Chapter 1725 is a bit scary

   "Aren't you talking about experts? What?" Ordinary people even dared to challenge the government, but they would never have disputes with doctors in the hospital.

   However, the husband of this pregnant woman is not an ordinary person. Although he is a junior section chief, he has a bigger temper than the chief of their bureau. After seeing Zhang Fan, he looked at the chief of the central hospital with dissatisfaction.

The director of the    Central Hospital said awkwardly: "This is a book from our Frontier Health Court."

   "Oh, but my daughter-in-law wants a specialist in obstetrics and gynecology now. Why are you calling books and delaying the work of books."

   When he heard Zhang Fan's book, and he was still so young, he made a side-by-side comparison and felt that his father might not be as high as the book's father, and his voice became much smoother from a higher octave.

Zhang Fan glanced at the other party, wearing a very foreign style, fluffy half-length hairstyle, especially with a moustache on his lower lip and a stubble chin, like a hedgehog hanging on it, I don't know if it's for good looks, or For ease of use. A plaid shirt, khaki canvas trousers, and combat boots.

   It is more reliable to say that he is an adventurer than to say that he is a civil servant.

   "Because I am a pregnant woman, and the diagnosis is suspected to be acute appendicitis. In fact, this situation is already a general problem. If you have any objection to me, you can directly say that the patient's family has the right to choose a doctor."

   "No no no, that is, that is, this, there are so many people, I am not in a good mood for pregnant women..."

  A tuft of hair is strong when it is weak, weak when strong, the other party is younger than you, the official position is bigger than yourself, and immediately becomes very reasonable.

"Okay, we are professional. If you have nothing to do, you can go out first, and don't interfere with our normal work." After speaking, he turned to the director of the Central Hospital and said, "The Central Hospital used to be the pacesetter of the Frontier Hospital. Now Why are there no rules for the patient's family members, pregnant women are prone to allergies, you look at the flower baskets that are placed in a circle, is this a flower shop that sells flowers?"

The director of the    Central Hospital knew that although Zhang Fan was talking about himself, he was actually referring to Sang scolding Huai.

   "Sometimes, in special circumstances, we can only..."

"What is a special situation? These are all excuses. Don't think that you have a high position and understand everything. In the medical field, you are the experts. A group of experts listens to the orders of a few outsiders. Are you idiots or the idiots who gave orders? , I warned you once today, I don't want to say it earlier, I will rectify it today, and if I can't make it right, I will give up my position."

   Several people who Zhang Fan said were sweating.

   Especially the husband of the pregnant woman, and the director of the central hospital only now realized what official prestige is.

   "Why, you haven't gone out yet? If you don't go out, I'll go out."

   "Don't, don't, don't, I'm leaving now, I'm leaving now!"

  The pregnant woman's husband gritted his teeth and hurriedly went out the door, and after going out, he closed the door gently, for fear of offending this lord.

   "Brother, will it be convenient for you, I'll ask someone."

   After this one went out, he was a little unwilling. When he came to the hospital, he was kicked out by others. If he didn't give himself face, he had to give face to his old man.

   When I was interviewing, the examiner politely asked only one question, "Is your father in good health?"

   But today, although I was very humble when I came out, I was still quite unhappy in my heart.

   There is a rat's way, this phone call is also a second generation, younger than him, but his father is not as strong as his father, so he is a brother!

   "Who messed with you, I'm angry when I hear your tone. I'll mess with him. If it doesn't work, let your father mess with him."

   "I've done it, I just feel **** off. Didn't I just return to the frontier? I'm not familiar with people, so I know a few of you."

   "Who, how did you do it."

   "Zhang Fan, today I'm seeing my daughter-in-law, and the teeth are not teeth when I enter the door. If someone hadn't pulled it, I would have let him know why the flowers are so red today!"

   "Zhang Fan of Chasu? Did you beat him?"

   "You'll be honest with a slap in the face."

   "My Nima, you are awesome, you are my brother, alright, hurry up and find your father, don't say you know me!" Then he hung up the phone.

The man hung up the phone neatly. After hanging up, he touched his forehead. A few people around him asked, "What's wrong with Zhang Fan? You messed with him, my buddy advised you to be patient, you know. No, the first person to see the frontier boss on the first day of the new year is Zhang Fan from Chasu."

"Fuck, do you think I'm stupid? I don't know yet, I don't even go to Chasu now, I'm afraid that there will be a long and two shortcoming, which will affect my father. It's Yan San, Yan San said he flashed Zhang Fan. A slap in the face. Let's stop messing around here, go home quickly, and find each other's mother, I guess the position of Yan San Laozi is loose. "

After    finished speaking, several people dispersed. After a while, the phone number of the director of the central hospital became red like the barrel of a machine gun.

   "Nothing!"

   "Nothing!" The director of the central hospital kept explaining.

   And the pregnant husband, listening to the busy tone on the phone, muttered in his heart:

"I'm going, what kind of person is this? I don't dare to mess with the so-called frontier king, or I have a brain." After hanging up the phone, the pregnant woman's husband didn't dare to call his father, and he hesitated for a long time. , I felt it was wrong, and then called my mother and asked her to come to the hospital to see her daughter-in-law.

   He went straight out and ran to Vientiane Exchange, "A Rolex worth 400,000 yuan! Want to make an appointment? Do you want to buy a watch bound to another brand?"

   This guy has an expression of wanting to eat people. What he thought in his heart was that it would be fine for Nima Zhang Fan to bully me. After all, he is also a pavilion, and Nima who sells watches dares to bully me.

After   , he called the boss of Frontier Mixc.

   bought the watch, tore off the label, threw the box, and then ran to the hospital.

In the obstetrics and gynecology department of the    Central Hospital, Zhang Fan held a discussion on the condition of the two departments of general obstetrics and gynecology.

   "The patient's white blood cells were significantly increased, and the McBurby's point tenderness was obvious. Because the patient is a pregnant woman, only the abdominal color Doppler ultrasound examination showed obvious enlargement of organs in the appendix area. Combined with the patient's abdominal tenderness, if it is not treated in time, there is a risk of perforation."

   The attending doctor reported his condition, and Zhang Fan listened to the other party's report while doing a physical examination.

   "What is your treatment plan?"

   "At present, the patient has obvious pain and must be treated with surgery, but the operation is life-threatening to the pregnant woman. It is recommended to stop the pregnancy before surgery."

   "What about the family's opinion?" Zhang Fan didn't say anything, but instead asked the family's opinion.

   "The opinion of the patient's family is to try not to stop the pregnancy."

   Zhang Fan nodded.

  Where exactly is appendicitis? In layman's terms, it is the junction of the small intestine and the large intestine, and there is a blind passage like a bud.

   In herbivores, this is the intestine, and in humans it is a strip of meat that is slightly thinner and longer than a child's bud.

  In the early days, the appendix was operated by laparotomy, and later by laparoscopy. Now, a professor from the No. 1 University of Nanhe Universe has come up with anorectal surgery.

  Laparoscopy is relatively simple. First, a hole is made in the stomach, and then a large amount of nitrogen dioxide is blown up like a balloon. Two more holes are made, the lens is inserted, and the appendix is ​​cut.

   Abdominal appendectomy is also one of the basic operations of laparoscopy.

   The biggest advantage of anorectal surgery is to preserve the appendix and eliminate inflammation.

   But this technique has obvious limitations.

   For example, it is possible to use this kind of surgery for bezoar blockage. It is a bit obvious, there is no medical incision, and no anesthesia is required.

   But to be honest, this thing is very uncomfortable. People who have done colonoscopy know it, but people who haven't done it can't describe it. It's like a person's hand is stuffed into your intestines.

   If you are an ordinary person, this kind of operation is a little uncomfortable, and the benefits are obvious, but pregnant women can’t. Once it enters the anus, the appendix is ​​estimated to have not arrived, and the child will have to be tossed out.

Laparoscopic surgery also has a big drawback, that is, pregnant women will have a hypoxic state after anesthesia. This state is nothing for ordinary people, but this anesthesia may cause oxygen deficiency to the fetus, which may lead to Brain Injury.

   So now we are in a dilemma. The reason for this is not only the problem of the patient and the patient's family, but also the problem of the hospital. In order not to take responsibility, the hospital did not give definite guidance to the patient in the first trimester. It is also a very important reason.

   After listening to the report, Zhang Fan closed his eyes gently after checking his body.

  Everyone looked at Zhang Fan, what should we do now? Is it really necessary to stop pregnancy?

   "Prepare for surgery, I will talk to the patient and family members."

   After that, the doctors in the ward breathed a sigh of relief. Now that Zhang Fan is willing to talk, the responsibility is on Zhang Fan, and the pressure is on Zhang Fan.

  Whether the pregnancy is stopped or not, they have no pressure, there is a tall one on top anyway.

   "It's not a big problem, it's a minor operation, don't worry." After reassuring the patient, Zhang Fan called the patient's family to the office.

   "If you want a child, you must have surgery now as soon as possible."

   "Zhang Tingchang, is it through the intestines? I heard that this surgical technique is difficult..." The pregnant woman's mother-in-law seemed to have done her homework.

  Zhang Fan shook his head, "This surgical method is not suitable for patients, it will cause premature birth of the fetus..."

   In the operating room, Zhang Fan has already brushed his hands and dressed and is ready.

   "10ml lidocaine diluted to 20ml, ready for syringe."

   After saying this, the anesthesiologist was stunned, "Yuan Zhang, do you want local anesthesia?"

   "For local anesthesia!"

   "Appendix local anesthesia?"

"right!"

   "Isn't it a bit adventurous?"

"Won't!"

   Zhang Fan shook his head.

   For a time, the doctors and nurses in the operating room were all stupid. They had seen appendix surgery, but they had never seen an appendix surgery under local anesthesia. It was even more unexpected that Zhang Yuan would perform an appendix surgery under local anesthesia for pregnant women.

  The operating room was silent, and no one even spoke. This kind of thing, for them, is a little bit about medical ethics.

   (end of this chapter)