Path of Medicine With a System

Chapter 99: Please remain vulnerable

Chapter 99

In the dermatology department of the city hospital, a middle-aged woman is moaning. The sore head was sweaty, and it could be seen that she was fighting the pain. A male holding her hand silently, it should be a couple. From a dress perspective, economic conditions are not very good. The legs of men's trousers are all hairy, and their feelings should be very good. The pain of the woman is on the body, and the expression of the pain of the man on the heart can be seen at a glance.

After Zhang Fan arrived at the department, Gulinaza was calling the operating room by phone, and his MiG introduced the situation to Zhang Fan. The patient's two foreigners opened a small restaurant in Chasu City, got up at four in the morning, and went to bed at eleven in the evening. The result was too tired, and the woman accidentally overturned the boiling water on her feet.

When I was in a hurry, I took off my shoes and socks, and my skin was peeled off. This was not enough. They applied soy sauce again, and the wounds were badly damaged. The most tragic thing is that medical insurance is not available here. They are from abroad. It is unknown whether they will be reimbursed in the future. The current situation is that skin grafting is necessary and the cost of the operation is not small. The patient himself asked for conservative treatment, and his family members resolutely requested surgery. One distressed money and one distressed person.

Zhang Fan checked his injury in the past. His right foot was burned by 1/3, but the depth was okay. He took off his socks too fast, and there were several spot-shaped wounds. They were deep and were torn off.

Speaking of burns, I would like to say a few words. After a general burn, please do not immediately take off the clothing on the burned area. The skin has adhered to the clothing. Once you take it off, you cause a second injury. This second injury More serious than the first injury.

The general treatment method is to flush a lot of cold water and tap water, and let the tap water take away the heat from the burned part to prevent further injury. Don't apply soy sauce or toothpaste. This is useless and easy to cause infection! infection! infection!

"Skin grafting must be done as soon as possible. After half an hour, he will enter the operating room. His doctor and Dr. Zhang will first prepare a conversation and sign it." Director Gulinaza said to his family and Zhang Fan after making a phone call.

"Okay!" Zhang Fan answered.

"I'm going to find money now, how much is left?" The patient's husband asked.

"Prepare fifteen thousand. You paid five thousand."

"Doctor, can't do without surgery, it's too expensive." The patient said painfully, painfully.

"Be assured that nothing will happen. You don't have to worry about money. As long as you can recover, we can still make money. The doctor is troublesome. I will call to collect money now."

"If you don't make money, you can make eight or nine thousand first, and do the surgery first. Then you can make it slowly later." Gulina is tall and fat, but she has an extremely soft heart, although many The second time emphasized that the doctors in the department obeyed the rules and regulations, but she often took the lead in violating the rules, which is really valuable. How much I hope that there are more such doctors, although it is a little harder.

Half an hour later, the patient's husband ran in with sweat, holding the bill of payment, "Doctor, 10,000, I can do surgery, I can do surgery!" Anxious with excitement.

More than ten thousand? Not many, some people do n’t have enough meals, but for families struggling on the poverty line, it ’s not a small number. Many people do n’t realize this distress. They ca n’t help but look at their loved ones. Or I struggle in pain.

"Get your doctor's advice, use penicillin for antibiotics, give glucose, saline and vitamin 6, don't use other medicines!" Gulin Nazha told Zhang Fan. Basically, this is the cheapest medicine. Many top three hospitals will not use penicillin. For various reasons, six cents of antibiotics have been injected into the body of this burned patient.

The operating room was disinfected after anesthesia, and the soy sauce applied after scald had penetrated into the muscle layer without skin protection. "Ah! Dr. Zhang must be careful, and must be disinfected thoroughly, or the skin graft will fail if the infection occurs later."

"Okay!" Zhang Fan answered.

After eating Shao Hua, walking alone on the street. I did n’t know much about the profession of doctor before. After Zhang Fan got involved in her life, she started to have a bit of insight. Zhang Fan's vomiting, nausea case that can talk about vomiting, went to the county for surgery and dinner in the middle of the night. Halfway, I didn't finish talking, and I just ran away with chopsticks. It's really not easy.

Select the skin first after the operation. The skin on the inside of the thigh on the opposite side of the normal leg is rich in blood flow, the thickness of the skin is sufficient, and the ductility is good, which is especially suitable for skin grafting.

Many people haven't seen the skin grafting knife, and gently push the two ends with one card to completely remove the skin. The scald of this area is best to use the whole skin grafting method, and the survival rate of point skin grafting is not high. What is point skin grafting is to cut the skin into small pieces and put them on the wound.

Zhang Fan's hands are very sharp, and his MiG as an old dermatologist is not Zhang Fan's opponent. Zhang Fan, who was originally the second assistant, slowly became a first aid. He cooperated more comfortably than his MiG.

"Doctor Zhang, when will the department be decided?" Gulinaza asked halfway after the operation. This was the first time she and Zhang Fan had surgery, and she was very satisfied with the effort under Zhang Fan's hands. Skilled and standard operation, it is estimated that this skin grafting operation is not done.

"I don't know, hey! There are more departments to be transferred."

"Otherwise, I told the dean that you can just leave us in the department. We are all elderly people. I haven't joined the young people in the past few years. After you come, we will retire in a few years and you will be the director . "

"Hehe. Director Zhang will be waiting for you in the future." Qi Mige said heartlessly, his tone was not jealous, but ridiculous, the atmosphere of this department was really good.

Zhang Fan gritted his teeth that day to conduct a physical examination, and still maintained a kind heart to the patient, making Gulinaza particularly happy with Zhang Fan. Attitude and mentality are ultimately required. Technology can be cultivated the day after tomorrow, but attitudes and mentality are really difficult to change.

"Hehe." Zhang Fan smiled smirkly and said nothing. The dermatology was too small to meet his requirements. The director spoke and couldn't refuse directly. It would be bad to deceive people.

The operation was very successful, but this operation is only the first step of treatment. Later dressing changes and nursing are very important. If you don't pay attention to skin graft infection, you may have failed. Diet is also important, and protein loss after burns is also severe.

The sick man outside the operating room has been nailed to the door of the operation and has n’t sat for a while. He has been standing there for a few hours of surgery. The couple came here a long distance, suffering and suffering. Seeing the conditions are slow. Slowly getting better, life has expectations. As a result, his own woman suffered so much.

He felt anxious to replace it. The more he thought about it, the more annoyed he would be. Is it tiring to work for more than ten hours a day? It is useless to regret it now. I hope that the doctor inside can do her surgery carefully. He was praying, praying to the gods and gods in the sky, how helpless he is now, he can only pray.

After the operation, his MiG specifically explained to his family some precautions. When the patient's husband shook his hands and took out a red envelope, Zhang Fan burst into tears. How similar it was. When his father was hospitalized, the mother might also be This is it.

Fragile? Do not! I hope Zhang Fan can keep this fragile forever!

Ha ha!

Tickets too!

No?

knife!

Afraid?

(End of this chapter)

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