do this, first of all thanks to the credit of selling instant noodles in those years. With this bowl of wine at the bottom, compared with other technical dogs, Zhang Fan has practiced his Eq.
In addition, the promotion of position and vision have been improved, and due to Ouyang's beating, Batu's teaching, Lao Gao's setting an example, Zhang Fan's overall view, and dealing with people, all aspects have been improved to a certain extent.
In fact, how to deal with people is also a very important skill. It is not the right way to flatter and oppress.
"Ma Yichen, can you take care of this patient?" Zhang Fan looked at Ma Yichen and asked.
"Zhang Yuan, don't worry, I will take good care of it." Ma Yichen was also very happy that the leaders gave him the opportunity.
"OK, I'll give you this patient." Zhang Fan nodded. Lao Zhao coughed at this time. The meaning was also obvious, "Lao Tzu is the director of general foreign studies!"
"If you don't understand, please ask director Zhao. Director Zhao is the first knife in tea, vegetable and general foreign studies."
"Come on, don't fool me. You! Have you taken down the hepatobiliary Department of the affiliated hospital? " Lao Zhao appreciated Zhang Fan very much, so he didn't pursue it. Otherwise, it's strange that Zhang Fan directly interferes in the department work and doesn't quarrel in front of him.
"Well, I've made an appointment for several operations. I'll go this weekend. Why don't you go too?" At this time, the operation is simple, just like a walnut. So Zhang Fan is also happy to say two words.
"You flatter me! Take more ponies. But first, don't take it to hepatobiliary surgery. I don't agree. " Lao Zhao stared and said.
"OK, don't worry, it won't." Zhang Fan smiled. As for whether it will or not, it depends on Ma Yichen's talent.
"Girl, come and give me the needle holder. Alice can't hold it anymore." Zhang Fan handed Alice to the nurse. The little nurse was crying with Alice's pliers.
When Zhang Fan went to the operating table, the head nurse usually arranged the latest and best surgical instruments. Originally, he thought it was a general foreigner and should not break the instruments.
As a result, the new Alice pliers have been a little bent! Is this still working! The little nurse looked over and over with pliers.
"Hehe, it's all right, girl. Don't worry. I'll tell your head nurse later. She won't criticize you. "
"Well! You must tell the head nurse that Alice's pliers are crooked. Now you have to use the needle holder! "
"It's all right. Don't worry." Zhang fanle said happily. Medical treatment, especially western medicine, is actually a big waste. Like Zhang Fan, this tens of dollars of equipment can't be used. In the past, the national conditions were not good, and everything was used many times.
Now that the conditions are good, there are few things that can be reused, almost all of them are disposable. Although the cost has increased, the security has been greatly improved.
"You orthopedic doctors are rough! A good needle holder can be used. It's crooked. Give it to our doctors in general surgery. If they retire, they can't break it. In the future, you should separate your orthopedic instruments from those in general surgery. " Lao Zhao said unevenly.
"Well, next time I use my own equipment, I have a set of imported equipment." Zhang Fan said proudly that he didn't like to use his own special equipment before, but he didn't achieve his status. He used a set of equipment. If nothing else, the nurses in the equipment department won't disinfect you. You can't be a small resident.
But now it's different. This is also the advantage of being a leader.
"Which country?"
"German!"
"If you have a chance, get me one." Lao Zhao knew what was going on as soon as he heard it, but compared with orthopedics, the equipment manufacturers did not pay much attention to it.
"Good!" Zhang Fan was holding the needle holder while holding the stone.
The hardness of this stone is too hard. Gallstones are crisp. Not to mention using instruments, you can knead the noodles with your hands. The kidney stones are a little harder, but you don't have to work so hard.
This stomach stone is too hard. It can survive strong acid corrosion. It's really not for nothing“ Come on, Dr. Li, you pinch it for a while. My hands are sore! " The handle of the needle holder was thin. Zhang Fan pinched it for a while, and his hands began to hurt.
Zhang Fan really can't pinch it. It's really troublesome to pinch a stone with a big head. Dr. Li took the needle holder and began to pinch it. He pinched it for about ten times. Embarrassed, he gave the needle holder to Ma Yichen, and he couldn't pinch it.
The pony started and pinched more than a dozen times“ Looking at Zhang Yuan holding it easily, I thought it was very simple. As a result, the stone was so hard, like an iron block. "
"You know, Zhang Yuan usually exercises very well. When you sleep in the morning, Zhang Yuan starts running." The head nurse didn't know when she came in.
Old Zhao was old. Zhang Fan didn't let him do this pure manual work. Listen, the head nurse came in. Zhang Fan took the needle holder and opened his mouth. The instrument nurse stared at Zhang Fan with wide eyes. She was afraid that Zhang Fan would involve her.
"Head nurse, I'm in trouble for you again." Zhang Fan said with a smile.
"Look at what you say. I'll be happy to do whatever you do." The head nurse helped Zhang Fan wipe his forehead, which was not sweaty, and sorted out Zhang Fan's surgical clothes from behind.
Then he said to the itinerant nurse, "give it to Zhang hospital in the future. Put on the surgical clothes a little more loosely. It's too tight. The operation time is long and it's uncomfortable."
"OK, head nurse." The itinerant nurse smiled.
"That's right, head nurse. I broke some more instruments. Nurse Wang has told me several times, but I can't help this operation. The stone is too hard. "
"Oh! Let me see. " Then lie down behind Zhang Fan, stand on the small stool and look at the equipment across Zhang Fan's shoulder. Zhang Fan seems to feel something slightly.
"God, Zhang Yuan, you are so strong. It's so hard that it can be bent. Next time I type the instrument report, you should sign it earlier. The former vice president always said that we were eating equipment. You know, don't you! " The head nurse said with a smile.
"No problem, no problem at all. Don't worry." Zhang Fan smiled and then moved a little ahead. Although it has been pasted on the operating table, Zhang Fan still walked a little ahead.
"Zhang Yuan is easy to talk! I like such leadership. " With that, the head nurse shook a little thick willow waist and went out.
Three people directly destroyed the needle holder“ It's really strong. It's almost as strong as lower grade cement. " Zhang Fan rubbed the sour tiger mouth and said.
Pinched into small stones, Zhang Fan began to clamp them, one by one, and the small bend directly filled one plate. Finally, the gauze was slowly put forward, and the stone was finally taken.
"When this patient goes back, he must think about gastrointestinal decompression. Don't worry and let him eat. Drugs to protect gastric mucosa and inhibit acid are used.
If necessary, give him a few more times. This thing can't be digested in the stomach. Don't let the remaining residue enter the intestine and form obstruction. " Zhang Fan explained to Ma Yichen.
"OK, Zhang Yuan." Ma Yichen is also very happy that the leaders can appreciate it.
After Zhang Fan explained everything, he began to sew“ Zhang Yuan, is the ulcer treated? " The attending doctor asked.
"No, this ulcer is caused by the friction of this stone. As long as the stone is gone, use some drugs to inhibit acid and protect gastric mucosa, and you will recover. The patient's wife is a problem. " Zhang Fan said to Lao Zhao after finishing speaking to the chief.
"Yes, her liver hydatid operation has been done once in the local hospital, and now it has relapsed. The operation is more troublesome."
"Director Zhao, please invite my senior brother and Professor Zhao Jingjin from bird market tomorrow. Let's have a consultation together. See if there's a good way. "
"OK, routine surgery is not enough. We have to find a better way. "
Zhang Fan sutured his stomach layer by layer. It's a small hole. The damage is not big. It should be OK to recover.
"Director Zhang Yuan and director Zhao, I often have stomachache. Show me whether it's OK one day." The operation is almost over, and the head nurse is not difficult for the little nurse. The instrument little nurse will also be lively.
"If you don't eat on time, you still lose weight, right?" Lao Zhao didn't speak, and Zhang Fan continued to talk.
"Well! No weight loss, no object. " The little girl is also a man!
"How old are you? Don't break your stomach in order to lose weight. You can go to fitness!" Lao Zhao listened and smiled.
"Lazy! My legs are almost broken after work. I don't want to walk. Where can I have the strength to exercise. And I've been getting sick since I ate some chocolate! Zhang Yuan, tell me about it! " The little girl said deliberately that this guy has the potential of head nurse.
"The stomach, ah, has two openings. The inlet is called the Ben door, just like the fuel injection port of a car. The outlet is called the pylorus, which is connected to the duodenum.
There is a sphincter at the cardia, just like a valve. After the food enters the stomach, the switch is closed, so there is generally no reflux.
However, once a large amount of fat and alcohol are used, reflux will occur. Many people don't say to eat and drink more, but eat and drink a little, and reflux symptoms will appear. Therefore, if this happens, we should avoid eating chocolate, high-fat and alcoholic food.
If it returns for a long time, the esophagus will be corroded, corroded, and the esophageal mucosa will break and begin to recover. After recovery, it will begin to be corroded again. In this eroded place, the cells will proliferate and mutate, and maybe cancer cells will appear. "
Zhang Fan also knows that the little girl did it on purpose, but since she began to say it, she should make it clear.
"God, it's terrible. I like chocolate best. I also like white chocolate. "
"Your mouth is so greedy that you can't lose weight." Zhao, director of general foreign affairs, said with a smile.
"Director Zhao, you hate it. I've decided not to eat chocolate in the future! "
"Well, I quit eating!"
"Ha ha, for director Zhao's health, I'd better eat some!"
The operation went well. Several people talked and laughed and ended the operation.
"We must worry well and pay attention to the recovery after operation." Zhang Fan specially explained to Ma Yichen.
"Zhang Yuan, you can rest assured that you will definitely complete the task. Let the patient leave the hospital healthy. " Ma Yichen patted his chest and promised.
"That's good."
Uncle Jinya took off his teeth. A plastic gastrointestinal decompression tube was inserted into his nose. A faint bloody liquid could be seen in the tube. He was pushed out of the operating room by nurses and anesthesiologists.
The old man has no teeth, his upper and lower lips shrink together, and then because of life customs, he has a long beard around his lips. How do you think it is strange. It seems to be a strange flower. After reading it, Zhang Fan decided not to save it in the future.
Please report us if you find any errors so we can fix it asap!
The gauze pulled up the stones in the stomach. After the electric drill destroyed most of the stones, it became smaller, but it could not be taken out from the small incision.
The incision is very small. It can only be put in one middle finger, but it can't be put in the thumb. It's so small and the damage is so little. If you don't use your brain and take this stone, it will almost become a big cut of the stomach.
"Alice pliers." Zhang Fan put down the electric drill and began to ask for pliers.
"President Zhang, can you use a bigger pointed nose pliers? Last time you broke the instrument, the leaders said I was wrong." The nurse held Alice's forceps in her hand, but she didn't give them to Zhang Fan. There was a cry in her voice.
Head nurse, although she is gentle and polite to high-level doctors, she is actually a fierce woman. Also, the nurse in charge of the operating room is not fierce. First of all, a sterile operation should always pick up the doctors and nurses around. This is the last line of defense for the operation.
Well, the effect is not good, only shouting and scolding, so the nurses are also afraid of the head nurse getting angry.
"It's all right. Give it to me. I'll have an operation later. I'll tell the head nurse that I won't trouble you. Pointed nose pliers can't get in. " Zhang Fan said to the little nurse with a smile that it is well known that orthopedic doctors waste instruments.
"Well, don't say I said it, or the head nurse..." the little nurse gave Alice's pliers to Zhang Fan.
"Don't worry, I won't say. We're a team, aren't we? " Zhang Fanyi said that the little nurse was happy and wiped the surgical instruments happily.
When the operation is handed over to the doctor, it will be bloody. At this time, the nurse must wipe it clean before the blood coagulates. So the nurses on the operating table are also very busy.
"I just like to build a platform with Zhang Yuan." The little nurse said with a smile.
"Dr. Li, how many patients do you have?" After taking Alice's pliers, Zhang Fan forcefully clamped the stone and asked the attending doctor on the stage.
"Zhang Yuan, I still have 15 patients. Only five patients came out today, otherwise there would be 20 patients." The attending doctor showed off his number of patients.
Zhao Quanping, the director of general surgery, was angry. "Even if there is no talent in surgery, how can we not even have high EQ. Isn't it obvious that you want to leave your patient, silly! "
"Oh, you have to pay attention to your health. I think Dr. Li is very good at attending general surgery. But if you are powerful, you have to bring your doctors up. This patient should be handed over to Ma Yichen. After going down, you must check it. If something happens, I'll ask you. "
"OK, OK, Zhang Yuan, don't worry. I must worry about letting the pony take care of the patient and improve the medical level as soon as possible."
Doctor Li was happy. Zhang Fan didn't treat him as an outsider!
"Ah! He has a high level of operation and can speak. Who should be the leader if he is not the leader? " Zhao Pingquan sighed in his heart. Looking at his apprentice again, he was angry and said, "this two fools!"
Zhang fan can do this, first of all thanks to the credit of selling instant noodles in those years. With this bowl of wine at the bottom, compared with other technical dogs, Zhang Fan has practiced his Eq.
In addition, the promotion of position and vision have been improved, and due to Ouyang's beating, Batu's teaching, Lao Gao's setting an example, Zhang Fan's overall view, and dealing with people, all aspects have been improved to a certain extent.
In fact, how to deal with people is also a very important skill. It is not the right way to flatter and oppress.
"Ma Yichen, can you take care of this patient?" Zhang Fan looked at Ma Yichen and asked.
"Zhang Yuan, don't worry, I will take good care of it." Ma Yichen was also very happy that the leaders gave him the opportunity.
"OK, I'll give you this patient." Zhang Fan nodded. Lao Zhao coughed at this time. The meaning was also obvious, "Lao Tzu is the director of general foreign studies!"
"If you don't understand, please ask director Zhao. Director Zhao is the first knife in tea, vegetable and general foreign studies."
"Come on, don't fool me. You! Have you taken down the hepatobiliary Department of the affiliated hospital? " Lao Zhao appreciated Zhang Fan very much, so he didn't pursue it. Otherwise, it's strange that Zhang Fan directly interferes in the department work and doesn't quarrel in front of him.
"Well, I've made an appointment for several operations. I'll go this weekend. Why don't you go too?" At this time, the operation is simple, just like a walnut. So Zhang Fan is also happy to say two words.
"You flatter me! Take more ponies. But first, don't take it to hepatobiliary surgery. I don't agree. " Lao Zhao stared and said.
"OK, don't worry, it won't." Zhang Fan smiled. As for whether it will or not, it depends on Ma Yichen's talent.
"Girl, come and give me the needle holder. Alice can't hold it anymore." Zhang Fan handed Alice to the nurse. The little nurse was crying with Alice's pliers.
When Zhang Fan went to the operating table, the head nurse usually arranged the latest and best surgical instruments. Originally, he thought it was a general foreigner and should not break the instruments.
As a result, the new Alice pliers have been a little bent! Is this still working! The little nurse looked over and over with pliers.
"Hehe, it's all right, girl. Don't worry. I'll tell your head nurse later. She won't criticize you. "
"Well! You must tell the head nurse that Alice's pliers are crooked. Now you have to use the needle holder! "
"It's all right. Don't worry." Zhang fanle said happily. Medical treatment, especially western medicine, is actually a big waste. Like Zhang Fan, this tens of dollars of equipment can't be used. In the past, the national conditions were not good, and everything was used many times.
Now that the conditions are good, there are few things that can be reused, almost all of them are disposable. Although the cost has increased, the security has been greatly improved.
"You orthopedic doctors are rough! A good needle holder can be used. It's crooked. Give it to our doctors in general surgery. If they retire, they can't break it. In the future, you should separate your orthopedic instruments from those in general surgery. " Lao Zhao said unevenly.
"Well, next time I use my own equipment, I have a set of imported equipment." Zhang Fan said proudly that he didn't like to use his own special equipment before, but he didn't achieve his status. He used a set of equipment. If nothing else, the nurses in the equipment department won't disinfect you. You can't be a small resident.
But now it's different. This is also the advantage of being a leader.
"Which country?"
"German!"
"If you have a chance, get me one." Lao Zhao knew what was going on as soon as he heard it, but compared with orthopedics, the equipment manufacturers did not pay much attention to it.
"Good!" Zhang Fan was holding the needle holder while holding the stone.
The hardness of this stone is too hard. Gallstones are crisp. Not to mention using instruments, you can knead the noodles with your hands. The kidney stones are a little harder, but you don't have to work so hard.
This stomach stone is too hard. It can survive strong acid corrosion. It's really not for nothing“ Come on, Dr. Li, you pinch it for a while. My hands are sore! " The handle of the needle holder was thin. Zhang Fan pinched it for a while, and his hands began to hurt.
Zhang Fan really can't pinch it. It's really troublesome to pinch a stone with a big head. Dr. Li took the needle holder and began to pinch it. He pinched it for about ten times. Embarrassed, he gave the needle holder to Ma Yichen, and he couldn't pinch it.
The pony started and pinched more than a dozen times“ Looking at Zhang Yuan holding it easily, I thought it was very simple. As a result, the stone was so hard, like an iron block. "
"You know, Zhang Yuan usually exercises very well. When you sleep in the morning, Zhang Yuan starts running." The head nurse didn't know when she came in.
Old Zhao was old. Zhang Fan didn't let him do this pure manual work. Listen, the head nurse came in. Zhang Fan took the needle holder and opened his mouth. The instrument nurse stared at Zhang Fan with wide eyes. She was afraid that Zhang Fan would involve her.
"Head nurse, I'm in trouble for you again." Zhang Fan said with a smile.
"Look at what you say. I'll be happy to do whatever you do." The head nurse helped Zhang Fan wipe his forehead, which was not sweaty, and sorted out Zhang Fan's surgical clothes from behind.
Then he said to the itinerant nurse, "give it to Zhang hospital in the future. Put on the surgical clothes a little more loosely. It's too tight. The operation time is long and it's uncomfortable."
"OK, head nurse." The itinerant nurse smiled.
"That's right, head nurse. I broke some more instruments. Nurse Wang has told me several times, but I can't help this operation. The stone is too hard. "
"Oh! Let me see. " Then lie down behind Zhang Fan, stand on the small stool and look at the equipment across Zhang Fan's shoulder. Zhang Fan seems to feel something slightly.
"God, Zhang Yuan, you are so strong. It's so hard that it can be bent. Next time I type the instrument report, you should sign it earlier. The former vice president always said that we were eating equipment. You know, don't you! " The head nurse said with a smile.
"No problem, no problem at all. Don't worry." Zhang Fan smiled and then moved a little ahead. Although it has been pasted on the operating table, Zhang Fan still walked a little ahead.
"Zhang Yuan is easy to talk! I like such leadership. " With that, the head nurse shook a little thick willow waist and went out.
Three people directly destroyed the needle holder“ It's really strong. It's almost as strong as lower grade cement. " Zhang Fan rubbed the sour tiger mouth and said.
Pinched into small stones, Zhang Fan began to clamp them, one by one, and the small bend directly filled one plate. Finally, the gauze was slowly put forward, and the stone was finally taken.
"When this patient goes back, he must think about gastrointestinal decompression. Don't worry and let him eat. Drugs to protect gastric mucosa and inhibit acid are used.
If necessary, give him a few more times. This thing can't be digested in the stomach. Don't let the remaining residue enter the intestine and form obstruction. " Zhang Fan explained to Ma Yichen.
"OK, Zhang Yuan." Ma Yichen is also very happy that the leaders can appreciate it.
After Zhang Fan explained everything, he began to sew“ Zhang Yuan, is the ulcer treated? " The attending doctor asked.
"No, this ulcer is caused by the friction of this stone. As long as the stone is gone, use some drugs to inhibit acid and protect gastric mucosa, and you will recover. The patient's wife is a problem. " Zhang Fan said to Lao Zhao after finishing speaking to the chief.
"Yes, her liver hydatid operation has been done once in the local hospital, and now it has relapsed. The operation is more troublesome."
"Director Zhao, please invite my senior brother and Professor Zhao Jingjin from bird market tomorrow. Let's have a consultation together. See if there's a good way. "
"OK, routine surgery is not enough. We have to find a better way. "
Zhang Fan sutured his stomach layer by layer. It's a small hole. The damage is not big. It should be OK to recover.
"Director Zhang Yuan and director Zhao, I often have stomachache. Show me whether it's OK one day." The operation is almost over, and the head nurse is not difficult for the little nurse. The instrument little nurse will also be lively.
"If you don't eat on time, you still lose weight, right?" Lao Zhao didn't speak, and Zhang Fan continued to talk.
"Well! No weight loss, no object. " The little girl is also a man!
"How old are you? Don't break your stomach in order to lose weight. You can go to fitness!" Lao Zhao listened and smiled.
"Lazy! My legs are almost broken after work. I don't want to walk. Where can I have the strength to exercise. And I've been getting sick since I ate some chocolate! Zhang Yuan, tell me about it! " The little girl said deliberately that this guy has the potential of head nurse.
"The stomach, ah, has two openings. The inlet is called the Ben door, just like the fuel injection port of a car. The outlet is called the pylorus, which is connected to the duodenum.
There is a sphincter at the cardia, just like a valve. After the food enters the stomach, the switch is closed, so there is generally no reflux.
However, once a large amount of fat and alcohol are used, reflux will occur. Many people don't say to eat and drink more, but eat and drink a little, and reflux symptoms will appear. Therefore, if this happens, we should avoid eating chocolate, high-fat and alcoholic food.
If it returns for a long time, the esophagus will be corroded, corroded, and the esophageal mucosa will break and begin to recover. After recovery, it will begin to be corroded again. In this eroded place, the cells will proliferate and mutate, and maybe cancer cells will appear. "
Zhang Fan also knows that the little girl did it on purpose, but since she began to say it, she should make it clear.
"God, it's terrible. I like chocolate best. I also like white chocolate. "
"Your mouth is so greedy that you can't lose weight." Zhao, director of general foreign affairs, said with a smile.
"Director Zhao, you hate it. I've decided not to eat chocolate in the future! "
"Well, I quit eating!"
"Ha ha, for director Zhao's health, I'd better eat some!"
The operation went well. Several people talked and laughed and ended the operation.
"We must worry well and pay attention to the recovery after operation." Zhang Fan specially explained to Ma Yichen.
"Zhang Yuan, you can rest assured that you will definitely complete the task. Let the patient leave the hospital healthy. " Ma Yichen patted his chest and promised.
"That's good."
Uncle Jinya took off his teeth. A plastic gastrointestinal decompression tube was inserted into his nose. A faint bloody liquid could be seen in the tube. He was pushed out of the operating room by nurses and anesthesiologists.
The old man has no teeth, his upper and lower lips shrink together, and then because of life customs, he has a long beard around his lips. How do you think it is strange. It seems to be a strange flower. After reading it, Zhang Fan decided not to save it in the future.
The gauze pulled up the stones in the stomach. After the electric drill destroyed most of the stones, it became smaller, but it could not be taken out from the small incision.The incision is very small. It can only be put in one middle finger, but it can't be put in the thumb. It's so small and the damage is so little. If you don't use your brain and take this stone, it will almost become a big cut of the stomach."Alice pliers." Zhang Fan put down the electric drill and began to ask for pliers."President Zhang, can you use a bigger pointed nose pliers? Last time you broke the instrument, the leaders said I was wrong." The nurse held Alice's forceps in her hand, but she didn't give them to Zhang Fan. There was a cry in her voice.Head nurse, although she is gentle and polite to high-level doctors, she is actually a fierce woman. Also, the nurse in charge of the operating room is not fierce. First of all, a sterile operation should always pick up the doctors and nurses around. This is the last line of defense for the operation.Well, the effect is not good, only shouting and scolding, so the nurses are also afraid of the head nurse getting angry."It's all right. Give it to me. I'll have an operation later. I'll tell the head nurse that I won't trouble you. Pointed nose pliers can't get in. " Zhang Fan said to the little nurse with a smile that it is well known that orthopedic doctors waste instruments."Well, don't say I said it, or the head nurse..." the little nurse gave Alice's pliers to Zhang Fan."Don't worry, I won't say. We're a team, aren't we? " Zhang Fanyi said that the little nurse was happy and wiped the surgical instruments happily.When the operation is handed over to the doctor, it will be bloody. At this time, the nurse must wipe it clean before the blood coagulates. So the nurses on the operating table are also very busy."I just like to build a platform with Zhang Yuan." The little nurse said with a smile."Dr. Li, how many patients do you have?" After taking Alice's pliers, Zhang Fan forcefully clamped the stone and asked the attending doctor on the stage."Zhang Yuan, I still have 15 patients. Only five patients came out today, otherwise there would be 20 patients." The attending doctor showed off his number of patients.Zhao Quanping, the director of general surgery, was angry. "Even if there is no talent in surgery, how can we not even have high EQ. Isn't it obvious that you want to leave your patient, silly! ""Oh, you have to pay attention to your health. I think Dr. Li is very good at attending general surgery. But if you are powerful, you have to bring your doctors up. This patient should be handed over to Ma Yichen. After going down, you must check it. If something happens, I'll ask you. ""OK, OK, Zhang Yuan, don't worry. I must worry about letting the pony take care of the patient and improve the medical level as soon as possible."Doctor Li was happy. Zhang Fan didn't treat him as an outsider!"Ah! He has a high level of operation and can speak. Who should be the leader if he is not the leader? " Zhao Pingquan sighed in his heart. Looking at his apprentice again, he was angry and said, "this two fools!"Zhang fan can do this, first of all thanks to the credit of selling instant noodles in those years. With this bowl of wine at the bottom, compared with other technical dogs, Zhang Fan has practiced his Eq.In addition, the promotion of position and vision have been improved, and due to Ouyang's beating, Batu's teaching, Lao Gao's setting an example, Zhang Fan's overall view, and dealing with people, all aspects have been improved to a certain extent.In fact, how to deal with people is also a very important skill. It is not the right way to flatter and oppress."Ma Yichen, can you take care of this patient?" Zhang Fan looked at Ma Yichen and asked."Zhang Yuan, don't worry, I will take good care of it." Ma Yichen was also very happy that the leaders gave him the opportunity."OK, I'll give you this patient." Zhang Fan nodded. Lao Zhao coughed at this time. The meaning was also obvious, "Lao Tzu is the director of general foreign studies!""If you don't understand, please ask director Zhao. Director Zhao is the first knife in tea, vegetable and general foreign studies.""Come on, don't fool me. You! Have you taken down the hepatobiliary Department of the affiliated hospital? " Lao Zhao appreciated Zhang Fan very much, so he didn't pursue it. Otherwise, it's strange that Zhang Fan directly interferes in the department work and doesn't quarrel in front of him."Well, I've made an appointment for several operations. I'll go this weekend. Why don't you go too?" At this time, the operation is simple, just like a walnut. So Zhang Fan is also happy to say two words."You flatter me! Take more ponies. But first, don't take it to hepatobiliary surgery. I don't agree. " Lao Zhao stared and said."OK, don't worry, it won't." Zhang Fan smiled. As for whether it will or not, it depends on Ma Yichen's talent."Girl, come and give me the needle holder. Alice can't hold it anymore." Zhang Fan handed Alice to the nurse. The little nurse was crying with Alice's pliers.When Zhang Fan went to the operating table, the head nurse usually arranged the latest and best surgical instruments. Originally, he thought it was a general foreigner and should not break the instruments.As a result, the new Alice pliers have been a little bent! Is this still working! The little nurse looked over and over with pliers."Hehe, it's all right, girl. Don't worry. I'll tell your head nurse later. She won't criticize you. ""Well! You must tell the head nurse that Alice's pliers are crooked. Now you have to use the needle holder! ""It's all right. Don't worry." Zhang fanle said happily. Medical treatment, especially western medicine, is actually a big waste. Like Zhang Fan, this tens of dollars of equipment can't be used. In the past, the national conditions were not good, and everything was used many times.Now that the conditions are good, there are few things that can be reused, almost all of them are disposable. Although the cost has increased, the security has been greatly improved."You orthopedic doctors are rough! A good needle holder can be used. It's crooked. Give it to our doctors in general surgery. If they retire, they can't break it. In the future, you should separate your orthopedic instruments from those in general surgery. " Lao Zhao said unevenly."Well, next time I use my own equipment, I have a set of imported equipment." Zhang Fan said proudly that he didn't like to use his own special equipment before, but he didn't achieve his status. He used a set of equipment. If nothing else, the nurses in the equipment department won't disinfect you. You can't be a small resident.But now it's different. This is also the advantage of being a leader."Which country?""German!""If you have a chance, get me one." Lao Zhao knew what was going on as soon as he heard it, but compared with orthopedics, the equipment manufacturers did not pay much attention to it."Good!" Zhang Fan was holding the needle holder while holding the stone.The hardness of this stone is too hard. Gallstones are crisp. Not to mention using instruments, you can knead the noodles with your hands. The kidney stones are a little harder, but you don't have to work so hard.This stomach stone is too hard. It can survive strong acid corrosion. It's really not for nothing Come on, Dr. Li, you pinch it for a while. My hands are sore! " The handle of the needle holder was thin. Zhang Fan pinched it for a while, and his hands began to hurt.Zhang Fan really can't pinch it. It's really troublesome to pinch a stone with a big head. Dr. Li took the needle holder and began to pinch it. He pinched it for about ten times. Embarrassed, he gave the needle holder to Ma Yichen, and he couldn't pinch it.The pony started and pinched more than a dozen times Looking at Zhang Yuan holding it easily, I thought it was very simple. As a result, the stone was so hard, like an iron block. ""You know, Zhang Yuan usually exercises very well. When you sleep in the morning, Zhang Yuan starts running." The head nurse didn't know when she came in.Old Zhao was old. Zhang Fan didn't let him do this pure manual work. Listen, the head nurse came in. Zhang Fan took the needle holder and opened his mouth. The instrument nurse stared at Zhang Fan with wide eyes. She was afraid that Zhang Fan would involve her."Head nurse, I'm in trouble for you again." Zhang Fan said with a smile."Look at what you say. I'll be happy to do whatever you do." The head nurse helped Zhang Fan wipe his forehead, which was not sweaty, and sorted out Zhang Fan's surgical clothes from behind.Then he said to the itinerant nurse, "give it to Zhang hospital in the future. Put on the surgical clothes a little more loosely. It's too tight. The operation time is long and it's uncomfortable.""OK, head nurse." The itinerant nurse smiled."That's right, head nurse. I broke some more instruments. Nurse Wang has told me several times, but I can't help this operation. The stone is too hard. ""Oh! Let me see. " Then lie down behind Zhang Fan, stand on the small stool and look at the equipment across Zhang Fan's shoulder. Zhang Fan seems to feel something slightly."God, Zhang Yuan, you are so strong. It's so hard that it can be bent. Next time I type the instrument report, you should sign it earlier. The former vice president always said that we were eating equipment. You know, don't you! " The head nurse said with a smile."No problem, no problem at all. Don't worry." Zhang Fan smiled and then moved a little ahead. Although it has been pasted on the operating table, Zhang Fan still walked a little ahead."Zhang Yuan is easy to talk! I like such leadership. " With that, the head nurse shook a little thick willow waist and went out.Three people directly destroyed the needle holder It's really strong. It's almost as strong as lower grade cement. " Zhang Fan rubbed the sour tiger mouth and said.Pinched into small stones, Zhang Fan began to clamp them, one by one, and the small bend directly filled one plate. Finally, the gauze was slowly put forward, and the stone was finally taken."When this patient goes back, he must think about gastrointestinal decompression. Don't worry and let him eat. Drugs to protect gastric mucosa and inhibit acid are used.If necessary, give him a few more times. This thing can't be digested in the stomach. Don't let the remaining residue enter the intestine and form obstruction. " Zhang Fan explained to Ma Yichen."OK, Zhang Yuan." Ma Yichen is also very happy that the leaders can appreciate it.After Zhang Fan explained everything, he began to sew Zhang Yuan, is the ulcer treated? " The attending doctor asked."No, this ulcer is caused by the friction of this stone. As long as the stone is gone, use some drugs to inhibit acid and protect gastric mucosa, and you will recover. The patient's wife is a problem. " Zhang Fan said to Lao Zhao after finishing speaking to the chief."Yes, her liver hydatid operation has been done once in the local hospital, and now it has relapsed. The operation is more troublesome.""Director Zhao, please invite my senior brother and Professor Zhao Jingjin from bird market tomorrow. Let's have a consultation together. See if there's a good way. ""OK, routine surgery is not enough. We have to find a better way. "Zhang Fan sutured his stomach layer by layer. It's a small hole. The damage is not big. It should be OK to recover."Director Zhang Yuan and director Zhao, I often have stomachache. Show me whether it's OK one day." The operation is almost over, and the head nurse is not difficult for the little nurse. The instrument little nurse will also be lively."If you don't eat on time, you still lose weight, right?" Lao Zhao didn't speak, and Zhang Fan continued to talk."Well! No weight loss, no object. " The little girl is also a man!"How old are you? Don't break your stomach in order to lose weight. You can go to fitness!" Lao Zhao listened and smiled."Lazy! My legs are almost broken after work. I don't want to walk. Where can I have the strength to exercise. And I've been getting sick since I ate some chocolate! Zhang Yuan, tell me about it! " The little girl said deliberately that this guy has the potential of head nurse."The stomach, ah, has two openings. The inlet is called the Ben door, just like the fuel injection port of a car. The outlet is called the pylorus, which is connected to the duodenum.There is a sphincter at the cardia, just like a valve. After the food enters the stomach, the switch is closed, so there is generally no reflux.However, once a large amount of fat and alcohol are used, reflux will occur. Many people don't say to eat and drink more, but eat and drink a little, and reflux symptoms will appear. Therefore, if this happens, we should avoid eating chocolate, high-fat and alcoholic food.If it returns for a long time, the esophagus will be corroded, corroded, and the esophageal mucosa will break and begin to recover. After recovery, it will begin to be corroded again. In this eroded place, the cells will proliferate and mutate, and maybe cancer cells will appear. "Zhang Fan also knows that the little girl did it on purpose, but since she began to say it, she should make it clear."God, it's terrible. I like chocolate best. I also like white chocolate. ""Your mouth is so greedy that you can't lose weight." Zhao, director of general foreign affairs, said with a smile."Director Zhao, you hate it. I've decided not to eat chocolate in the future! ""Well, I quit eating!""Ha ha, for director Zhao's health, I'd better eat some!"The operation went well. Several people talked and laughed and ended the operation."We must worry well and pay attention to the recovery after operation." Zhang Fan specially explained to Ma Yichen."Zhang Yuan, you can rest assured that you will definitely complete the task. Let the patient leave the hospital healthy. " Ma Yichen patted his chest and promised."That's good."Uncle Jinya took off his teeth. A plastic gastrointestinal decompression tube was inserted into his nose. A faint bloody liquid could be seen in the tube. He was pushed out of the operating room by nurses and anesthesiologists.The old man has no teeth, his upper and lower lips shrink together, and then because of life customs, he has a long beard around his lips. How do you think it is strange. It seems to be a strange flower. After reading it, Zhang Fan decided not to save it in the future.
