Path of Medicine With a System

Chapter 47 The Mouth Is Too Small

When the strength is not enough, let alone people, even the country is very sensitive.

For example, the current Shanbaitou in Huaguo in the early years is very similar to the group of doctors in the operating room. They can only listen to the good ones and not the bad ones.

But now Huaguo is much better. If you like to talk or not, at worst I will send a few articulate people to scold you. After scolding me, I will do whatever I want. Anyway, there will be a lot of meat.

So everything, whether it is a person or a country, when the strength is not enough, you must think about how to fight for it.

When the director of the pancreas department asked about the staffing, the eyes of the doctors lit up.

Chen Hao was worried. Although he had made a lot of sacrifices and preparations, he knew that he was nothing in front of the boss. He was now counting on the paper he worked out all night to be useful.

He didn't even think about mocking his opponent, nor did he think about flirting with his opponent. His philosophy was to keep the meat in it and not face it.

And Chen Hao's opponent is a bit inferior to Chen Hao technically, and he is usually very nervous, but today, he feels that he is very sure and just wait, so when the director of the pancreatology department asked, he straightened up, His eyes squinted at Chen Hao.

"Master, yesterday's surgery team was very good, after all, it is a big hospital, so the cooperation is so tacit.

Today you want to stand up for me again, I think I will trouble Director Li and Dr. Chen again! "

Hearing this, the old man thought for a while, then smiled and said to the director of the pancreatology department: "You are the director, so you can figure it out!"

"Hehe, then listen to Zhang Yuan, I will go with Chen Hao today. Everyone else prepare!"

After saying a few words, Chen Hao pinched his thigh hard, "You can't laugh, you must not laugh!"

And Chen Hao's opponent seemed to be on the podium, with his head sticking out. As a result, the award presenter hung the medal around someone else's neck.

"How could this be, how could this be, it was agreed that I will go up, I can cooperate, and I can persist, why don't you bother me!

You, you will definitely..." He looked at Chen Hao, furious, but the rationality of his brain still prevented him from saying anything.

He didn't dare to question Zhang Fan, he didn't dare to question the director, and he didn't dare to question Mr. Wu, but for Chen Hao, he really gritted his teeth.

"Chen Hao, wash your hands and get ready for surgery!" The director of the pancreas department said to Chen Hao, and then washed his hands with Zhang Fan.

Chen Hao's opponent had a lawsuit all over his head. He felt that Chen Hao gave a gift, but he didn't expect Chen Hao's private efforts.

...

Washing hands and putting on the surgical gown, Zhang Fan's surgical gown was originally tied by a nurse with the last tie, but the old man stood behind Zhang Fan, "Let me do it!"

Then, gently tied Zhang Fan's belt around his waist, not loose or tight, and then gently pushed Zhang Fan's back, "Go!"

This is definitely not what the elderly parents say to their children who have worked far away after tidying up their collars: "If you can't do it outside, come back. Home will always be your backer."

The old man's meaning is obvious, "Go, I have everything!" It's so awesome, it's so domineering, because the old man has the qualifications.

Zhang Fan, who struggled in the low-level life in the early years, was trained by the society to have a strong heart,

Not vulnerable, not proud, and responsible.

With the system, he has no pride, and this alone makes his path smoother.

He is not arrogant and has high skills. To be honest, the sky is protecting him. When the road is blocked by heavy snow and Batu's nephew is about to die in the hospital, Zhang Fan stands up.

After entering the city hospital, he didn't despise everything with technology, respect what should be respected, and obey what should be observed. This switch brings about maintenance in all aspects.

After following the master and seeing the uncle, he treated him with heart and heart, and Zhang Fan earned it through his own efforts.

The old man put on Zhang Fan's surgical gown himself, and everyone in the operating room was surprised. Be good, Mr. Wu put on Zhang Fan's surgical gown himself, oh my god! Who can believe it, who dares to think about it.

The director of the pancreas department was jealous to death, which also represented a kind of recognition and a kind of inheritance.

"Uncle

, here we go. "Zhang Fan standing on the operating table said softly,

"Okay, let's get started!"

At the beginning of the operation, the patient suffering from the disease was thin and thin, without even a little extra fat under the belly.

Almost a knife down, it is the fascia, it is directly the sandwich biscuits sold by profiteers, and the yellow cream cannot be seen directly.

The director of the pancreas department is the first assistant, and Chen Hao is the second assistant. For this operation, Chen Hao has been fed Red Bull before the operation. If you shake his body, you can definitely hear the sound of rattling. .

Cancer surgery can be roughly divided into two types, one is palliative surgery and the other is radical surgery.

It's awkward to explain in medical terms. In layman's terms, palliative surgery is to prolong the survival time of patients with chronic disease.

For example, if you die in two years, it may be two and a half years after the operation, or it may be three and a half years, or it may be half a year.

This kind of surgery is often chosen when the cancer cells cannot be completely removed.

Radical surgery is a surgical method that can completely remove cancer cells. As for whether it will recur, it is hard to say!

Although the patient is an early pancreatic cancer, the effect after resection is directly related to the technique of the doctor who performed the operation.

Therefore, this kind of surgery must be performed in a surgery center with a lot of experience in pancreatectomy. Don't look at the small advertisements posted on telephone poles or bathrooms.

"The fat layer of the abdominal cavity and mesentery is very clear!" After opening the abdominal cavity, Zhang Fan spoke, and he was also happy, happy for the patient.

The fat layer of the peritoneal cavity and mesentery is clear, which indicates that the cancer cells are only in the pancreas and have not spread out, so the chance of survival after resection is increased countless times.

Most of the human organs have open doors, which are the so-called entrance and exit, such as the hepatic portal of the liver, the portal of the stomach and the pylorus.

Moreover, the more important the organs, the thicker the clothes they wear, such as the big kidneys that greasy middle-aged men love to eat, and the fat around them.

This kind of fat is not just fat, but also has a layer of omentum inside, so it tastes both delicious and chewy.

The thickest part of the clothes is the brain. Not to mention the hard skull, there is also a large bag of phospholipids inside. The brain is actually a kind of fat with high phospholipids.

The organs in the abdominal cavity not only have body fat, but also a layer of omentum like a veil covering it.

The greater omentum has many functions. For example, when the appendix is ​​inflamed, infected and swollen, the greater omentum gathers around the appendix like a fishing net, wrapping it up and preventing the infection from spreading.

In the case of infection, this function is very powerful, but in the case of cancer, this pooling function is fatal. Cancer cells spread to every part of the body in minutes through the spider web-like lines of the omentum.

Therefore, after many cancer operations, the stomach is opened and the fat has transferred to the omentum and surrounding areas.

The abdominal cavity was cut open, and no metastasis was seen. Fortunately, none of the doctors who performed the operation was unlucky. Sometimes this thing is similar to rolling a dice.

"Knife!" The electric knife was replaced with a steel knife made in Germany. Surgical procedures for pancreatic cancer should not be done in a crude manner, as it will not be worthwhile if the operation is not performed properly and metastasized.

When the knife was on, Mr. Wu, who was originally sitting, also stood up behind Zhang Fan and began to pay attention.

Zhang Fan's knowledge of the pancreas has been mastered, and the old man has nothing to point out, but he is not at ease if the old man sits aside, after all, it is a difficult point in general surgery.

The greater omentum was incised, the transverse colon was pulled, and the posterior wall of the stomach was opened. The pancreas is like a big thick maggot, hidden behind the organs of the human body.

To complete the removal of pancreatic cancer cells, it is necessary to fully reveal its whole picture.

The human body does not seem to be very thick, but once the abdominal cavity is opened, it is very difficult to pluck the intestines in the abdominal cavity to find a section of pancreas.

First of all, although the surgical incision looks large, it is actually a small hole once it enters the abdominal cavity. How to describe it.

During Chinese New Year in the past, many families had to cook meat, and some families also liked to eat fat sausages.

A very large and full pot of fat intestines, simmering slowly.

Then you lie on the side of the pot and hold a pair of chopsticks and turn over and over to find a smaller piece of meat.

Pancreatic surgery is actually similar to this, the red and white stomach is covered with bloodshot circles of fat, and the long and greasy intestines are gurgling and sliding in Zhang Fan and his hands.

The undischarged digestive products can also be vaguely seen from the membrane of the intestinal tract, which is faintly yellow and blue.

None of the surgeries in general surgery are advanced, they are either disgusting to death, or troublesome to death.

In such a difficult operation, only Zhang Fan and his assistant can see the internal organs. The two of them can be said to be head to head looking for cancer cells from the fat nest.

Separation little by little, people are very different, textbooks are almost all the most common, as for the rare ones, I hardly mention it, because if I say too much, I am afraid that it will affect the doctors who go in and out.

Zhang Fan was performing the operation, and the director of the pancreas department was assisting while making comparisons in his heart. "He's doing better, slightly better here than I am. Well, it's a little better here, too."

When the pancreas was exposed, he was stunned because he couldn't find what he did better than Zhang Fan, so he just pointed to the surgical operation. Mr. Wu might not be better than Zhang Fan.

"Zhang Yuan, how many pancreas have you made? This level, tsk! Tsk!"

The director of the pancreas department couldn't help but admire him. Over the past ten years or so, he had performed operations on hundreds of pancreas, but he was not as good as the other party.

"Hehe, this is the second one! I have done more orthopedic surgeries!"

"Ah!" The director of the pancreas department almost opened Zhang Fan's mouth with a hook, "Isn't this bullying!"

Chen Hao was dumbfounded, he thought Zhang Fan was mainly attacking the pancreas. "Um, are you an orthopedic surgeon?"

Before Zhang Fan could speak, Elder Wu stood behind Zhang Fan and said, "He's in a basic hospital, and he's doing complicated surgeries, not to mention the pancreas, he can do surgeries outside the brain."

"Oh, oh, oh!" The director of the pancreas department looked at Zhang Fan incredulously, and he saw that the corners of his eyes were covered with collagen, without a trace of wrinkles. You're still young to be envied!"

And Chen Hao looked confused, "Mother, it's all for nothing, is there still time for me to change it?"

At this time, Mr. Wu said again, "This has advantages and disadvantages, but I only see comprehensiveness in him, and his contribution is probably beyond our imagination."

Zhang Fan was so embarrassed by the old man's praise that he didn't have a system. He is probably still trying to nail the steel plate.

The pancreas was exposed, lying on top of the fundus of the stomach and intestines like a tongue that had been scalded and blistered.

In the stomach of the pancreas, a swollen vesicle can be clearly seen, showing such arrogance.

Zhang Fan turned the pancreas over and looked at it, "Fortunately! There is only a tumor at the tail of the pancreas."

"Get ready to cut!" Zhang Fan issued an order for a general attack.

"yes!"

The knife went into the clamps, and after cutting open the pancreas, Zhang Fan stuffed it with nimble fingers.

"Conduit! Smallest catheter!"

The instrument nurse immediately took the smallest catheter out of the tray soaked in disinfectant and handed it to Zhang Fan.

"No, this is too big!" Without even trying, Zhang Fan could tell at a glance that the catheter was too thick to fit into the channel of the pancreas.

"This is the smallest!" The equipment nurse was anxious, and even the head nurse who was standing by the side came over. "Did you not prepare all the equipment?"

"No, no, head nurse, I have counted six times, and everything that should be prepared is ready!" The middle-aged nurse was about to cry. If it was really not well prepared, it would be an accident, a medical malpractice, and a job could be done on the spot Smashed it.

The battle was about to start, and the shells turned out to be inappropriate! Zhang Fan was about to lose his temper. To be honest, he had no temper on weekdays, but his heart was filled with anger.

Mr. Wu was still experienced. He looked at the patient, and then he stretched his neck behind Zhang Fan and looked at the patient.

"His pancreas is abnormally developed, and it is one size smaller than that of ordinary patients. Pancreas devices are made according to Europeans and Americans, so they are smaller than normal patients.

The one size smaller equipment can no longer be used. "

Zhang Fan held the pancreas with one hand, and the cancer cell that was about to be cut off with the other, "Quick, go find it!" He couldn't care less, and gave the order directly.

"We couldn't find one smaller than this in our hospital." The director of the pancreas department said after looking at the equipment and thinking about the inventory.

"What should I do? What do you think should be done?" Zhang Fan was furious. If he didn't have the right equipment, the operation would have been a fucking failure. The original perfect operation would definitely have to be transferred.

It is true that there are tigers before and wolves behind. "Hurry up, contact all the equipment dealers in Shanghai and ask them to bring equipment smaller than this model, and come to the hospital immediately." Mr. Wu said.

This kind of thing is the loss of having no patents in our own country. Without patents, no one studies it. Everything is made according to the body shape of Europeans and Americans.

The simplest one, the orthopedic steel plate, is used on Europeans and Americans, and it fits perfectly, but it is used on Asians, especially some thin people.

Doctors are like fitters, thinking of ways to use (a) milk to correct the shape, to find ways to make the steel plate obedient.

Zhang Fan didn't expect that he finally encountered a joke in the medical field today, and it turned out to be too rough.

Sweating, profuse bleeding, surgery is difficult, Zhang Fan is not afraid, if he can't do it, he will go to the liver in the system, sooner or later he will get it off.

But the equipment doesn't match up, no matter how high the technology is, it can't make a wrong one on the spot.

Sweat flowed down Zhang Fan's neck. He was so nervous that he almost died of fright. This is human life, not pig intestines.

The old man's order, like a military order, caused a huge wave in the medical circle of Shanghai.

Johnson \u0026 Johnson, Aetna, Pfizer, and Meibo counted one by one, and the world's top-ranked medical companies began to race, jokingly, as long as they win the supply of equipment for this operation, the road ahead will be smooth.

Fangdong, the magic capital, is the hospital where they dream of monopolizing the supply, and there is no one who does not work hard.

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