Chapter 1241: Rotation and Replacement

 “Cut the liver!”

 “Remove the poisoned liver!”

“Remove the poisoned liver immediately!”

Team, to be honest, no country in the world can achieve this level of team, not even the Golden Retriever.

After a rational analysis, a doctor, a Chinese doctor, needs five years of undergraduate studies and three years of rotation. It takes eight years to be considered a master, and then another ten years to be considered strong enough to speak in a specialty. .

 And this kind of doctor is just a common person in every hospital. No matter you have a doctorate or a master's degree, you have no record and are just a background party.

 And doctors who can speak resoundingly in a hospital or even a region are those who are selected from the best. They not only have a record of success, but also survive the storms before they stand out. Many geniuses were beaten to death on the beach due to their own faults before the war even started. For example, the largest private hospital in the largest fishing village in China.

The professor in it, looking at the degree, is not a PhD. Seeing that none of the turtles who are not returning from the ocean, but before the war, he has died of socially, and then left the public hospital and went to the money.

 So aside from talking about other things, just counting the time, the chance of becoming this kind of doctor is about the same as the chance of winning the jackpot by buying a lottery ticket. Therefore, there are more than 20 such famous doctors, and they are all gathered in Chasu Hospital.

 The speed with which this surgical plan is formulated and executed is terrifying!

 Before the inspection report came, these guys had already guessed what they should and thought of what they should think about.

"If every department has such a team, do you think I can be a director?" Ouyang watched a group of bald experts work out a feasible plan in just a few minutes, and the old lady became a little hysterical.

"Well, actually even if there is no such team, you are still qualified to be a director!" Lao Chen rolled his eyes and immediately thought of rhetoric, praise, simple things, and it is not illegal anyway.

Ouyang glanced at Lao Chen and said, "Keep a low profile!"

As if he suddenly understood, Lao Chen nodded and whispered cooperatively: "Okay, okay, don't worry, Ouyuan, I will definitely understand what you mean!"

 Surgery, except for tumor surgery, generally requires as little incision as possible, because organs and tissues are not leeks, which grow after each cut. For example, after the skin is broken, let alone a large hole, even if it is a small hole, no new skin will be formed. The body often uses scar tissue formed by collagen to fool people.

The liver is different. Among all normal organs, only liver cells can outgrow tumors. If three-quarters of a liver are cut off, it can return to its original size within a month. At this time, liver cells replicate faster than cancer cells.

 So, many liver patients eventually die of liver failure, which shows how little they care about their livers.

For example, doctors in general surgery, especially those in the hepatobiliary department, rarely eat melon seeds or peanut butter, because these two things, if slightly moldy, are the biggest enemies of the liver.

 Many diseases can also cause the liver to collapse immediately. If we talk about the human body's defense line, the skin is at the forefront, then the liver is like a death squad a little behind the line of fire. It has to break down all kinds of toxins that the skin cannot defend against.

Like a desperate general who has achieved success and fame, he continues to drink and flirt. Today the prince is treating me to a treat. If that fails…

  Roughly speaking, the liver has two functions: producing necessary components and discarding useless components, which is actually synthesis and detoxification.

 The little novice's body's internal environment was directly disturbed because of the asphalt toxins entering his body and the stress reaction caused by the burns. If we say that tumor diseases, the final destination is actually to completely destroy the internal environment, leading to consumptive death of the human body.

 What is the internal environment? To put it simply, it is the state in which various electrolytes and various solutions in the body form a balanced movement.

For example, the stomach is made up of tissue cells. To put it simply, it is actually meat. But why can it withstand gastric acid? Gastric acid is actually hydrochloric acid. No matter how thick-skinned you are, you can't stop hydrochloric acid, but your stomach can.

This is because the stomach has a layer of sodium bicarbonate liquid mucosa. Without this mucosa, gastric ulcers will first appear, followed by perforation, and then when blood vessels are encountered, massive bleeding will occur. This mucosa is the simplest internal environment. .

 When the skin absorbs a large amount of toxic substances such as aromatic hydrocarbons, the whole body trembles and trembles, and only the liver is affected at this time.

 So, after many children have a fever, they don’t know which miracle doctor their parents heard from.

 If you wipe it directly with alcohol, your skin will become drunk and a large amount of alcohol will enter your body. The high fever did not come down, and the child's slight cold turned into liver failure and he died!

 This is the same as poisoning. Even though her skin doesn’t look open, she can still eat.

Therefore, if a child has a fever below 38 degrees Celsius, don’t do anything to wipe yourself with high-alcohol alcohol. Maotai keeps a handful of it for yourself, pick up a small handkerchief and get some warm water to cover the child’s head. It’s dozens of dollars cheaper than Kao’s. Qian’s fever-reducing patches are much better.

 The preparation for the operation was very fast, Zhang Fan was the first one.

This wave is the most important. Whether it can prevent the blood from continuing to enter the liver depends on this wave.

Zhang Fan, Tang Zhenghao and Zhao Jingjin are in the first wave. This operation is different from the previous one. There were so many doctors who helped with this operation, especially after the paper was published in BJM, which attracted a group of bald doctors who were worried about graduation.

Everyone was still reserved during the last operation, but seeing that the doctor who helped Zhang Fan at that time has joined Cha Su, and now he has begun to serve as the first and second assistants on the operating table, and has published papers, It is also able to firmly show off its position as the second author.

This mother-in-law used to be a bald doctor, but now in a few days, she has begun to become famous in the world of liver and gallbladder.

Everyone knows that they can't compare with Zhang Fan, but they can compare with others. Therefore, for this surgery, the support team is so strong that it is suffocating.

“Elucidation of liver anatomy after forty-eight hours of macromolecular substances in the body!”

“Organ damage during liver decomposition of aromatic hydrocarbons!”

 A group of Ph.D.s really found a good project. Just as the demolition office likes to deal with state-owned units the most, papers on biochemical subjects are what they are best at.

 Each one is more serious than the other in helping in the operating room. By the way, I was thinking about the paper I would publish after the operation.

Medical papers are generally divided into experimental research. This type is generally experimental research on etiology, pathology, physiology, biochemistry, pharmacology, biology, parasites and epidemiology. This type of paper is difficult to write and is almost basic, which is the so-called research direction.

For example, the direction of immunity against hepatic hydatid, this is a paper on experimental research.

The second is clinical analysis, which involves analyzing and discussing the etiology, clinical manifestations, classification, treatment methods and efficacy observations of a certain clinical disease case (more than 100 cases are preferred), summarizing experiences and lessons, and putting forward new suggestions. , new insights to improve clinical efficacy.

This kind of paper is the most time-consuming and may not be successful, so it is usually done by clinicians, such as the relationship between tuberculosis and diabetes. Just to discover and summarize.

The third type is efficacy observation, which refers to using a new drug or new therapy to treat a certain disease, observing and studying the treatment method, effect, dosage, course of treatment and adverse reactions, or setting up a control group to evaluate the efficacy of the new and old drugs or therapies. Compare the efficacy, the pros and cons of the therapy, the types and extent of adverse reactions, and provide evaluation opinions on whether it is suitable for promotion and application.

This kind of paper is the most expensive and time-consuming. For example, the research and development of new drugs requires a clinical analysis paper. Therefore, ordinary PhD students will not do it because they have no money and no one will do it. Sometimes, the tutor will be jealous of you if you do it!

This paper is actually a case report. This type of paper is the simplest and easiest to wait for a relatively large medical journal. However, this disease is rare. Once such a disease can be discovered, to be honest, The whole body of the doctor is smiling, low cost and big return.

 Six hours later, the first wave of surgery was over. Zhang Fan finally completely and temporarily restricted the blood flow to the liver, and extracorporeal circulation was successfully established.

 The first step of the operation was successful!

“Brother, it’s your turn!” After the extracorporeal circulation was successfully set up, Zhang Fan smiled slightly and said to the deputy director of East China Affiliated One who was waiting beside the operating table.

Zhang Fan is young and shameless. Currently, the top liver and gallbladder scholars in China, as long as they are not experts from the Qiu sect, are all his seniors regardless of their seniority! Moreover, there was a hint of kindness when he called. Don't look at the senior brother who just sounds like he doesn't want money.

  But invisibly, the big guys who originally had some opinions and feelings about Zhang Fan have significantly reduced their dissatisfaction with Zhang Fan, and they can't criticize Zhang Fan because Zhang Fan is his junior brother!

"Okay! You can go and rest. Leave the rest to me." The deputy director of East China took over the operation with experts from East China.

  Rotation and cooperative surgery are not common in medical treatment. Yes, there are also some very large surgeries, and they are almost rotational cooperation within a team.

 Because of the dissatisfaction between the big guys, this thing cannot be exchanged for money or anything else.

But Zhang Fan has an advantage. Not only is his own school very powerful, he has now built a work point that other experts need. Therefore, there is finally cooperation between teams.

This operation is estimated to take more than twenty hours. If Zhang Fan grits his teeth, he can actually do it, but Zhang Fan is not going to do this today. He needs everyone's participation.

 Zhang Fan has too many things to worry about when working alone.

And when everyone cooperates, Huadong Film allows the best anesthesiologists in East China to support anesthesia online, and the best laboratory department in the capital immediately takes the patient's blood for quantitative analysis...

It would be very difficult for Zhang Fan or Cha Su to contact him!

Not only is Zhang Fan happy, the Ministry of Health is also happy!

“Their cooperation has begun, three teams, three replacement surgeries!” The director of the department reported the news immediately!

 (End of this chapter)