Medical road - Chapter 1530
In the medical field, as in many industries, the world’s standards are different, such as the zoning of the liver.
Liver surgery is not the same as frying the liver tip. Just cut it thin and thick. Whether it’s left liver or right liver, it tastes the same anyway.
This partition is not only convenient for surgery, but also can be compared with normal organs.
In the morning, Zhang Fan, Wang Hong, Qian Weiwei and two nurses entered the hospital in yesterday’s Mercedes Benz. Wang Yanan and Xu Xian are on holiday by Zhang Fan. Today is a liver operation for general surgery, and the carpenters in orthopedics are useless.
“Zhang Yuan!”
“Zhang Yuanhao!”
If the orthopedics department of the affiliated general hospital doesn’t dare to underestimate Zhang Fan as a chief doctor, and the lower level doctors don’t think so.
When Zhang Fan enters the general foreign affairs office, he is directly respected. All the doctors from top to bottom stood up and greeted Zhang Fan. They lined up to shake hands with Zhang Fan one by one. If they were not all adults, it is estimated that some would have to take out their white coats and ask Zhang Fan to sign.
To tell you the truth, the recognition of ancestry by ordinary foreigners is unimaginable in other departments.
“Zhang Yuan, make a rounds!”
“There’s no need for a large ward round. Just look at the patients who underwent surgery today.” Zhang Fan said with a smile, after all, the Dean was born in a general foreign school, and his ward round here is a little noisy.
And there is teaching surgery, which has given Zhang Fan a face.
“You’re welcome. In this way, Zhang Yuan doesn’t want to make a rounds. Let’s have a morning meeting for business study in the office!”
The president of the affiliated general hospital smiled and said, “this boy, when he should start, he will never be soft. When he shouldn’t start, he won’t move. He’s really born to be an official!”
Since there is no ward round, but business study, the doctors in the Department quickly clean up the office, and then print out their most proud surgical medical records slightly, or sort out the recent difficult operations for discussion with Zhang Fan.
This kind of business discussion, to tell the truth, is more than a speech. The topic of the speech is dead, but this business learning is different. The problems are very complicated, and it is a general foreigner. To tell the truth, ordinary knife throwing experts will not participate in this kind of discussion when they go to foreign hospitals.
If you succeed, you can’t be famous or profitable. The most is to make the doctors present shout in surprise: shit, this is Daniel! Failed, gossip, really unworthy.
Of course, this is just an ordinary calf. The real Daniel is actually very willing to participate in this morning meeting. This thing is a matter of fixing the sound with a hammer. As long as he smashes the doctor in the Department, well, as long as he doesn’t change the director frequently, the flying knife in this department is almost the doctor’s guarantee.
Therefore, under normal circumstances, the department director will also selectively ask. This thing is not forced. One can’t fly in and press him in the Department office for him to participate.
Although Zhang Fan didn’t participate in this in Feidao hospital, he has tea almost every day, so he’s not timid at all.
Not only are they not timid, but they also have an impulse to try. As people say, the new year’s Eve is coming. How can we do without leaving something?
The director of general surgery presided over the morning meeting. There were almost forty or fifty doctors and nurses in the Department. The president of the affiliated general hospital sat with Zhang Fan, and several doctors of tea vegetable sat behind Zhang Fan.
Wang Hong took out a notebook early. When she took out Parker’s gold pen, she immediately made her different from the others. It is estimated that Ouyang is not here. She still has to show off. Otherwise, how can others know that she is the director of the deputy department level hospital office.
“Zhang Yuan, this is a huge dry tumor operation we did in March this year. The operation method is based on the complete removal of the huge tumor established by you, but the patient’s liver function failed after the operation.”
Then a deputy director of the Department, the doctor, took a medical record for Zhang Fan with both hands. Sometimes people say that there is no old friend when going out of Yangguan in the West. It sounds bleak. It is really appropriate in medical treatment, especially modern surgery.
For example, the reason why ancestral disciples are so popular is not only that the school of others is very powerful, but also that there are few ancestral disciples in Northwest China.
Zhang Fan went to the south, to a developed city. There were too many martial brothers to count. The Dean was either his own martial brother or the disciple of that martial uncle. General surgery departments are directly nest by nest.
When he arrived in the south, Zhang Fan felt as if his academic status had become higher at once. When he went into a conference room, the keynote speaker had to stop his speech and solemnly introduced to everyone: This is my little martial uncle tea vegetable Zhang Fan!
Even to some county-level hospitals, there is no way to forget it directly.
In the northwest, even if there is no ancestral disciple in the general surgery department of the affiliated general hospital, there is no need to ask if the old eighth hospital graduated. They are definitely all college students of workers, peasants and soldiers.
Therefore, in the words of the great director of the doctrine of the mean, Zhang Fan is a nail planted by the ancestral disciples in the north.
The words seem to be gnashing teeth, but the chief director’s mood is understandable, because now the frontier has become a no fly zone for throwing knives.
Because Zhang Fan is here!
Zhang Fan took the medical record with a smile and looked carefully. There was no problem with the treatment. He looked at the amount of bleeding and rehydration during the operation. He had a general idea of the amount of bleeding of the patient, and then turned to the position of the pathological anatomy picture.
Zhang Fan knows why liver failure occurs at a glance. However, Zhang Fan has to organize his language and say it directly, which is a little slapping in the face.
The time for consideration is very short. “The tumor is not small, but it is also within the scope of surgical indications. It is correct to choose surgery. If the liver dissection is a little smaller, it may be a little better.
Of course, specific problems should be treated specifically. After all, the case can not fully reflect the situation at that time, but my suggestion is to reduce liver dissection a little more. ”
Zhang Fan finished and handed the case to the deputy director.
This is a euphemism, but as soon as you say it, everyone will understand.
No one got up to refute, because there will be a science and education operation with a larger tumor than the deputy director’s hand later.
One question after another, the more asked, the more envied the doctors around, especially the young doctors.
“A good teacher is Niu. He graduated from the same university as me. My graduate school is still the fourth military doctor, but NIMA has a big gap.” Thinking about it, he looked at his master and watched his master climb in front of Zhang Fan. He wanted to see the voice recorder.
He has a lot of MMP.
“Zhang Yuan, there are rare pancreatic patients here. Why don’t you show them?”
Zhang Fan didn’t hesitate, “OK!”
The president of the affiliated general hospital opened his mouth first, but he held back, “young, not careful! How can he be so careless.”
If Zhang Fan overturns, he will do no good and lose face. Because we all know that Zhang Fan’s master, uncle and ancestor are all above the liver and gallbladder, but the pancreatic problem, although the old men are also very powerful, they are relatively not as powerful as the liver and gallbladder.
You are a young boy. Just give advice on the liver and gall. As a result, you took off and promised to go to the pancreas.
Hey!
The president of the affiliated general hospital took a slightly unhappy look and asked the doctor with his pancreas.
The doctor didn’t understand the meaning, but suddenly he seemed to understand, “I’ll bring the patient in!”
The president of the affiliated general hospital couldn’t stop it. He covered his forehead and scolded in his heart: “technical dog, technical dog, it’s not smart at all, ouch!”
A minute didn’t arrive. The young doctor dragged the patient in like a erha who didn’t want to walk.
Very young, very thin.
“One year ago, when the patient participated in the physical examination, he found a suspected tumor near the pancreatic head. At that time, the physical examination hospital suggested the patient to go to the superior hospital.
In the past six months, the patient has not seen a significant reduction in the tumor after medical treatment in the Endocrinology Department of our hospital, so he can be transferred to our hospital. ”
The young doctor said the patient’s current medical history excitedly. He felt that he had found a disease that could be valued by the dean and experts. It was estimated that he could make everyone pay attention to it, and then pay attention to himself.
Suddenly he seemed to see that he could be valued and sent to mordu for further study tomorrow.
Since all the patients came, Zhang Fan was not polite. First, he let the patient lie on the diagnosis and treatment bed and do a physical examination.
I looked at the results of color Doppler ultrasound and CT.
“What’s wrong with you?”
The patient thought, “in the past, when there was no physical examination, when I found a problem, I ate too much and I was hungry. Later, when I was in physical examination, the doctor told me that I might be pancreatic cancer.
I’m scared to death. I’ve been in medical treatment here for half a year. Although I eat less, I’m still easy to get hungry. It’s easy to get hungry even when you’re in a bad mood. ”
The patient is very depressed.
“What is your treatment plan?” Zhang Fan asked the patient while doing physical examination, and then smiled and asked the doctor.
“Because the nature of the tumor cannot be determined, for the sake of safety, we decided to give the patient tumor resection.”
The young doctor said, and then looked at his teacher.
The superior doctor nodded slightly, expressed satisfaction, and then looked at Zhang Fan.
He also wanted to know if Zhang Fan could have any good suggestions, but he didn’t expect much.
What other opinions can we have without perfect biopsy and examination? There are no more than two kinds, surgery and conservative observation.
It’s all platitudes!
After checking his body, Zhang Fan listened to the doctors’ operation plan.
Smiled, gently took the disposable disinfectant on the table, wiped it on his hand and asked the patient.
“Do you have a twin brother or brother?”
“Eh? Why did you talk about your family and guess that they were twins?” The young doctor didn’t think it was right, because Zhang Fan didn’t see the medical record and directly saw the patient.
While he was still wondering.
The patient also wondered, “yes, what’s the matter? I have a twin brother.”
错误代码(54003):不可预知的错误。