Path of Medicine With a System

In most parts of the world, chest trauma is the domain of cardiothoracic surgeons, head trauma is the domain of neurosurgeons, and bones and joints are the domain of orthopedic surgeons.

Gone are the days when a doctor was able to treat everything from head to toe. This may be the result of the development of medical technology.

Or it may be that modern people can no longer bear loneliness, can't bear loneliness, can't bear life without money, and are unwilling to settle down.

Back then, if Zhang Fan didn't have a patch in his pocket, he would have had no way out. Even if he had a system, he would have walked slower than he is now, and he would not have achieved the same results as he does now.

People are such a thing, sometimes a fragile group, a mouthful of steamed buns may choke a person to death, or even a word from others can make a person lose confidence in life and go to extremes.

But sometimes it is quite resilient. Ups and downs, just don't admit defeat.

I don't believe in this fate. It's hard to say whether it is successful or not, but once you seize an opportunity, this kind of tough person like Xiaoqiang must not be underestimated.

Zhang Fan looks pretty awesome in regional hospitals, and even in some provincial hospitals, because there are too few doctors from head to toe, and one counts as one, and he has either become the dean or has retired.

But in the field hospital, there are too many such doctors, too many, is it because they are more talented? No, those who are forced, often at some point, they are alone and have no way out.

When there is no team and no rear, you can't specialize in multiple skills, you can only watch the wounded die.

In the operating room, Mr. Wu was the first assistant, the director of the field hospital was the second assistant, and the director of XXX Hospital was the third assistant.

Among them, the only one who is really daring is Mr. Wu. In addition, Zhang Fan is registered in the department of orthopedics, the director of the field hospital, and the director of the XXX hospital is a gastrointestinal doctor, so he can be considered a little bit.

Four people, four majors, jointly perform a liver operation, and this kind of situation can only be seen in field hospitals.

"Damage control! Doctor Zhang is too courageous!" The director of the field hospital saw that the wounded liver was covered with gauze when he came to the stage. He was incredulous and said something to Zhang Fan in surprise.

Liver, a long time ago, a doctor used a stop-loss method for liver damage.

What do you mean? To put it simply, the liver was injured by a big puncture, and the blood swelled up like fireworks.

He did not choose to have the liver removed, nor did he choose to have a severe repair. Instead, pack it with gauze and wait for the liver to repair itself.

His record was not recognized at the time, four surgeries, three died and one survived, but the liver that survived was intact.

His technique was considered cowardly surgery at the time. Because the chances of failure are too high.

A hundred years later, the U.S. military once again proposed this surgical method. However, the risk is still quite huge. There are only a handful of doctors in the US military who can perform this kind of surgery.

The director of the field hospital is a person who has seen the world. When he saw this method, it was impossible not to be surprised. To be honest, no one in their hospital has dared to use this operation.

"En!" Zhang Fan nodded, carefully observing the condition of the gauze.

In surgical operations, when measuring bleeding, there is a standard, how much blood is in the aspirator is clear, because the drainage bottle has a measurement number.

And how to calculate other bleeding, that is, counting gauze, counting gauze soaked in blood, 200ml of gauze.

"Has Dr. Zhang ever done this type of operation?" Although the field doctor asked Zhang Fan again, his eyes were on Mr. Wu.

Zhang Fan was busy observing the gauze carefully,

He didn't say at the first time that he wanted to determine whether the patient's bleeding had been stopped, or how much the bleeding was now.

Elder Wu didn't speak, but shook his head.

"I have never done this kind of operation, but this is the only way he can save his liver."

"Are you sure?"

"Have!"

"Brother Comrade, this is not a child's play. I understand your feelings, but we must put survival first, right?"

The director of the field hospital said something regretful to Zhang Fan. He admired Zhang Fan's courage to do stop loss surgery, but he did not agree with a doctor who has no experience in this kind of surgery to do stop loss surgery rashly.

Of course, this kind of disapproval is not only a verbal disapproval, it will be reflected in the following medical records and reports.

This is not the behavior of a villain, but a doctor, the most basic professional ethics, no cover-up, one is one, two is two, everything is based on the facts seen with one's own eyes.

Mr. Wu is not familiar with this kind of stop loss surgery, which is only used as a last resort. There are too many variable conditions in this kind of surgery, and it is impossible to use data to form a rule.

"I need eye surgery instruments right now, a doctor who can prescribe a TEG, and a nurse who reminds me every fifteen minutes. Fast."

Zhang Fan didn't explain, nor did he argue with the dean. He didn't do it to convince others, but to save his liver.

"Hi! OK, I'll have the doctor from the hospital's hematology department come over right now. Head nurse Chen, your task now is to remind Dr. Zhang every fifteen minutes."

"Yes!" The patrolling head nurse saluted and started the timer.

"Why, hasn't the bleeding stopped?" As soon as Mr. Wu heard it, he knew that the bleeding and hemostasis of the wounded were not optimistic.

"There is still some bleeding, uncle, and we need to wait for two hours."

After checking the gauze, Zhang Fan looked up at Mr. Wu.

Elder Wu was also torn between keeping the wounded man's liver completely on the one hand, and sacrificing it on the other.

Really, at this time, the doctors are like standing in front of the god of death, slapping their thighs and cursing the street to provoke the god of death, come, come, come if you have the ability.

And the Grim Reaper was like a Tibetan mastiff, baring its teeth and roaring.

Sometimes even the patient has a cough, and the iron chain tied to the god of death will break, and then there will be devastating consequences.

Difficult, often in medical treatment, many times, we will face this dilemma.

"I don't agree. He is still very young, Mr. Wu, we are gambling with his life. Now, even if the liver is cut in half, his life can continue."

The director of the field hospital was also anxious. He and Zhang Fan had never met. He was definitely not targeting Zhang Fan, he was also for the wounded.

This is the difference in philosophy, the difference in age. Older people tend to be more conservative, while younger people are more aggressive.

Who is right and who is wrong? It's hard to say.

Elder Wu looked at Zhang Fan, Zhang Fan straightened his body, and looked at Elder Wu with a firm look in his eyes, no need to speak, the tacit understanding cultivated by the two of them, at this glance, Elder Wu knew that Zhang Fan was sure.

"There's still time, let's ask someone to make a picture first. We are all doctors, and we are all responsible for the wounded. I support Zhang Fan. Director Li, what about you?"

At this time, Mr. Wu chose Zhang Fan because he recognized Zhang Fan's technology and character. He didn't think Zhang Fan would be willful in this matter.

"I object!" The director of the field hospital insisted on his opinion.

Three people, six pairs of eyes looked at the director of XXX Naval Hospital. The director closed his eyes at this moment.

He wasn't running away. At this moment, his mind was full of clips of Zhang Fan's operation at sea, just like a movie.

Section by section across, precise, fast, decisive! At the age of forty, he kept recalling Zhang Fan's surgery.

Slowly opened his eyes, but with flashing lights in his eyes, "I support Dr. Zhang!"

Saying this is not something that can be done by touching the upper lip to the lower lip. At this time, every word, every punctuation mark is recorded by the nurse. Then archive it, and it is not allowed to be destroyed within 20 years!

When you speak at this time, you have to be responsible!

He did not choose the more robust half-liver operation, and he did not consider whether he would be responsible for today's sentence in the future.

However, he chose to support Zhang Fan today, just to make the quality of life of the wounded more comfortable in the future. I just want to let him live in this world like a normal person, without the pity or pity of others...

"Hi! They are young, Mr. Wu, you, hi, I will contact the backup personnel now." Although no one supported him, the director of the field hospital also began to actively prepare.

This is the Disciplined Forces.

This is the medical team that our Huaguo Medical will finally guarantee.

Time passed by, and the TEG map began to be described. In the sound of reminders again and again, 2 hours passed.

"Start!" Zhang Fan said after watching the TEG.

In the operating room, only the sound of the waves could be heard.

So clear!

The gauze, the gauze stuffed in the liver, Zhang Fan pressed lightly with both hands, the feeling coming from the gauze, Zhang Fan can clearly feel how much of the gauze is dry and how much of the gauze is wet.

This is his ability, this is the super sensitive perception he has cultivated in the system.

Dare to go to Daliang Mountain without three points?

joke!

Like rolling a dice to open a treasure, a piece of gauze was taken out gently without bleeding.

Although Zhang Fan could feel how much bleeding there was, he didn't know where it was bleeding. It was like buying a lottery ticket. He knew that one of them would definitely win, but he didn't know which one would win.

So every piece of gauze, he faced it slowly and gently, all with tense muscles, as a bleeding gauze.

"Salt water, ice salt water!" When the gauze covering the outermost surface was taken off, the blood-stained gauze was finally seen.

Almost everyone who has been injured has had the experience of changing dressings. The bigger the wound, the more painful it is to change the dressing.

If you meet an impatient doctor, changing the medicine can turn into a pig slaughter.

The gauze covering the surface of the wound was soaked with blood, and after drying over time, it was pasted on the newly grown tender granulation.

When changing the dressing, the impatient doctor tore the gauze away. Really, there was no way to describe the pain.

It's like the meat that has been wrapped in the skin, one day it is suddenly pulled out by a sudden jerk, and then scratched up and down on the denim, the pain, the painful pain, the pain is over, and there are burning and continuous stabbing pains. Pain, really, anyone who can feel pain would like to have this meat in their mouth.

The same is true for the liver, whether it hurts or not, there is anesthesia. The most difficult thing is secondary bleeding.

After the protein in the blood coagulates, it sticks to the blood vessels, but it also sticks to the gauze.

The gauze at this time is not a small area where you change the dressing, but a whole piece of adhesion.

Once one is not careful, all previous efforts will be wasted.

The salt water ticks, ticks low, with blood-clotting gauze, not to mention not absorbing much water at all.

This is also one of the difficulties that this kind of operation is not easy to solve. Not only to prevent unclosed bleeding, but also to prevent secondary bleeding after adhesions, which is too difficult.

"Doctor Zhang, fifteen minutes have passed!"

"Yeah!" Zhang Fan nodded, the wound was exposed for longer and longer, and the chance of infection was also increasing.

"Tweezers!" Zhang Fan took the tweezers, and everyone in the operating room held their breath.

Tick, tick.

Gently, at this time, other people can't help Zhang Fan a bit, even if they can, they can only pray in their hearts.

too difficult.

The hands should not tremble a little. After clamping the gauze with tweezers, once the gauze trembles, no one can guarantee that the invisible adhesion may be an artery.

Slowly, my heart was suspended, I opened my mouth, and there was a beating heart in my throat.

People with poor mental quality can be scared to death here.

One click, one click, a complete piece of gauze was taken out by Zhang Fan.

Just like a crumpled pink letter paper, when Zhang Fan threw it into the curved plate, it made a clanging sound.

One can think about how hard Zhang Fan can take out the gauze without causing the liver to bleed in all directions. This level of technology is so high.

After the gauze was taken out by Zhang Fan, the director of the field hospital had more and more confidence in Zhang Fan.

Just when everyone can take a little breath, bark! He was bleeding, and Zhang Fan, who was almost leaning on his liver, was sprayed with blood all over his face.

"Quick, I can't see!" In the last minute, blood entered Zhang Fan's eyes. It's really worse.

The warm blood is like a beauty's tongue, with warmth and viscosity. Zhang Fan tried desperately to open his eyes, but his eyelids were so glued together that he couldn't open them no matter what.

This wound can only be seen by the chief surgeon, because the area is too small, and other people can't even see the specific wound inside.

And Zhang Fan's eyes were covered with blood again. The itinerant head nurse, like a leopard, babbled, and arrived at a distance of two or three meters in the blink of an eye.

Holding the back of Zhang Fan's head, he straightened his chest, and fixed Zhang Fan's head on her chest.

Then the other hand held the gauze of Prominerme, and directly touched Zhang Fan's eyes.

As for Zhang Fan, after shouting, he was like a big rooster whose head had been chopped off.

He didn't feel his head being rested on his chest, and he didn't feel his eyes get Gelmie. The head directly seemed to be not his own, without any resistance.

But his body and his hands didn't stop. Zhang Fan's eyes hadn't had time to react the moment the blood gushed out, but his hands had already struck.

The pincers were like the most precise missiles fired at the blood vessels that spurted blood.

In just a few breaths, Zhang Fan immediately asked: "Master, look quickly, look quickly, is there any bleeding?"

His heart was hanging, he couldn't see it, he didn't know if he caught the bleeding in the first place. Flustered, flustered like thousands of wild dogs chasing him naked and throwing an elephant.

"Stop it, stop it, don't move, don't move!" The uncle's voice began to tremble.

Blood vessels, blood vessels that can't run away, are definitely arteries, and arteries are like earthworms spitting out while hiding in a cave, if they loosen a little, he can definitely take them back.

Once taken back, only the liver can be cut.

The hand, holding the vascular forceps, rested on the wounded surface of the liver.

The eyes finally saw it, "How about it, did you see it?"

"Can!"

Then, Zhang Fan didn't dare to move, he didn't know what his current position was like.

Gently, the head nurse gently pushed Zhang Fan's head away with his hand, and pushed it to the normal position.

Zhang Fan blinked, "Hemostat!"

One piece, one piece, there was no danger, really no danger, slowly, all the gauze was taken out.

The wound on the liver was as clean as a bowl licked by Erha.

"Hush!" Elder Wu let out a long breath.

"sharp!"

"Put the drainage tube and close the abdomen!"

...

Cool! It was so refreshing, Zhang Fan looked at the young wounded, breathing smoothly, and slowly recovering his bloody face. .

Although it was dangerous and dangerous to come all the way, he felt that it was so cool. Especially this refreshing feeling of losing strength, as if the pores of the whole body were opened, and the muscles of the whole body were trembling slightly.

It was so cool that Zhang Fan could shout, and it was so cool that Zhang Fan couldn't bear to leave this feeling.