Medical road

If the orthopedic surgery is compared to the loud gongs and drums, then general surgery is a big fanfare.

In short, these operations require more people to participate and more surgical items to be prepared.

If it encounters a more difficult and more technically demanding operation, in a regional hospital, the whole hospital is directly cooperating.

Therefore, the directors of hospitals, especially the directors of tertiary hospitals, often come from these two departments.

Because the concept they left to patients or leaders is that Doctor xx is performing an operation!And it was a major operation, and the blood transfusion was almost several kilograms!

People always feel that this is surgery, and the doctor who performs this kind of surgery is an expert.

But outside the brain is different.Before the operation, I didn't dare to publicize it, just like a mouse marrying a daughter, quietly.

There are too many surgical accidents outside the brain, just like a fisherman fishing. He would rather give you a pig before going to sea than a fish because there are too many uncertain factors.

Don't dare to publicize before surgery, even less dared to publicize after surgery, surgery outside the brain will have some sequelae.

According to ordinary people's understanding, shouldn't surgery be a complete cure for the disease?As a result, after the operation, people's mouth is crooked and walking is lame. Do you still have a face to promote?

Therefore, surgery outside the brain does not have the same immediate effect as orthopedics or general surgery, so it is not well understood by ordinary people.

Of course, the relatively black-tech head-changing technique is noisy, no matter what the postoperative effect is, just one ethics can't be passed.If this surgery is really allowed to enter the clinic in the future, it will bring a certain degree of social danger, no one can say, an organ transplant...

Zhang Fan and Xue Xiaoqiao entered the operating room, and the girl with rosacea had been sent to the operating room.

The girl was not a few years younger than Zhang Fan. When she was sent to the operating room, she saw the doctors and nurses around her, fully armed and indifferent, each busy with their own affairs.

The girl became scared involuntarily.Although there is no tremor, but the heart is hanging.

What kind of state is this? It's very simple.For example, the first time you made a plane, you encountered bumps.

Ordinary people will definitely be nervous, and their hearts will be in their throats, which is the feeling that life cannot be controlled by themselves.

When lying on the operating table, in fact, this kind of life can't be controlled by oneself feels very clear, and it really makes people panic to death.

When I meet the busy and indifferent doctors and nurses in the operating room, this feeling of anxiety will become even stronger.

This is why in recent years we have been vigorously advocating care for patients before surgery. In fact, these are all castles in the air, with dozens of operations a day, not acquaintances. Who has the skill to say a few heart-warming words to patients?

When the girl saw Zhang Fan entering the operating room, she immediately looked at Zhang Fan with an imploring look as if a lost child suddenly saw the neighbor's uncle.

"It's okay, the operation will be quick, and you will be well after you sleep." Zhang Fan couldn't bear to look at the other person in panic.

The girl's worried look was too uncomfortable.The normal side had an inexplicable flattering smile, while the other half's face was like dead wood. Under the shadowless light of the operation, the white dust on his face was exceptionally clear.Just like a snake shed its skin.

"Doctor Zhang, trouble you!" The girl finally said a word when she was lying down before the operation.

"Hmm! Don't worry." Zhang Fan nodded.

Anesthesia, general anesthesia is more dangerous, but to be honest, this anesthesia is the most humane method of anesthesia for patients.

For example, some non-general anesthesia operations such as spinal anesthesia are very scary.

Because the spinal cord is anesthetized through the lumbar, the patient is required to perform some positions before anesthesia.

The simplest is to tuck your knees and bend, circle them like a big shrimp, and expose the waist to the doctor.Then, listening to the anaesthetist shouting loudly: Is it numb?Say!Nothing here!Is it hot?

Really, sometimes, when lying on the operating table, the patient feels like a pig and sheep to be slaughtered.

Sometimes, the tone, the real tone, please be a little gentler, really, no matter how tired you are, no matter how numb you are, after all, they are all the same kind!

General anesthesia is very simple. In the beginning, there is no need for intravenous injection and it is not painful at all.

The anesthesiologist is Xiao Guo. After all, Zhang Fan is the leader of the hospital. As long as Zhang Fan wants to undergo an operation, the anesthesiology department will either be the director of anesthesia or send the best anesthesiologist to assist. This is an unwritten rule.

"Come on, take a breath of oxygen!" Xiao Guo said softly.

Sometimes, regardless of male or female, it is strange that most male doctors are more polite when they encounter the opposite sex, while most female doctors are more polite when they encounter the same sex.

If the male doctor is barking, then perhaps the tone is more polite.

This is Freud's subconsciousness, this guy, to be honest, many theories are mysterious and mysterious, as if they are nonsense.

However, his old man's definition of sex and desire is really very classic.

The anesthetic medicine was atomized, just like the breathing mask that everyone sees on weekdays, when it was placed on the girl's face, the girl fell asleep in an instant.

"Zhang Yuan, the anesthesia is good!" Xiao Guo did not dare to look at Zhang Fan, he was still hesitating, so he was a little embarrassed to face Zhang Fan.

The operation began, disinfection, and equipment were brought in. The director outside the brain was now completely willing to do the mess. After all, what he did outside the brain was the stability and proficiency of a hand.

He also knows that the ceiling of his surgical technique wants to be improved. It is estimated that there is not much hope. Time will not deceive people, so he also wants to see where Xue Xiaoqiao and Zhang Yuan can go under his hand.

After cutting it open, the sharp blade cut across the stiff skin, like cutting straw paper, without any sense of layering at all.

When cutting normal skin with a knife, an experienced doctor can feel it under the hands.

For the first time, the dermis layer is like a slightly chewy pork head meat that is cut and stewed. It is a little resistant, and there is a sense of tearing in the elastic pull.

When the second layer enters the muscles, it is like cutting the skin and jelly, with a hint of toughness in the soft.

And the girl's face, with a stab, was like inserting the sole of a temperate leather shoe, resisting it, but there is no sense of hierarchy, and the whole layer feels the same as a piece of straw paper, without any lubrication.

"Very dry!" Zhang Fan said nonchalantly.

However, both Xue Xiaoqiao and Lao Li outside their heads understood Zhang Fan's meaning, and of course some Wangwangwang would have to brainstorm.

"There is a problem with the nerves, and the blood supply to the face is also estimated to be a problem." Lao Li said while using gauze to soak the overflowing blood drops, while following Zhang Fan's words.

Almost all human nerves are accompanied by blood supply.The two seem to have nothing to do with each other, you walk your way, I walk my bridge.

In fact, it is not. The nerves are nourished by the fluid from the blood vessels, and the nerves also secrete substances to affect the blood vessels.

If there is a problem with the accompanying nerve, then after a long period of time, various problems will definitely slowly appear with the blood vessel that it is holding hands, and vice versa.

Therefore, when Zhang Fan knifed the girl's face, he felt very bad.

Facial surgery is very particular, face-saving, the most direct, first of all, the doctors of facial surgery will try to avoid leaving scars as much as possible, even if they want to leave scars, they will choose hidden places.

For example, behind the ear, the chin groove.

Zhang Fan took the knife and separated a little bit. The stiff skin and muscles were quite troublesome to separate.

To make a simple analogy, it is like a person who wears clothes normally, no matter how thick she or he wears, whether he is wearing a few thick down jackets or a large sweater, when you meet a master, you can solve it with one hand. It won't make the clothes wrinkle.

And this kind of stiff organization is like a heavy rain that soaks the whole body, and then the clothes are layered on top of each other, and then it is difficult to take it off in layers.

Zhang Fan dissected it bit by bit. After the stiff tissue opened the skin, the color inside was not as beautiful as the normal tissue.

Normal organization, as long as it is opened in layers, layer by layer, layer by layer, layer by layer, layer by layer, layer by layer, different color.

White fascia.Pink and trembling muscles, like...

And this patient's face, after Zhang Fan opened it, gave him the feeling of old pimps.

It was like opening the fitting room suddenly and saw an aunt with dark red lipstick, heavy makeup and smoking changing clothes. The aunt was not nervous at all, or would she ask curiously, change together?

This patient’s facial muscles felt this way, and Zhang Fan’s surgical forceps did not have the ease and smoothness of the past, which was very awkward.

Zhang Fan felt awkward, but Xue Xiaoqiao and Lao Li felt different.

"Master, really a master!" Xue Xiaoqiao watched Zhang Fan's operation, his envious drool came out.

I saw Zhang Fan’s knife in the original rigid organization, just like Zhao Zilong, smashing in and out, without a trace of muddy water, a piece of knife passed away, and the original adhesion organization was like a thousand-page tofu, slowly being The piping hot water made flowers bloom.

Looking at Zhang Fan’s operation, Lao Li sighed incessantly, “I’ve made too fast progress, maybe this is talent!” Last year, when Zhang Fan had surgery, he didn’t have such a swaying feeling. But now, Like a master, there is no way to win, and there is no sense of stickiness!

Untying is like untying the clothes on the face, although it is difficult, Zhang Fan is still very serious and unbuttons the clothes on the girl's face very carefully.

Surgery, especially this kind of surgery related to appearance, in the initial stage, patients may not care about facial scars very much, but when the disease slowly heals, the scars will become a pain in the patient's heart forever.

Therefore, when the blade is inserted into the skin, the doctor has no turning back. Even the gods cannot return the opened skin to its original state. Therefore, when customizing the surgical plan, various reasons must be considered, even if it is cumbersome. For one thing, it is nothing compared to the life of the patient.

Opening the stiff skin, I finally saw the nerves.The nerve, after microscopic enlargement, is like segmental, but it is still not intuitive, and it is difficult for laymen to describe it in words.

In fact, to make it simpler, when everyone was a child, especially when they grew up in the countryside, they probably had a wonderful summer.

In summer evenings, especially midsummer evenings, frogs and toads mate and lay eggs in the neighing sound.

Then, the female frog carried the male frog around to lay eggs.And this egg is actually very similar to human nerves.

When the nerve comes out from the brain or spinal cord, it really looks like these frog eggs.

The naughty boy, perhaps he had taken a closer look when he picked it up with a stick.

The frog eggs are sticky, like long transparent vermicelli with a drunkard's saliva. There are regular black spots in these transparent vermicelli, and there is a black spot in one section.

If you turn this black spot into white or slightly beige, then this thing is really no different from the enlarged nerve.

The purpose of Zhang Fan's current operation is to remove the staged black matter from the long transparent vermicelli without destroying the vermicelli as a whole.

If this vermicelli is placed on the panel, maybe some housewives with a better knife skills can do this for you.

However, if you reduce this vermicelli by several tens of times, and then bury it in an unboiled and intact pig's head, let her do it without destroying the pig's head, it is estimated that she will break your face.

This is Zhang Fan's difficulty. First of all, the skin incision should be as small as possible, and it is a long-distance battle.

Just like opening the incision below the back of the ear, first use surgical forceps to slowly punch a channel separated between the skin and the muscle, and then extend and then extend.

The long pliers are as if directly inserted into the body, penetrate into the affected area and then turn into the muscle layer. Therefore, this operation is difficult and awkward.

To be honest, among all the operations, the most comfortable operation is nothing more than orthopedics and dentistry.

Especially in orthopaedics, it’s not an exaggeration to use electric drills and hammers if it doesn’t work, and sometimes, orthopedic surgeons can sit in high chairs for surgery just like in a cafe, that is, they don’t have a cup of coffee.

The surgery outside of God is different.There are so many positions that the patient cannot cooperate.

Especially for patients under general anesthesia, if they have some special positions and the operation has not been completed, the patient hangs up. What happens?asphyxia!

Especially with the fairy water that came in from abroad in recent years, the girl snored and went into a lethargic state when she drank it, because this thing is actually an anesthetic.

I won’t talk about other things. If one is not careful, where the other party’s roll is thrown away, it doesn’t matter whether the phone is lost or not. The important thing may be lost. Therefore, you must be cautious about the drinks of strangers. If you don't drink that sip, no one will laugh at you!

There is no way to manipulate the patient's position, so only the doctor will cooperate.

Zhang Fan and Xue Xiaoqiao are two people, slightly arching their waists, and both of them are wearing microscopes. If they change places, it is really like two wretched men peeping at the door.

It's funny, but in fact, the sorrow and sorrow in it, really, who knows who does it.

Xiao Xue finally took down his girlfriend by leaning on a toothpick, so he was a little bit unaware of it when he was young.

After ten minutes, half an hour, Xiao Xue's waist was a little bit unbearable. He was in a position forever, and his waist muscles began to protest, "Fool! I'm sore, change soon!"

I really couldn't hold on, and wanted to adjust it secretly, and when he changed the position slightly, Zhang Fan became unhappy.

"Don't move! That's it. I'm going to enter soon!"

Xue Xiaoqiao gritted his teeth, tears almost coming down.