Path of Medicine With a System

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There was a joke in the medical industry in the early years, saying that the gold ophthalmology department, the silver orthopedics department, and the obstetrics and gynecology department that eat and drink. It's not exactly accurate, but it's about the same in general.

However, with the development of science and technology and the rapid improvement of national pharmaceutical and device manufacturers, this talk in the medical field has become a thing of the past. Let me talk about ophthalmology first. The state provides a lot of subsidies in this area. The annual Bright Action costs a lot of money.

The orthopedics department is even worse. Most of the equipment is made in China, and the medical insurance for the orthopedics department directly prevents them from sticking to it. Therefore, the life of orthopedics is not easy. You must be careful in budgeting, otherwise, if the drug ratio exceeds the standard, the fine will be super severe.

Not to mention the obstetrics and gynecology department, I was lucky not to be beaten, and I was exhausted to death. Of course, this is for ordinary doctors, just like ordinary people who gossip.

With the changes in recent years, in fact, it is not these departments that ordinary doctors really make money. On the contrary, some emerging departments are the best.

For example, reproductive centers, male and female specialists, dental, beauty, leisure and high bonuses. It's really hard to say how much it costs a few thousand for a skin augmentation and tens of thousands for a breast augmentation.

In the hospital, only one interventional department has the highest income at present, but even if it is the highest, no one is rushing to do it. This is the case in the city hospital. For example, Ye Jing, who taught Zhang Fan when he transferred to another department, even if she was given 100,000 yuan a month, she would not engage in this intervention.

Because this thing has too much radiation, it is protected, and the radiation is also very strong. Almost all interventional operations are done under X-rays, so the doctors involved in the intervention are almost desperate for their lives.

Orthopedics is actually similar, although it is not as exaggerated as the intervention, but it is similar. After many internal fixation operations are completed, it is necessary to check to see if it has been reset and whether the bones have been aligned. It must be seen under X-ray.

Generally, in this case, the fixed place of the patient needs to be supported. Who will support it? Of course, whoever is sick will be helped, and he will also take a lot of radiation in a day.

protective suit? It's all bullshit, why don't you wear protective clothing after wearing surgical gowns? Who knows.

Xu Xian was extremely unhappy, so don't blame him. When he was a graduate student in Bird Market, there was a teacher who taught him because he ate too much radiation, and then his white blood cells dropped sharply. In the end, he died without retiring. So he was very conflicted.

"Come on, it's all here, just be happy, it's okay, it's good to eat once or twice!" Zhang Fan said with a smile. Zhang Fan didn't have a teacher, so he wasn't afraid. People are like this. If you don't see it with your own eyes, you don't believe your ears at all, regardless of your major or not.

"Trust me!" Xu Xian said helplessly. Although Xu Xian said so, he also admired Zhang Fan. Active C-arm lower reset, not much really.

A Galeazzi fracture is actually a broken bone on the thumb side of the upper wrist. It's that simple, the most convenient and quickest way is to cut open the steel plate, remove the stitches in ten days, remove the plaster in half a month, and remove the steel plate in one or two years. It's that simple and rude.

The damage, of course, was great. Ordinary manipulations are also acceptable, but if it is not under direct vision, this is too difficult. Because the forearm of the human body is the place under the elbow joint, there are two bones in it, the ulna and the radius, the radius is on the thumb side, and the ulna is on the other side. The radius is slightly thicker and the ulna is slightly thinner.

Not to mention other things, you take two chopsticks, break one and wrap it in a towel. Outside the towel, it is difficult to pinch it with your hands, let alone the muscles that are thicker than the towel.

"My Director Zhang, what are you going to do? This position is really hard to fix." Xu Xian was right. This bone is like chopsticks, if it is pinched evenly, it may be deflected when the muscles are pulled, so he is also worried.

"Look at me. I'll teach you a trick." Zhang Fan winked at Xu Xian. If Xu Xian can follow him to do this reset, he has already recognized Xu Xian.

"Sister Xia, anesthetize the brachial plexus. We will reset his manipulation today." Zhang Fan said to Xia Yonghong, the oldest anesthetist in the anesthesia room.

"Okay, take it easy, if you can't do it, you can have surgery." There were a lot of manual resets in Sister Xia's time, so she knew it very well.

"Okay. Xu Xian, put on the protective clothing for you." Zhang Fan said.

"Does it work? Ours is broken at three points, it's all broken like this, and the straps are gone, so let me hold it between my legs." Xu Xianyi said that this protective clothing is also sick.

Hospital protective clothing, TM is just to fool the dead. This is a gift for buying a C-arm, and it has long been worn out. And it's the old-fashioned kind.

One piece is used to protect the thyroid gland, then a large piece on the chest, and another piece is used to protect the male testicles, but the one in the hospital is too broken. It cannot be used directly.

"Come here." Zhang Fan had no choice. What the hospital pursued was large equipment and high technology, but they really didn't care about such small things. I don't know what Ouyang and the director of the equipment department think. Zhang Fan complained a few words in his heart.

Reset, forearm reset is very demanding for doctors. Therefore, now the hospital does not directly reset the forearm, but directly operates. Because this is too difficult.

The human dexterous hands rely on the rotational function of the forearm. If the reset is not appropriate, then there will be problems with the rotation of the arm, and then it will affect the function of the hand. Not to mention writing and working, I can't even unbutton my sister.

It's like putting two pieces of wood together, one is round at both ends, the other is a track, and then the two bones turn around, pulling the muscles and making the hands move accordingly.

If the stick is of different lengths, or angled to block this rotation. Give you a Coke, and you can't even unscrew the lid. Complications such as open reduction are relatively rare, so doctors are almost unwilling to perform manual reduction.

Although Sister Xia is old, her eyes are still quite good, "Young man, you have a really strong body!" Sister Xia said with a smile while looking at the fat man's chubby flesh while administering anesthesia.

"Hehe!" Fatty's smile was uglier than crying at this moment. Lying on the operating bed, he was flustered.

"Okay, let's start." After the anesthesia was finished, Sister Xia packed up the tray and said to Zhang Fan and the others.

"Turn on the power, Xiao Li, go out too, women are too sensitive to radiation." Zhang Fan said to the operating nurse. Xiao Li was the nurse who had a little interest in Zhang Fan back then. This girl held a grudge, and she doesn't talk to Zhang Fan very much until now.

Hearing what Zhang Fan said, the girl subconsciously touched her twin peaks, ran out quickly, and closed the electric door of the operating room.

"Look, I'm useless. If you have as much subcutaneous fat and glands as her, I'll let you out." Xu Xian looked at Zhang Fan innocently, and Zhang Fan said angrily.

"But I'll go..."

"Okay, hurry up, why do you look a bit like the person with the same name as you?"

"Your sister!" Xu Xian hated people comparing him with someone who married a big snake.

"Does it hurt?"

"pain!"

Zhang Fan took his hand and gently twisted the fat man's arm. "Too fat, wait a minute, the anesthetic hasn't taken effect yet."

After a few minutes, "Does it hurt?"

"pain!"

"Stop talking nonsense, I haven't touched you yet. Does it hurt?" Zhang Fan asked after touching it deliberately. At special moments, patients are like this, lying on the operating bed, everyone is the same.

Zhang Fan looked at the fat man's expression, and secretly twisted it hard, but the fat man didn't respond.

"At first, he was a little scared." After speaking, he said to the fat man, "How can such a big man with such a strong body be so timid. Don't worry, it's fine."

"Thank you doctor."

"Come on, let's start." Zhang Fan greeted Xu Xian.

Manipulative reduction requires stretching first, that is, to pull apart the incarcerated bones first. Zhang Fan turned the patient's wrist, and Xu Xian grabbed the patient's elbow.

"Slow down, push hard slowly, use slow strength." Zhang Fan was talking to Xu Xian, and the two of them were like a tug-of-war, their buttocks dropped, their waists bent, and their hands straightened.

"No hit, try harder!" The fat man was so fat that Xu Xian's forearm and both hands were missing.

"Oh my god, it's too much effort." Xu Xian gritted his teeth and said, "Why are your muscles so strong? What are you doing?"

"Bumping spoons! He started flipping spoons when he was a teenager." Fatty saw that it was not an operation for him, so he was relieved. forced surgery.

"Okay, okay, hold on, hold on, this position." Zhang Fan said to Xu Xian after gently pressing the broken forearm with his thumb.

This is really not an easy job. You need to use force in front, from small to strong. When the pulling tends to separate, you must always maintain a constant force.

Muscles are not rubber plugs, so they cannot be pulled violently. The gap between bones must be slowly opened with a force just greater than the force of the muscles. Zhang Fan is a little better, after all, he is a systematic person, and he has been exercising for a long time, and his strength is good.

Xu Xian couldn’t do it anymore. When he was in school, he was frugal in order to find a partner, so he made himself like a wooden stick. After working, he was buying a house and preparing for marriage. He couldn’t bear to eat or drink, so he didn’t gain weight. .

At this time, Xu Xian was sweating all over his head, gritting his teeth and insisting. Just ten minutes or so can make a man sweat profusely. You can imagine how laborious this job is.

"Xiao Li, open the C-arm." Zhang Fan yelled loudly. Orthopedic surgery has an additional observation room than other surgeries, a small house isolated with lead plates. The door is more than ten centimeters thick. Keep it quiet, Xiao Li can't hear you.

This sound almost scared Xu Xian out of his hands.

"Buzz! Buzz! Buzz!" The C-arm was activated, just like thousands of mosquitoes took off. Then on the monitor next to the C-arm, an image appeared.

An image like an X-ray, but in real time. "Pull it, don't let go." After Zhang Fan said a word, he started to reset.

Relying on two thumbs, Zhang Fan started to reset the angled bones bit by bit. The thumb needs to be strong, and the body needs to cooperate with the slow left and right movements, so that the fracture can form a moment.

This movement is too strenuous, the hands must be pulled steadily, the body must move, and the two thumbs must be reset in coordination. Zhang Fan gritted his teeth and persisted.

Too fat, thick fat, and muscles that have been practiced for many years, directly made Zhang Fan and Xu Xian collapse.

After more than forty minutes, Zhang Fan's hands began to shake a little, "Okay, don't move, Xu Xian slow down. Slow down." Through the monitor, Xu Xian also breathed a sigh of relief, and the fracture finally reset.

It is still very dangerous now, because this fracture is like a broken chopstick, a slight movement may cause it to deflect again.

"bandage!"

Xu Xian who let go of his hands quickly brought the bandage. "Bandage. Spiral!"

Finally, the plaster was put on, and the fat man left with great gratitude. The cost: 80 for manual reset, 230 for anesthesia, and 120 for materials. The skills of doctors are the least valuable.

"I can't, I'm too tired, I'm going to sleep for a while." Xu Xian said with his head down. Although Zhang Fan was also a little dizzy, but not to that point, "You don't know how, why go to sleep."

Zhang Fan didn't take it seriously. As a result, the next morning, Zhang Fan was too tired to get out of bed, tired, very tired. After more than 40 minutes of working under the ray, I thought it was a hellokitty if I didn't show off.