Path of Medicine With a System

v2 Chapter 1447: It can’t work without me!

 Chapter 1447 You can’t do it without me!

 The loss rate of doctors’ surgical instruments, especially those used in public hospitals, is particularly high.

 A needle holder, which is used to hold metal suture needles or something hard and delicate, such as Kirschner wires.

Originally, he could only serve things that were not much thicker than toothpicks. However, once the orthopedic surgeon got started, he had to use the needle holder to hold steel plates and nails of a certain size. He still used it violently. If he couldn't hold it, just use it. Brute force, it must be inserted anyway.

This thing, how should I put it, even if it is made of steel, it has a certain tolerance. After several orthopedic surgeries were completed, the director of the general surgery held the needle with the needle holder, but he couldn't insert it into the skin. The general surgeon was furious. The foreign director threw away the needle.

Although each department now has its own operating room, the instruments are brought to the supply room for sterilization. After sterilization and packaging, I don’t know which operating room they will be assigned to in the end.

 Hence, orthopedics is quite unpopular with other departments within surgery. Zhang Fan also understands that sometimes critical moments of surgery are often ignored, so for orthopedic surgery, Zhang Fan has a set of special surgical instruments.

 After Zhang Fan became the dean, the only gift he was willing to accept from the drug dealer was surgical instruments. Therefore, he has several sets of quite good quality surgical instruments in hand.

Earlier, Zhang Fan's equipment was stared at like wolves by several directors. Zhang Fan also carefully told people not to let them use it.

 It’s not that Zhang Fan is stingy, everyone has the habit of using them, especially surgical instruments. In some difficult surgeries, using your own special instruments can really get twice the result with half the effort.

Just like driving, if you drive a car that someone else has driven for a long time, you will feel that something is wrong with the car. When you kiss your wife of thirty years, you can tell without turning on the light, as if she opened her mouth in that position.

 The same goes for equipment.

 Now the directors of various departments and even some top surgeons no longer envy Zhang Fan's special instruments. Due to the improvement of tea hospitals, other equipment companies have sent equipment to the attending class.

 “Old Wang, are you okay?” Six hours had passed since the operation, and Zhang Fan felt that his first assistant was stumbling a little.

"My eyes are a bit blurry!" Lao Wang said embarrassedly. Because it was a neck surgery, he wore one-eyed surgical glasses. Because it was an orthopedic surgery with double-lens eyes, it was very comfortable when doing neurosurgery. It can also be used for orthopedics. It's more troublesome.

 So the one-eyed person became bigger and smaller for a while, which made Lao Wang, who was over fifty, a little dizzy. Forty-eight or not, Lao Wang is already over fifty. He can persist until now thanks to the fact that he didn’t have a mobile phone before.

“Okay, let’s take turns!” Zhang Fan gently covered the surgical incision with wet gauze and paused the operation.

 He also took the time to stretch his waist and switch his feet.

When the director of the nursing department saw that the operation was suspended, he immediately said to a nurse who was opening the cap: "Quick, open a bottle of 100ml, 5% glucose, don't open 10%, let Zhang Yuan moisten his mouth!"

 The director of the nursing department goes to the operating table in person, which is rare in general hospitals, because after the directors of the nursing department in many hospitals transfer to administration, they almost never go to the operating table in person or work in the corresponding departments.

 Because of Zhang Fan, the current doctors and nurses at Chasu tend to be younger. In terms of how to serve Zhang Fan, to be honest, Bayin is not good enough.

Bayin has good skills and is good at getting on stage. Moreover, she has been in better health than other nurses because she has been eating a high-protein diet since she was a child. This is really not nonsense. Even though Bayin is a lesbian, once a steel plate orthopedic surgery was performed, but the doctor failed to do it. He tried his best to eat milk, but the steel plate did not move at all.

Bayin couldn’t stand it anymore and said: What kind of orthopedic surgery do you want, I’ll do it! Then click it three times and it’s done!

 Some nurses may become dizzy if their blood volume is slightly higher during menstruation and they stand on the operating table for a longer time. For example, a nurse with particularly good surgical skills encounters a particularly difficult operation.

 It turned out that she was on her menstrual period, felt uncomfortable, and fainted on stage. This was an accident. But Bayin doesn't know that. It's as strong as a calf, and its meat can give people a sense of security. I don’t know how her husband surrendered to Bayin.

 This is one of the reasons why Bayin became the head nurse.

But when it comes to serving Zhang Fan, Bayin is not very good at it. She wiped Zhang Fan's sweat with gauze and it was enough to make Zhang Fan sore. Sometimes when Bayin is not on stage as a traveling nurse, Zhang Fan has to tell Bayin in person that I am a little thirsty.

 Ba Yin was the only one who took the initiative to open a bottle of candy, and when it was time to feed him, Zhang Fan could stuff the bottle into Zhang Fan's mouth whenever he was in a hurry.

The director of the nursing department was different. He gently pulled down Zhang Fan's mask a little. He first wiped Zhang Fan's mouth with gauze and wiped the sweat near the nasolabial fold. Then he slightly raised the sugar solution and gently Send it into Zhang Fan's mouth.

Even every bite can make Zhang Fan feel comfortable and full in his mouth, but it will not leave Zhang Fan with no time to swallow. This is all effort. It is said that Bayin should improve a little now that he is a young woman. It is useless. When you are anxious, You can still stuff Zhang Fan into your mouth like a drinking donkey.

“You should use less perfume, it’s going to choke me!” It was too close, and Zhang Fan didn’t dare to look directly into the familiar eyes of the director of the nursing department. Even though he was already the director, he was still teasing her with his eyes intentionally or unintentionally.

Zhang Fan didn't dare to look down, because Zhang Fan was tall, and the director of the nursing department was wearing a scrub suit with a heart-shaped collar, which could not hide the figure of the director of the nursing department. She is pink and white and wears black lace.

 Really, this woman is so seductive.

 “I’ll use the one you like next time?” The doctor on rotation left, but before the second wave came up, the director of the nursing department whispered.

  Zhang Fan couldn't reply, he glanced at him and said, "Hurry up and hurry up! Why aren't you here yet?"

 “Okay!” The director of the nursing department’s voice was louder this time, as sweet as Xiuchunlou’s mother calling her uncle.

The doctors on call, Wang Yanan, Xu Xian, and Xue Fei, took turns to perform the surgery. In this case, Xue Fei was originally the first assistant, but Xu Xian and Wang Yanan both felt that Xue Fei was an emergency patient, and it was good enough to be on the operating table. How could it be possible? Let him help.

 Then Xu Xian and Wang Yanan looked at each other for ten seconds. Xu Xian had to give up his position as Yisuke. Xu Xian could play with snakes, but Wang Yanan's eyes were narrowed like a big civet cat, and a cold light appeared.

This made Xu Xian feel guilty, and when he got on stage, he couldn't help it. Why did I feel guilty? Why didn't I be tougher!

The doctors who performed the surgery couldn't leave yet because the chance of an accident was very high with this kind of surgery, so after the surgery, they quickly took the time to go to the bathroom and eat something.

Just lie down in the corner of the operating room, then lie on the ground with your back stretched out. Take the time to sleep for a while, or squint for a while if you can't. Especially when Isuke Laowang is eating, he feels stunned. The rice in my hand is half the size of adzuki beans and half the size of sesame seeds.

 They can rest, but Zhang Fan cannot.

 The operation continued for one hour, two hours.

 The operation lasted eight hours.

Zhang Fan and the others finally cleared away the fragments around the fracture. In the surgical tray, the bone fragments were as big as a tray of pearls. The surgical nurse was not only responsible for passing the instruments, but also responsible for wiping away the bone fragments. If there is any blood stain on the skin, use dry gauze like sandpaper to clean up the free muscle tissue quickly.

We also need to protect the tissue fragments connected to the bones. Really, this thing is not easy to deal with, just like the meat strands embedded in the gaps between teeth. If you don’t look carefully at this thing, who wants to know whether it is native or not? Embedded.

 Smaller fragments don’t matter, but larger fragments will have to be put in later, otherwise a large number of fragments will be discarded, which may cause nonunion after surgery.

 The recovery of bones is different from the recovery of muscles.

 The recovery of muscles and skin is very simple. Platelets fill the broken gaps and act as the first adhesive, and various collagens act as the second adhesive. It takes about three days to form a connection.

However, this bond is not elastic.

 Just like a girl wearing stockings, she has a hole in her stockings and sews them together with threads. Not only is this place inelastic, but the tension is not enough. If someone pulls it, it will easily break in the old place.

But bones are different. This thing first melts the broken bone fragments, and then osteoblasts use these raw materials to produce bones that are exactly the same as the original bones.

 This is also why it is said that it takes a hundred days to break the muscles and bones. It takes a long time and the products made are strong, unlike muscles and skin that can fool people.

“Did you see it? The spinal cord was compressed and bone fragments were inserted into it!” Zhang Fan was also a little dazzled, but he gritted his teeth and persisted.

It's just that his legs are a little sore, and the diaper in his crotch is of poor quality and has insufficient water absorption capacity. After the operation, Zhang Fan will definitely find trouble with the director of the device department.

  I was planning not to have children, but now I have to wait for so long!

 Slow. The originally fast operation became slow at this time. The doctors on the operating table were like thieves, not daring to breathe.

Even when breathing, the head is tilted. The spine is made up of rings, and inside this ring is the spinal cord.

 The spinal cord is the telephone wire, the channel that the brain uses to manage the body. Once broken, it is paralyzed. Moreover, the most troublesome recovery is that it was previously said that spinal cord cells cannot be recovered. In recent years, some scientists believe that it can be restored.

 But the recovery time is extremely slow, less than one millimeter can be recovered in a year. By the time the spinal cord recovers, the patient will be over 200 years old.

 So this speed means that it cannot be recovered.

 “Ophthalmic tweezers!” Zhang Fan shook his body slightly. He was also a little tired.

To be honest, although this operation did not take the longest, it was too broken, bit by bit, like picking sesame seeds on a sesame cake with tweezers.

The director of the nursing department noticed something strange. Really, sometimes I have to say that a mature woman understands a man.

 When she saw Zhang Fan move slightly, she knew something was wrong. Then he gently took the liftable chair and placed it gently beside Zhang Fan's legs, with his legs pressing against the chair and grabbing Zhang Fan's buttocks with both hands.

“Zhang Yuan, there’s a stool! I’ll adjust the height for you, sit down for a while!” You didn’t need to, but when you spoke, you seemed to be holding your breath, and your words were incoherent.

She felt a little distressed, a little distressed for the doctor on the operating table. She looked at the doctor lying in the corner, snoring slightly, and then looked at the director who had been standing for almost ten hours. She pressed her head against Zhang Fan's back. .

With his gentle hands, using small but manageable strength, Zhang Fan slowly and steadily sat down on the chair.

 “Okay!” Today’s surgery is too **** the eyes. Once your eyes are tired, your brain will think that you are going to sleep.

 Then it will give orders to various organs to prepare for sleep.

 Once the organs receive orders, the human body becomes more and more tired. For example, if you suddenly have insomnia one day, you lie in bed and blink your eyes quickly, and you may fall asleep.

When Zhang Fan sat down, the director of the nursing department did not walk away. Instead, he approached Zhang Fan and used his body as a back chair to make Zhang Fan feel more relaxed.

Zhang Fan nodded and said nothing, but the director of the nursing department understood that this was Zhang Fan's silent thanks.

Wang Yanan held pliers in one hand and tweezers in the other. The pliers helped Zhang Fan peel off the tissue, while the tweezers cooperated with Zhang Fan.

 There are many cross-interactions, especially in surgery.

For example, when making an incision in the abdomen, the surgeon and the assistant will hold the forceps and, like dancing, insert one of my legs between your legs, then you step back, and when I am stable, you can insert the forceps into mine. Tweezers between legs.

 Then slowly separate the organization from the organization.

 “Slow, slow, don’t be in a hurry, use a plastic-tipped dropper and drip in physiological saline to make the structure of the fragments and spinal cord clearer.”

 Xu Xian, holding a plastic-tipped dropper in both hands, something whose weight is almost negligible, is like holding a thousand-jin weight in Xu Xian's hands.

 Tick tock!

 Tick tock!

 Salt water like saliva is dripped between the fragment and the spinal cord. The outer membrane of the spinal cord is lightly wetted by the liquid.

 “Boost!”

Zhang Fan didn’t dare to speak louder.

 Because now if a piece of debris is accidentally inserted, all the efforts will be in vain.

 …

 In the conference room of the Tea Su Government, the leaders of Bird City also came. When he saw that it was Lao Chen who came from Chasu Hospital, and Zhang Fan, Ren Li, and Ouyang didn't show up, the leader in charge of health in Bird City had a slightly unpleasant look on his face.

However, this is not important. The problem of Chasu Hospital has not lasted for a day or two, and he has no choice. But today the leaders of the ministry are also here, which shows that the health leaders of Niao City cannot take charge of it.

 “Where is Zhang Yuan?”

"A seriously ill patient came from Mutou County. Zhang Yuan is on the operating table and he really can't get out." Old Chen said anxiously.

When the leader in charge of health was about to ask other people, the leader of the department smiled: "Mutou County? You can do it. You have already spread your influence to Mutou County. Haha, I guess given some time, you will have to go to Beijing sooner or later. !”

Lao Chen didn’t know whether the leader’s words were praise or criticism, and he didn’t dare to answer. He also sighed inwardly, hey, Zhang Yuan and Ou Yuan didn't come, so the pressure on me was too great. Just as Lao Ju was about to speak, he was pulled by Lao Chen.

Lao Ju was speechless, and then glanced at Lao Chen, meaning, if you don't let me speak, then why do you want me to hold a meeting?

 At the beginning of the meeting, Lao Chen, who had been nervous since entering, gradually felt that something was wrong with his tone of conversation. Does the assessment require the participation of leaders from Tea Su Hospital?

 A one-size-fits-all approach to age for established personnel? Retirement over fifty?

 What is this for?

“Regarding this merger, everyone must do a good job in the ideological work of hospital employees. I emphasize again that in order to improve the medical level in the Chasu area, everyone must be energetic. I don’t want rough work.”

  “?” The star on Lao Chen’s head. What is this for?

 Finally, the leader of the ministry finally concluded, “Comrades, the medical level in the northwest region has developed rapidly, not only due to the strong support of the country, but also the efforts of doctors, nurses and support staff in various hospitals.

 However, times have changed. Currently, the Chasu area continues to be a hospital with international influence. It not only has influence, but also has a medical team that can fight and win if it can fight. The leader attaches great importance to this work. I would like to ask you again that you must strictly abide by discipline when doing reviews.

 If anyone is qualified, we will never tolerate it! "

 Lao Chen was dumbfounded and turned to look at Lao Ju in disbelief. Will Tea Su Hospital merge with other hospitals?

 Lao Ju was also dumbfounded and looked at Lao Chen. Is Chasu Hospital going to be built into a hospital with international influence?

 The two people's faces slowly turned from white to red, and slowly began to glow. It really feels like an elderly lover.

The director of Hua Hospital was also dumbfounded. His face turned red when he entered the conference room, and turned gray. He was almost in tears.

“Why? Why? Our hospital is planning to move to the High-tech Zone. If we can’t afford to offend him, why can’t we avoid it? Leaders, we can’t! I can’t figure it out!”

“If you can’t figure it out, think for yourself! But I would like to emphasize here again that we must do a good job in withdrawing doctors and nurses, and we must do a good job in the ideological work of doctors and nurses!”

 “Well, well, well! I will, please, please, please don’t worry, leader!”

It will end. The director of Hua Hospital walked away as fast as anyone else. He always felt that Ouyang would emerge from that place at this time, pat him on the shoulder and say: Where are you going, brother?

 “One family is the only one!” He looked at the leader of Bird City talking to Lao Chen and Lao Ju. The leader in charge of health of Tea Su also attended the meeting. At this time, he spoke to himself in a complicated tone.

Perhaps it is a blessing or a regret, but Chasu Hospital has already received the attention of superiors or higher-level leaders.

As for the young dean, he couldn’t even imagine it!

Zhang Fan in the operating room could finally breathe a sigh of relief. The fragment was not inserted into the spinal cord, but the compression time was relatively long. The patient must have suffered from limb dysfunction for a period of time after the operation.

However, this is no longer a problem. He raised his neck slightly, and suddenly felt something wrapped around the back of his head, soft.

Zhang Fan had no choice but to look back. He felt it again, and suddenly Zhang Fan understood. The body that was leaning on the meat chair was hard.

"Head nurse, thank you. I have to stand up now. I can't do the surgery while sitting down!" I didn't know who was about to stand up. Zhang Fan, whose calves were weak, stood up against the operating table.

Furthermore, as if there were some kind of hook on his leg, he picked up all the drapes on the operating table.

The director of the Nursing Department was originally feeling pity for Zhang Fan, but when she heard Zhang Fan's words, she puffed up her chest proudly.

I thought in my heart, "The operating room can't do it without me. Otherwise, if young nurses were to perform the surgery today, they wouldn't even be able to think of this solution!"

Uncles

rest

 I’m tired too

  

 (End of this chapter)