Chapter 1531: I look a bit like before

 In the medical field, like many industries, standards are different around the world, such as the division of the liver.

Liver surgery does not require cutting off the tip of the liver, as long as the thickness is about the same. No matter whether it is left or right liver, the taste will be the same.

This partition is not only for the convenience of surgery, but also for the best comparison with normal organs.

In the early morning, Zhang Fan, Wang Hong, Qian Weiwei and two nurses entered the hospital in yesterday's Mercedes-Benz. Wang Yanan and Xu Xian were given a day off by Zhang Fan. Today was a liver surgery in the general surgery department, and the carpenter in the orthopedics department was useless.

 “Zhang Yuan!”

 “Hello Zhang Yuan!”

 If the Department of Orthopedics of the Affiliated General Hospital dare not look down upon Zhang Fan as a kind of chief doctor, the lower-level doctors would not take it seriously.

Zhang Fan was immediately treated with respect when he entered the office of the General Department of Foreign Affairs. The doctors from top to bottom all stood up to greet him, and lined up to shake hands with Zhang Fan one by one. If they weren't all adults, some of them would have taken out their white coats and asked Zhang Fan to sign his name.

To be honest, the degree of recognition of ancestry in general surgery is unimaginable in other departments.

“Zhang Yuan, let’s do a ward round!”

“There’s no need for general rounds, just take a look at the patients undergoing surgery today.” Zhang Fan said with a smile. After all, the dean was a general surgeon, so the general rounds here were a bit overwhelming.

Moreover, it is a teaching surgery, which has already given Zhang Fan a lot of credit.

“Look, you are being polite. If Zhang Yuan doesn’t want to do a ward round, let’s hold a morning meeting for business study in the office!”

The dean of the Affiliated General Hospital said with a smile, and he looked at Zhang Fan with admiration in his heart, "This boy will never show mercy when he should strike. When he shouldn't strike, he won't even move. He is really born to be an official." What a material!”

Since there is no ward rounds, but business studies, the doctors in the department quickly clean up the office, and then print out their most proud surgical records with a little show, or sort out the recent more difficult surgeries. Discuss with Zhang Fan.

This kind of business discussion, to be honest, is more of a test of your skills than a speech. The topic of the speech is fixed, but this business study is different. The questions are very complicated, and it is a general surgery. To be honest, the average flying knife expert will go to other places. The hospital will not easily participate in this discussion.

 Successful, there will be no fame or fortune, the most it will do is make the doctors present shout in surprise: Damn it, this is a great guy! If you fail, the gossip will really not pay off.

Of course, this is just an ordinary calf. The real big cows are actually quite happy to participate in this kind of morning meeting. This thing is a final decision. As long as they overturn the doctors in the department, well, as long as they don't know how to do it, Directors are changed frequently, and this doctor is almost always the one doing the best in this department.

 So, under normal circumstances, the department director will also ask selectively. There is no compulsion in this matter. You can't just fly in and tie him up in the department office and ask him to participate.

Although Zhang Fan has never participated in this kind of practice at Feidao Hospital, it can be said that it happens almost every day at Chasu, so he is not timid at all.

Not only is he not timid, but he also has an eagerness to try. As people say, the Chinese New Year has come and gone, so how can it be done without leaving something behind?

  The director of general surgery presided over the morning meeting. There were about forty or fifty doctors and nurses in the department. The director of the Affiliated General Hospital sat aside to accompany Zhang Fan, and several doctors from Chasu sat behind Zhang Fan.

Wang Hong took out a notebook early. When she took out the gold Parker pen, she immediately showed that she was different from the others who came with her. I guess Ouyang was not here, so she still had to show off, otherwise how would she let others know? She is the deputy director of the hospital office.

“Zhang Yuan, this is an operation for a huge dry tumor that we performed in March this year. The operation was based on the method you established for complete removal of huge tumors. However, the patient’s liver function failed after the operation.”

 Speaking, a deputy chief doctor of the department brought a medical record to Zhang Fan. Sometimes people say that there are no old friends in Yangguan in the west, which sounds desolate. In terms of medical treatment, especially modern surgery, it is really appropriate.

For example, why ancestral disciples are so popular? Not only is this sect very powerful, but the most important thing is that there are very few ancestral disciples in the northwest.

Zhang Fan went to the south, to a developed city, where there were so many seniors that he could not count. The dean was either his own senior or a disciple of that senior uncle. The departments of general surgery are just like nests.

After arriving in the south, Zhang Fan felt as if his academic status had suddenly become higher. When he entered a conference room, the speaker stopped his speech and solemnly introduced to everyone: This is my junior uncle Cha Su Zhang Fan. !

 Even when we get to some county-level hospitals, there is nothing we can do.

And in the northwest, even the general surgery department of the Affiliated General Hospital does not have a single ancestral disciple. Don't even ask, those who graduated from the Eighth Hospital are definitely workers, peasants and soldiers college students.

 So, in the words of the director of Zhongyong General Foreign Affairs University, Zhang Fan is a nail planted by his ancestral disciples in the north.

This seems to be said with gritted teeth, but the director's mood is understandable, because now the border has become a no-fly zone for flying knives.

 Because Zhang Fan is here!

 Zhang Fan took the medical record with a smile, looked at it carefully, and found that there was no problem with the treatment. Looking at the amount of blood loss and fluid replenishment during the operation, he had an idea of ​​the patient's amount of bleeding, and then he turned to the pathological anatomy picture.

Zhang Fan knew at a glance why his liver was failing. But Zhang Fan had to organize his language and speak directly, which would be a bit of a slap in the face.

 The time for consideration was very short. “The tumor is not small, but it is within the scope of the indications for surgery. The choice of surgery is correct. If the liver dissection is smaller, it may be slightly better.”

Of course, specific issues should be treated on a case-by-case basis. After all, the case cannot fully reflect the situation at that time, but my suggestion is to reduce the liver dissection a little bit. "

 After Zhang Fan finished speaking, he handed the case to the deputy director.

This is said euphemistically, but once it is said, everyone will understand it.

 No one stood up to refute, because there would be a scientific surgery soon, with a bigger tumor than the deputy director's.

 The questions come one after another, and the more I ask them, the more I make the doctors around me envious, especially the young doctors.

"A good teacher is awesome. He graduated from the same school as me, and I graduated from the Fourth Military Medical University in graduate school, but the gap is too big." After thinking about it, he looked at his master and looked at Master crawled in front of Zhang Fan, wishing he could look like that voice recorder.

 He just shares one share of MMP.

“Zhang Yuan, there is a rare pancreatic patient here, would you like to take a look at it?”

 Zhang Fan did not hesitate, "Okay!"

The dean of the Affiliated General Hospital opened his mouth first, but still held back, "Young man, you are not careful! How can you be so careless?"

If Zhang Fan overturns, he will not gain anything, and he will also lose face. Because everyone knows that Zhang Fan’s master, uncle, and ancestor all have liver and gallbladder problems. But for pancreatic problems, although the old men are also very powerful, they are not as powerful as liver and gallbladder problems.

You are a young boy, you can just give some advice on the liver and gallbladder, but in the end, you failed, and you suddenly agreed to go to the pancreas.

Why!

The director of the Affiliated General Hospital looked at the doctor who came to ask questions with a pancreas slightly unhappy.

The doctor didn’t understand what he meant, but suddenly he seemed to realize it, “I’ll bring the patient in!”

The dean of the Affiliated General Hospital couldn't stop it at all. He covered his forehead and cursed in his heart: "Technical dog, technical dog, there is no cleverness at all, ouch!"

Before even a minute had passed, the young doctor forcefully dragged the patient in, just like pulling an Erha who was unwilling to walk.

 Very young and thin.

“The patient found a suspected mass near the head of the pancreas when he participated in a physical examination at the workplace a year ago. At that time, the physical examination hospital recommended that the patient go to a higher-level hospital for treatment.

 After the patient received medical treatment in the endocrinology department of our hospital for half a year, the tumor did not decrease significantly, so he was transferred to our hospital for treatment. "

 The young doctor excitedly talked about the patient's current medical history. He felt that he had discovered a disease that the dean and experts could pay attention to, which would probably make everyone pay attention to it, and then also pay attention to himself.

 Suddenly, he seemed to see that he would be taken seriously and sent to the Magic City for further training tomorrow.

Since the patients were here, Zhang Fan was not polite. He first asked the patients to lie on the treatment bed and did a physical examination.

Looked at the results of the color ultrasound examination and then the CT scan.

 “What discomfort do you usually feel?”

The patient thought for a while and said, “When there was no physical examination before and no problem was found, I would eat too much and get hungry easily. Later, during the physical examination, the doctor told me that I might have pancreatic cancer.

I'm almost scared to death. I've been undergoing internal medicine treatment here for half a year. Although I eat less, I still get hungry easily. Even when you feel particularly uncomfortable, you can easily get hungry. "

 The patient is very depressed.

“What is your treatment plan?” Zhang Fan asked the patient while doing a physical examination, and then asked the doctor with a smile.

“Because the nature of the tumor cannot be determined, for the sake of safety, we decided to perform tumor resection on the patient.”

 The young doctor said something, and then glanced at his teacher.

The superior doctor nodded slightly to express satisfaction, and then looked at Zhang Fan.

He also wanted to know if Zhang Fan had any good suggestions, but he didn't have high expectations.

 Without biopsy and complete examination, what other opinions can there be? There are only two types, surgery and conservative observation.

 It’s all a cliché!

 Zhang Fan finished the physical examination and listened to the doctors’ surgical plan.

 Smiled, gently took the disinfectant on the table, wiped it on his hands, and asked the patient.

 “Do you have a twin brother or younger brother?”

"Um? How come we are talking about family matters and you guessed that they are twins?" The young doctor felt that something was wrong, because Zhang Fan didn't look at the medical records and met the patient directly.

 While he was still wondering.

 The patient was also puzzled, "Yes, what's wrong? I also have a twin brother."

“Haha, this mass of yours is not an abnormal mass or tumor, but a part of your brother’s pancreas that adhered to your body during the embryonic stage.”

"Forehead!"

"Um?"

“Don’t believe it?” Zhang Fan not only asked the patient with a smile, but also turned around and asked the young doctor with a smile.

"My brother is also in the ward. He came to see me." The patient looked weak and weak, as if he was afraid of the doctor's nonsense.

 In medical treatment, the greatest pain is not being pronounced dead as soon as you enter the hospital, but having hope and then being dashed.

 It's like dying twice, this is the most painful thing.

 “Go get a CT scan for his brother!” Zhang Fan said.

The young doctor was stunned and did not move. The director of the affiliated hospital then added aggravated sentence: "Go, you don't understand what Zhang Yuan said? You take him there in person, don't come back in a hurry. After the examination, you will stay in the CT room." , urging the radiology doctors to get the results quickly!”

 The young doctor left sadly, because he took it seriously, and as a result, he was taken to a CT scan to wait for the report.

 After a while, the results of the CT department came out.

 Zhang Fan was not required to operate the computer. The deputy director next to him did the operation himself and compared the CT scans of the two brothers on the computer.

Without even looking, I saw that my brother’s pancreas was missing a piece, while my brother’s pancreas had an extra piece.

Although it is not a perfect anastomosis, everyone knows that Zhang Fan is right. This is not a tumor and does not require surgical removal. It is just an extra piece of normal pancreatic tissue.

 This time! The people in the department were shocked, really shocked!

The head nurse looked at Zhang Fan, who was calm in front of him, and recalled that when this black boy entered the department, his face was sweaty, as if he had just ran from the construction site.

 She was so disgusted that she made Zhang Fan stand outside the door and waited for more than an hour before letting him enter the department.

But looking at him now, the head nurse was really worried that Zhang Fan would still remember her.

The head nurse looked at Zhang Fan secretly. Really, she didn't look like the poor student she was back then.

 (End of this chapter)