Path of Medicine With a System

I don't know about other industries, but as far as the medical field is concerned, what is the difficulty is to formulate a postoperative return visit and expected big data, but the human body is too complicated. Without a large-scale test base, the possibility of figuring out the estimate is too slim. But this matter is too expensive, and there is no substantial economic benefit, so!

Moreover, the payback period in this industry is too long. When you are the youngest and most short of money, you have to suffer. Most industries also need to endure, but the time for this industry is a bit too long. Five years of undergraduate course, three years of transfer, and five years of hospitalization, this is the smoothest. It is not until the attending treatment is considered a bit of a foundation, but during this period of time, a group of people died after suffering.

Then a large number of medical students flooded into the civil service, and some medical students went to work as drug agents and other industries. No matter how much they hate or dislike this industry, when the night is quiet, they will definitely miss him who once wore a white coat!

The sense of accomplishment between life and death is so beautiful! With every rescue, the adrenaline soared like a roller coaster. Snatch a person alive from the hand of death. What kind of feeling is really hearty, and this feeling is addictive.

"Director, get ready for bone grafting." Zhang Fan turned his head and said to Lao Gao after splitting the spinous process. For a small amount of bone defect, osteoblasts will slowly fill up the defect. If it is such a large defect, there is no way to fill it.

"Okay!" Lao Gao placed the automatic retractor. Go to the sterile table next to the equipment nurse and start preparing the allograft bone needed for bone grafting.

For bone grafting, the best bone quality is actually the patient's own bone, but Bart is too small to take it, so allogeneic bone can only be placed.

"Doctor Zhang, let me wipe your blood." Although Zhang Fan's chopping was very precise and gentle, a lot of blood still splashed onto Zhang Fan's face and eyelids.

This kind of surgery is a little bit better. If you do knee replacement surgery, it is called flesh and blood flying together. Generally, when performing knee joint replacement surgery, the operator must wear glasses like windproof glasses. Because it is necessary to cut the thickest femur in the human body, when the cutting machine cuts, bone marrow, blood, and a small amount of soft tissue splash out directly with the cutting machine.

The itinerant nurse dipped in the bromogeramine solution and gently wiped off the blood on Zhang Fan's face, "Okay, Doctor Zhang."

"Hmm!" Zhang Fan didn't even bother to say thank you, this kind of operation damages too much, and he needs to hurry up the operation time.

How exactly is this operation done? It is actually simple, that is, to separate the deformed bone fragments that are connected up and down first.

Then, adjust the position. Then place fixed alloy instruments from the upper and lower bone blocks. Then use this alloy instrument to slowly correct the deformed spine.

"Vertebral root hook." Zhang Fan said to the surgical nurse after cleaning up the bone fragments in the surgical area.

Two hours have passed since the operation was carried out. Now is the time to place titanium alloy instruments, and everything done at this time has to be confirmed three times.

Because at this time, once the device is implanted, there is no way to modify it. If there is a mistake at this time, the operation will fail directly. There is no way to make up for it. The human spine is only such a big place. Once something goes wrong, it is a dream to want to start all over again.

Up and down the spine, several curved spines, began to place corrective devices. What does it mean? In layman's terms, it is quite simple, such as a curved sapling.

To correct it, first drill a hole in a relatively straight place, put in a nut with a hole, this nut is the vertebra root hook, and punch a nut with a hole at the interruption, the lower end, and the bottom of the sapling in turn, or directly The most important thing is to make a hole in the ground.

Then use an iron rod to pass through the hole at the upper end of the nut from the top, insert it all the way to the ground, and then tighten the nut, so that as the sapling grows, the curvature becomes smaller and smaller, and finally becomes straight.

"Director Wang, support me." Zhang Fan took the vertebral hook and placed it on Bart's pedicle.

The vertebral root hook is actually like a screw with a helix, which kind of expansion screw is usually used in peacetime, and then there is a buckle connected to the top of the screw. A snap like a question mark.

The tool for placing this buckle is like a corkscrew for red wine, but this one is not used for pulling out, but for drilling inward. "Doctor Zhang, all right, let's start." After Lao Wang grabbed the stapler, he confirmed it to Zhang Fan.

"Okay, I'm starting." One circle, two circles and three circles, the thickness of the bone is different, and the number of circles is different. This is not wood or brick, and you can't turn it casually. After turning it through, it is the spinal cord.

One lumbar vertebrae, two lumbar vertebrae, three lumbar vertebrae, seven all the way up. One such screw costs thousands of imported ones. Titanium alloy, because this metal is relatively stable, it is not easy to be electrolyzed in the body, and it is not easy to be infected.

Fastening the screws is not a labor-intensive job, but just like this, Zhang Fan's sweat has already soaked through the hand washing clothes. If the surgical gowns are not so thick, the surgical gowns are probably soaked.

The most laborious work came. Orthopedic implant rod, the implant rod is a straight titanium alloy rod. I don't know how hard it is, but this is probably the hardest metal Zhang Fan has ever seen.

Because the spine is inherently curved, now it is necessary to correct the implant rod to a certain curvature, a specific curvature, a curvature that allows the spine to develop towards a normal physiological curvature. Why are there still a few female surgeons, and there are very, very few orthopedic surgeons, because orthopedic surgeries involve a lot of work, not to mention women, men with weaker bodies and weaker strength can't do it.

Orthotics are not fancy things, especially this kind of metal orthotics, which are very simple. They are three fixed circular iron pillars placed in a triangle shape on top of an iron lump.

"Doctor Zhang, let me do the initial orthopedics, and you will do the later fine-tuning. You have had the operation for more than two hours." Xu Xian spoke.

"It's okay. I'll do it!" On the operating table, Zhang Fan was too lonely, let alone Xu Xian at this time, even if it was Lao Gao, Zhang Fan was not at ease.

"Don't worry about it, he won't trust anyone at this time." Old Wang understood Zhang Fan. Doctors are like this, and he can only feel at ease if he does it himself.

Zhang Fan took a titanium alloy rod about ten centimeters long and put it into the orthosis. Xu Xian grasped the orthosis with his hands, while Zhang Fan had a rongeur in his left hand and a rongeur in his right, holding both ends of the titanium alloy.

"Have you caught it yet?" Zhang Fan asked Xu Xian.

"All right."

"Hey!" Following Zhang Fan's muffled sound from his nasal cavity, the titanium alloy rod began to bend visibly to the naked eye, and it was really bent.

This kind of orthopedics is particularly strenuous. First of all, it needs to be corrected to a certain radian. Once the expected radian is not reached for the first time, it will be more laborious to fine-tune it later.

If you use too much force, it will bend too much, if you use too little force, they will not move at all. And the number of orthopedic surgery should not be too many, because the metal has a degree of fatigue, repeated violent orthopedic, although invisible to the naked eye, in fact, the metal is no longer good, after being installed, it will not take long, and it will be broken!

So one-time molding is the best, which requires quite familiarity with force control and understanding of this material. Zhang Fan blushed, and bent the titanium alloy rod in one breath, and the bending was very beautiful, in line with the expected curvature.

Zhang Fan held a somewhat hot titanium alloy rod and gestured on the lumbar spine. Although it felt right to the naked eye, he still had to gesture. At this time, the ones that were directly put on without gestures were all sticks, but if it was really a stick, I guess this operation would not be done.

Zhang Fan was gesturing, Xu Xian was stunned. "This guy is not very strong, why is he so strong? He is really a beast! Such a thick stick can be corrected in place at once. It seems that I will have to go to the gym in the future."

Lao Wang and Lao Gao were no longer surprised. Seeing Xu Xian in a daze, Lao Wang gave a smirk and asked, "Xiao Xu, do you have a date?"

"Oh! With the director."

"Look at Zhang Fan, he doesn't have one, the brat has great firepower!"

"Eh!" Xu Xianhan came down. The operation went smoothly, Lao Wang couldn't help but want to talk, Zhang Fan was so annoying, he almost didn't speak since the operation, it was too hard to bear.

Zhang Fan cast a glance at Old Wang, but said nothing, the old man was very sullen. Today, the head nurse is a little emotional, otherwise it would be annoying for an old man to match a young woman.

"Zhang Fan, see if it suits you." Lao Gao handed the repaired bone to Zhang Fan. Zhang Fan looked at it and said, "It's just right." Usually, Zhang Fan would definitely praise it, but after the operation, Zhang Fan seemed to have changed into a posture that no one should enter.

Zhang Fan took the allograft bone, and then gently shook the screws one by one with his hands. Although he installed it himself, this final inspection must not be missing. If you forget this step, well, the time of torture is after surgery.

It can be as little as a week and as long as a month. It is estimated that you can dream of the screw falling off every day.

"Put on the implant rod and fix it." After Zhang Fan said this, several people straightened their bodies involuntarily, which was considered the most critical step of the operation. Zhang Fan gently inserted the orthopedic implant rod from the first fixing nut until the last nut. The orthopedic surgery was very successful, as if it was tailor-made for Bart.

Then turn the nut driver gently and steadily counterclockwise until the nut feels in place, and then tighten it clockwise to prevent the nut from slipping. Tighten one by one, and finally have to push the implant stick into the top of the hook with extra force.

OK, the implant rod is placed, is this operation done? No, that's half done. If you want to pull the deformed spine over, you must inject such instruments on both sides.

This is like a curved small tree. Pulling on one side can pull the curvature over, but there is also the risk of breaking the small tree. The best thing is to put one on the opposite side as well, to counter the pull.

After installing the screws, Zhang Fan confirmed it again, and then said to Lao Wang, "Come, Director Wang, let's change positions." On the operating table, especially this kind of planar surgery, the first assistant usually stands next to the surgeon. opposite.

Now we have to do the other side, so Zhang Fan has to switch places with Lao Wang. When Lao Wang saw that Zhang Fan had already set the location, he originally wanted to say: Let me do it, but he saw Zhang Fan's wolf-like eyes that didn't recognize his relatives, and he didn't say anything.

Anyway, he is a director, and Zhang Fan refused, isn't he ashamed? So I didn't say much, and started changing places with Zhang Fan.

For the doctor himself, this sterile area is actually stipulated as follows: below the neck, above the surgical gown strap is the sterile area, and the hands to the shoulders are sterile. Once you have surgery, no matter whether you are polluted or not, the rest of the place is considered a polluted area.

What is a surgical gown? In fact, it is made of a very thick fabric into the shape of a raincoat. When worn, it is reversed from the raincoat, that is, the button side of the raincoat is on the doctor's back. However, there are no buttons on the surgical gown, and they are all fixed with cloth straps.

In general surgery, it is best not to move around. If it is necessary to change positions, it is not a random change. When two people meet, they must change positions back to back. Novice doctors are often scolded by the nurses in the operating room for violating aseptic procedures.

Once the position is fixed, the fixation on this side is relatively faster. Repeating the above steps, the operation was finally fixed after four hours. Zhang Fan looked at the spine fixed by the titanium alloy, and smiled lightly.

Because he seems to have seen Bart grow up. Strong as a mountain, with a straight back!

"Rinse!" Xu Xian took over Lao Wang's position and helped Zhang Fan rinse. With the experience of last time, Xu Xian no longer asked for sutures.

No need, I was thinking of replacing him, but this guy was so afraid that he would take credit for it, he wouldn't even let him suture, stingy! Xu Xian glanced at Zhang Fan and slandered in his stomach.

Outside the operating room, Bart's mother and grandma read silently, hoping that Bart's father kept walking in the corridor. Check the time on your phone from time to time.

This mood, especially for parents. Really, not the usual anxiety. For a while, they are looking forward to the success of the operation and the child can bounce out, and for a while, they are worried about the failure of the operation, what should they do. Their hearts seemed to be shrunk together, and they didn't dare to take a big breath. I am afraid that it will affect the doctors who perform operations in the operating room.

"Bart's family!" The head nurse is much better now. After the operation is completed, the family members must be informed. This is usually the job of the nurse, but today she rushes to do it.

"I am! I am!" Bart's father rushed over with big strides.

"I'm Bart's mother! Doctor, I'm his mother." Bart's mother, who had been sitting on the stool for a long time, staggered over.

"Bart's operation is done, and the operation was successful. He will be sent to the ICU. You can visit him at the specified time tomorrow morning." After speaking, he added: "Don't worry! It's fine."

Just such a sentence made the hearts of Bart's parents hang in the air fall to the ground. "Thank you! Thank you! Doctor, thank you!"

"I'm a nurse, you're welcome, please keep your voice down, there are other people in surgery. Okay, let's go." The nurse entered the operating room. He returned to the operating room lightly.

"Bart's surgery is over. Let's go back." The old grandmother with back ears dropped the rosary in her hand, looked at Bart's parents with trembling toothless lips, and Bart's mother supported her mother-in-law and said said a word.

"It's over? What about Bart, why didn't he come out? Don't lie to me! Where's my grandson?" The old lady watched the nurse come out and go in again, and now the wife said the same thing.

The anxious old lady shed turbid tears, clutching Bart's mother desperately for her grandson.

"Mom, I really don't lie to you!"

The genius remembers the address of this site in one second:. Mobile version reading URL: