Chapter 1492: Turns out I didn’t understand!

The academician took a look and said, "Hey, Zhang Fan is so wild!" "I reserve my opinion!" the old man shouted while busy preparing quickly according to Zhang Fan's instructions.

In the patient's situation, the doctor can no longer intervene, so this group of monsters is here, otherwise most doctors would not know what to do now.

 Old man, I must have some opinions, because this guide was compiled by someone else. It is obvious that Zhang Fan feels that he is not good enough and does not follow the path he marked out. This makes the old man feel a great humiliation.

Although I feel quite dissatisfied, I still have professional ethics. Guidelines are no bigger than rules and regulations, no bigger than industry laws.

Medical clinical guidelines are not the first of their kind in China. Every year in various major disciplines, such as cardiology and respiration, the world's authoritative organizations in cardiology and respiration issue some deletions. It’s hard to say exactly what year China started.

 But this thing is quite strange in the country. In foreign countries, treatment is changed based on the latest research. In fact, it is just a shout out: blood pressure cannot be maintained at 140, everyone should pay attention.

 In China, this guideline was customized by the Chinese Medical Association. Most of them copied the latest foreign guidelines and then made some modifications. The publication is issued by the Department of Health.

 At first, no one paid much attention to this thing! Later, the units in charge of health and medical insurance were fooled by the hospitals and doctors below, and they could not make ends meet every year, so this thing became serious.

Then, many experts were invited to revise and formulate this guideline every year, but it strayed far away from the original purpose. The guideline became a framework, such as appendix surgery, what drugs to use before surgery, what drugs to use after surgery, how many days to stay in the hospital, How much does it cost.

 Everyone has set it up for you. As long as it exceeds this standard, I will not reimburse you for hospital reimbursement.

One good thing about this is that the leaders in charge of health and medical insurance have something to rely on, just like primary school exams, they have reference answers. It is no longer easy for doctors and hospitals to fool their leaders. Unlike before, deceiving health leaders was like fooling fools.

 This stuff needs to be done by those who are experts.

 There is also a bad side, medical treatment is not such a simple thing. What should I do if I encounter special circumstances and the treatment principles exceed the guidelines?

If it succeeds, everyone will say that this doctor is awesome. Clinical guidelines deny this kind of treatment, but he cured the patient!

 But what if it fails?

 So, after the guide, from the top hospitals down, there will be no more geniuses!

 Because by treating beyond this standard, doctors will put themselves in great danger. Without a strong backing, doctors would not dare to have the opportunity to be creative.

 Hence, medical care has a bit of an assembly line flavor. Get a literate dog in, and it can also prescribe treatments for your patients!

Of course, the advantages outweigh the disadvantages, but for a genius doctor like Zhang Fan in the eyes of outsiders, the guide is just a reference.

 …

 Diuretic for diuresis, cardiotonic for cardiotonic, and dehydrating for dehydrating. It can be said that not all patients in the country may be able to receive this kind of treatment.

Young leaders in the medical field can only do odd jobs here and do not even have the right to speak.

 At this time, there was only a voice giving verbal doctor's orders. Six or seven academicians, mobilized by Zhang Fan, were hurriedly doing corresponding work.

 Occasionally, when the old men looked at each other, they could see a look of grievance in each other's eyes.

 Disinfect, spread towels, and with a click, the shadowless lamp is turned on.

The director of the Nursing Department quickly put Zhang Fan into surgical clothes, "Dean, please don't take off your hat. This patient is..."

  She whispered to Zhang Fan in a low voice that she felt sorry for her own dean. The director of the nursing department used to be Zhang Fan's housekeeper in the operating room.

“What nonsense are you talking about? If you don’t take off your hat, can I see clearly? Come on, take it off!”

With tears in his eyes, the director of the nursing department took off Zhang Fan's hat and quickly put on a surgical mask.

 When the other surgeons saw that the director was ready to go all out, they had no choice but to follow suit.

This thing is like this. If the brothers rush with me, and if the brothers rush with me, the effect is completely different.

 Patients with drug-resistant bacteria are directly a source of poison in a confined space. No one can guarantee that you won’t be infected if you take off your hat.

 Can you take care of it now?

 Don’t care!

Watching Zhang Fan take off his hat, and watching a group of surgeons take off their hats without any complaints, the grievances in the eyes of several old academicians from outside finally weakened a lot.

 But this kind of people are definitely people who will never look back until their head is broken and bleeding. Even if Zhang Fan moved them, they think Zhang Fan's choice is wrong.

Even some old men have thought about it. From now on, Zhang Fan can just think about this experiment in the office, and there is no need to come to the laboratory, which will cause chaos.

Snapped! Snapped! Snapped!

The surgical instruments were quickly placed, disinfected and draped. Zhang Fan turned around and saw the director of the nursing department also taking off his protective helmet and standing on the operating table acting as a surgical nurse, "You..."

Zhang Fan shook his head, why are the people under him so stubborn? Why can't they bear a little grievance?

 The operation begins.

“Be careful. Everyone must pay attention. This is a tuberculosis drug-resistant patient. Once someone’s hand is pricked by a needle or cut with a knife, he must be treated immediately and start!” After saying that, Zhang Fan stretched out his hand.

Snapped! The scalpel was placed firmly in Zhang Fan's hand.

The assistants uniformly held the gauze along the skin Zhang Fan wanted to cut and began to pull the muscles slightly outward.

Several old men and the medical researchers on the other side looked at Zhang Fan's surgical team with slight amazement.

“It’s hard to say how well this guy’s surgery went. Just this team and their collaboration ability, I guess they can be among the top three in the country.”

 Click, click.

 After the chest is opened, just like a Tibetan mastiff biting a bone, the sternum snaps and snaps under the rongeur.

　　Bang!

 Blood flowers emerge.

Not only Zhang Fan, but also the first and second assistants all had blood spurting out from their faces.

  Sansuke immediately covered the bleeding spot with his hands.

"Hurry, Xin Jie Er Mie! Quick, wipe it with Zhang Yuan. Be careful not to get it into your eyes!"

The director of the nursing department’s sharp voice came out!

“I’m fine, let’s wipe them first, I closed my eyes early.”

 Zhang Fan immediately explained his situation.

"I'm fine, I closed my eyes too!" Luo Zhengguo said quickly as soon as he helped.

 Everything is fine! This is the doctor's conditioned reflex.

 When the blood blooms, cover the bleeding point with both hands as soon as possible, and your eyes must be closed tightly.

“Academician Xia, there is a pulmonary vascular embolism. The patient has a pulmonary vascular embolism. I have seen the embolism point!”

 “Emboli?”

“The large area of ​​pulmonary edema caused by embolism is not caused by drugs, not drugs!” Zhao Yanfang, who was standing behind Zhang Fan, almost burst into tears. He shouted loudly to the old men around him.

 “It’s okay if it’s not, it’s okay if it’s not!”

The operation continued. Several people worked together quickly to ligate and unblock, and a fat-like emboli was extracted from the blood vessel.

 After almost eight hours, the operation was finally over.

The legs of a group of old academicians who watched it from beginning to end were weak. However, when the operation was completed and the patient's vital signs were obviously normal, the old men looked at Zhang Fan differently.

In the past, I heard that Zhang Fan's surgery is amazing, but people are just a thing, especially those who are very good in their own fields. Although they are not surgeons, they are still doctors, so the so-called surgery for a young boy is very powerful.

 There is always a feeling in my heart that it’s over.

 But now, it’s different. Seeing is believing. In such a critical situation, people directly make the final decision. This is not only a question of surgical skills, but also courage and responsibility!

“It seems reasonable for the country to make him the director!”

The academician of the Digital Hospital said something to the moderate academician next to him.

After the operation, Zhang Fan and the other doctors looked like they had applied rouge, and they were all red, resembling the Plateau Red Ball.

“It seems that my guide still has some shortcomings. Fortunately, Zhang Yuan is here today!”

 After the operation, after the patient's condition stabilized, the academicians from the digital hospital immediately found Zhang Fan, and the old man was also upright.

“Look at what you said, you are a physician after all, aren’t you!” Zhang Fan chuckled.

 …

An accident that was not an accident completely made the laboratory staff become a collective. Sometimes, people are so mean.

 When there is no problem, everyone goes their own way and thinks they have their own way.

Then everyone who looks at it feels inappropriate.

 But when everyone suffers a so-called disaster together, no one needs to stand up, and this group of people automatically becomes a collective.

Does anyone still talk about this thing?

 After an accident, although the pulmonary edema was not caused by the drug, the patient almost suffocated and died.

 But in the later period, medication should be used more cautiously.

Team collaboration has become more natural and smooth.

 It was like an accident, causing everyone's bodies to produce a kind of lubricant in the crowd.

 One patient, ten patients, one hundred patients, each patient has completed the first phase of medication.

 The patient's sputum culture and throat swab examination showed a significant reduction in tuberculosis bacteria.

 The second phase of the experiment continues.

 After the experimental drug was administered together, the report was immediately sent directly to the superiors through the local military region of Chasu.

To be honest, if I were to sell this report to a company like Pfizer-Roche, it would be an exaggeration to say tens of billions, but several billion would definitely be no problem.

The superior took the tea report and read it word by word very carefully. After reading it, the old man let out a long sigh.

“Professional matters should be handled by professionals. Please ask Academician Li from the institute to come over!”

Hmm, it turns out that the old man didn’t understand after reading it for a long time!

 (End of this chapter)